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Stewart N, Daly J, Drummond-Guy O, Krishnamoorthy V, Stark JC, Riley NM, Williams KC, Bertozzi CR, Wisnovsky S. The glycoimmune checkpoint receptor Siglec-7 interacts with T-cell ligands and regulates T-cell activation. J Biol Chem 2024; 300:105579. [PMID: 38141764 PMCID: PMC10831161 DOI: 10.1016/j.jbc.2023.105579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 11/28/2023] [Indexed: 12/25/2023] Open
Abstract
Siglec-7 (sialic acid-binding immunoglobulin-like lectin 7) is a glycan-binding immune receptor that is emerging as a significant target of interest for cancer immunotherapy. The physiological ligands that bind Siglec-7, however, remain incompletely defined. In this study, we characterized the expression of Siglec-7 ligands on peripheral immune cell subsets and assessed whether Siglec-7 functionally regulates interactions between immune cells. We found that disialyl core 1 O-glycans are the major immune ligands for Siglec-7 and that these ligands are particularly highly expressed on naïve T-cells. Densely glycosylated sialomucins are the primary carriers of these glycans, in particular a glycoform of the cell-surface marker CD43. Biosynthesis of Siglec-7-binding glycans is dynamically controlled on different immune cell subsets through a genetic circuit involving the glycosyltransferase GCNT1. Siglec-7 blockade was found to increase activation of both primary T-cells and antigen-presenting dendritic cells in vitro, indicating that Siglec-7 binds T-cell glycans to regulate intraimmune signaling. Finally, we present evidence that Siglec-7 directly activates signaling pathways in T-cells, suggesting a new biological function for this receptor. These studies conclusively demonstrate the existence of a novel Siglec-7-mediated signaling axis that physiologically regulates T-cell activity. Going forward, our findings have significant implications for the design and implementation of therapies targeting immunoregulatory Siglec receptors.
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Affiliation(s)
- Natalie Stewart
- Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada
| | - John Daly
- Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada
| | - Olivia Drummond-Guy
- Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada
| | - Vignesh Krishnamoorthy
- Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada
| | - Jessica C Stark
- Department of Chemistry & Sarafan ChEM-H, Stanford University, Stanford, California, USA; Department of Biological Engineering, Massachusetts Institute of Technology, Boston, Massachusetts, USA; Department of Chemical Engineering, Massachusetts Institute of Technology, Boston, Massachusetts, USA; Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Boston, Massachusetts, USA
| | - Nicholas M Riley
- Department of Chemistry & Sarafan ChEM-H, Stanford University, Stanford, California, USA; Department of Chemistry, University of Washington, Seattle, Washington, USA
| | - Karla C Williams
- Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada
| | - Carolyn R Bertozzi
- Department of Chemistry & Sarafan ChEM-H, Stanford University, Stanford, California, USA; Howard Hughes Medical Institute, Stanford, California, USA
| | - Simon Wisnovsky
- Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
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Aristophanous M, Hsu DG, Imber BS, Gui C, Daly J, Jancasz J, Huang C, Ballangrud A, Kuo L, Della Biancia C, Moran JM. Failure Mode and Effects Analysis Prior to the Introduction of AI Generated GTVs for Brain Metastases in the Clinical Workflow. Int J Radiat Oncol Biol Phys 2023; 117:S88. [PMID: 37784595 DOI: 10.1016/j.ijrobp.2023.06.413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) AI autosegmentation of organs-at-risk (OARs) is common practice at many radiotherapy clinics. Despite the abundance of gross tumor volume (GTV) autosegmentation algorithms, adoption in clinical care has been slow due to the high risk associated with errors in GTV delineation. Here we present a failure mode and effects analysis (FMEA) to evaluate the risk associated with introducing AI derived GTVs in patients treated with stereotactic radiosurgery (SRS). MATERIALS/METHODS An AI GTV autosegmentation algorithm for brain metastases was developed in-house based on a V-Net 3D CNN. Registered CT and MR images and a contour of the brain are input into the software and all identified lesions are returned in a DICOM-RT structure set. Following algorithm evaluation, a workflow was developed to enable AI GTV autosegmentation to be introduced clinically for every SRS patient. The following steps were added to existing procedures: 1) workflow to send CT/MR and brain structure to external server, 2) autosegmentation run on the server, 3) AI GTV structures with a standard nomenclature added to existing OAR structure set, and 4) MD review, editing, and approval of AI GTVs. After successfully completing the physics evaluation testing of the new process, we formed a team of 10 faculty and staff including physicists, residents, physicians, and planners to perform the FMEA prior to clinical implementation. The team met to map the process, identify potential failure modes, and score their frequency of occurrence, severity, and detectability. A 3-point scale (1, 3, or 5) was used to simplify the scoring process. Occurrence was defined as rare, sometimes, or often; severity as low, medium, or high; and detectability as obvious, possible, or challenging. The risk probability numbers (RPNs) were calculated and the steps in the process with the highest RPNs were flagged for further discussion. RESULTS The FMEA team completed their process map and analysis primarily in 4 meetings. The process map began with acquisition of the patients CT simulation scan and ended with physician approval of final volumes for treatment planning. We identified 17 process steps and 72 possible failure modes, of which 26 were associated with the new workflow. Eighteen failure modes had an RPN greater than 30 (highest risk score in at least one category) and were flagged to assess mitigation strategies. Five were unique to the new AI GTV workflow and mitigation strategies will be designed prior to clinical use. Those involved risks related to inaccurate AI GTV contours, false positives, and an incomplete review stemming from over-reliance by team members on AI. CONCLUSION AI is increasingly being employed at every step of radiotherapy to automate and streamline processes. The FMEA analysis resulted in the identification of the riskiest parts of using AI GTV autosegmentation. This can be an effective tool in the development of checks to ensure that GTV autosegmentation methods can be safely introduced in support of patient care.
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Affiliation(s)
- M Aristophanous
- Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - D G Hsu
- Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - B S Imber
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY
| | - C Gui
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY
| | - J Daly
- Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - J Jancasz
- Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - C Huang
- Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - A Ballangrud
- Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - L Kuo
- Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - C Della Biancia
- Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - J M Moran
- Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
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Sackerson C, Garcia V, Medina N, Maldonado J, Daly J, Cartwright R. Comparative analysis of the myoglobin gene in whales and humans reveals evolutionary changes in regulatory elements and expression levels. PLoS One 2023; 18:e0284834. [PMID: 37643191 PMCID: PMC10464968 DOI: 10.1371/journal.pone.0284834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 08/15/2023] [Indexed: 08/31/2023] Open
Abstract
Cetacea and other diving mammals have undergone numerous adaptations to their aquatic environment, among them high levels of the oxygen-carrying intracellular hemoprotein myoglobin in skeletal muscles. Hypotheses regarding the mechanisms leading to these high myoglobin levels often invoke the induction of gene expression by exercise, hypoxia, and other physiological gene regulatory pathways. Here we explore an alternative hypothesis: that cetacean myoglobin genes have evolved high levels of transcription driven by the intrinsic developmental mechanisms that drive muscle cell differentiation. We have used luciferase assays in differentiated C2C12 cells to test this hypothesis. Contrary to our hypothesis, we find that the myoglobin gene from the minke whale, Balaenoptera acutorostrata, shows a low level of expression, only about 8% that of humans. This low expression level is broadly shared among cetaceans and artiodactylans. Previous work on regulation of the human gene has identified a core muscle-specific enhancer comprised of two regions, the "AT element" and a C-rich sequence 5' of the AT element termed the "CCAC-box". Analysis of the minke whale gene supports the importance of the AT element, but the minke whale CCAC-box ortholog has little effect. Instead, critical positive input has been identified in a G-rich region 3' of the AT element. Also, a conserved E-box in exon 1 positively affects expression, despite having been assigned a repressive role in the human gene. Last, a novel region 5' of the core enhancer has been identified, which we hypothesize may function as a boundary element. These results illustrate regulatory flexibility during evolution. We discuss the possibility that low transcription levels are actually beneficial, and that evolution of the myoglobin protein toward enhanced stability is a critical factor in the accumulation of high myoglobin levels in adult cetacean muscle tissue.
