Publications by authors named "Morley G"

Pre-licensure ethics nursing education does not adequately prepare and instill confidence in nurses to address ethical issues, and yet ethics education provides nurses with greater confidence to take moral action, which can mitigate the negative effects of moral distress. To assess the feasibility and acceptability of a nursing ethics education program that included simulated case-based ethics competencies as a form of evaluation. The program aimed at building nurses' ethical knowledge and confidence to respond to ethical challenges in practice.

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Objectives: The study aims to investigate the short-term associations between exposure to ambient air pollution (nitrogen dioxide (NO), particulate matter pollution-particles with diameter<2.5 µm (PM) and PM) and incidence of asthma hospital admissions among adults, in Oxford, UK.

Design: Retrospective time-series study.

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Article Synopsis
  • Moral distress in healthcare is complex and does not have a simple solution; some view it as a problem to eliminate while others see potential value in it.
  • The authors suggest that moral distress serves as an alert for ethical issues in patient care, prompting the need for deeper investigation rather than just finding the "right" answer.
  • The paper outlines practical steps to help healthcare professionals address moral distress through peer support and self-reflection, empowering them to tackle ethical dilemmas and improve their sense of agency.
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This special issue discusses current progress in the utilization of defect centres in diamond as spin-photon interfaces for quantum applications. This issue is based on the discussions of the Theo Murphy meeting 'Diamond for quantum applications' which covered the recent progress of diamond growth and engineering for the creation and optimization of colour centres, toward the integration of diamond-based qubits in quantum systems. This article is part of the Theo Murphy meeting issue 'Diamond for quantum applications'.

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Article Synopsis
  • * Despite their growing presence, there is a lack of clarity on the specific responsibilities and roles that nurse ethicists should fulfill within healthcare settings.
  • * The authors advocate for nurse ethicists to take a proactive role in defining their responsibilities and emphasizing their value to healthcare teams and organizations.
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Effective light extraction from optically active solid-state spin centers inside high-index semiconductor host crystals is an important factor in integrating these pseudo-atomic centers in wider quantum systems. Here, we report increased fluorescent light collection efficiency from laser-written nitrogen-vacancy (NV) centers in bulk diamond facilitated by micro-transfer printed GaN solid immersion lenses. Both laser-writing of NV centers and transfer printing of micro-lens structures are compatible with high spatial resolution, enabling deterministic fabrication routes toward future scalable systems development.

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Aims: To identify the personal and professional impact of the COVID-19 pandemic on clinical nurses with regard to personal and workplace safety, personal and professional relationships and perceptions of their team, organization and community, and to understand lessons learned to inform future responses to pandemics or global emergencies.

Design: Qualitative, descriptive free-text surveys, informed by appreciative inquiry.

Methods: Nurses working in adult COVID- and non-COVID cohort medical-surgical and intensive care units, outpatient cancer and general surgery centres were invited to participate.

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Background: There is ongoing debate regarding how moral distress should be defined. Some scholars argue that the standard "narrow" definition overlooks morally relevant causes of distress, while others argue that broadening the definition of moral distress risks making measurement impractical. However, without measurement, the true extent of moral distress remains unknown.

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Article Synopsis
  • - Nurses often encounter ethical dilemmas and experience moral distress in their roles, leading to the creation of a nursing ethics champion program aimed at improving their ability to address these challenges.
  • - The program's feasibility was demonstrated through participation from 13 nurses, who reported increased confidence and knowledge of resources related to ethical issues, despite concerns about participant retention.
  • - Future improvements to the program could include making sessions more interactive and inclusive, alongside further research to evaluate the program's impact on nurse turnover rates.
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In recent years, the phenomenon of moral distress has been critically examined-and for a good reason. There have been a number of different definitions suggested, some that claimed to be consistent with the original definition but in fact referred to different epistemological states. In this paper, we re-examine moral distress by exploring its relationship with moral agency.

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Article Synopsis
  • - The scoping review aims to identify and describe the ethical challenges nurses faced during the COVID-19 pandemic, along with contextual factors and strategies to address these challenges.
  • - Issues such as resource allocation, balancing care with self-preservation, and visitation restrictions highlight the ethical dilemmas reported by nurses during this time.
  • - The review will gather studies from various databases, focusing on those that discuss the ethical challenges and potential solutions for nurses from November 2019 onwards, following specific methodological guidelines for data analysis.
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Background: Patients with chronic kidney disease (CKD) are at increased risk of developing cardiac arrhythmogenesis and sudden cardiac death; however, the basis for this association is incompletely known.

Methods: Here, using murine models of CKD, we examined interactions between kidney disease progression and structural, electrophysiological, and molecular cardiac remodeling.

Results: C57BL/6 mice with adenine supplemented in their diet developed progressive CKD.

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Article Synopsis
  • The study aimed to explore the ethical challenges nurses faced during COVID-19 in intensive care settings and how they felt they provided "good" care while navigating these issues.
  • The research involved qualitative surveys and interviews with 49 nurses from various hospitals, revealing key themes related to ethical dilemmas like patient isolation and the decision-making process.
  • Findings indicated that while nurses showed some level of moral resilience, their experiences highlighted the need for enhanced ethics training for nursing management to better support their teams.
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  • The case of Michael Johnson, an African-American man with COVID-19, raises concerns about his refusal of intubation due to a belief that ventilators cause death.
  • This situation highlights the challenges clinicians face when assessing a patient's decision-making capacity (DMC), especially when false beliefs influence their choices.
  • The article explores how misinformation and systemic racism can contribute to such false beliefs, complicating the understanding of patients' preferences in critical medical situations.
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Present-day people from England and Wales have more ancestry derived from early European farmers (EEF) than did people of the Early Bronze Age. To understand this, here we generated genome-wide data from 793 individuals, increasing data from the Middle to the Late Bronze Age and Iron Age in Britain by 12-fold, and western and central Europe by 3.5-fold.

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