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| 2. |
- Attermeyer, Katrin, et al.
(författare)
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Carbon dioxide fluxes increase from day to night across European streams
- 2021
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Ingår i: Communications Earth & Environment. - : Springer Nature. - 2662-4435. ; 2:1
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Tidskriftsartikel (refereegranskat)abstract
- Globally, inland waters emit over 2 Pg of carbon per year as carbon dioxide, of which the majority originates from streams and rivers. Despite the global significance of fluvial carbon dioxide emissions, little is known about their diel dynamics. Here we present a large-scale assessment of day- and night-time carbon dioxide fluxes at the water-air interface across 34 European streams. We directly measured fluxes four times between October 2016 and July 2017 using drifting chambers. Median fluxes are 1.4 and 2.1mmolm(-2) h(-1) at midday and midnight, respectively, with night fluxes exceeding those during the day by 39%. We attribute diel carbon dioxide flux variability mainly to changes in the water partial pressure of carbon dioxide. However, no consistent drivers could be identified across sites. Our findings highlight widespread day-night changes in fluvial carbon dioxide fluxes and suggest that the time of day greatly influences measured carbon dioxide fluxes across European streams. Diel patterns can greatly impact total stream carbon dioxide emissions, with 39% greater carbon dioxide flux during the night-time relative to the day-time, according to a study of 34 streams across Europe.
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| 3. |
- Doyle, Louise, et al.
(författare)
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Preparing master-level mental health nurses to work within a wellness paradigm : Findings from the eMenthe project
- 2018
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Ingår i: International Journal of Mental Health Nursing. - Richmond, VIC : Wiley-Blackwell. - 1445-8330 .- 1447-0349. ; 27:2, s. 823-832
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Tidskriftsartikel (refereegranskat)abstract
- Mental health promotion remains an important component of mental health nursing practice. Supporting wellness at both the individual and societal levels has been identified as one of the key tenets of mental health promotion. However, the prevailing biomedical paradigm of mental health education and practice has meant that many nurses have not been equipped to incorporate a wellness perspective into their mental health practice. In the present study, we report on an exploratory study which details the knowledge, skills, and attitudes required by master-level mental health nurses to practice within a wellness paradigm from the perspective of three groups of key stakeholders: (i) service users and family members (n = 23); (ii) experienced mental health nurses (n = 49); and (iii) master-level mental health nursing students (n = 37). The findings, which were reported from individual and focus group interviews across five European countries, suggested a need to reorientate mental health nursing education to include a focus on wellness and resilience to equip mental health nurses with the skills to work within a strengths-based, rather than a deficits-based, model of mental health practice. Key challenges to working within a wellness paradigm were identified as the prevailing dominance of the biomedical model of cause and treatment of mental health problems, which focusses on symptoms, rather than the holistic functioning of the individual, and positions the person as passive in the nurse-service user relationship. © 2017 Australian College of Mental Health Nurses Inc.
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- Jormfeldt, Henrika, 1966-, et al.
(författare)
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Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care
- 2018
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 13:S1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: This discussion paper aims to explore the need of a clarified definition of master’s level mental health nursing competencies in terms of knowledge, skills and attitudes in a European context. Mental health service users have, in spite of their right to equal overall health, higher rates of physical illness and are more likely to experience premature death than the general population. Implementation of a holistic concept of health comprising mental, physical and social aspects of health in mental health services has previously proved to be challenging. Methods: Master’s level mental health nursing competencies in recent literature are discussed and illuminated in terms of knowledge, skills and attitudes in order to enable the promotion of equal overall health among service users in mental health services. Results: The discussion show contents, values and utility of master’s level mental health nursing competencies in mental health services and contribute to reduced role ambiguity by distinguishing master’s level responsibilities from undergraduate nursing tasks and obligations of other professionals in mental health care. Conclusion: This discussion paper shapes implications for developments in master’s level mental health nursing education curricula. © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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| 7. |
- Jung, Christian, et al.
