The Four S Model in action for de-escalation. An innovative state hospital-university collaborative endeavor

In this article, the Four S Model is presented as a working clinical framework for generating structured nursing interventions and treatment plans. The de-escalation process, formalized by the De-escalation/Alternative to Restraint Flowsheet, is one way in which the model is being operationalized to reduce seclusion and restraints. As shown by the flowsheet, the model allows for integration of mental health and mental illness. It spans the scope of nursing practice at all levels, from para-professional to advanced practice nurse, by integrating the mental health concepts of communication, leadership, clinical judgement, critical thinking, and caring within its framework. Most important, the flexibility to individualize treatment that is built into the model allows for generalization to all psychiatric presentations.     

Continuing Competence and Relicensure

Abstract

The purpose of licensing laws is to provide assurance of high quality service and to protect the public from incompetent practitioners. Safeguarding entrance to the professions by licensing examinations is one part of this responsibility which is entrusted to the professional boards. Assuring the continuing competence of practicing professionals is another part and a major challenge to every board of nursing throughout the United States.

A 1979 mail survey identified 18 states which have specific continuing education requirements for relicensure of nurses. In addition, three states have standards of practice incorporated in the rules and regulations governing the nursing profession.

Mandatory continuing education is a first step in the implementation of a system to assure the public of the continuing competency for practice of the professional nurse. It is acknowledgement, with the force of law, that continuous renewal of knowledge is a necessary condition for assuring competence. However, it is not sufficient in itself. Knowledge must be integrated in performance, which is the final test of competency. Thus, other system components that assure continuing competency must be developed and implemented. These include the identification of standards of acceptable performance, and the development and implementation of measures to evaluate practicing professionals and assure that they meet the performance standards. These measures include peer review, self-assessment, and recertification procedures. Successful implementation of a complete effective system will require the collaborative efforts of practicing nurses, their professional organizations, and the state boards of nursing.     

Are they lonely at the top? Social relationships and social support among Australian managers

This research tested the possibility that managers may be lonely at the top. A total of 572 Australian managers responded to a questionnaire-based survey. Results showed that social support was more frequently available from non-work relationships than from work relationships. The support available from work and non-work sources was also qualitatively different. Workplace relationships offered mainly distraction, whereas non-work sources also offered care, acceptance, and consolation. Within the workplace, co-workers were the primary source of support. Moreover, support for work stressors was received from within the workplace, or from a spouse or partner. However, support was seldom received from within the workplace for non-work stressors. Concerns about social relationships also contributed to most of the nominated stressful situations.     

Introduction: “There Is a Person Here”: An Interview with Judith Butler

In this interview, the coeditors, along with other contributors, ask Judith Butler a variety of questions regarding queer theory, gender identities, scientific and legal discourse, bodily abjection, race and class positioning, and political organizing. This range of subject matter suggests not only the breadth of Butler's work, but also its applicability to any number of people, whose relation to theory ranges from highly politicized to politically indifferent. The interview demonstrates the responsiveness of Butler's work to cultural translation and political action.     

Friendships under strain: The work–personal life integration of middle managers

Middle managers in today's organisations have reported experiencing longer working hours and intensified work regimes. These increased pressures, in turn, have led to growing difficulty in addressing the integration of their work and personal lives. In an exploratory study of the daily workplace experiences of Australian middle managers and the impacts on their personal lives, one of the key themes to emerge was respondents’ concerns about the negative effects on their friendships. This paper discusses middle managers’ recognition of the value of friendships for their wellbeing, and the resultant anger and sadness reported at the strain on these relationships due to competing time demands. The significant role that friendships play in alleviating some of the stresses of work demands, while concurrently being impeded by these same demands, is an important issue for organisations to consider. These findings indicate the need for middle managers to truly have an ability to engage in activities – and friendships – which will aid them in their working lives. The study also indicates a need for further investigation into the development and maintenance of friendships for both middle managers and other groups of employees.     

Vegetation composition and structure of woody plant communities along urban interstate corridors in Louisville,KY, U.S.A.

Urban forests adjacent to interstate corridors are understudied ecosystems across cities. Despite their small area, these forests may be strategically located to provide large ecosystem services due to their ability to act as a barrier against air pollutants and noise as well as to provide flood control. The woody vegetation composition and structure of forests adjacent to urban interstates is an important determinant of their ability to provide these services. However, these forest communities may be particularly susceptible to the introduction of exotic invasive species via the interstate and the surrounding city that can potentially alter current and future forest composition. The purpose of this study was to investigate the distribution of native and exotic woody vegetation and tree regeneration in forests along three interstate corridors in Louisville, KY, and to determine potential factors (e.g., traffic density) that are correlated with patterns in the woody vegetation community. We found the most important determinants of vegetation composition along these interstate corridors were the distance from the city center and the presence of an exotic invasive shrub, Amur honeysuckle (Lonicera maackii). Compared with forested plots within 10 km of the city center, plots further from the city center had 81% lower stem density of Amur honeysuckle, 96% higher tree seedling regeneration, and 51% greater woody plant species richness. The primarily native species composition of adult trees in forests alongside urban interstates in Louisville and the regeneration of native tree species provide optimism that these forests can maintain native species while experiencing multiple impacts from the interstate as well as from the surrounding city, emphasizing their important potential for maintaining natural forest functions across the urban landscape.     

Mobility and Privilege Within Queer Studies and University

In this essay, the author considers how classist divisions present within queer studies may well be exacerbated by the institutionalization of queer studies within university. In particular, she examines the class privilege that attends both queer theory's and university's deployment of travel metaphors. In both cases, the language of travel is the potentially empowering language of intellectual agility and social mobility. Importantly, though, both queer theorists' and university administrators' employment of travel metaphors often serves to reaffirm cultural hegemony, specifically to sustain rather than to examine and combat social oppression. This sad irony is particularly apparent when one compares university representations of commuter and residential students. Thus, the question that faces universities is how to keep queer studies critically queer so that universities can recognize and address the various forms or models of social mobility that are present on their campuses, commuter as well as residential.