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Using a digital interactive narrative as guided self-reflection for beginning nurses to encourage self-care

Published in collaboration with the University Medical Center Groningen.Burn-out and turnover rates among beginning Dutch nurses are high. One of the main reasons for this is the difficulty in adjusting to the tumultuous working environment or making it work in their favor. This is particularly hard for beginning nurses, as they do not have enough experience to reflect on their ordealsand take appropriate actions.One way to prompt their self-reflection is to provide focused questions within controlled situations that are believable and relatable. The contextualized guidance provides clarity and helps student nurses analyze tough situations in a safe and structured environment. Through this process, they are invited toreflect on what they could do differently, or whom they could reach out to for help.

Cluttering identified: differential diagnostics between cluttering, stuttering and speech impairment related to learning difficulties

Physical functioning in pediatric intensive care survivors and its associated determinants: A scoping review protocol

Objective:The objective of this scoping review is threefold: (1) to describe outcomes of and determinants for physical functioning in pediatric intensive care unit (PICU) survivors evaluated during and/or after their PICU stay, (2) to provide an overview how physical functioning and its associated determinants in this population are reported, measured and classified in accordance with the International classification of Functioning, Disability and Health-Children and Youth framework (ICF-CY) components and (3) to synthesize key gaps in knowledge and research and clinical recommendations related to our review questions.Introduction:Optimal physical functioning in children is of major importance in their developmental trajectories and for the prevention and recovery of health problems across lifespan. PICU children are at high risk of poor physical functioning during and after critical illness. A recent overview of the literature, concerning evaluation of physical functioning in PICU survivors according to the ICF-CY components, is lacking. Inclusion criteria:This review includes empirical studies reporting outcomes and determinants of physical functioning in PICU survivors evaluated during and/or after PICU stay. All English language studies reporting empirical data will be included with no restrictions set on the types of study designs used.Methods:This review will be conducted in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) statement. To locate studies eligible for inclusion, the electronic databases Pubmed, EMBASE, CINAHL and Cochrane Library will be searched from the earliest records to October 2019. Study selection will be performed by two independent reviewers. Covidence software will be used to screen titles and abstracts as well as the full-text of included studies. Data extraction will be conducted using a customized form. The extracted data will be presented in diagrammatic or tabular form with an accompanying narrative summary.

Neuroscientific tools in the cockpit:towards a meaningful decision support system for fatigue risk management

Fatigued pilots are prone to experience cognitive disorders that degrade their performance and adherence to high safety standards. In light of the current challenging context in aviation, we report the early phase of our ongoing project on the re-evaluation of human factors research for flight crew. Our motivation stems from the need for aviation organisations to develop decision support systems for operational aviation settings, able to feed-in in the organisations’ fatigue risk management efforts. Key criteria to this end are the need for the least possible intrusiveness and the added information value for a safety system. Departing from the problems in compliance-focused fatigue risk management and the intrusive nature of clinical studies, we report a neuroscientific methodology able to yield markers that can be easily integrated in a decision support system at the operational level. Reporting the preliminary phase of our live project, we evaluate the tools suitable for the development of a system that tracks subtle pilot states, such as drowsiness and micro-sleep episodes.

Diagnostic Inflation: A matter for Nurses!

Guest editorial, more details will follow

Letter from the guest editors

According to the International Civil Aviation Organization, the world aviation air traffic has grown by an average yearly rate of 5% over the last thirty years, until the devastating downturn brought on by the COVID crisis of 2020. Regardless of the current situation, there are still a number of issues and challenges that the industry is confronted with, not the least of which are related to sustainability, the conversion to electrical usage, the challenge of increasing propulsion efficiency in conventional propulsion, the digital transformation of the entire ecosystem, etc. In response, system developers and researchers in the field are working on a number of key technologies and methodologies to solve some of these issues. The Sustainable Aviation Research Society (SARES), a global organization that seeks to encourage research in this area and helps disseminate knowledge via conferences and symposia, has been organizing meetings to promote sustainable aviation over the five years. Three of these are the International Symposium on Sustainable Aviation (ISSA), International Symposium on Electric Aviation and Autonomous Systems (ISEAS), and the International Symposium on Aircraft Technology, MRO, and Operations (ISATECH).