A learning community within nursing practice: The value created by the activities and interactions during the early stage of community development.

AIM/OBJECTIVE: This study examines the value that learning community activities and interactions produce (immediate value) during the early stage of community development, contributing to scientific insights on value creation. BACKGROUND: Due to the rapidly changing healthcare landscape, nurses and nursing students need to adjust their skills, knowledge and collaboration with colleagues and other disciplines. Learning communities are a promising approach to enhancing professional growth and collaboration, where members find value through participation in the community. DESIGN: For the study, a qualitative design was used. METHODS: A secondary analysis of case study data, collected during the first five sessions of a hospital learning community comprised of nurses, nursing students and a nurse lecturer, was conducted. RESULTS: The analysis revealed immediate value related to five themes: participation, activity, engagement, interaction, and confidence/trust. Members were encouraged to participate in and be involved during activities and interactions, such as asking questions, sharing their experiences and receiving feedback. Members became more familiar and confident in later community sessions, promoting immediate value creation. This was indicated by the different members who became active, took initiative or discussed problems. CONCLUSIONS: It is concluded that the activities and interactions produce value during the early stage of community development but may also grow to include new activities and interactions associated with further community development.

The Single Logon Application: an enabler for access to disparate systems in a patient-focused care environment.

The presence of separate, independent systems for patient results is a common problem in many institutions. The Single Logon Application (SLA) was developed to mitigate the problems presented by these disparate systems, and its use was a key component in a Patient-Focused Care (PFC) implementation.

[The energy metabolism of the Emperor penguin (Aptendodytes patagonica J. F. Miller) in ambient natural conditions]. / Etude de la dépense énergétique du poussin de manchot royal (Aptenodytes patagonica J. F. Miller) dans les conditions ambiantes naturelles

In natural ambient conditions at Possession Island the resting metabolism of the emancipated King Penguin is 50.40 kcal/kg/D. A bird whose insulation is good and which maintains its stomachic temperature at a high level can reduce its heat production by 42% during the long fasting periods which characterize its reproductive cycle, in particular by social and individual thermoregulating behaviour.