Download or read book Impact de la mise en place d un m decin post l accueil des urgences adultes du CHR d Orl ans sur le ressenti des infirmi res d accueil et d orientation written by Camille Grit and published by . This book was released on 2019 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTION : Les Services d'Accueil des Urgences (SAU) en France doivent faire face à un afflux de patients en constante augmentation. Le poste d'Infirmier d'Accueil et d'Orientation (IAO) est indispensable pour évaluer, au sein de flux souvent massifs, la gravité des patients afin d'assurer un délai de prise en charge médicale en adéquation avec la pathologie rencontrée. Cependant, ce poste est décrit comme éprouvant par les soignants, car en tant que premier interlocuteur, l'IAO doit souvent faire face à l'inquiétude et parfois l'agressivité des patients et de leur entourage ; manifestations souvent liées aux délais d'attente très longs, conséquence directe de la surcharge de travail des SAU. Tous ces phénomènes exposent au risque non négligeable de démotivation et d'épuisement des IAO, ce qui pourrait, à court terme, être délétère sur la prise en charge des patients. Notre étude avait pour but d'évaluer l'impact de la mise en place d'un Médecin d'Accueil et d'Orientation (MAO) posté à l'accueil des urgences, sur le ressenti des IAO dans différents aspects de leur travail mais aussi dans leur relation avec les patients et leurs accompagnants. MATERIEL ET METHODE : Un MAO a été mis en place à partir de janvier 2019 aux urgences adultes du CHR Orléans. Les IAO ont été interrogés par le biais de 15 questions auxquelles ils devaient attribuer une note de 1 à 10. Ce questionnaire a été rempli par 33 IAO, lors de 2 phases, chronologiquement distinctes, à savoir une première phase en décembre 2018 et une deuxième en mai 2019. Il a également été demandé aux IAO de s'exprimer sur leur ressenti de l'utilité du MAO. Nous avons ensuite procédé à une analyse descriptive de notre population d'IAO et de leurs réponses, puis à l'évolution de celles-ci entre les 2 phases, par des tests de comparaisons de moyennes. Enfin nous avons effectué des analyses en sous-groupes selon les caractéristiques de la population (âge, sexe, ancienneté d'exercice de la fonction d'IAO, type d'exercice (100% SAU versus 50% SAU-50% SMUR). RESULTATS Notre population d'IAO a une moyenne d'âge de près de 32 ans et une moyenne d'ancienneté au poste d'IAO d'un peu plus de 6 ans. 52% ont un poste d'infirmière partagé 50% SAU-50% SAMU alors que 48% ont un exercice 100% SAU. Avant la mise en place du MAO, avec des moyennes d'environ 7, les IAO se sentent dépassées par la charge de travail et considèrent ce poste comme épuisant. Cela ne les empêche pas d'apprécier ce poste et de se sentir utiles pour les patients et le service. La mise en place du MAO améliore le ressenti des IAO sur tous les points recensés, mais ce, de manière significativement plus marquée pour les IAO les plus jeunes et celles exerçant uniquement au SAU. 70% des IAO considèrent le poste de MAO comme indispensable. CONCLUSION : La mise en place d'un MAO aux urgences adultes du CHR d'Orléans a permis d'augmenter le ressenti favorable des IAO, en majorant leur satisfaction personnelle à travers une meilleure gestion de l'orientation des patients, une diminution du sentiment d'épuisement et d'isolement. Cela a démontré aussi une diminution du ressenti d'insécurité et d'agressivité des patients et de leur entourage. Ces améliorations plus marquées dans la population des IAO les plus jeunes et exerçant à temps plein au SAU, soulignent l'aspect éprouvant de ce poste et incitent, au-delà de la mise en place du MAO, à réfléchir sur un possible fractionnement des temps de travail sur une même journée, afin de diminuer l'épuisement et majorer l'efficacité des IAO.
Download or read book Etude des motivations du m decin g n raliste qui le conduisent adresser un patient au service d accueil des urgences du CHU Centre hospitalier universitaire de Poitiers written by Fabienne Laforge and published by . This book was released on 1998 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Gender Mainstreaming in HIV AIDS written by and published by Commonwealth Secretariat. This book was released on 2002 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: Women, especially young women, have increasing infection rates from HIV/AIDS and the death rate among women is now almost as high as men.
