Assessment of the Nursing Quality Indicators for Reporting and Evaluation (NQuIRE) database using a data quality index.

A comprehensive data quality assessment is necessary to expand a nursing database that is designed for evaluating the impact of implementing Best Practice Guidelines (BPG) developed by the Registered Nurses' Association of Ontario (RNAO). This case report presents a method to standardize data quality assessments of the Nursing Quality Indicators for Reporting and Evaluation (NQuIRE) database by developing a data quality framework (DQF) and assessing key dimensions of the framework using a data quality index (DQI). The data quality index is a single key performance metric for assessing the quality of the database. The aims of sharing this case report are 2-fold: (1) to promote best practices for assessing data quality by developing and implementing a data quality framework and (2) to demonstrate an unprecedented method of assessing the data quality of a nursing database.

Infantile sexuality: Its place in the conceptual developments of Anna Freud and Donald W. Winnicott.

This essay explores the place of infantile sexuality in the theories of Anna Freud and Donald W Winnicott. Both Anna Freud and D.W. Winnicott incorporated and at the same time changed the classical psychoanalytic account of infantile sexuality and the instinctual drives. Whilst Anna Freud remained closer to her father's original conceptualization, she developed a multidimensional model of development which gave the drives a foundational status whist also maintaining their significance in giving meaning and texture to children's subjective experience. Winnicott also retained much of S. Freud's original theorizing except that in a fundamental way he turned it on its head when considering earliest development. For him the establishment of the self was paramount, and the drives and infantile sexuality merely served to give substance to that self.

Interpretation and play: some aspects of the process of child analysis.

Taking a combination of Anna Freudian and Winnicottian approaches to play and playing, this paper considers the nonlinear relationship between interpretation and play in the process of child analysis. Using extensive clinical material from the analysis of a late latency girl who had been adopted, the author revisits the technique of using the displacement in play and the variety of modalities within which a child's unconscious concerns can be approached when disruption of the setting threatens because of the child's fragile ego.