Taylors University

About: Taylors University is a based out in . It is known for research contribution in the topics: Tourism & Population. The organization has 1513 authors who have published 2954 publications receiving 33603 citations.

Psychometric evaluation of the Moral Distress Scale–Revised among Iranian Nurses

Abstract: Background:Experiencing moral distress is traumatic for nurses. Ignoring moral distress can lead to job dissatisfaction, improper handling in the care of patients, or even leaving the job. Thus, it is crucial to use valid and reliable instruments to measure moral distress.Objective:The purpose of this study was to determine the reliability and the validity of the Persian version of the Moral Distress Scale–Revised among a sample of Iranian nurses.Research design:In this methodological study, 310 nurses were recruited from all hospitals affiliated with the Qazvin University of Medical Sciences from February 2014 to April 2015. Data were collected using a demographic questionnaire and the Moral Distress Scale–Revised. The construct validity of the Moral Distress Scale–Revised was evaluated using principal component analysis and confirmatory factor analysis. Internal consistency reliability was assessed with Cronbach’s alpha.Ethical considerations:This study was approved by the Regional Committee of Medical ...

Patients' and Caregivers' Attitudes Toward Deprescribing in Singapore.

Abstract: Background Knowledge of decision-making preference of patients and caregivers is needed to facilitate deprescribing. This study aimed to assess the perspectives of caregivers and older adults towards deprescribing in an Asian population. Secondary objectives were to identify and compare characteristics associated with these attitudes and beliefs. Methods A cross-sectional survey of two groups of participants was conducted using the Revised Patients' Attitudes Towards Deprescribing questionnaire. Descriptive results were reported for participants' characteristics and questionnaire responses from four factors (belief in medication inappropriateness, medication burden, concerns about stopping, and involvement) and two global questions. Correlation between participant characteristics and their responses were analyzed. Results A total of 1,057 (615 older adults; 442 caregivers) participants were recruited from ten institutions in Singapore. In which 511 (83.0%) older adults and 385 (87.1%) caregivers reported that they would be willing to stop one or more of their medications if their doctor said it was possible, especially among older adults recruited from acute-care hospitals (85.3%) compared to older adults in community pharmacies (73.6%). Individuals who take more than 5 medications and those with higher education were correlated with greater agreement in inappropriateness and involvement respectively. Conclusions Clinicians should consider discussing deprescribing with older adults and caregivers in their regular clinical practice, especially when polypharmacy is present. Further research is needed into how to engage older adults and caregivers in shared decision making based on their attitudes towards deprescribing.

Flow-induced vibration in pipes: Challengess and solutions - A review

Abstract: The Flow-induced vibration has recently been the topic of experimental, numerical, and theoretical studies. It was intended to implement better applications for controlling the flow using orifice technique. Having the flow under control, the orifice becomes an instrument for measuring the flow. The flow of all fluid such as water, oil, gas and vapours through an orifice was tested and mathematical models were developed adequately. The basic theme for these enormous studies was the need for the very accurate flow measurements through orifices. All experimental, theoretical, numerical, and analytical studies have agreed that there is more than one avenue to develop, modify, and enhance such measurements. However, one factor that affects the flow measurements is the vibration which was not treated as required until the mid-20th century due to enormous discoveries that damages could be rooted to vibration. Researchers have studied vibration and then proposed mathematical models in conjunction with the pressure and velocity measurements of the flowing fluids and then the effect of the vibration, induced or not induced, has been under continuous investigation. This paper is an attempt to review the previous studies regarding understanding the nature of the vibration and the possible effects of vibration on the flow and on the piping structure in order to limit the damage caused by the vibration. This study shows that the need for more experimental studies and more comprehensive analytical approaches are, in particular, very essential to develop better results.