Download or read book Iheoma My Dear written by Gloria Ernest Samuel and published by . This book was released on 2016 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Orchestration Graphs written by Pierre Dillenbourg and published by Epfl Press. This book was released on 2015-06-24 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: By modeling pedagogical scenarios as directed geometrical graphs and proposing an associated modeling language, this book describes how rich learning activities, often designed for small classes, can be scaled up for use with thousands of participants. With the vertices of these graphs representing learning activities and the edges capturing the pedagogical relationship between activities, individual, team, and class-wide activities are integrated into a consistent whole. The workflow mechanisms modeled in the graphs enable the construction of scenarios that are richer than those currently implemented in MOOCs. The cognitive states of learners in two consecutive activities feed a transition matrix, which encapsulates the probability of succeeding in the second activity, based on success in the former. This transition matrix is summarized by a numerical value, which is used as the weight of the edge. This pedagogical framework is connected to stochastic models, with the goal of making learning analytics more appealing for data scientists. However, the proposed modeling language is not only useful in learning technologies, it also allows researchers in learning sciences to formally describe the structure of any lesson, from an elementary school lesson with 20 students to an online course with 20,000 participants.
Download or read book Mars written by Fritz Zorn and published by Alfred A. Knopf. This book was released on 1982 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Science of Passionate Interests written by Bruno Latour and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can economics become genuinely quantitative? This is the question that French sociologist Gabriel Tarde tackled at the end of his career, and in this pamphlet, Bruno Latour and Vincent Antonin Lépinay offer a lively introduction to the work of the forgotten genius of nineteenth-century social thought. Tarde's solution was in total contradiction to the dominant views of his time: to quantify the connections between people and goods, you need to grasp "passionate interests." In Tarde's view, capitalism is not a system of cold calculations--rather it is a constant amplification in the intensity and reach of passions. In a stunning anticipation of contemporary economic anthropology, Tarde's work defines an alternative path beyond the two illusions responsible for so much modern misery: the adepts of the Invisible Hand and the devotees of the Visible Hand will learn how to escape the sterility of their fight and recognize the originality of a thinker for whom everything is intersubjective, hence quantifiable. At a time when the regulation of financial markets is the subject of heated debate, Latour and Lépinay provide a valuable historical perspective on the fundamental nature of capitalism.
Download or read book My Life written by Golda Meir and published by Weidenfeld & Nicolson. This book was released on 2023-02-23 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Blockbusting film GOLDA starring Helen Mirren is out now 'The gripping memoir of a remarkable woman who rose to the top in a man's world. A compelling political story of courage and struggle, power and leadership, war and crisis - and the making of Israel. A classic of 20th century history' Simon Sebag Montefiore, author of JERUSALEM: THE BIOGRAPHY 'A remarkable, almost incredible personal history ... stimulating and fascinating' IRISH TIMES 'A rare and wholly unforgettable work' SATURDAY REVIEW WITH A NEW INTRODUCTION BY JULIA NEUBERGER Golda Meir was without doubt one of the most incredible women of her - and any - time. Born in 1898 in Kyiv, she was the daughter of an impoverished carpenter - and became the first (and only) female Prime Minister of Israel. Meir's earliest memory is of her father boarding up the front door in response to rumours of an imminent pogrom. The family emigrated to the US and for a while Meir lived with her sister, where she was exposed to debates on Zionism, women's suffrage, literature and socialism. She became a teacher, and after her marriage emigrated again to Palestine, settling on a kibbutz. Always politically active, she became Israel's first envoy to Moscow; was promoted to Foreign Minister and ultimately elected as Prime Minister, leader of Israel. In her autobiography she wrote: 'To me, being Jewish means and has always meant being proud to be part of a people that has maintained its distinct identity for more than 2,000 years, with all the pain and torment that has been inflicted upon it'
