Chain mediating effect of team psychological safety atmosphere and professional calling in the relationship between humble leadership and voice behavior among clinical nurses / 中国职业医学

{L-End}Objective To explore the chain mediating effect of team psychological safety atmosphere and professional calling in the relationship between humble leadership and voice behavior. {L-End}Methods A total of 812 nurses from five medical institutions in Guangdong Province were selected as the research subjects using the convenience sampling method. The Team Psychological Safety Atmosphere Scale, the Professional Calling Scale, the Hospital Version of Humble Leadership Scale and the Voice Behavior Scale were used to investigate the perceived team psychological safety atmosphere and sense of professional calling, the perceived humble leadership style and voice behavior of the nurses. {L-End}Results The score of team psychological safety atmosphere, professional calling, humble leadership, and voice behavior of 812 nurses was (58.0±7.6), (44.6±8.0), (50.4±9.2) and (37.0±5.9), respectively, with the scoring rate of 72.5%, 74.3%, 80.0%, and 74.0%, respectively. Bootstrap analysis showed that humble leadership could positively influence voice behavior ［standardized effect value (β)=0.28, 95% confidence interval (CI) 0.20-0.35］. Humble leadership could influence voice behavior through the separate mediating effects of team psychological safety atmosphere (β=0.13, 95%CI 0.09-0.18), professional calling (β=0.07, 95%CI 0.04-0.11), and the chain mediating effect of team psychological safety atmosphere and professional calling(β=0.06, 95%CI 0.04-0.08). {L-End}Conclusion The voice behavior of clinical nurses is at a moderately high level. Humble leadership can directly influence voice behavior and can influence voice behavior through the mediating effects of team psychological safety atmosphere and professional calling. Nursing managers can inspire the work passion of clinical nurses by changing their own leadership style and creating a good atmosphere for voicing opinions.

Mediating Effects of Self-efficacy between Calling and Nursing Professionalism for Nurses in General Hospitals / 간호행정학회지

PURPOSE: This study was done to identify the mediating effect of self-efficacy on the relationships between calling and nursing professionalism for nurses in general hospitals. METHODS: Participants were 119 nurses in general hospitals. A survey was used and data were collected in April 2018. Data were analyzed using the IBM SPSS/WIN 22.0 program. RESULTS: The significant predictors for the nursing professionalism of nurses were self-efficacy (β=.61) and clinical career in current hospital (β=−.21). These variables explained 42% of the variance in nursing professionalism of nurses. Also, self-efficacy had a total mediating effect on the relationship between calling and nursing professionalism. CONCLUSION: Findings indicate that calling and self-efficacy are important factors for nursing professionalism of nurses in general hospitals.

Pivotal Role of High Sensitivity Variant Calls and Confirmation Methods for Next-Generation Sequencing Findings: A Case Report

Aims: The aim of this case report is to demonstrate the importance of prioritization of sensitivity over specificity, coupled with additional confirmation by using standard methods. Next-generation sequencing has revolutionized genetic research as it has allowed sequencing of human genomes within days. Generated raw sequencing data are manipulated using bioinformatic approaches for variant detection. Variant discovery should be performed on appropriately pre-processed data with the aforementioned prioritization of sensitivity over specificity. Presentation of the Case: Here, we report a case of a low quality variant call, emitted due to prioritization of sensitivity over specificity. This call was found to be a causative variant for the patient’s phenotype. DNA extracted from peripheral venous blood of a young female with encephalopathy was sequenced on a MiSeq apparatus. The obtained and analyzed call set emitted a low quality heterozygous insertion with a high probability of a false negative call. Annotation revealed a known pathogenic insertion rs758946412 with a frameshift consequence flagged with “Early infantile epileptic encephalopathy type 9” in ClinVar. The emitted insertion was validated and confirmed by using SANGER sequencing and RFLP. Conclusion: In the presented case, the variant could have easily been missed without the prioritization of sensitivity over specificity. Furthermore, the presented case also demonstrates the importance of additional methods for confirmation of NGS calls that do not meet the thresholds.