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Affiliation(s)
- Charles Sackerson
- Biology Department, California State University Channel Islands, Camarillo, California, United States of America
| | - Vivian Garcia
- Biology Department, California State University Channel Islands, Camarillo, California, United States of America
| | - Nicole Medina
- Biology Department, California State University Channel Islands, Camarillo, California, United States of America
| | - Jessica Maldonado
- Biology Department, California State University Channel Islands, Camarillo, California, United States of America
| | - John Daly
- Biology Department, California State University Channel Islands, Camarillo, California, United States of America
| | - Rachel Cartwright
- Biology Department, California State University Channel Islands, Camarillo, California, United States of America
- The Keiki Kohola Project, Lahaina, Hawaii, United States of America
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Krishnamoorthy V, Daly J, Wisnovsky S. Identifying Genetic Regulators of Protein-Glycan Interactions with Genome-Wide CRISPR Screening. Curr Protoc 2023; 3:e646. [PMID: 36695498 DOI: 10.1002/cpz1.646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Glycans are carbohydrate molecules appended to proteins and lipids on the surface of all living cells. Glycans play key roles in a wide array of biological processes, and structural changes in cell-surface glycosylation patterns have been connected to pathogenesis of several diseases. In particular, cancer cells frequently upregulate expression of glycans that bind to inhibitory receptors (lectins) on immune cells. These glycosylated antigens systematically inhibit immune activity and protect cancer cells from immune surveillance. Understanding how cancer cells generate these glycan ligands can thus lead to identification of novel druggable targets for therapeutic intervention. However, glycan ligand biosynthesis is subject to extremely complex genetic regulation, making it difficult to identify the key genes involved in production of immune-regulatory glycan antigens. In a recent publication, we described a CRISPR/Cas9 screening approach to identify genes that drive synthesis of ligands for glycan-binding immune receptors. Here, we outline a detailed, step-by-step protocol for completing this type of genome-wide screen. Our protocol produces a genome-wide atlas of all genes whose expression is required for cell-surface binding of a recombinant immune lectin. This dataset can be used both to identify novel ligands for immune lectins and annotate regulatory genes that drive changes in cancer-associated glycosylation. Our protocol serves as a general resource for researchers interested in the detailed study of cancer glyco-immunology. © 2023 Wiley Periodicals LLC. Basic Protocol 1: Generation of a genome-wide CRISPR library using lentiviral transduction Support Protocol: Generation of dCas9KRAB-expressing K-562 cells Basic Protocol 2: Staining of genome-wide CRISPR libraries with Siglec-Fc reagents and fluorescence-activated cell sorting Basic Protocol 3: Library amplification and sequencing Basic Protocol 4: Data analysis and hit identification.
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Affiliation(s)
| | - John Daly
- Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada
| | - Simon Wisnovsky
- Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada
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McCarthy N, Daly J, Wall O, Wills T, Buckley C. 45 INTERPROFESSIONAL EDUCATION AND COLLABORATIVE PRACTICE IN FRAIL OLDER PERSONS’ CARE. Age Ageing 2022. [DOI: 10.1093/ageing/afac218.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Frail older adults present with complex care needs. Inter-Professional Education (IPE) is a means of creating a practice-ready workforce to improve patient safety and healthcare outcomes. A Steering Group was established comprised of acute and community clinicians, members of the Health Service Executive, service user, students and members of all Schools in the College of Medicine and Health in an Irish University (Medicine, Nursing and Midwifery, Pharmacy, Public Health, Clinical Therapies and Dentistry) to evaluate the effectiveness of IPE. A workshop dedicated to the management of frail older adults occurred for multidisciplinary healthcare students as part of a suite of three IPE workshops.
Methods
The validated ‘Interprofessional Collaborative Competencies Attainment Survey’ (ICCAS) evaluated student views of IPE pre- & post-workshop. This workshop involved a case-based study and facilitated discussion with involvement of frail older adult service users. One service user was in a rehabilitation unit post hospital admission, the other was living well at home. Their participation occurred using an online platform, supported by a consultant geriatrician in the rehabilitation unit and a relative for the home-based service user.
Results
Student scores on the six subscales of the ICCAS (communication, collaboration, roles and responsibilities, collaborative patient-centred approach, conflict management and team functioning) were compared. Scores in all categories achieved statistically significant increases after completion of the IPE workshop. The greatest positive change was observed in collaborative patient-centred approach with pre-workshop scores increasing from a mean of 2.61 to 4.25 (p<0.05).
Conclusion
This initiative explored the inclusion of a frail older adult workshop in the higher education setting. Older adults had an opportunity to share their lived experiences. Evaluation of this IPE initiative will inform future IPE activities to be incorporated into undergraduate education programmes. Similar IPE models can be replicated nationally to enable and enhance team-based working and integrated care.
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Affiliation(s)
- N McCarthy
- University College Cork Medical Education Unit, School of Medicine, , Cork, Ireland
| | - J Daly
- Health Service Executive Patient Safety, South Southwest Hospital Group, , Cork, Ireland
- Mercy University Hospital Department of Physiotherapy, , Cork, Ireland
| | - O Wall
- Primary Care Health Service Executive , Cork, Ireland
- University College Cork Occupational Therapy, , Cork, Ireland
| | - T Wills
- University College Cork School of Nursing and Midwifery, , Cork, Ireland
| | - C Buckley
- Office of the Nursing and Midwifery Services Director, Health Service Executive , Cork, Ireland
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Rumsey M, Stowers P, Sam H, Neill A, Rodrigues N, Brooks F, Daly J. Development of PARcific Approach: Participatory Action Research Methodology for Collectivist Health Research. Qual Health Res 2022; 32:1297-1314. [PMID: 35638562 DOI: 10.1177/10497323221092350] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
This article explores the evolution of a novel approach designed to advance qualitative methods in cross-cultural health research. This methodology was developed by synthesising several research methods and involved in-depth stakeholder consultation with participants of a Pacific-based nursing and midwifery health leadership program. Many of these participants played a crucial role in creating, exploring and evaluating several research methods and implementing and evaluating this co-designed research methodology. Starting with a Participatory Action Research framework, the research methodology evolved as it was informed by the local Pacific methodologies (in particular Talanoa and Kakala frameworks), where researchers, co-researchers and participants alike, working from within their own collectivist/individualist paradigms, negotiated cultural differences. Finally, a methodological framework of 'best practice' for future health research methods was developed for use with capacity building research. The new methodology could provide a foundation for future co-designed cross-cultural research in collectivist cultures.
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Affiliation(s)
- Michele Rumsey
- WHO Collaborating Centre Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
| | - Pelenatete Stowers
- WHO Collaborating Centre Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
- National University of Samoa, Toomatagi, Apia, Samoa
| | - Harriet Sam
- Directive of Hospital and Curative Services, Ministry of Health, Port Vila, Vanuatu
| | - Amanda Neill
- WHO Collaborating Centre Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
| | - Nathalia Rodrigues
- WHO Collaborating Centre Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
| | - Fiona Brooks
- University of Technology Sydney, Sydney, NSW, Australia
| | - John Daly
- WHO Collaborating Centre Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
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7
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Cochran AJ, Wen DR, Huang RR, Abrishami P, Smart C, Binder S, Scolyer RA, Thompson JF, Stern S, Van Kreuningen L, Elashoff DE, Sim MS, Wang HJ, Faries MB, Kirkwood J, Daly J, Kutner M, Mihm M, Smith G, Urist M, Beegun N, Thompson JF, Mozzillo N, Nieweg OE, Roses DF, Hoekstra HJ, Karakousis CP, Reintgen DS, Leong SP, Coventry BJ, Kraybill WG, Smithers BM, Nathanson SD, Huth JF, Wong JH, Fraker DL, McKinnon JG, Paul E, Morton DL, Botti G, Tiebosch A, Strutton GM, Whitehead FJ, Peterse HJ, Epstein HD, Goodloe S, Scolyer RA, McCarthy SW, Melamed J, Messina J, Moffitt HL, Turner RR, Wunsch PH. Sentinel lymph node melanoma metastases: Assessment of tumor burden for clinical prediction of outcome in the first Multicenter Selective Lymphadenectomy Trial (MSLT-I). Eur J Surg Oncol 2022; 48:1280-1287. [DOI: 10.1016/j.ejso.2022.01.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 12/22/2021] [Accepted: 01/19/2022] [Indexed: 02/05/2023] Open
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Affiliation(s)
- E. Haggerty
- Massachusetts General Hospital, Boston, MA, USA
| | - J. Daly
- University of Colorado, Aurora, CO, USA
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9
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Abstract
Over the last year, coronavirus disease 2019 (COVID-19) has accumulated over 37 million cases and over one million deaths worldwide (WHO, 2020). With no population immunity or vaccine at hand, all but fifteen countries issued 'stay at home' orders in a bid to contain the spread of the virus and limit the healthcare burden. 'Lockdown' included closure of dental practices. Both the virus itself and the various Government responses have had a profound impact on the work, home and social lives of the entire population and are likely to impact the oral health of many people. These oral health effects can be attributed to those caused directly by the virus and those caused indirectly through the subsequent societal response. Direct effects of COVID-19 on oral health include ageusia (an official symptom of COVID-19) and case reports of vesiculobullous lesions and necrotising periodontal disease (Patel and Woolley 2020). The ageusia associated with COVID-19 is transient and reports of other oral manifestations are based on low-grade and disputed evidence. The direct effects of COVID-19 are likely to be of modest consequence for population oral health.