Download or read book Cambridge Yearbook of European Legal Studies Vol 13 2010 2011 written by Catherine Barnard and published by Bloomsbury Publishing. This book was released on 2011-12-15 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Cambridge Yearbook of European Legal Studies provides a forum for the scrutiny of significant issues in EU Law, the law of the European Convention on Human Rights, and Comparative Law with a 'European' dimension, and particularly those issues which have come to the fore during the year preceding publication. The contributions appearing in the collection are commissioned by the Centre for European Legal Studies (CELS) Cambridge, a research centre in the Law Faculty of the University of Cambridge specialising in European legal issues. The papers presented are at the cutting edge of the fields which they address, and reflect the views of recognised experts drawn from the University world, legal practice, and the institutions of both the EU and its Member States. Inclusion of the comparative dimension brings a fresh perspective to the study of European law, and highlights the effects of globalisation of the law more generally, and the resulting cross fertilisation of norms and ideas that has occurred among previously sovereign and separate legal orders. The Cambridge Yearbook of European Legal Studies is an invaluable resource for those wishing to keep pace with legal developments in the fast moving world of European integration. INDIVIDUAL CHAPTERS Please click on the link below to purchase individual chapters from Volume 13 through Ingenta Connect: www.ingentaconnect.com SUBSCRIPTION TO SERIES To place an annual online subscription or a print standing order through Hart Publishing please click on the link below. Please note that any customers who have a standing order for the printed volumes will now be entitled to free online access. www.hartjournals.co.uk/cyels/subs Editorial Advisory Board: Albertina Albors-Llorens, John Bell, Alan Dashwood, Simon Deakin, David Feldman, Richard Fentiman, Angus Johnston, John Spencer Founding Editors: Alan Dashwood and Angela Ward Ius Commune Prize 2012 Alexandre Saydé wrote Chapter 15 in this volume entitled: 'One Law, Two Competitions: An Enquiry into the Contradictions of Free Movement Law' and we are delighted to announce that he has been awarded the Ius Commune Prize 2012.
Download or read book PEPFAR Implementation written by Institute of Medicine and published by National Academies Press. This book was released on 2007-10-17 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2003, Congress passed the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act, which established a 5-year, $15 billion initiative to help countries around the world respond to their AIDS epidemics. The initiative is generally referred to by the title of the 5-year strategy required by the act-PEPFAR, or the President's Emergency Plan for AIDS Relief. PEPFAR Implementation evaluates this initiative's progress and concludes that although PEPFAR has made a promising start, U.S. leadership is still needed in the effort to respond to the HIV/AIDS pandemic. The book recommends that the program transition from its focus on emergency relief to an emphasis on the long-term strategic planning and capacity building necessary for a sustainable response. PEPFAR Implementation will be of interest to policy makers, health care professionals, special interest groups, and others interested in global AIDS relief.
Download or read book Socialism Perestroika and the Dilemmas of Soviet Economic Reform written by John E Tedstrom and published by Routledge. This book was released on 2021-12-13 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book highlights that Soviet economic planners and politicians must come to recognize the need to make fundamental changes, not simply incremental refinements, in the failing Soviet system. It examines the dynamics of the process of perestroika and the complexity of individual economic issues.
Download or read book The Ladybird Illustrated written by D H Lawrence and published by . This book was released on 2020-11-09 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Ladybird is a long tale or novella by D. H. Lawrence. It was first drafted in 1915 as a short story entitled The Thimble. Lawrence rewrote and extended it under a new title in December 1921 and sent the final version to his English agent on 9 January 1922. It was collected with two other tales, The Captain's Doll and The Fox, and the three novellas were then published in London by Martin Secker in March 1923 under the title The Ladybird and in New York by Thomas Seltzer as The Captain's Doll in April 1923."
Download or read book Notes on the Minor Prophets written by Henry Allan Ironside and published by . This book was released on 1955 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Beyond Fun written by Drew Davidson and published by Lulu.com. This book was released on 2008 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on strategies for applying games, simulations and interactive experiences in learning contexts. A facet of this project is the interactive and collaborative method in which it was created. Instead of separated individual articles, the authors and editors have orchestrated the articles together, reading and writing as a whole so that the concepts across the articles resonate with each other. It is our intention that this text will serve as the basis of many more discussions across conference panels, online forums and interactive media that in turn will engender more special collaborative issues and texts.