An analysis of the current state of nurses' career satisfaction and its relationship to career calling in the tertiary hospitals / 中华劳动卫生职业病杂志

Objective@#To know about the current state of nurses' career satisfaction in the tertiary hospital, and explore the relationship between career calling and career satisfaction.@*Methods@#From September 2017 to December, using convenience sampling, 483 nurses distributed eight tertiary hospitals were selected to complete career satisfaction scale and career calling scale.@*Results@#The total score of nurses' career satisfaction was (2.81+0.65) , four factors were rowed from low to high in order: financial success, power and status, employability, knowledge and skill development (2.29±0.98, 2.64±0.87, 3.10±0.69, 3.20±0.71) . There were significant differences existed in different genders, marital status, educational backgrounds, working lives and positional titles (t=2.51, -1.96, -3.59; F=7.92, 8.83, P<0.05) . The score of nurses' career calling was (3.21±0.81) . There were significant differences existed in different genders, educational backgrounds, working lives and positional titles (t=5.87, -1.96; F=5.60, 11.13, P<0.05) . Career calling is positively related to career satisfaction (r=0.528, P<0.05) .@*Conclusion@#Overall, the level of career satisfaction of nurses is low, especially the financial success. Hospital human resource management should endow more values and meanings on nursing posts, in turn enhance nurses' career calling and career satisfaction.

Mediating Effects of Person-environment Fit between Calling and Job Satisfaction of Nurses in Small and Medium Size General Hospitals / 간호행정학회지

PURPOSE: This study was done to identify the mediating effect of person-environment fit on the relationships between calling and job satisfaction for nurses in small and medium size general hospitals. METHODS: A cross-sectional survey was used and data were collected in April 2018. Participants were 117 nurses in two small and medium size general hospitals. Data were analyzed using descriptive statistics, Pearson correlation coefficients and hierarchical multiple regression with SPSS/WIN 22.0. RESULTS: There were statistically significant positive correlations among calling, person-environment fit, and job satisfaction. Hierarchical multiple regression analysis revealed that calling and person-environment fit explained 35% of job satisfaction. Also, person-environment fit had a total mediating effect on the relationship between calling and job satisfaction. CONCLUSION: Findings indicate that calling and person-environment fit are important factors for job satisfaction of nurses in small and medium size hospitals.

Influence of Nursing Students' Purpose in Life on Quality of Life: Focused on the Mediating Effects of Consciousness of Calling and Satisfaction with Life / 간호행정학회지

PURPOSE: The study was done to examine whether consciousness of calling and life satisfaction have a mediating effect in the relationship between nursing students' purpose of life and their quality of life. METHODS: The participants were 171 nursing students studying in two colleges of nursing located in Chungcheong and Gyeonggi Province. Measurements included the purpose in life questionnaire, Korea-version WHOQOL-BREF questionnaire, brief calling scale and satisfaction with life scale. Data were analyzed using descriptive analysis and multiple regression techniques with SPSS 24.0. Mediation analysis was performed according to the Baron and Kenny method and Sobel test. RESULTS: There were significant correlations among purpose in life, consciousness of calling, satisfaction with life and quality of life. Consciousness of calling and satisfaction with life showed perfect mediating effects in the relationship between purpose in life and quality of life. CONCLUSION: In this study, nursing students' purpose in life had significant influences on nursing students' quality of life via calling consciousness and satisfaction with life. Therefore, to enhance quality of life for nursing students, it is necessary to build effective strategies and education programs to enhance nursing students' purpose in life, consciousness of calling and satisfaction with life.