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10
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Geia L, Baird K, Bail K, Barclay L, Bennett J, Best O, Birks M, Blackley L, Blackman R, Bonner A, Bryant AO R, Buzzacott C, Campbell S, Catling C, Chamberlain C, Cox L, Cross W, Cruickshank M, Cummins A, Dahlen H, Daly J, Darbyshire P, Davidson P, Denney-Wilson E, De Souza R, Doyle K, Drummond A, Duff J, Duffield C, Dunning T, East L, Elliott D, Elmir R, Fergie OAM D, Ferguson C, Fernandez R, Flower AM D, Foureur M, Fowler C, Fry M, Gorman E, Grant J, Gray J, Halcomb E, Hart B, Hartz D, Hazelton M, Heaton L, Hickman L, Homer AO CSE, Hungerford C, Hutton A, Jackson AO D, Johnson A, Kelly MA, Kitson A, Knight S, Levett-Jones T, Lindsay D, Lovett R, Luck L, Molloy L, Manias E, Mannix J, Marriott AMR, Martin M, Massey D, McCloughen A, McGough S, McGrath L, Mills J, Mitchell BG, Mohamed J, Montayre J, Moroney T, Moyle W, Moxham L, Northam OAM H, Nowlan S, O'Brien AP, Ogunsiji O, Paterson C, Pennington K, Peters K, Phillips J, Power T, Procter N, Ramjan L, Ramsay N, Rasmussen B, Rihari-Thomas J, Rind B, Robinson M, Roche M, Sainsbury K, Salamonson Y, Sherwood J, Shields L, Sim J, Skinner I, Smallwood G, Smallwood R, Stewart L, Taylor S, Usher AM K, Virdun C, Wannell J, Ward R, West C, West R, Wilkes L, Williams R, Wilson R, Wynaden D, Wynne R. A unified call to action from Australian nursing and midwifery leaders: ensuring that Black lives matter. Contemp Nurse 2020; 56:297-308. [DOI: 10.1080/10376178.2020.1809107] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- L. Geia
- James Cook University, Townsville, QLD, Australia
| | - K. Baird
- University of Technology Sydney, Sydney, NSW, Australia
| | - K. Bail
- University of Canberra, Canberra, ACT, Australia
| | - L. Barclay
- University of Sydney, Sydney, NSW, Australia
| | - J. Bennett
- University of Newcastle, Callaghan, NSW, Australia
| | - O. Best
- University of Southern Queensland, Darling Heights, QLD, Australia
| | - M. Birks
- James Cook University, Townsville, QLD, Australia
| | - L. Blackley
- Queensland Health, Joyce Palmer Health Service, Palm Island, QLD, Australia
| | - R. Blackman
- Gidgee Healing Mt Isa, Mount Isa, QLD, Australia
| | - A. Bonner
- Griffith University, Brisbane, QLD, Australia
| | - R. Bryant AO
- Rosemary Bryant Foundation, South Australia, Australia
| | - C. Buzzacott
- Rhodanthe Lipsett Indigenous Midwifery Charitable Fund, Caringbah, NSW, Australia
| | - S. Campbell
- Charles Darwin University, Darwin, NT, Australia
| | - C. Catling
- University of Technology Sydney, Sydney, NSW, Australia
| | | | - L. Cox
- Queensland University of Technology, Brisbane, QLD, Australia
| | - W. Cross
- Federation University, Ballarat, VIC, Australia
| | - M. Cruickshank
- University of Technology Sydney, Sydney, NSW, Australia
- Sydney Children’s Hospital Network, Sydney, NSW, Australia
| | - A. Cummins
- University of Technology Sydney, Sydney, NSW, Australia
| | - H. Dahlen
- Western Sydney University, Sydney, NSW, Australia
| | - J. Daly
- University of Sydney, Sydney, NSW, Australia
| | - P. Darbyshire
- Philip Darbyshire Consulting, Highbury, South Australia, Australia
| | - P. Davidson
- University of Technology Sydney, Sydney, NSW, Australia
- Western Sydney University, Sydney, NSW, Australia
- John Hopkins University, Baltimore, USA
| | | | | | - K. Doyle
- Western Sydney University, Sydney, NSW, Australia
| | - A. Drummond
- Queensland University of Technology, Brisbane, QLD, Australia
| | - J. Duff
- Queensland University of Technology, Brisbane, QLD, Australia
| | - C. Duffield
- University of Technology Sydney, Sydney, NSW, Australia
- Edith Cowan University, Perth, Western Australia, Australia
| | - T. Dunning
- Deakin University, Melbourne, VIC, Australia
| | - L. East
- University of New England, Armidale, NSW, Australia
| | - D. Elliott
- University of Technology Sydney, Sydney, NSW, Australia
| | - R. Elmir
- Western Sydney University, Sydney, NSW, Australia
| | - D. Fergie OAM
- Australian Catholic University, Fitzroy, VIC, Australia
| | - C. Ferguson
- Western Sydney University, Sydney, NSW, Australia
| | - R. Fernandez
- University of Wollongong, Keiraville, NSW, Australia
| | | | - M. Foureur
- University of Newcastle, Callaghan, NSW, Australia
| | - C. Fowler
- University of Technology Sydney, Sydney, NSW, Australia
| | - M. Fry
- University of Technology Sydney, Sydney, NSW, Australia
| | - E. Gorman
- New South Wales Health, Sydney, NSW, Australia
| | - J. Grant
- Charles Sturt University, Dubbo, NSW, Australia
| | - J. Gray
- University of Technology Sydney, Sydney, NSW, Australia
| | - E. Halcomb
- University of Wollongong, Keiraville, NSW, Australia
| | - B. Hart
- University of Notre Dame, Darlinghurst, NSW, Australia
| | - D. Hartz
- Charles Darwin University, Darwin, NT, Australia
| | - M. Hazelton
- University of Newcastle, Callaghan, NSW, Australia
| | - L. Heaton
- Western Sydney University, Sydney, NSW, Australia
| | - L. Hickman
- University of Technology Sydney, Sydney, NSW, Australia
- Contemporary Nurse Journal
| | | | | | - A. Hutton
- University of Newcastle, Callaghan, NSW, Australia
| | - D. Jackson AO
- University of Technology Sydney, Sydney, NSW, Australia
| | - A. Johnson
- University of Newcastle, Callaghan, NSW, Australia
| | - M. A. Kelly
- Sydney Children’s Hospital Network, Sydney, NSW, Australia
| | - A. Kitson
- Western Sydney University, Sydney, NSW, Australia
| | - S. Knight
- James Cook University, Townsville, QLD, Australia
| | | | - D. Lindsay
- James Cook University, Townsville, QLD, Australia
| | - R. Lovett
- Australian National University, Canberra, Australian Capital Territory, Australia
| | - L. Luck
- Western Sydney University, Sydney, NSW, Australia
| | - L. Molloy
- University of Wollongong, Keiraville, NSW, Australia
| | - E. Manias
- Deakin University, Melbourne, VIC, Australia
| | - J. Mannix
- Western Sydney University, Sydney, NSW, Australia
| | | | - M. Martin
- Queensland Aboriginal and Islander Health Council, Brisbane, QLD, Australia
| | - D. Massey
- Southern Cross University, Gold Coast Campus, QLD, Australia
| | | | - S. McGough
- Curtin University, Perth, Western Australia, Australia
| | - L. McGrath
- Aboriginal Medical Service Redfern, Sydney, NSW, Australia
| | - J. Mills
- La Trobe University, Melbourne, VIC, Australia
| | | | - J. Mohamed
- Lowitja Institute, Melbourne, VIC, Australia
| | - J. Montayre
- Western Sydney University, Sydney, NSW, Australia
| | - T. Moroney
- University of Wollongong, Keiraville, NSW, Australia
| | - W. Moyle
- Griffith University, Brisbane, QLD, Australia
| | - L. Moxham
- University of Wollongong, Keiraville, NSW, Australia
| | | | - S. Nowlan
- Queensland Health, Joyce Palmer Health Service, Palm Island, QLD, Australia
| | | | - O. Ogunsiji
- Western Sydney University, Sydney, NSW, Australia
| | - C. Paterson
- University of Canberra, Canberra, ACT, Australia
| | - K. Pennington
- Flinders University, Adelaide, South Australia, Australia
| | - K. Peters
- Western Sydney University, Sydney, NSW, Australia
| | - J. Phillips
- University of Technology Sydney, Sydney, NSW, Australia
| | - T. Power
- University of Technology Sydney, Sydney, NSW, Australia
| | - N. Procter
- University of South Australia, Adelaide, South Australia, Australia
| | - L. Ramjan
- Western Sydney University, Sydney, NSW, Australia
| | - N. Ramsay
- Queensland Health, Joyce Palmer Health Service, Palm Island, QLD, Australia
| | | | | | - B. Rind
- Aboriginal Health Unit Mt Druitt Hospital, Sydney, NSW, Australia
| | - M. Robinson
- Murdoch University, Perth, Western Australia, Australia
| | - M. Roche
- University of Technology Sydney, Sydney, NSW, Australia
| | - K. Sainsbury
- University of Canberra, Canberra, ACT, Australia
| | | | - J. Sherwood
- Charles Sturt University, Dubbo, NSW, Australia
| | - L. Shields
- University of Queensland, Brisbane, QLD, Australia
| | - J. Sim
- University of Wollongong, Keiraville, NSW, Australia
| | - I. Skinner
- James Cook University, Townsville, QLD, Australia
| | - G. Smallwood
- James Cook University, Townsville, QLD, Australia
| | - R. Smallwood
- University of Newcastle, Callaghan, NSW, Australia
- University of New England, Armidale, NSW, Australia
| | - L. Stewart
- James Cook University, Townsville, QLD, Australia
| | - S. Taylor
- Top End Health, Northern Territory, Darwin, NT, Australia
| | - K. Usher AM
- University of Technology Sydney, Sydney, NSW, Australia
- University of New England, Armidale, NSW, Australia
| | - C. Virdun
