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Effluents containing tritium (H) dispersed into the fresh water or marine environment from nuclear facilities can be taken up by biota. Aquatic and marine organisms are among the important pathways through which tritium can enter into the human body, and hence, assessment of the extent of pollution of these ecosystems is very important for radiation dose assessments. Tritium present in environmental matrices can be classified as tissue-free water tritium (TFWT) and organically bound tritium (OBT). Optimization of a method for the determination of OBT in fish, based on thermal oxidation of the sample, is discussed. Samples were subjected to thermal oxidation in a pyrolyser system, and the water produced from the combustion was analyzed by liquid scintillation spectrometry. Results show that a maximum of ~2 g of processed fish sample can be combusted efficiently in the pyrolyser. Using this method, a recovery of 84% was achieved, and minimum detectable activity (MDA) for the method was determined to be 8.5 Bq kg (sample weight = 2 g, counting time = 30,000 s, and detection efficiency = 20%).As hospitals and medical schools confronted coronavirus disease 2019 (COVID-19), medical students were essentially restricted from all clinical work in an effort to prioritize their safety and the safety of others. One downstream effect of this decision was that students were designated as nonessential, in contrast to other members of health care teams. As we acclimate to our new clinical environment and medical students return to the frontlines of health care, we advocate for medical students to be reconsidered as physicians-in-training who bring valuable skills to patient care and to maintain their status as valued team members despite surges in COVID-19 or future pandemics. In addition to the contributions students provide to medical teams, they also serve to benefit from the formative experiences of caring for patients during a pandemic rather than being relegated to the sidelines. In this commentary, we discuss factors that led to students’ being excluded from this pandemic despite being required at the bedside during prior U.S. public health crises this past century, and we review educational principles that support maintaining students in clinical environments during this and future pandemics.

The aim of this study was to determine the relationship between clinical nurses’ perception of the authentic nurse leadership of their manager and their perception of the work environment on their unit.

Authentic leadership (AL) and healthy work environments contribute to staff engagement and improved patient outcomes. There is limited research linking these 2 variables.

Two hundred fifty-four clinical nurses at a national conference participated in a cross-sectional, correlational, descriptive study using the Authentic Nurse Leadership Questionnaire and the Critical Elements of a Healthy Work Environment Survey.

Overall, nurses rated the authentic nurse leadership of their manager as present most of the time and agreed their work environment was healthy. There was a moderate correlation between AL and healthy work environment. Background variables were not significantly related to nurses’ perceptions of the authentic nurse leadership of their manager or their work environment.

This is the 1st study using these authentic nurse leadership and healthy work environment frameworks. In this novel nursing model of AL, caring is an attribute that was valued by frontline nurses. This is a call to action for leadership development at every level using AL principles and for the improvement of lagging domains in nursing work environments, both critically needed during challenging healthcare times and for the ultimate purpose of improving patient and workforce outcomes.

This is the 1st study using these authentic nurse leadership and healthy work environment frameworks. In this novel nursing model of AL, caring is an attribute that was valued by frontline nurses. This is a call to action for leadership development at every level using AL principles and for the improvement of lagging domains in nursing work environments, both critically needed during challenging healthcare times and for the ultimate purpose of improving patient and workforce outcomes.

The aim of this study was to connect patients’ perceptions of nurses’ daily care actions with patients’ overall ratings of their hospital experience and hospitals’ human caring culture.

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a national standardized survey measuring patients’ hospital experience. Current literature lacks the connections between patients’ perceptions of nurses’ daily care actions and their overall hospital experience measured by the HCAHPS survey.

This is a correlational study based on the HCAHPS surveys from patients discharged from a hospital in the United States. Correlations were conducted between patients’ perceptions of nurses’ daily care actions and overall hospital experience.

A total of 3,258 (16.6%) patients returned the HCAHPS survey between January and May 2019. Significant relationships were found among patients’ perceptions of nurses’ daily care actions, hospitals’ caring culture, and overall experience.

Nurses’ daily care actions significantly contribute to favorable patients’ overall hospital ratings on HCAHPS.

Nurses’ daily care actions significantly contribute to favorable patients’ overall hospital ratings on HCAHPS.Nurse leaders seek effective strategies to engage nurses in decision-making when striving for clinical excellence. selleckchem When leaders cultivate safe environments, nurses are encouraged to discover new knowledge and innovations. In our institution, nurse leaders designed a systematic guide using Liberating Structures to empower nurses to develop a professional practice model.

The aim of this study was to quantify the impact of electronic health record (EHR) workstation single sign-on (SSO) for nurses.

SSO was implemented in 19 hospitals for expedited EHR access.

Login durations before and after SSO implementation were compared, and the financial value of nursing time liberated from keyboard was estimated. Stratified analyses show time liberated and financial value by staffing level and system size.

First-of-shift login was reduced by 5.3 seconds (15.3%) and reconnect duration was reduced by 20.4 seconds (69.9%). SSO liberated 27,962.4 hours of nursing time from keyboard login per year across 19 facilities, and 1,471.7 hours/year/facility, valued at $52,112/facility and $990,128 for 19 hospitals. Time value ranges from $201,835 per year for a 5-hospital system with 300 nurses per facility to $672,790 per year for a 10-facility system with 500 nurses per hospital.

Nurses gained substantial time liberated from EHR keyboard by SSO for patient care, having significant financial value for the organization.