(författare)
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A comparison of very old patients admitted to intensive care unit after acute versus elective surgery or intervention
- 2019
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Ingår i: Journal of critical care. - : W B SAUNDERS CO-ELSEVIER INC. - 0883-9441 .- 1557-8615. ; 52, s. 141-148
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Tidskriftsartikel (refereegranskat)abstract
- Background: We aimed to evaluate differences in outcome between patients admitted to intensive care unit (ICU) after elective versus acute surgery in a multinational cohort of very old patients (80 years; VIP). Predictors of mortality, with special emphasis on frailty, were assessed.Methods: In total, 5063 VIPs were induded in this analysis, 922 were admitted after elective surgery or intervention, 4141 acutely, with 402 after acute surgery. Differences were calculated using Mann-Whitney-U test and Wilcoxon test. Univariate and multivariable logistic regression were used to assess associations with mortality.Results: Compared patients admitted after acute surgery, patients admitted after elective surgery suffered less often from frailty as defined as CFS (28% vs 46%; p < 0.001), evidenced lower SOFA scores (4 +/- 5 vs 7 +/- 7; p < 0.001). Presence of frailty (CFS >4) was associated with significantly increased mortality both in elective surgery patients (7% vs 12%; p = 0.01), in acute surgery (7% vs 12%; p = 0.02).Conclusions: VIPs admitted to ICU after elective surgery evidenced favorable outcome over patients after acute surgery even after correction for relevant confounders. Frailty might be used to guide clinicians in risk stratification in both patients admitted after elective and acute surgery.
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| 8. |
- Keogh, Brian, et al.
(författare)
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Developing e-learning materials in mental health : the eMenthe Project
- 2017
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Ingår i: Mental Health Practice. - Harrow : Royal College of Nursing (RCNi). - 1465-8720 .- 2047-895X. ; 20:5, s. 36-37
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Tidskriftsartikel (refereegranskat)abstract
- This article describes a European collaborative project that developed master’s degree level e-learning materials for mental health nurses. The e-learning materials are freely available online at www.ementhe.eu
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| 9. |
- Keogh, Brian, et al.
(författare)
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Developing Master’s level eLearning material in mental health – Phase one, consulting with key stakeholders
- 2014
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Ingår i: Book of Abstracts. ; , s. 116-116
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Konferensbidrag (refereegranskat)abstract
- Background: The need to develop education programmes for mental health nurses that are responsive to the needs of key stakeholders is essential to ensuring that mental health nursing practices remain contemporary and consistent with national and international mental health policy. To this end, a group of mental health nursing faculty from seven European countries came together to develop transferable eLearning materials for Masters Levels mental health nursing students focusing on a three of key areas; 1)recovery and social inclusion, 2) mental health promotion and prevention and 3) working with families and caregivers. This poster provides details of how the European partners will conduct the first phase of the project which is consultation with the key stakeholders (MSc Students, senior and expert mental health nurses, family and carer organisations and mental health service users).Aim and objectives: The aim of this project is to develop e-learning materials for Masters level mental health nursing education programmes based on the identified needs of key stakeholders.Methods: This research follows an action research design and this first phase will involve consultation with key stake holders using a qualitative approach. Data will be collected in three phases: 1. One focus group will be conducted with current MSc in Mental Health Nursing Students. 2. The participants (MSc Students) involved in phase one will be required to return to their areas of practice and gather information from 2 senior and expert mental health nurses using a prepared data collection template. 3. The researchers will collect data from the family carer organisations and mental health service users using telephone interviews using a prepared data collection template. This process will be repeated in all the European universities involved and will form the basis for the eLearning content.Analysis and Results: Data collection is due to start in December 2013.Recommendations: This collaborative approach to postgraduate mental health nursing education will ensure that a consistent, contemporary and needs driven eLearning package will be developed.
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| 10. |
- Keogh, Brian, et al.
(författare)
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Working with Families Affected by Mental Distress : Stakeholders' Perceptions of Mental Health Nurses Educational Needs
- 2017
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Ingår i: Issues in Mental Health Nursing. - Philadelphia, PA : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 38:10, s. 822-828
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Tidskriftsartikel (refereegranskat)abstract
- Family and informal caregivers provide a substantial amount of care and support to people who experience mental health problems. The aim of this study was to explore mental health nurses', students' and service users' perceptions of the knowledge, skills and attitudes that are required by mental health nurses to work with families and carers using a qualitative methodology. Three themes emerged from the data: Knowledge of the family and how mental distress affects the family; working with the family - support and education; and valuing the role of the family. The three themes demonstrate the complexity of preparing mental health nurses to work with families and carers, and the article offers recommendations about how this might be achieved. © 2017 Taylor & Francis Group, LLC
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