- University of Technology Sydney, Sydney, NSW, Australia
| | - J. Wannell
- Melbourne Poche Centre for Indigenous Health, Melbourne, VIC, Australia
| | - R. Ward
- University of Southern Queensland, Darling Heights, QLD, Australia
| | - C. West
- James Cook University, Townsville, QLD, Australia
| | - R. West
- Griffith University, Brisbane, QLD, Australia
| | - L. Wilkes
- Western Sydney University, Sydney, NSW, Australia
| | - R. Williams
- Charles Darwin University, Darwin, NT, Australia
| | - R. Wilson
- University of Newcastle, Callaghan, NSW, Australia
- University of New England, Armidale, NSW, Australia
| | - D. Wynaden
- Curtin University, Perth, Western Australia, Australia
| | - R. Wynne
- Western Sydney University, Sydney, NSW, Australia
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11
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Jackson D, Anders R, Padula WV, Daly J, Davidson PM. Vulnerability of nurse and physicians with COVID-19: Monitoring and surveillance needed. J Clin Nurs 2020; 29:3584-3587. [PMID: 32428345 PMCID: PMC7276813 DOI: 10.1111/jocn.15347] [Citation(s) in RCA: 55] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Debra Jackson
- School of Nursing, University of Technology Sydney, Sydney, NSW, Australia
| | | | - William V Padula
- Leonard D. Schaeffer Center for Health Policy & Economics & School of Pharmacy University of Southern California, Los Angeles, CA, USA
| | - John Daly
- Western Sydney University and University of Technology Sydney, Sydney, NSW, Australia
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12
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Affiliation(s)
| | | | - John Daly
- University of Technology Sydney Sydney NSW Australia
| | - Debra Jackson
- University of Technology Sydney Sydney NSW Australia
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13
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Affiliation(s)
- John Daly
- Emeritus Professor Western Sydney University and University of Technology Sydney, Baltimore, USA
| | - Debra Jackson
- Professor of Nursing, University of Technology Sydney, Baltimore, USA
| | - Robert Anders
- Emeritus Professor University of Texas El Paso, Baltimore, USA
| | - Patricia M Davidson
- Dean and Professor, School of Nursing, Johns Hopkins University, Baltimore, USA
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14
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Anderson JH, Adamson T, Migliati E, Herlihy J, Danieu P, Daly J, Allen C, Hua K, Inglessis I. Perforating the GORE® CARDIOFORM septal occluder and atrial septal defect occluder to gain access to the left atrium. Catheter Cardiovasc Interv 2020; 96:E660-E665. [PMID: 32239801 DOI: 10.1002/ccd.28884] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 03/15/2020] [Accepted: 03/19/2020] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Perforate the expanded polytetrafluoroethylene membrane of the GORE® CARDIOFORM Septal Occluder (GSO) and GORE® CARDIOFORM ASD Occluder (GCA) after implantation. BACKGROUND Percutaneous transseptal access to the left atrium is necessary for many structural and electrophysiological procedures. The potential need to access the left atrium may influence decision-making for patent foramen ovale or atrial septal defect closure. METHODS Sixteen canines underwent implantation of equal number GSO or GCA devices. A transseptal crossing procedure was performed through the device 85 (±1) days postoccluder implantation. The crossing procedure was performed utilizing commercially available equipment: radiofrequency/SureFlex sheath and standard needle/Mullin's sheath. Progressive dilation of the perforation was performed to allow passage of a 12 French Mullin's sheath into the left atrium. RESULTS Left atrial access was achieved in all cases. Postmortem analysis demonstrated passage through both occluder discs in all radiofrequency/SureFlex sheath cases (4 GSO, 4 GCA) and half of the standard needle/Mullin's sheath cases (3 GSO, 1 GCA). The remaining standard needle/Mullin's sheath cases demonstrated perforation through the right atrial disc but passage around the septal aspect of the left atrial disc, thus not perforating the left atrial disc. No acute embolic complications from the procedure were observed. CONCLUSIONS Left atrial access may be achieved through the GSO or GCA devices after implantation and endothelialization. The combination of a radiofrequency needle and steerable sheath provides benefit over a standard needle and Mullin's sheath in accomplishing passage through both occluder discs.
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Affiliation(s)
- Jason H Anderson
- Department of Pediatric and Adolescent Medicine, Division of Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota, USA.,Department of Cardiovascular Medicine, Division of Structural Heart Disease, Mayo Clinic, Rochester, Minnesota, USA
| | - Teagan Adamson
- Medical Products Division, W.L. Gore & Associates, Inc., Newark, Delaware, USA
| | - Elton Migliati
- Medical Products Division, W.L. Gore & Associates, Inc., Newark, Delaware, USA
| | - Jennipher Herlihy
- Medical Products Division, W.L. Gore & Associates, Inc., Newark, Delaware, USA
| | - Pierrette Danieu
- Medical Products Division, W.L. Gore & Associates, Inc., Newark, Delaware, USA
| | - John Daly
- Medical Products Division, W.L. Gore & Associates, Inc., Newark, Delaware, USA
| | - Carissa Allen
- Medical Products Division, W.L. Gore & Associates, Inc., Newark, Delaware, USA
| | - Khoa Hua
- Medical Products Division, W.L. Gore & Associates, Inc., Newark, Delaware, USA
| | - Ignacio Inglessis
- Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts, USA
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15
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Hayes C, Power T, Davidson PM, Daly J, Jackson D. Corrigendum to "Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses" [Nurse Educ. Today 35 (99), September 2015, 981-986]. Nurse Educ Today 2019; 78:58. [PMID: 30879708 DOI: 10.1016/j.nedt.2019.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Carolyn Hayes
- University of Technology Sydney, Faculty of Health, Building 10, 235 Jones Street, Broadway, NSW 2007, Australia.
| | - Tamara Power
- University of Technology Sydney, Faculty of Health, Building 10, 235 Jones Street, Broadway, NSW 2007, Australia
| | | | - John Daly
- University of Technology Sydney, Faculty of Health, PO Box 123, Broadway, NSW 2007, Australia
| | - Debra Jackson
- Oxford Brookes University, Oxford, UK; University of New England, NSW, Australia
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16
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Daly J, Carlsten M, O'Dwyer M. Sugar Free: Novel Immunotherapeutic Approaches Targeting Siglecs and Sialic Acids to Enhance Natural Killer Cell Cytotoxicity Against Cancer. Front Immunol 2019; 10:1047. [PMID: 31143186 PMCID: PMC6521797 DOI: 10.3389/fimmu.2019.01047] [Citation(s) in RCA: 68] [Impact Index Per Article: 13.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Accepted: 04/24/2019] [Indexed: 12/20/2022] Open
Abstract
Natural Killer (NK) cells are cytotoxic lymphocytes that play a key role in the immune system, targeting and destroying invading pathogens and malignantly transformed cells. Evading NK cell-mediated immunosurveillance is therefore critical to facilitating cancer cell survival and metastasis. Signals from a range of inhibitory and activating receptors located on the NK cell surface regulate NK cell cytotoxicity. Recently, attention has turned to the role of hypersialylated tumor cell surfaces in mediating immune-evasion of NK cells. Two inhibitory sialic acid-binding immunoglobulin-like lectin (Siglec) receptors are expressed by NK cells: Siglec-7 and Siglec-9. The abundance of sialic acids on tumor cell surface is hypothesized to regulate NK cell-mediated cytotoxicity by interacting with Siglec-7 and Siglec-9, causing a dampening of NK cell activation pathways. Targeting Siglec-7 and Siglec-9, or the sialic acid coated tumor cell surface is therefore being investigated as a novel therapeutic approach to enhance the NK cell response against cancer. In this review we report on the currently published documentation of the role for Siglec-7 and Siglec-9 receptors on NK cells and their ligands expressed by tumor cells. We also discuss the strategies currently explored to target Siglec-7, Siglec-9 and the sialylated tumor cell surface as well as the impact abrogation of these interactions have on NK cell cytotoxicity against several cancer types.
