The aim of the present study was to obtain the views of frail older people with communication impairments using an innovative interviewing method, Talking Mats. People with a communication disability are often omitted from qualitative research studies since they cannot respond to the more traditional methods of interviewing. However, their views are important and they may, in fact, have additional insights because of their communication situation. The 10 participants in this study were frail older people with a range of communication difficulties with causes including stroke, dementia and hearing loss. They had all recently (within 6 months) moved into care homes. Each participant was interviewed using Talking Mats to obtain their views on four aspects of their life: activities, people, environment and self. The findings are presented in a visual way, and the four life themes are discussed with reference to the different participants. Many insights were gained, such as the participants' views of the activities which they like and dislike, and the views of some of the people in the study about their nursing home environment. The advantages of the Talking Mats as an interview method for research, practice and policy in the care of frail older people are described. The study concludes that Talking Mats is a useful and enjoyable method of allowing frail older people with a communication disability to express views which they have difficulty conveying otherwise.
There are potential advantages of housing primates in mixed species exhibits for both the visiting public and the primates themselves. If the primates naturally associate in the wild, it may be more educational and enjoyable for the public to view. Increases in social complexity and stimulation may be enriching for the primates. However, mixed species exhibits might also create welfare problems such as stress from interspecific aggression. We present data on the behavior of single and mixed species groups of capuchin monkeys (Cebus apella) and squirrel monkeys (Saimiri sciureus) housed at the Living Links to Human Evolution Research Centre in the Royal Zoological Society of Scotland's Edinburgh Zoo. These species associate in the wild, gaining foraging benefits and decreased predation. But Cebus are also predators themselves with potential risks for the smaller Saimiri. To study their living together we took scan samples at > or =15 min intervals on single (n=109) and mixed species groups (n=152), and all occurrences of intraspecific aggression and interspecific interactions were recorded. We found no evidence of chronic stress and Saimiri actively chose to associate with Cebus. On 79% of scans, the two species simultaneously occupied the same part of their enclosure. No vertical displacement was observed. Interspecific interactions were common (>2.5/hr), and equally divided among mildly aggressive, neutral, and affiliative interactions such as play. Only one aggressive interaction involved physical contact and was non-injurious. Aggressive interactions were mostly (65%) displacements and vocal exchanges, initiated almost equally by Cebus and Saimiri. Modifications to the enclosure were successful in reducing these mildly aggressive interactions with affiliative interactions increasing in frequency and diversity. Our data suggest that in carefully designed, large enclosures, naturally associating monkeys are able to live harmoniously and are enriched by each other.
Two consequences of the continued urbanisation of the human population are that a growing proportion of the landscape is less hospitable to, and that a growing proportion of people are disconnected from, native biodiversity. One response of the UK government has been to establish a goal, and an associated baseline indicator, of increasing the extent and range of public participation in gardening for wildlife. The formulation of policy to attain this end requires, however, insight into the factors that are associated with the level of participation. Here we examine the relationships, across 15 areas in five UK cities, between the proportion of households providing various garden features for wildlife or participating in various wildlife gardening activities, and housing densities and characteristics of the garden resource. We show that significant numbers of households participate in some form of wildlife gardening, but that the predominant form this participation takes is feeding wild birds. Key variables associated with spatial variation in wildlife gardening activities are the proportion of households with access to a garden and, more importantly, average garden size and the proportion of land cover by gardens. There was no evidence for strong effects of household density or the socio-economic status of householders on the prevalence of wildlife friendly features in gardens or on the participation by householders in activities to encourage wildlife. Our results suggest important considerations in attempts to increase awareness and participation in wildlife gardening.
Patient monitors generate alarms to signal changes in vital signs. Some research suggests these alarms can improve patient safety. Other reports caution that these systems generate false alarms and create nursing workflow interruptions. These findings require contextualization by qualitatively investigating the lived experiences of nurses working with these monitors. Research into the dynamics involved in nursing responses to alarms can provide insights for monitor development and implementation. This study's purposes were (1) to describe the frequency of alarms generated by patient monitors and nursing responses and (2) to report nurses' explanations of the impact of alarms on workflow and strategies for responding to alarms. Forty-nine hours of observations and 14 interviews were conducted at a Canadian medical center. Four hundred forty-six monitor alarms (1 every 6.59 minutes) were observed. Of these, 70% had no immediate response from nurses. Furthermore, 34 red alarms (potential life-threatening) were observed, with 41% having no immediate response. Nurses reported feeling overloaded by alarm frequency. They described learning to interpret alarm data and developing workaround strategies (eg, ignoring alarms). Paradoxically, alarms prompted nurses to regularly consider and interpret patient information. We suggest the interpretive work associated with workarounds may hold benefits mitigating the potential harms of ignoring alarms.
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