'Choosing Tuesday': establishing and sustaining regular clinical supervision in advanced nursing practice.

Clinical supervision is a valued learning tool for student nurses; however, there is a paucity of description around real-time experience of clinical supervision among qualified advanced nurse practitioners. Many qualified nurses claim delays in engaging with clinical supervision may be caused by staff shortages, time constraints, workload in busy clinical environments, or a reticence to engage in discussions that might reveal shortcomings in knowledge or practical skills. This article reviews a process of monthly clinical supervision that has been conducted among a group of qualified emergency department advanced nurse practitioners for 25 years.

Multifaceted concussion assessment battery: sensitivity at the expense of specificity?

Objectives: A multifaceted assessment battery is recommended for testing suspected concussed athletes; however, the individual tests have limitations and potentially may lead to false positive outcomes. Therefore, the purpose of this study was to psychometrically evaluate concussion assessment tools used for intercollegiate student-athletes, with a focus on the time interval between baseline and subsequent assessments.

Methods: Ninety-two collegiate student-athletes matched between concussion ( = 46.

Why partner? Harnessing value from collaborative sustainable business models to restore coral reefs at scale.

Tropical coral reefs provide a wide range of ecosystem services that benefit millions worldwide. However, the current scale of coral reef restoration is a long way from matching the extent needed to protect coral reefs globally, and this implementation gap presents a complex challenge to overcome. Cross-sectoral collaborative sustainable business models (CSBMs) present an interesting opportunity to scale up coral restoration, though this area is yet to be explored in the literature.

Safer and targeted use of antipsychotics in youth: an embedded, pragmatic randomized trial.

Background: Antipsychotic medications (AP) are inappropriately prescribed to young people. The goal of this pragmatic trial was to test a four-component approach to improved targeting of antipsychotic prescribing to people aged ≥3 and <18 years.

Methods: Clinicians in four health systems were cluster randomized by the number of previous AP orders and service line - specialty mental health and all others.