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Affiliation(s)
- John Daly
- Department of Hematology, Biomedical Sciences, National University of Ireland Galway, Galway, Ireland
| | - Mattias Carlsten
- Department of Medicine, Huddinge, Center for Haematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Michael O'Dwyer
- Department of Hematology, Biomedical Sciences, National University of Ireland Galway, Galway, Ireland
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17
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Swain F, Daly J, Baidya S, Wilson B, Morrison J, Liew Y‐W, Powley T, Jivan Y, Bryant S, Allen A, Crampton N. Acute haemolytic reaction secondary to an ABO minor mismatched platelet transfusion from a group A blood donor. Transfus Med 2019; 29:133-135. [DOI: 10.1111/tme.12591] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Revised: 01/18/2019] [Accepted: 02/12/2019] [Indexed: 12/23/2022]
Affiliation(s)
- F. Swain
- Princess Alexandra Hospital Brisbane Queensland Australia
| | - J. Daly
- Australian Red Cross Blood Service Brisbane Queensland Australia
| | - S. Baidya
- Australian Red Cross Blood Service Brisbane Queensland Australia
| | - B. Wilson
- Australian Red Cross Blood Service Brisbane Queensland Australia
| | - J. Morrison
- Australian Red Cross Blood Service Brisbane Queensland Australia
| | - Y. ‐W. Liew
- Australian Red Cross Blood Service Brisbane Queensland Australia
| | - T. Powley
- Australian Red Cross Blood Service Brisbane Queensland Australia
| | - Y. Jivan
- QML Pathology Brisbane Queensland Australia
| | - S. Bryant
- Australian Red Cross Blood Service Brisbane Queensland Australia
| | - A. Allen
- Australian Red Cross Blood Service Brisbane Queensland Australia
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18
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Hayes C, Power T, Davidson PM, Daly J, Jackson D. Learning to liaise: using medication administration role-play to develop teamwork in undergraduate nurses. Contemp Nurse 2018; 55:278-287. [PMID: 30092706 DOI: 10.1080/10376178.2018.1505435] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Aim: To describe undergraduate nursing students' situational awareness and understanding of effective liaison and collaboration within the nursing team during interrupted medication administration.Background: Medication errors related to interruptions are a major problem in health care, impacting on patient morbidity and mortality and increasing the burden of related costs. Effective liaison, teamwork and situation awareness are requisite skills for nurses to facilitate the safe management of interruptions during medication administration.Method: A role-play simulation was offered to 528 second-year undergraduate Bachelor of Nursing students. Qualitative written reflective responses were subsequently collected and subject to thematic analysis to derive themes.Results: Participants (451:528) reported an improved understanding of an unfamiliar and challenging situation that required cooperation and collaboration amongst the nursing team to improve outcomes.Conclusion(s): This simulation exposed undergraduate nurses with limited clinical experience to a situation otherwise unavailable to them. The skills required to engage in effective liaison and teamwork in dynamic situations are vital elements in achieving quality care and must begin to be taught at an undergraduate level.
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Affiliation(s)
- Carolyn Hayes
- Faculty of Health, University of Technology Sydney, Building 10 level 6, 235 Jones Street, Broadway, NSW, 2007, Australia
| | - Tamara Power
- Faculty of Health, University of Technology Sydney, Building 10 level 7, 235 Jones Street, Broadway, NSW, 2007, Australia
| | - Patricia M Davidson
- Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD, 21205-2110, USA
| | - John Daly
- Faculty of Health, University of Technology Sydney, PO Box 123, Broadway, NSW, 2007, Australia
| | - Debra Jackson
- Faculty of Health, University of Technology Sydney, PO Box 123, Broadway, NSW, 2007, Australia
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19
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Auld DS, Narahari J, Ho PI, Casalena D, Nguyen V, Cirbaite E, Hughes D, Daly J, Webb B. Characterization and Use of TurboLuc Luciferase as a Reporter for High-Throughput Assays. Biochemistry 2018; 57:4700-4706. [PMID: 29641191 DOI: 10.1021/acs.biochem.8b00290] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Luciferase-based reporter assays are powerful tools for monitoring gene expression in cells because of their ultrasensitive detection capacity and wide dynamic range. Here we describe the characterization and use of a luciferase reporter enzyme derived from the marine copepod Metridia luciferase family, referred to as TurboLuc luciferase (TurboLuc). To develop TurboLuc, the wild-type luciferase was modified to decrease its size, increase brightness, slow luminescent signal decay, and provide for efficient intracellular expression. To determine the enzyme susceptibility to compound inhibition and judge the suitability of using of TurboLuc as a reporter in screening assays, purified TurboLuc enzyme was screened for inhibitors using two different compound libraries. No inhibitors of this enzyme were identified in a library representative of typical diverse low molecular weight (LMW) compounds using a purified TurboLuc enzyme assay supporting that such libraries will show very low interference with this enzyme. We were able to identify a few inhibitors from a purified natural product library which can serve as useful tools to validate assays using TurboLuc. In addition to the inhibitor profile for TurboLuc we describe the use of this reporter in cells employing miniaturized assay volumes within 1536-well plates. TurboLuc luciferase is the smallest luciferase reporter enzyme described to date (16 kDa), shows bright luminescence and low interference by LMW compounds, and therefore should provide an ideal reporter in assays applied to high-throughput screening.
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Affiliation(s)
- Douglas S Auld
- Chemical Biology and Therapeutics , Novartis Institutes for Biomedical Research , 250 Massachusetts Avenue , Cambridge , Massachusetts , United States
| | - Janaki Narahari
- Thermo Fisher Scientific , Rockford , Illinois , United States
| | - Pei-I Ho
- Chemical Biology and Therapeutics , Novartis Institutes for Biomedical Research , 250 Massachusetts Avenue , Cambridge , Massachusetts , United States
| | - Dominick Casalena
- Chemical Biology and Therapeutics , Novartis Institutes for Biomedical Research , 250 Massachusetts Avenue , Cambridge , Massachusetts , United States
| | - Vy Nguyen
- Chemical Biology and Therapeutics , Novartis Institutes for Biomedical Research , 250 Massachusetts Avenue , Cambridge , Massachusetts , United States
| | | | - Doug Hughes
- Thermo Fisher Scientific , Rockford , Illinois , United States
| | - John Daly
- Gene Stream Pty Ltd , Perth , Australia
| | - Brian Webb
- Thermo Fisher Scientific , Rockford , Illinois , United States
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20
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McDermid F, Mannix J, Jackson D, Daly J, Peters K. Factors influencing progress through the liminal phase: A model to assist transition into nurse academic life. Nurse Educ Today 2018; 61:269-272. [PMID: 29275127 DOI: 10.1016/j.nedt.2017.11.038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 11/05/2017] [Accepted: 11/28/2017] [Indexed: 06/07/2023]
Affiliation(s)
- Fiona McDermid
- Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia.
| | - Judy Mannix
- Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia
| | - Debra Jackson
- Faculty of Health & Life Sciences, Oxford Brookes University, Headington Campus, Headington Rd., Gipsy Ln., Oxford OX3 0BP, UK
| | - John Daly
- University of Technology Sydney, Faculty of Health, PO Box 123, Broadway, NSW 2007, Australia
| | - Kath Peters
- Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia
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21
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Abstract
AIMS AND OBJECTIVES The aim of this study was to describe the effect that immersive simulation experiences and guided reflection can have on the undergraduate nurses' understanding of how stressful environments impact their emotions, performance and ability to implement safe administration of medications. BACKGROUND Patient safety can be jeopardised if nurses are unsure of how to appropriately manage and respond to interruptions. Medication administration errors are a major patient safety issue and often occur as a consequence of ineffective interruption management. The skills associated with medication administration are most often taught to, and performed by, undergraduate nurses in a controlled environment. However, the clinical environment in which nurses are expected to administer medications is often highly stressed and nurses are frequently interrupted. DESIGN/METHODS This study used role-play simulation and written reflections to facilitate deeper levels of student self-awareness. A qualitative approach was taken to explore students' understanding of the effects of interruptions on their ability to undertake safe medication administration. Convenience sampling of second-year undergraduate nursing students enrolled in a medical-surgical subject was used in this study. Data were obtained from 451:528 (85.42%) of those students and analysed using thematic analysis. RESULTS Students reported increasing consciousness and the importance of reflection for evaluating performance and gaining self-awareness. They described self-awareness, effective communication, compassion and empathy as significant factors in facilitating self-efficacy and improved patient care outcomes. CONCLUSIONS Following a role-play simulation experience, student nurses reported new knowledge and skill acquisition related to patient safety, and new awareness of the need for empathetic and compassionate care during medication administration. Practicing medication administration in realistic settings adds to current strategies that aim to reduce medication errors by allowing students to reflect on and in practice and develop strategies to ensure patient safety. RELEVANCE TO CLINICAL PRACTICE Experiencing clinical scenarios within the safety of simulated environments, offers undergraduate student nurses an opportunity to reflect on practice to provide safer, more empathetic and compassionate care for patients in the future.