Integration of a Large-Scale Genetic Analysis Workbench Increases the Accessibility of a High-Performance Pathway-Based Analysis Method

The rapid increase in genetic dataset volume has demanded extensive adoption of biological knowledge to reduce the computational complexity, and the biological pathway is one well-known source of such knowledge. In this regard, we have introduced a novel statistical method that enables the pathway-based association study of large-scale genetic dataset—namely, PHARAOH. However, researcher-level application of the PHARAOH method has been limited by a lack of generally used file formats and the absence of various quality control options that are essential to practical analysis. In order to overcome these limitations, we introduce our integration of the PHARAOH method into our recently developed all-in-one workbench. The proposed new PHARAOH program not only supports various de facto standard genetic data formats but also provides many quality control measures and filters based on those measures. We expect that our updated PHARAOH provides advanced accessibility of the pathway-level analysis of large-scale genetic datasets to researchers.

Effect Analysis of Hospital Expenses after Calling off Drug - addition and Price Adjustment of Medical Service in Public Hospitals / 现代医院

Objective To provide advice and basis for further reform of the medical service price by analyzing the effect on hospital expenses after calling off drug-addition and price adjustment of medical service in public hospitals at the end of 2016. Methods Comparing the changes of hospital expenses based on the data of hospital expenses before and after the implementation of the price reform policy in a provincial public hospital in Sichuan. Results After canceling the drug-addition and adjustment of medical service price, whether in the whole hospital, in the surgical department or in the non-operative department, the average cost of drugs for discharged patients has been reduced, the average costs of surgical operation and anesthesia has been increased, the ratio of change remains consistent with the policy adjustment range, the composition of drug charges and bed fee has been decreased and the proportion of drugs still ranks first in the composition ratio. Conclusion Canceling the drug-addition and price adjustment of medical service have a significant effect on hospital expenses. The adjustment of medical service price reflects the technical value of medical staff.

Impact of Emotional Intelligence and Vocational Calling on Post-traumatic Growth in Police Officers / 정신간호학회지

PURPOSE: Post-traumatic growth in police officers is important. This study was performed to determine the impact of emotional intelligence and vocational calling on post-traumatic growth. METHODS: For this descriptive correlation study, participants were 184 police officers, working in one of eleven police stations. Data were collected from February 15 to February 28, 2017 using self-report questionnaires. Analysis was done using t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression with IBM SPSS 19.0. RESULTS: Emotional intelligence and vocational calling were positively correlated with post traumatic growth. Analysis of the impact of emotional intelligence and vocational calling on post-traumatic growth showed that emotional intelligence was the most significant predictor variable. Moreover, there was a mediating effect of vocational calling in the relationship between emotional intelligence and post-traumatic growth. CONCLUSION: The study results suggest that improvement in police officer's emotional intelligence and vocational calling increases their post-traumatic growth. It is necessary to device strategies which strengthen emotional intelligence and vocational calling in order to improve the post-traumatic growth of police officers.

Effect of leader-member exchange on nurses’sense of calling in workplace / 中华劳动卫生职业病杂志

Objective@#To investigate the effect of leader-member exchange on nurses’sense of calling in workplace based on self-determination theory.@*Methods@#A total of 381 nurses were randomly selected from five tertiary general hospitals in Zhejiang province, China from October to December, 2016. They were subjected to a survey using the Leader-Member Exchange Scale, Job Autonomy Scale, Core Self-Evaluation Scale, and Calling Scale. The mediating effect was used to test the procedures and the data were subjected to hierarchical regression analysis.@*Results@#The leader-member exchange was positively correlated with job autonomy, core self-evaluation, and sense of calling (r=0.471, P<0.001; r=0.373, P<0.001; r=0.475, P<0.001) ; the leader-member exchange had a positive predictive effect on job autonomy and sense of calling (β= 0.47, P<0.001; β=0.48, P<0.001) ; the job autonomy had a partial mediating effect on the relationship between leader-member exchange and sense of calling (F=66.50, P<0.001) ; the core self-evaluation negatively adjusted the positive relationship between leader-member exchange and job autonomy (F=27.81, P<0.001) .@*Conclusion@#High-quality leader-member exchange enhances the sense of calling by improving staffs’ job autonomy and the core self-evaluation reduces the positive relationship between leader-member exchange and job autonomy.

