Implementing bedside handovers in mental health care: Insights from an experience-based co-design.

OBJECTIVES: Bedside handovers have the potential to provide opportunities to increase patient involvement in mental health care. However, limited research has been conducted on this subject. METHODS: In this study, we investigate the suitability of experience-based co-design as a method for designing bedside handover in mental health care. RESULTS: The article discusses the goals of bedside handover, the preferred structure and content of the handover, its location and frequency, and the familiarization involved in it. CONCLUSIONS: EBCD proved to be a suitable method of making recommendations for involving patients in nursing handover in a mental healthcare unit of a general hospital. PRACTICE IMPLICATIONS: Nurses and mental health care patients agreed on the ISBARRT model to structure bedside handovers.

Leaf morphology, optical characteristics and phytochemical traits of butterhead lettuce affected by increasing the far-red photon flux.

Light and its spectral characteristics are crucial for plant growth and development. The far-red photon flux mediates many plant processes through the action of phytochrome and also accelerates the photosynthetic electron transfer rate. In this study, we assessed the effects of far-red addition on butterhead lettuce morphology, light use efficiency, optical properties, and phytochemical characteristics. Three-week-old lettuce plants (Lactuca sativa L. cv. Alyssa) were grown for up to 28 days under a 10% blue and 90% red light spectrum (200 µmol m-2 s-1, 16 h photoperiod) to which five different intensities of far-red light (peak at 735 nm) were added (0-9-18-36-72 µmol m-2 s-1). White light-emitting diodes were included as a proxy for sunlight. Increasing supplemental far-red photon flux from zero to 21% increased the light use efficiency (g per mol) by 37% on day 14; 43% on day 21; and 39% on day 28. Measurements of projected head area suggest that this was associated with an increase in leaf expansion and photon capture and not necessarily a direct effect on photosynthesis. Moreover, vegetation indices based on leaf reflectance showed a decrease in chlorophyll-related indices under a high far-red photon flux. This decrease in pigment content was confirmed by chemical analyses, suggesting that the plants may not reach their full potential in terms of photon capture, limiting the overall photosynthetic performance. Furthermore, the stress-related Carter 1 index increased in plants grown under a high far-red photon flux, indicating early plant stress. Far-red tended to decrease the content of total phenolics and increase soluble sugars. The higher sugar levels can be attributed to an improved photochemical efficiency due to photosystem I excitation by far-red wavelengths, also known as the Emerson Enhancement effect. Despite these higher sugar levels, no effect on foliar nitrate content was observed. Our results show that far-red supplementation has the potential to enhance light interception at the early growth stages, although higher intensities of far-red may cause plant stress.

Genetic Dissection of Light-Regulated Adventitious Root Induction in Arabidopsis thaliana Hypocotyls.

Photomorphogenic responses of etiolated seedlings include the inhibition of hypocotyl elongation and opening of the apical hook. In addition, dark-grown seedlings respond to light by the formation of adventitious roots (AR) on the hypocotyl. How light signaling controls adventitious rooting is less well understood. Hereto, we analyzed adventitious rooting under different light conditions in wild type and photomorphogenesis mutants in Arabidopsis thaliana. Etiolation was not essential for AR formation but raised the competence to form AR under white and blue light. The blue light receptors CRY1 and PHOT1/PHOT2 are key elements contributing to the induction of AR formation in response to light. Furthermore, etiolation-controlled competence for AR formation depended on the COP9 signalosome, E3 ubiquitin ligase CONSTITUTIVELY PHOTOMORPHOGENIC (COP1), the COP1 interacting SUPPRESSOR OF PHYA-105 (SPA) kinase family members (SPA1,2 and 3) and Phytochrome-Interacting Factors (PIF). In contrast, ELONGATED HYPOCOTYL5 (HY5), suppressed AR formation. These findings provide a genetic framework that explains the high and low AR competence of Arabidopsis thaliana hypocotyls that were treated with dark, and light, respectively. We propose that light-induced auxin signal dissipation generates a transient auxin maximum that explains AR induction by a dark to light switch.

Nursing handover involving consumers on inpatient mental healthcare units: A qualitative exploration of the consumers' perspective.

Handovers between nurses are a significant cause of communication problems and possible consumer safety issues. A potential solution for both problems is the nursing handover involving consumers, in which the consumer is present at the time of handover. This practice invites consumers to be more involved in their care process and supports a recovery-oriented practice. Research into nursing handovers involving consumers on inpatient mental health units is however very limited. A qualitative, phenomenological study was conducted. Semi-structured interviews with 13 consumers staying on an inpatient mental health unit of a general hospital were used. The interviews were transcribed verbatim and thematically analysed. Data saturation was reached after 11 interviews when no new themes or codes emerged from the data. Three themes were generated from the interviews: (i) the first moments on the inpatient mental health unit; (ii) the nurse as an ally; and (iii) informing each other. The COREQ-checklist was used. According to consumers, nursing handover involving consumers initiated a change in the relationship between consumers and nurses. Consumers and nurses got to know each other better during handover and built a relationship of trust. The introduction of nursing handover involving consumers created an accessible opportunity for consumers to exchange information with nurses and ask questions concerning their admission. Consumers felt jointly responsible for the continuity of the information about their healthcare process. Due to the use of nursing handover involving consumers, consumers experienced the opportunity to take more control in their health process and ensured that information is correct and complete.