ABSTRACT
We have developed an atomic magnetometer based on the rubidium isotope 87Rb and a microfabricated silicon/glass vapor cell for the purpose of qualifying the instrument for space flight during a ride-along opportunity on a sounding rocket. The instrument consists of two scalar magnetic field sensors mounted at 45° angle to avoid measurement dead zones, and the electronics consist of a low-voltage power supply, an analog interface, and a digital controller. The instrument was launched into the Earth's northern cusp from Andøya, Norway on December 8, 2018 on the low-flying rocket of the dual-rocket Twin Rockets to Investigate Cusp Electrodynamics 2 mission. The magnetometer was operated without interruption during the science phase of the mission, and the acquired data were compared favorably with those from the science magnetometer and the model of the International Geophysical Reference Field to within an approximate fixed offset of about 550 nT. Residuals with respect to these data sources are plausibly attributed to offsets resulting from rocket contamination fields and electronic phase shifts. These offsets can be readily mitigated and/or calibrated for a future flight experiment so that the demonstration of this absolute-measuring magnetometer was entirely successful from the perspective of increasing the technological readiness for space flight.
ABSTRACT
BACKGROUND: Clinical ladder programs (CLPs) have been part of the nursing profession for nearly 4 decades. However, the structure and implementation of CLPs vary widely throughout healthcare systems. CLPs are a valuable factor in nurse retention and employee satisfaction initiatives, but globally replicating and measuring their impact is difficult due to lack of standardization. AIM: To identify opportunities for global standardization of CLPs through a systematic review of published evidence and facility-sourced CLPs applications and program documents. METHOD: This study used a systematic literature search and scan of existing programs from facilities within the United States (US), Lebanon, and Ghana obtained through professional ties and organizational membership. RESULTS: Seventy-nine articles were screened with 30 studies identified for inclusion, plus 20 CLPs from the US and international facilities. Identified commonalities were the lack of consistency in the number of clinical levels across the CLPs, eligibility requirements and application process, reward and recognition, lack of emphasis on technology and informatics, and missed opportunities to use CLPs to drive a culture of safety. The administrative burden of the programs and the time required by the nurse to complete the CLP application were rarely referenced. LINKING EVIDENCE TO ACTION: The lack of consistency between facilities and across the healthcare sectors limits the measurable impact CLPs have on the nursing profession. Recommendations for practice include developing a standardized professional development framework. A standardized framework will encourage adoption of a retention tool that will provide the profession with a measurable method to demonstrate the value it brings to patient care. Providing guidance to health care facilities in low- and middle-income countries on the implementation of a professional development framework will assist in closing the global gap of professional development opportunities for nurses.