Effects of Advanced Beginner-Stage Nurses' Sense of Calling, Job Satisfaction and Organizational Commitment on Retention Intention / 간호행정학회지

PURPOSE: This study was designed to examine effects of sense of calling, job satisfaction and organizational commitment on retention intention in nurses who are at the advanced beginner-stage. METHODS: Participants were 199 nurses with 13 to 36 months' clinical career at hospital located in Busan, Korea. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson correlation, and Multiple regression. RESULTS: Retention intention correlated positively with sense of calling (r=.43, p<.001), job satisfaction (r=.31, p<.001) and organizational commitment (r=.31, p<.001). Factors affecting the participants' retention intention were found to be statistically significant (F=21.96, p<.001). Total factor score accounted for 24.1% of retention intention. Out of the related factors, the most influential factor was 'goals/meaning', belonging to the sub-areas of the sense of calling and explaining 18.2% of retention intention, followed by organizational commitment and average monthly income in that order. CONCLUSION: The results of this study suggest a need to develop a management program that helps promote retention intention for nurses at the advanced beginner-stage by both improving their monthly income and outside conditions and, more importantly, raising their sense of calling, especially in association with the goals/meaning of their life.

Relations between Perceiving a Calling and Job Satisfaction in Probation Officers: Testing a Mediated Effect of Work Meaning and Career Commitment / 한국직업건강간호학회지

PURPOSE: This study examined relations between perceiving a calling and job satisfaction in probation officers. Additionally, multiple mediator model was run to examine the mediating effect of work meaning and career commitment in the relations of perceiving a calling and job satisfaction. METHODS: Four factors (job satisfaction, perceiving a calling, work meaning, career commitment) were measured with Likert scales. Data collection was conducted from Aug. 1 to Sept. 20, 2014 using self-report questionnaires. Participants (211 probation officers) were selected from 7 probation offices and 1 Juvenile Training School in Seoul of South Korea. Collected data were analyzed using SPSS/WIN 21, AMOS 21, and Sobel test. RESULTS: The study result was as followings. 1) Job satisfaction was influenced by perceiving a calling, work meaning and career commitment. 2) Results indicated that work meaning and career commitment fully mediated the relation between perceiving a calling and job satisfaction. CONCLUSION: The results of this study indicate that improving job satisfaction and mental health in probation officers is necessary to implement concerning work meaning and career commitment program at the organizational level.

Design and Realization of Independent Calling Device for Patients with Amyotrophic Lateral Sclerosis / 中国康复理论与实践

@#Objective To design a device for the patients with amyotrophic lateral sclerosis (ALS), who are disable to speak and move, to call for the nurses independently when necessary. Methods The electroencephalographic signals were collected and processed with TGAM, and the extracted attention characteristic values were transmitted to a computer with Bluetooth. The loudspeaker would call the nurses when the attention characteristic value exceeds the normal range. Results In the testing process of 20 participants in 10 tests, the success rate was 81.5%, and the average misjudged frequence was 0.2 within 20 min. Conclusion The device can be used in the nursing of the patients with ALS to meet the needs of daily nursing work.

Design and Realization of Independent Calling Device for Patients with Amyotrophic Lateral Sclerosis / 中国康复理论与实践

@#Objective To design a device for the patients with amyotrophic lateral sclerosis (ALS), who are disable to speak and move, to call for the nurses independently when necessary. Methods The electroencephalographic signals were collected and processed with TGAM, and the extracted attention characteristic values were transmitted to a computer with Bluetooth. The loudspeaker would call the nurses when the attention characteristic value exceeds the normal range. Results In the testing process of 20 participants in 10 tests, the success rate was 81.5%, and the average misjudged frequence was 0.2 within 20 min. Conclusion The device can be used in the nursing of the patients with ALS to meet the needs of daily nursing work.

