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ABSTRACT
Obstetrics remains the largest medico-legal liability in healthcare. Neither an increasing awareness of patient safety nor a long tradition of reporting obstetric outcomes have reduced either rates of medical error or obstetric... more
Obstetrics remains the largest medico-legal liability in healthcare. Neither an increasing awareness of patient safety nor a long tradition of reporting obstetric outcomes have reduced either rates of medical error or obstetric litigation. International debate continues about the best approaches to measuring and improving patient safety. In this study, we set out to assess the feasibility and utility of measuring the process of maternity care provision rather than care outcomes. To report the development, application and results of a tool designed to measure the process of maternity care. A dedicated audit tool was developed, informed by local, national and international standards guiding best practice and then applied to a convenience sample of individual healthcare records as proof of function. Omissions of care were rated in order of severity (low, medium or high) based on the likelihood of serious consequences on patient safety and outcome. The rate of high severity omissions of...
Treatment of [RuHCl(CO)(PPh3)3] with Hg(o-C6H4NNC6H5)2 affords [RuCl(CO)(η2-C,N-o-C6H4NNC6H5)(PPh3)2] (1) in good yield, where the cyclometallated azobenzene ligand coordinates through an ortho-C and N to give a five-membered chelate... more
Treatment of [RuHCl(CO)(PPh3)3] with Hg(o-C6H4NNC6H5)2 affords [RuCl(CO)(η2-C,N-o-C6H4NNC6H5)(PPh3)2] (1) in good yield, where the cyclometallated azobenzene ligand coordinates through an ortho-C and N to give a five-membered chelate ring. Reaction of 1 with AgNO3, followed by NaBr or NaI, affords the chloride exchanged products [RuX(CO)(η2-C,N-o-C6H4NNC6H5)(PPh3)2] (2 and 3), while reaction of 1 with AgOC(O)Me gives the monondentate acetate complex [Ru{η1-OC(O)Me}(CO)(η2-C,N-o-C6H4NNC6H5)(PPh3)2] (4), and reaction with NaS2CNEt2·2H2O gives the chelate complex [Ru(CO)(S2CNEt2)(η2-C,N-o-C6H4NNC6H5)(PPh3)] (5). The cationic complex [Ru (CO)(bipy)(η2-C,N-o-C6H4NNC6H5)(PPh3)][BF4] (6) is obtained on treatment of 1 with AgNO3, followed by bipy and NaBF4. In the solid-state structure of 1, significant changes in the bond lengths for the cyclometallated azobenzene ligand are observed and are discussed with the aid of a range of related examples, and compared with those observed in the well-known hydroxyazo/ketohydrazone tautomeric process in azodyes.
... Wendy I. Cross, † Amy L. Gillon, and Christopher S. Towler. ... Crystallization experiments were carried out using 50 mL (small scale) and 1000 mL (scale-up) glass-jacketed vessels in which temperatures were controlled via a... more
... Wendy I. Cross, † Amy L. Gillon, and Christopher S. Towler. ... Crystallization experiments were carried out using 50 mL (small scale) and 1000 mL (scale-up) glass-jacketed vessels in which temperatures were controlled via a circulating Haake waterbath for both crystallizers. ...
Treatment of the compounds [M(CO)5(NCMe)] (M=Cr, Mo, W) with the phenylazonaphthylphosphines 4-R–PhN2-1-C10H5-2-OR′-6-PPh2 {R′=H, R=H (I), R=Me (II), R=Et (III), R=Pri (IV) R=But (V); R′=C(O)Me, R=Me (VI)} afforded the mono-substituted... more
Treatment of the compounds [M(CO)5(NCMe)] (M=Cr, Mo, W) with the phenylazonaphthylphosphines 4-R–PhN2-1-C10H5-2-OR′-6-PPh2 {R′=H, R=H (I), R=Me (II), R=Et (III), R=Pri (IV) R=But (V); R′=C(O)Me, R=Me (VI)} afforded the mono-substituted products [M(CO)5(L)] (1-8) (M=Cr, L=II, 1; M=Mo, L=I–VI, 2–7; M=W, L=II, 8). Further reaction of cis-[Mo(CO)4(piperidine)2] with the azo-phosphines I–V afforded the di-substituted complexes cis-[Mo(CO)4(L)2] (9–13); whereas, reaction with VI afforded cis-[Mo(CO)4(II)2] 10 rather than the expected compound cis-[Mo(CO)4(VI)2] (14). 14 can, however, be prepared by esterification of 10. The observed non-innocence of piperidene on displacement from cis-[Mo(CO)4(piperidine)2] has been further investigated. Thus, treatment of 7 with piperidene yielded 3 as a result it becomes apparent that the potential reactivity of the displaced ligand needs to be considered carefully when carrying out simple substitution reactions. The molecular structure of 4 is also reported.
... Our Adolescents: Issues for Teachers, Schools and Communities By Nan Bar, Kristelle Hudry. ... Educational Planet Shapers: Researching, Hypothesising, Dreaming the Future By Barbara Garrick, Shiralee Poed, James Skinner. ...
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The nature of nursing work is demanding and can be stressful. Previous studies have shown a high rate of burnout among employed nurses. Recently, efforts have been made to understand the role of resilience in determining the psychological... more
The nature of nursing work is demanding and can be stressful. Previous studies have shown a high rate of burnout among employed nurses. Recently, efforts have been made to understand the role of resilience in determining the psychological adjustment of employed nurses. A theoretical model of resilience was proposed recently that includes several constructs identified in the literature related to resilience and to psychological functioning. As nursing students are the future of the nursing workforce it is important to advance our understanding of the determinants of resilience in this population. Student nurses who had completed their final practicum were invited to participate in an online survey measuring the key constructs of the ICWR-1 model. 422 students from across Australia and Canada completed the survey between July 2014 and July 2015. As well as several key demographics, trait negative affect, mindfulness, self-efficacy, coping, resilience, and burnout were measured. We used structural equation modeling and found support for the major pathways of the model; namely that resilience had a significant influence on the relationship between mindfulness, self-efficacy and coping, and psychological adjustment (burnout scores). Furthermore, as predicted, Neuroticism moderated the relationship between coping and burnout. Results are discussed in terms of potential approaches to supporting nursing students who may be at risk of burnout.
Building nurses' resilience to complex and stressful practice environments is necessary to keep skilled nurses in the workplace and ensuring safe patient care. A unified... more
Building nurses' resilience to complex and stressful practice environments is necessary to keep skilled nurses in the workplace and ensuring safe patient care. A unified theoretical framework titled Health Services Workplace Environmental Resilience Model (HSWERM), is presented to explain the environmental factors in the workplace that promote nurses' resilience. The framework builds on a previously-published theoretical model of individual resilience, which identified the key constructs of psychological resilience as self-efficacy, coping and mindfulness, but did not examine environmental factors in the workplace that promote nurses' resilience. This unified theoretical framework was developed using a literary synthesis drawing on data from international studies and literature reviews on the nursing workforce in hospitals. The most frequent workplace environmental factors were identified, extracted and clustered in alignment with key constructs for psychological resilience. Six major organizational concepts emerged that related to a positive resilience-building workplace and formed the foundation of the theoretical model. Three concepts related to nursing staff support (professional, practice, personal) and three related to nursing staff development (professional, practice, personal) within the workplace environment. The unified theoretical model incorporates these concepts within the workplace context, linking to the nurse, and then impacting on personal resilience and workplace outcomes, and its use has the potential to increase staff retention and quality of patient care.

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