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Affiliation(s)
- Carolyn Hayes
- Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
| | - Debra Jackson
- Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.,Oxford Brookes University, Oxford, UK.,University of New England, Armidale, NSW, Australia
| | | | - John Daly
- Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
| | - Tamara Power
- Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
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22
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Hayes C, Jackson D, Davidson PM, Daly J, Power T. Calm to chaos: Engaging undergraduate nursing students with the complex nature of interruptions during medication administration. J Clin Nurs 2017; 26:4839-4847. [PMID: 28445621 DOI: 10.1111/jocn.13866] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/19/2017] [Indexed: 11/30/2022]
Abstract
AIMS AND OBJECTIVES To describe undergraduate student nurse responses to a simulated role-play experience focussing on managing interruptions during medication administration. BACKGROUND Improving patient safety requires that we find creative and innovative methods of teaching medication administration to undergraduate nurses in real-world conditions. Nurses are responsible for the majority of medication administrations in health care. Incidents and errors associated with medications are a significant patient safety issue and often occur as a result of interruptions. Undergraduate nursing students are generally taught medication administration skills in a calm and uninterrupted simulated environment. However, in the clinical environment medication administration is challenged by multiple interruptions. DESIGN/METHODS A qualitative study using convenience sampling was used to examine student perceptions of a simulated role-play experience. Data were collected from 451 of a possible 528 student written reflective responses and subject to thematic analysis. RESULTS Students reported an increased understanding of the impacts of interruptions while administering medications and an improved awareness of how to manage disruptions. This study reports on one of three emergent themes: "Calm to chaos: engaging with the complex nature of clinical practice." CONCLUSIONS Interrupting medication administration in realistic and safe settings facilitates awareness, allows for students to begin to develop management strategies in relation to interruption and increases their confidence. Students were given the opportunity to consolidate and integrate prior and new knowledge and skills through this role-play simulation.
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Affiliation(s)
- Carolyn Hayes
- Faculty of Health, University of Technology Sydney, Broadway, NSW, Australia
| | - Debra Jackson
- Faculty of Health, University of Technology Sydney, Broadway, NSW, Australia.,Faculty of Health & Life Sciences, Oxford Brookes University, Oxford, UK.,Faculty of Health, Head, WHO UTS Collaborating Centre for Nursing, Midwifery & Health Development, University of Technology Sydney, Broadway, NSW, Australia
| | | | - John Daly
- Faculty of Health, University of Technology Sydney, Broadway, NSW, Australia.,Faculty of Health, Head, WHO UTS Collaborating Centre for Nursing, Midwifery & Health Development, University of Technology Sydney, Broadway, NSW, Australia
| | - Tamara Power
- Faculty of Health, University of Technology Sydney, Broadway, NSW, Australia
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23
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Al-naqeeb J, Danner S, Fagnan L, Ramsey K, Michaels L, Mitchell J, Branca K, Morris C, Nease D, Zittleman L, Levy B, Daly J, Hahn D, Dolor R, Hanifin J, Tofte S, Zuckerman K, Hansis K, Gundersen M, Dillon K, Block J, Karr F, Dunbrasky S, Lapidus J, Siebe K, Simpson E. 195 The burden of childhood atopic dermatitis in U.S. primary care settings. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.02.210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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24
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Meyers L, Nelson RK, Nolte F, Donovan V, Bard JD, Storch G, Spitzer S, Salimnia H, Leber A, Lindsey K, Stellrecht K, Selvarangan R, Daly J, Fey PD, Gesteland P, Faucett A, Malin B, Ginocchio C, Poritz M. Implementation of an Instantaneous Pathogen Specific Surveillance System. Open Forum Infect Dis 2016. [DOI: 10.1093/ofid/ofw172.1066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Lindsay Meyers
- Data Science, Post Market Surveillance, BioFire Diagnostics, Salt Lake City, UT
| | | | | | | | - Jennifer Dien Bard
- Pathology and Laboratory Medicine, Children's Hospital Los Angeles, Los Angeles, CA
| | | | | | | | - Amy Leber
- Department of Laboratory Medicine, Nationwide Children's Hospital, Columbus, OH
| | | | | | | | - J Daly
- Primary Children's Medical Center, Salt Lake City, UT
| | - Paul D. Fey
- Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE
| | | | | | | | | | - Mark Poritz
- Chemistry Research, BioFire Defense, Murray, UT
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25
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Affiliation(s)
- John Daly
- Division of Nursing at Faculty of Health University of Western Sydney, Macarthur, Sydney, New South Wales, Australia
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26
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Abstract
The use of electronic bulletin boards is increasing dramat ically ; they are now a significant source of opinion and experience-related commentary from a wide variety of people over a large range of topics. As such, they are a major information resource and potentially suitable as a vehicle for questionnaire distribution. To date, there has been no formal discussion of this vehicle - a deficiency this paper attempts to address. It discusses the advantages and disadvantages of this medium, and compares it against the other possible alternatives. We believe this comparison shows that the medium has a great deal to offer and a wide degree of applicability, especially within the area of exploratory research. The main deficiency with the medium is that it poten tially suffers from a large-scale self-selection bias. To inves tigate this, we have conducted a questionnaire study through this medium, and subsequently replicated it using a traditional mail distribution approach. We believe that this experiment provides evidence that, for populations without a sampling frame, the effect is of a similar magni tude for both bulletin board distributed and mail distrib uted surveys. We conclude that surveys using this new medium are valid, given the above restriction.
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Affiliation(s)
- James Miller
- University of Strathclyde, Glasgow, Scotland, UK
| | - John Daly
- University of Strathclyde, Glasgow, Scotland, UK
| | - Murray Wood
- University of Strathclyde, Glasgow, Scotland, UK
| | | | - Marc Roper
- University of Strathclyde, Glasgow, Scotland, UK
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27
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Lambert VA, Lambert CE, Daly J, Davidson PM, Kunaviktikul W, Shin KR. Nursing Education on Women’s Health Care in Australia, Japan, South Korea, and Thailand. J Transcult Nurs 2016; 15:44-53. [PMID: 14768415 DOI: 10.1177/1043659603259973] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Only within the last 3 decades have a select number of countries addressed issues surrounding the all-inclusive health and well-being of women. This factor has had a major influence on nursing education within these countries and the subsequent development of curricula. Because the preparation of nurses is pivotal in shaping a society’s health care agenda, this article compares and contrasts demographic characteristics, curricular frameworks, the role of the nurse, quality control of nursing curricula, and the focus of nursing courses related to women’s health care among the countries of Australia, Japan, South Korea, and Thailand. Recommendations based on infant mortality rates, life expectancy, leading causes of death, and country-based health care issues are provided to inform and guide the future focus of nursing education courses on women’s healthcare within these countries.
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MESH Headings
- Australia/epidemiology
- Birth Rate
- Cause of Death
- Cross-Cultural Comparison
- Curriculum
- Education, Nursing, Associate/organization & administration
- Education, Nursing, Baccalaureate/organization & administration
- Education, Nursing, Diploma Programs/organization & administration
- Education, Nursing, Graduate/organization & administration
- Female
- Health Priorities
- Humans
- Infant Mortality
- Infant, Newborn
- Japan/epidemiology
- Korea/epidemiology
- Life Expectancy
- Models, Educational
- Needs Assessment
- Nurse's Role
- Nursing Education Research
- Population Density
- Thailand/epidemiology
- Women's Health
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Affiliation(s)
- Vickie A Lambert
- College of Nursing, University of Arkansas for Medical Sciences, Little Rock, USA
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28
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Davidson PM, Daly J, Hancock K, Moser D, Chang E, Cockburn J. Perceptions and Experiences of Heart Disease: A Literature Review and Identification of a Research Agenda in Older Women. Eur J Cardiovasc Nurs 2016; 2:255-64. [PMID: 14667481 DOI: 10.1016/s1474-5151(03)00056-2] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
BACKGROUND Following diagnosis of heart disease women have poorer health related outcomes compared with men. Nursing science lacks well-evaluated interventions to address the specific rehabilitative needs of older women with heart disease. This paper seeks to inform the development of nursing intervention studies by a review of published studies on the experiences and rehabilitative needs of older women with heart disease. METHODS The CINAHL, MEDLINE, FAMILY and PsychINFO databases were searched, identifying literature published from 1982 and written in English. Keywords used were women, old* (old, older) women, elderly women and: heart disease, heart failure, cardiac and rehabilitation. Hand searching of nursing and medical textbooks also occurred. These searches resulted in over 120 articles that met the criteria of describing experiences, perceptions, psychological responses and support rehabilitative needs of older women. RESULTS Older women present with symptoms that are different from those derived from a male-dominated research agenda and further there is a paucity of data related to evaluation of interventions tailored to the needs of women. Key themes emerging from the literature review include not only that older women compared with men have a poorer prognosis and experience greater disability moreover they: (1). are at a higher risk of psychosocial distress; (2). have a greater need for instrumental support and social support; (3). have an altered perception of risk; and (4). demonstrate the need for specific rehabilitation programs, tailored to their needs. CONCLUSION Future research should develop and evaluate intervention studies that better meet the unique needs of older women with heart disease. Particular emphasis needs to be on psychosocial aspects, given evidence that identify these are major concerns for women.
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Affiliation(s)
- Patricia M Davidson
- School of Nursing, Family & Community Health, College of Social & Health Sciences, University of Western Sydney, Locked Bag 1797, Penrith DC 1797, NSW, Australia.