Career Attitude Maturity, Calling, and Work as Meaning Affecting Student Adjustment to College among Health College Students / 간호행정학회지

PURPOSE: The aim of this study was to identify factors affecting student adjustment to college among students in health colleges (Nursing, Clinical Pathology, Radiology, Dental Hygienics, Medicine). METHODS: The participants in this study were 261 students in Daejeon city. Data were collected from October 5 to October 14, 2014. A structured questionnaire was used for data collection and data was analyzed using the SPSS/WIN program. RESULTS: Career attitude maturity, calling and work as meaning positively correlated with student adjustment to college. The significant predictors of student adjustment to college were career attitude maturity, calling, always working part-time, major in medicine and average grade for the last semester. CONCLUSION: These findings suggest that adjustment to college for students in health colleges is linked to career attitude maturity, and calling. College organization should develop a curriculum fostering a calling which will promote student adjustment to college and graduate health care professionals with desirable attitudes.

O processo criativo: a vida mundana: (in)compatibilidades e interdependências / The creative process: the worldly life: (in)compatibilities and interdependencies

O processo criativo exige um comprometimento do criador com instâncias profundas da psique, na maior parte das vezes, de forma inconsciente. E para que a plenitude do processo ocorra, há que se ter liberdade. Mas as exigências do mundo material impõem demandas que podem obstruir tal processo. Os níveis intrapsíquicos da produção materialista e aqueles da produção artística são opostos e, muitas vezes, incompatíveis. Atender ao chamado da criação é um desafio dramático do livre-arbítrio.

The creative process demands commitment from the creator to deep psychic urgings, most times the unconscious ones. For the process to occur in its plenitude, freedom is necessary. The demands of the material world impose necessities, which may obstruct the process. The intrapsychic levels towards the material world and those towards the artistic creation are opposite and most times incompatible. Attending the creative calling is a challenge to free will.

Reproductive biology of Ameerega trivittata (Anura: Dendrobatidae) in an area of terra firme forest in eastern Amazonia / Biologia reprodutiva de Ameerega trivittata (Anura: Dendrobatidae) em uma área de terra firme na Amazônia Oriental

The reproductive success of tropical amphibians is influenced by factors such as body size and the characteristics of breeding sites. Data on reproductive biology are important for the understanding of population dynamics and the maintenance of species. The objectives of the present study were to examine the abundance of Ameerega trivittata, analyze the use of microhabitats by calling males and the snout-vent length (SVL) of breeding males and females, the number of tadpoles carried by the males and mature oocytes in the females, as well as the relationship between the SVL of the female and both the number and mean size of the mature oocytes found in the ovaries. Three field trips were conducted between January and September, 2009. A total of 31 plots, with a mean area of 2.3 ha, were surveyed, resulting in records of 235 individuals, with a mean density of 3.26 individuals per hectare. Overall, 66.1% of the individuals sighted were located in the leaf litter, while 17.4% were perched on decaying tree trunks on the forest floor, 15.7% on the aerial roots of Cecropia trees, and 0.8% on lianas. Males were observed transporting a mean of 10.8 tadpoles on their backs. A significant correlation was found between the size of the females and the mean diameter of the oocytes. New data were collected on the size of oocytes and no pattern was found in the type of perches used by calling males of the different Ameerega species.

O sucesso reprodutivo das espécies de anfíbios tropicais sofre influência de fatores como local de reprodução e tamanho do corpo dos reprodutores. Informações sobre a biologia reprodutiva são importantes para entender a dinâmica populacional e a manutenção das espécies. Os objetivos deste estudo foram de verificar a abundância, o uso de microhabitat por machos, o comprimento rostro-cloacal (CRC) de machos e fêmeas em atividade reprodutiva, a quantidade de girinos transportados por machos e o número de oócitos maduros por fêmea, e relacionar o número de oócitos maduros e o tamanho médio dos oócitos maduros com o CRC da fêmea. Um total de 31 parcelas foi vistoriado, tamanho médio de 2,3 ha, e um registro de 235 indivíduos, média de 3,26 por hectare. Sessenta e seis por cento dos indivíduos avistados estavam na serapilheira, 17,4% sobre troncos em decomposição no chão da floresta, 15,7% sobre raízes aéreas de Cecropia sp. e 0,8% sobre cipó. Foram observados machos transportando girinos no dorso, a média de girinos transportados foi de 10,80 por macho. A quantidade média de oócitos maduros no ovário das fêmeas foi de 20,17. Houve correlação significativa entre o diâmetro médio dos oócitos e CRC. Neste estudo obtivemos dados novos relacionados ao tamanho médio de oócitos em fêmeas ativamente reprodutivas e observamos que o tipo de sítio de vocalização usado por machos varia entre as espécies do gênero Ameerega.

