Measuring Unfinished Nursing Care: What to Consider When Choosing and Scoring Surveys.

Unfinished nursing care is common in the inpatient setting and is associated with negative patient outcomes. This indicator is being assessed with increasing frequency to determine the quality of nursing services. Measurement bias was identified in this comparison of unfinished care surveys.

Perspectives on transcultural care.

Culture has been defined as the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. A culture of nursing refers to the learned and transmitted lifeways, values, symbols, patterns, and normative practices of members of the nursing profession of a particular society. To serve the unique and diverse needs of patients in the United States, it is imperative that nurses understand the importance of cultural differences by valuing, incorporating, and examining their own health-related values and beliefs and those of their health care organizations, for only then can they support the principle of respect for persons and the ideal of transcultural care.

The effect of health insurance disparities on the health care system.

Uninsured patients put a strain on the health care system that ultimately results in increased health care costs for everyone. The challenges faced by the Harris County Hospital District in Houston, TX, as a result of an increasing number of uninsured and underinsured patients include overcrowding in its health care facilities, decreased reimbursement from government programs, and patients who postpone seeking medical treatment until their situation is emergent and whose care is therefore more expensive. Strategies for addressing these problems may include instituting an "everybody pays" program, improving access to care for the uninsured, and reducing or eliminating unnecessary services.

Why work in perioperative nursing? Baby boomers and Generation Xers tell all.

This quantitative and qualitative study explored factors that influence nurses of different age groups to choose to work in and remain in the specialty of OR nursing, including the effect of work environment perceptions. Baby boomer nurses (n = 130) and Generation X nurses (n = 117) were surveyed, and seven RNs from each group also participated in semistructured interviews. Results showed that nurses of both age groups were more alike than different in the factors that influence them to choose and remain in OR nursing and in their perceptions of their work environment.

Structural, Electrical, Magnetic, and Spectroscopic Properties of Ring-Oxidized Molecular Metals Produced by Iodination of Metal-Free and Nickel Tetrabenzporphyrins.

Detailed studies of the structure, conductivitity, magnetoresistance, optical spectra, and magnetic properties (susceptibility, EPR) for the new molecular metal tetrabenzporphyrin iodide (H(2)(tbp)I) and the electrical, spectral, and magnetic properties of Ni(tbp)I are reported. Paramagnetic transition-ion impurities were carefully excluded during the synthesis of H(2)(tbp)I and Ni(tbp)I, and both materials show much higher, metal-like conductivites than previously seen for less-pure Ni(tbp)I. Comparison of the specular reflectance data for Ni(tbp)I and H(2)(tbp)I allows a distinction between purely ring pi-transitions and metal-involved charge-transfer transitions, and the spectra fix the energy levels of the pi orbitals involved in conduction.