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Affiliation(s)
- Joanne Travaglia
- Faculty of Health; University of Technology Sydney; Sydney New South Wales Australia
| | - Hamish Robertson
- Faculty of Medicine; University of New South Wales; Sydney New South Wales Australia
| | | | - John Daly
- Faculty of Health; University of Technology Sydney; Sydney New South Wales Australia
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McDermid F, Peters K, Daly J, Jackson D. Developing resilience: Stories from novice nurse academics. Nurse Educ Today 2016; 38:29-35. [PMID: 26860520 DOI: 10.1016/j.nedt.2016.01.002] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2015] [Revised: 12/21/2015] [Accepted: 01/12/2016] [Indexed: 06/05/2023]
Abstract
BACKGROUND It is acknowledged that novice nurse academics face many challenges on commencement of their new role. Most are recruited from the clinical arena, with little understanding of the academic triumvirate of teaching, research and service. They struggle with role expectation and experience feelings of isolation and anxiety. AIM The aim of this paper is to report on an exploration of 14 new nurse academics from two major nursing education institutions as they utilised and developed resilience building strategies. METHOD The paper is drawn from a qualitative study that sought to see the world through the eyes of the participants through storytelling. Data was collected using semi-structured, conversational style interviews. Interviews were audio recorded and revealed themes that captured resilience strategies. RESULTS These themes were: Developing supportive collegial relationships; Embracing positivity; and Reflection and transformative growth. The first theme, developing supportive relationships, provides insight into the mentoring process and the relationships developed with peers and colleagues. The second theme, embracing positivity, describes the factors that assisted them to face the adversity and challenges in the new role. The final theme, reflection and transformative growth, demonstrated participants' reflecting on difficult situations and demonstrating the ability to learn from the experiences and move forward. CONCLUSIONS The strategies utilised by the participants in this study were key factors in the development of resilience which assisted in the transition from clinical nurse to academic. These strategies were often tacit and it is imperative that in a time of acute nurse academic shortages where retention is paramount, that employing organisations support employees and contribute to resilience development. Education on resilience building strategies is fundamental for all new academics and is essential in the transition from clinical nurse to academic.
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Affiliation(s)
- Fiona McDermid
- School of Nursing and Midwifery, University of Western Sydney, Locked Bag 1797, Penrith, NSW 2751, Australia.
| | - Kath Peters
- School of Nursing and Midwifery, University of Western Sydney, Locked Bag 1797, Penrith, NSW 2751, Australia
| | - John Daly
- Faculty of Health, University of Technology, Sydney, PO Box 123, Broadway, NSW 2007, Australia
| | - Debra Jackson
- Faculty of Health & Life Sciences, Oxford Brookes University, United Kingdom; Nursing Research, Oxford University Hospitals NHS Trust, Oxford OX3 0FL, United Kingdom; University of New England, Armidale, Australia
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Sanderson SK, Ampofo K, Stockmann CR, Pavia A, Mason E, Daly J, Blaschke AJ, Rosen P, Korgenski EK, Byington CL. Changing Etiology of Parapneumonic Empyema Through the Pneumococcal Conjugate Vaccine Era in Utah, 2004-2014. Open Forum Infect Dis 2015. [DOI: 10.1093/ofid/ofv133.1316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Mannix J, Wilkes L, Daly J. ‘Watching an artist at work’: aesthetic leadership in clinical nursing workplaces. J Clin Nurs 2015; 24:3511-8. [DOI: 10.1111/jocn.12956] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/21/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Judy Mannix
- School of Nursing & Midwifery; University of Western Sydney; Sydney NSW Australia
| | - Lesley Wilkes
- School of Nursing & Midwifery; University of Western Sydney/Nepean Blue Mountains Local Health District; Penrith NSW Australia
| | - John Daly
- Faculty of Health; University of Technology; Sydney NSW Australia
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Hutchinson M, Daly J, Usher K, Jackson D. Editorial: Leadership when there are no easy answers: applying leader moral courage to wicked problems. J Clin Nurs 2015; 24:3021-3. [DOI: 10.1111/jocn.12968] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
| | - John Daly
- University of Technology; Sydney NSW Australia
| | - Kim Usher
- University of New England; Armidale Australia
| | - Debra Jackson
- University of New England; Armidale Australia
- Oxford Brookes University; Oxford UK
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Jackson D, Peters K, Andrew S, Daly J, Gray J, Halcomb E. Walking alongside: a qualitative study of the experiences and perceptions of academic nurse mentors supporting early career nurse academics. Contemp Nurse 2015; 51:69-82. [DOI: 10.1080/10376178.2015.1081256] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Halcomb E, Jackson D, Daly J, Gray J, Salamonson Y, Andrew S, Peters K. Insights on leadership from early career nurse academics: findings from a mixed methods study. J Nurs Manag 2015; 24:E155-63. [DOI: 10.1111/jonm.12317] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/27/2015] [Indexed: 11/27/2022]
Affiliation(s)
- Elizabeth Halcomb
- School of Nursing; Faculty of Science, Medicine and Health; University of Wollongong; Wollongong New South Wales Australia
| | - Debra Jackson
- Oxford Brookes University & Oxford University Hospitals NHS Trust; Oxford UK & School of Health; University of New England; NSW Australia
| | - John Daly
- Faculty of Health; University of Technology Sydney; Sydney New South Wales Australia
| | - Joanne Gray
- Faculty of Health; University of Technology Sydney; Sydney New South Wales Australia
| | - Yenna Salamonson
- School of Nursing and Midwifery; University of Western Sydney; & Ingham Institute for Applied Medical Research Sydney; New South Wales Australia
| | - Sharon Andrew
- Faculty of Health, Social Care and Education; Anglia Ruskin University; Cambridge United Kingdom
| | - Kath Peters
- School of Nursing and Midwifery; University of Western Sydney; & Ingham Institute for Applied Medical Research Sydney; New South Wales Australia
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Affiliation(s)
- Judy Mannix
- School of Nursing & Midwifery; University of Western Sydney; Sydney Australia
| | - Lesley Wilkes
- School of Nursing & Midwifery; University of Western Sydney; Sydney Australia
- Nepean Blue Mountains Local Health District; Penrith NSW Australia
| | - John Daly
- Faculty of Health; University of Technology, Sydney; Sydney NSW Australia
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Rumsey M, Thiessen J, Buchan J, Daly J. The consequences of English language testing for international health professionals and students: An Australian case study. Int J Nurs Stud 2015; 54:95-103. [PMID: 26129763 DOI: 10.1016/j.ijnurstu.2015.06.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2014] [Revised: 06/01/2015] [Accepted: 06/03/2015] [Indexed: 10/23/2022]
Abstract
AIM To discuss the perceptions about the International English Language Testing System (IELTS) and its impact on migration and practice of migrant health professionals in Australia. METHODS Thematic analysis of interviews with 14 health industry participants and 35 migrated health professionals in Australia. RESULTS AND DISCUSSION Language testing is a barrier to health professional registration for migrant health workers in Australia. While two English language tests are recognised by the registration authorities in Australia, it is the International English Language Testing System that is most commonly used. This paper reports that study participants had underlying negative perceptions of the International English Language Testing System which they report, affect their move to Australia. These negative perceptions are caused by: frustration due to changes to processes for migration and registration; challenges regarding the structure of IELTS including timing of when test results expire, scoring requirements, cost, and suitability; and the resulting feelings of inadequacy caused by the test itself. CONCLUSION This study has shown that some respondents have experienced difficulties in relation to the International English Language Testing System as part of their migration process. It was found that there is very little research into the effectiveness of the IELTS as it is currently administered for overseas health care professionals. Several recommendations are provided including areas for further research.
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Affiliation(s)
- Michele Rumsey
- World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development at University of Technology Sydney, P.O. Box 123 Broadway, NSW 2007, Australia
| | - Jodi Thiessen
- World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development at University of Technology Sydney, P.O. Box 123 Broadway, NSW 2007, Australia.
| | - James Buchan
- World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development at University of Technology Sydney, P.O. Box 123 Broadway, NSW 2007, Australia
| | - John Daly
- World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development at University of Technology Sydney, P.O. Box 123 Broadway, NSW 2007, Australia; Faculty of Health, University of Technology, Sydney, Australia
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Abstract
Intelligent, robust and courageous nursing leadership is essential in all areas of nursing, including mental health. However, in the nursing leadership literature, the theoretical discourse regarding how leaders recognise the need for action and make the choice to act with moral purpose is currently limited. Little has been written about the cognitions, capabilities and contextual factors that enable leader courage. In particular, the interplay between leader values and actions that are characterised as good or moral remains underexplored in the nursing leadership literature. In this article, through a discursive literature synthesis we seek to distill a more detailed understanding of leader moral courage; specifically, what factors contribute to leaders' ability to act with moral courage, what factors impede such action, and what factors do leaders need to foster within themselves and others to enable action that is driven by moral courage. From the analysis, we distilled a multi-level framework that identifies a range of individual characteristics and capabilities, and enabling contextual factors that underpin leader moral courage. The framework suggests leader moral courage is more complex than often posited in theories of leadership, as it comprises elements that shape moral thought and conduct. Given the complexity and challenges of nursing work, the framework for moral action derived from our analysis provides insight and suggestions for strengthening individual and group capacity to assist nurse leaders and mental health nurses to act with integrity and courage.