Design and application of digitize patient triage calling system / 中国医学装备

Objective: To improve the treatment order and improve the work efficiency of the doctors, our hospital has run the triage calling system in out-patient department. Methods:Using VC++ language and the middleware technology, we realize the function of voice calls, large screen display control, background management and data synchronization. HIS system realizes the automatic call patient registration by transfer the registration information to the triage system. Results: The trial operation of outpatient triage calling system in our hospital has completely changed the previous traditional triage mode of“nurse as orientation”. The system reduces not only the work pressure of health care, but also significantly improve the doctors' work efficiency and service quality. Conclusion:Guide triage system can effectively improve the environment and outpatient treatment order, greatly enhance the patient’s satisfaction.

Extension of the geographical distribution of two anuran species for Rio Grande do Sul State, Brazil, with comments on natural history / Extensão da distribuição geográfica de duas espécies de anuros para o Estado do Rio Grande do Sul, Brasil, com comentários sobre história natural

We record for the first time Crossodactylus schmidti (Anura: Hylodidae) and Proceratophrys avelinoi (Anura: Cycloramphidae) from Rio Grande do Sul State, Brazil, based on individuals captured in an area of Mesophytic Semideciduous Forest, the Parque Estadual do Turvo, located in the northwest region of the state. These records extend the geographical range for both species in about 60 km from the nearest known locality, the Municipality of San Vicente, Misiones, Argentina. We provide a characterization of the calling site used by males of Crossodactylus schmidti, and we also determined the niche breadth of P. avelinoi regarding to the use of water bodies.

Reportamos o primeiro registro de Crossodactylus schmidti (Anura: Hylodidae) e Proceratophrys avelinoi (Anura: Cycloramphidae) para o Estado do Rio Grande do Sul, Brasil, com base em indivíduos coletados em área de Floresta Estacional Semidecidual, Parque Estadual do Turvo, região noroeste do estado. Estes registros ampliam a área de distribuição das duas espécies em aproximadamente 60 km a partir da localidade mais próxima conhecida, o Município de San Vicente, Misiones, Argentina. Fornecemos, ainda, uma caracterização do sítio de vocalização de C. schmidti e determinamos a amplitude de nicho de P. avelinoi quanto ao uso de corpos d'água.

Reproductive behaviour of Crocidosema (=Epinotia) aporema (Walsingham) (Lepidoptera: Tortricidae): temporal pattern of female calling and mating

Crocidosema aporema (Walsingham) is a major pest of legumes in the southern cone of Latin America. The mating behaviour of two allopatric populations (Uruguay and Brazil) of C. aporema kept in captivity was studied by observing the posture of calling females, the temporal pattern of pheromone emission and mating, and the response of males to calling females in olfactometer tests. Female calling and mating was observed during the scotophase, from the first to the seventh night after adult emergence. Male response was evaluated at night using a single calling female in a Y-shaped olfactometer. Females adopted a characteristic calling posture, extruding the pheromone gland from the tip of the abdomen. Most females started calling during the second scotophase, and all females called from the third, between the fifth and seventh hours after the onset of the scotophase. Most of the couples mated once throughout the experiment, between the third and sixth night and during the middle of the dark phase. Males preferentially chose the female arm in olfactometer tests, considering both the first arm chosen and the number of visits during the observation period. Our results describe for the fi rst time the temporal pattern associated to the reproductive behaviour of C. aporema. We also provide evidence that this tortricid is monoandrous, and that pheromones are used in intersexual communication for mate finding. Our data will be used to optimize the collection of female sex pheromones for chemical characterization in order to develop a monitoring tool for this pest.