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Affiliation(s)
- Marie Hutchinson
- Southern Cross University, Health, and Human Sciences , Lismore, New South Wales , Australia
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Abstract
Clinical leadership has been identified as crucial to positive patient/client outcomes, across all clinical settings. In the new millennium, transformational leadership has been the dominant leadership style and in more recent times, congruent leadership theory has emerged to explain clinical leadership in nursing. This article discusses these two leadership models and identifies some of the shortcomings of them as models for clinical leadership in nursing. As a way of overcoming some of these limitations, aesthetic leadership is proposed as a style of leadership that is not antithetical to either model and reflects nursing's recognition of the validity of art and aesthetics to nursing generally. Aesthetic leadership is also proposed as a way to identify an expert clinical leader from a less experienced clinical leader, taking a similar approach to the way Benner (1984) has theorised in her staging of novice to expert clinical nurse.
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Affiliation(s)
- Judy Mannix
- University of Western Sydney, School of Nursing and Midwifery , Penrith, New South Wales , Australia
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Mannix J, Wilkes L, Daly J. ‘Good ethics and moral standing
’: a qualitative study of aesthetic leadership in clinical nursing practice. J Clin Nurs 2015; 24:1603-10. [DOI: 10.1111/jocn.12761] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/04/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Judy Mannix
- School of Nursing & Midwifery; University of Western Sydney; Sydney NSW Australia
| | - Lesley Wilkes
- School of Nursing & Midwifery; University of Western Sydney; Sydney NSW Australia
- Nepean Blue Mountains Local Health District; Sydney NSW Australia
| | - John Daly
- Faculty of Health; University of Technology; Sydney NSW Australia
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Kim MJ, Park CG, McKenna H, Ketefian S, Park SH, Klopper H, Lee H, Kunaviktikul W, Gregg MF, Daly J, Coetzee S, Juntasopeepun P, Murashima S, Keeney S, Khan S. Quality of nursing doctoral education in seven countries: survey of faculty and students/graduates. J Adv Nurs 2015; 71:1098-109. [DOI: 10.1111/jan.12606] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/14/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Mi Ja Kim
- College of Nursing; University of Illinois at Chicago; Illinois USA
| | - Chang Gi Park
- College of Nursing; University of Illinois at Chicago; Illinois USA
| | | | - Shake Ketefian
- School of Nursing; University of Michigan; Ann Arbor Michigan USA
| | - So Hyun Park
- College of Nursing; Florida State University; Tallahassee Florida USA
| | - Hester Klopper
- INSINQ Research Unit North West University (Potchefstroom Campus); South Africa
| | | | | | | | - John Daly
- Faculty of Health University of Technology; Sydney New South Wales Australia
| | - Siedine Coetzee
- School of Nursing; North-West University; Potchefstroom South Africa
| | | | | | - Sinead Keeney
- Institute of Nursing and Health Research; University of Ulster; UK
| | - Shaheen Khan
- College of Applied Health Sciences; University of Illinois at Chicago; Illinois USA
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Abstract
Coronary heart disease (CHD) is one of the main causes of death and disability in the Aboriginal population, and is the major cause of the twenty-year gap in life expectancy of Aboriginal and non-Aboriginal Australians. This paper explores Aboriginal health in relation to CHD, and suggests self-management as a culturally acceptable therapeutic and sustainable ideology from which positive outcomes may be achieved.
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Affiliation(s)
- Vicki Wade
- School of Nursing, Family and Community Health, University of Western Sydney, Sydney, Australia
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Davidson PM, Meleis A, Daly J, Douglas MM. Globalisation as we enter the 21st century: Reflections and directions for nursing education, science, research and clinical practice. Contemp Nurse 2014; 15:162-74. [PMID: 14649522 DOI: 10.5172/conu.15.3.162] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The events of September 11th, 2001 in the United States and the Bali bombings of October 2002 are chastening examples of the entangled web of the religious, political, health, cultural and economic forces we experience living in a global community. To view these forces as independent, singular, linearly deterministic entities of globalisation is irrational and illogical. Understanding the concept of globalisation has significant implications not only for world health and international politics, but also the health of individuals. Depending on an individual's political stance and world-view, globalisation may be perceived as an emancipatory force, having the potential to bridge the chasm between rich and poor or, in stark contrast, the very essence of the divide. It is important that nurses appreciate that globalisation does not pertain solely to the realms of economic theory and world politics, but also that it impacts on our daily nursing practice and the welfare of our patients. Globalisation and the closer interactions of human activity that result, have implications for international governance, policy and theory development as well as nursing education, research and clinical practice. Nurses, individually and collectively, have the political power and social consciousness to influence the forces of globalisation to improve health for all. This paper defines and discusses globalisation in today's world and its implications for contemporary nursing education, science, research and clinical practice.
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Affiliation(s)
- Patricia M Davidson
- School of Nursing, Family and Community Health, University of Western Sydney, Australia
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Daly J, Jackson D. Transcultural health care: Issues and challenges for nursing. Contemp Nurse 2014. [DOI: 10.5172/conu.15.3.xiii] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Jackson D, Daly J, Mannix J, Potgieter I, Cleary M. An overview of data-based papers on undergraduate nurse education recently published in Contemporary Nurse: Progress, challenges and the need for a strategic agenda. Contemp Nurse 2014; 45:146-51. [DOI: 10.5172/conu.2013.45.2.146] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Davidson PM, Daly J, Hancock K, Jackson D. Australian women and heart disease: Trends, epidemiological perspectives and the need for a culturally competent research agenda. Contemp Nurse 2014; 16:62-73. [PMID: 14994897 DOI: 10.5172/conu.16.1-2.62] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Heart disease commonly manifests as acute coronary syndromes (unstable angina pectoris, or myocardial infarction) and heart failure (HF). These conditions are major causes of morbidity and mortality in Australia and internationally. Australian faces particular challenges in health care delivery given the cultural and ethnic diversity of society and unique issues related to rurality. These factors have significant implications for health care delivery. Following an acute cardiac event women have poorer outcomes: higher mortality rates, higher incidence of complications and greater psychological morbidity compared with men. Language barriers, socioeconomic factors, psychological trauma related to migration and alternate health seeking behaviors and varying perceptions of risk are likely to impact adversely on health outcomes. Self-management in chronic cardiovascular disease underscores the importance of models of care that incorporate aspects related to self-care and promotion of adherence to primary and secondary prevention initiatives. Implicit in this statement is the inclusion of the individual in negotiating and developing their care plan. Therefore health professionals need to be aware of the patient's needs, values, beliefs and health seeking behaviours. These factors are strongly influenced by culture and ethnicity. The cultural diversity of Australian society mandates cultural competence in health care. This paper presents an overview of nursing science related to women and heart disease in Australia and suggests directions for culturally-competent research and development and evaluation of models of care to improve health outcomes for all Australians.
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Affiliation(s)
- Patricia M Davidson
- School of Nursing, Family and Community Health, College of Social & Health Sciences, University of Western Sydney and Western Sydney Area Health Service, New South Wales
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Davidson PM, Macdonald P, Ang E, Paull G, Choucair S, Daly J, Moser DK, Dracup K. A case for consideration of cultural diversity in heart failure management ‐ Part 1: Rationale for the DISCOVER Study. Contemp Nurse 2014; 17:204-10. [PMID: 15551671 DOI: 10.5172/conu.17.3.204] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Heart failure is a condition increasing in prevalence and responsible for high health care utilization, morbidity and mortality. Randomised controlled trials of nurse-coordinated interventions have determined self-care and the incorporation of the patient and their family in care planning as critical elements of service delivery. Coping with a chronic illness, such as heart failure, forces the individual to adjust to changed physical, social and emotional functioning and to modify their lifestyle accordingly. Clinicians increasingly use models of care that focus care delivery on the community setting. In order to develop strategies to assist patients and their families with self-care it is important that clinicians understand the health-care seeking behaviours of all individuals targeted in the community. Australia is a culturally diverse nation, yet evaluations of models of care have been undertaken largely in individuals from predominately Anglo-Celtic origins. The end result of this approach is failure to understand the full range of diverse perspectives that individuals hold that can have an impact on self-care behaviours. Consideration of cultural diversity should extend beyond language to a broader appreciation of cultural values, health seeking beliefs and engagement of culturally unique communities. The 'Understanding the cultural experiences of individuals with chronic heart failure (CHF) in South East Health (DISCOVER) Study' seeks to uncover information on the health patterns, information needs and the adjustment process for overseas-born individuals with heart failure. Such information will assist clinicians to tailor health care service delivery and ensure the delivery of appropriate, quality care. This manuscript provides the background, rationale and methods for this study.
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Affiliation(s)
- Patricia M Davidson
- School of Nursing, Family and Community Health, University of Western Sydney and Western Sydney Area Health Service, Australia
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