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factors that influence climate pdf download Healthcare organisations monitor patient experiences in order to evaluate and improve the quality of care. Because nurses spend a lot of time with patients, they have a major impact on patient experiences. To improve patient experiences of the quality of care, nurses need to know what factors within the nursing work environment are of influence. The main focus of this research was to comprehend the views of Dutch nurses on how their work and their work environment contribute to positive patient experiences. The nurses mentioned essential elements that they believe would improve patient experiences of the quality of nursing care: clinically competent nurses, collaborative working relationships, autonomous nursing practice, adequate staffing, control over nursing practice, managerial support and patient-centred culture. They also mentioned several inhibiting factors, such as cost-effectiveness policy and transparency goals for external accountability. Nurses feel pressured to increase productivity and report a high administrative workload. They stated that these factors will not improve patient experiences of the quality of nursing care. Participants formulated several facilitating elements that they consider fundamental to improving patient experiences of the quality of care. They also mentioned such inhibiting factors as cost-effectiveness and transparency and accountability goals. These factors prevent them from improving patient experiences (Table 3). In addition to substantive expertise, participants stated that nursing experience is also of influence. According to them, a junior nurse has too little experience to respond creatively to sometimes complex care situations. However, according to participants, junior and senior nurses can learn from each other: they should work as a team and collectively pursue their common objectives. In their view, experience is gained through practice. According to participants, this can be characterised as 'expertise'. According to participants, it is important to develop and maintain collaborative working relationships with professionals, including those in their own field. In the view of participants, collaborative working relationships exist when all the involved professionals interact and operate in a complementary manner, and show mutual respect that is based on knowledge and expertise. Participants stated that all professionals need to discuss and influence patient care on the basis of their own expertise. Participants believe that problems will be solved sooner when ideas and thoughts are exchanged. In their view, it is about sharing information and communication. As stated by participants, communication and aligning with each other is needed so that no conflicting information is given and uniformity in care or treatment is provided. This generates, according to the participants, composure and clarity towards patients. Participants in all four focus groups stated that the scope of practice for which they are accountable influences patient experiences. The scope of practice, according to them, means that nurses can control their own work related to patient care and can make independent decisions about patient outcomes based on clinical judgements. Participants therefore believe it is essential to monitor and measure outcomes, as long as the monitoring is directly related to patient care. However, participants indicated that they did not have insight into care results obtained from assessments. Participants stated that the number of nurses available influences how patients experience the quality of care. Although they could not indicate what number they consider sufficient, they think that a sufficient nurse staffing level is linked to team composition or staff mix. For instance, participants indicated the proportion of registered nurses to student nurses, or the number of different nurse qualification levels in one team. Participants stated that several tasks and assignments have been transferred to nurses with a lower qualification in order to work as efficiently as possible and to achieve higher productivity. As a result, participants believe that nursing care is, in general, increasingly developing in the direction of task-centred care in which different working methods are applied. According to them, this affects patient experiences of the quality and effectiveness of nursing care. The participants stated that if nurses were more involved in the development of nursing policies, this would have a positive influence on patient care. According to them, they would be able to reflect upon and discuss nursing issues related to the quality of patient care, which would improve the quality of care. It could be argued that the dominance of cost-effective policy and transparency determines the manner in which nurses can practise their profession and that this influences patient experiences of care. Ancarani [41] showed that patient satisfaction was negatively associated with management-controlled wards that are under pressure to produce. Open, collaborative, innovative wards and wards that are focused on the welfare and involvement of nurses and that provide supervisory support and training were positively associated with patient satisfaction. This confirms that the environment in which nurses operate influences patient experiences of the quality of care. This corresponds with the findings of our research, in which participants stated that the dominance of policies focussed on cost-effectiveness and transparency lead to more pressure to produce and a high administrative workload. The participants feel that they have insufficient autonomy to influence this policy. This research revealed several factors that nurses find inhibiting when it comes to improving patient experiences of the quality of nursing care. Current nursing policy is heavily focussed on cost-effectiveness and transparency for external accountability, which creates a high administrative workload and pressure to increase productivity. However, despite all the registrations that take place for external accountability, the participating nurses stated that they do not monitor care results to improve their own practice. They felt they insufficient autonomy to influence this. They believe it is important to reflect upon and discuss nursing issues related to the quality of patient care, including patient experiences. Technology is used extensively to provide and deliver health care worldwide [1, 2]. e-Health (the application of information, computer or communication technology to some aspects of health or health care) is viewed as essential for solving problems facing healthcare systems of increasing demand, due to an ageing population and improved treatments, and limited resources [3]. However, although there is widespread agreement about the importance and potential benefits of e-health, realisation of these benefits has often been slower than anticipated, often because of difficulties with implementation [4]. For example, in the UK, the National Health Service (NHS) Five Year Forward View [5] states the need to make better use of available health technologies and acknowledges that the NHS has previously failed to make best use of these because of difficulties in understanding how best to adopt and implement them. High-profile implementation failures continue to be reported, such as the failure of implementation of an e-health system in a major UK teaching hospital, leading to reduced performance, demoralised staff, costs of 200 million and the trust being put into special measures [6]. This highlights the strong need for those undertaking the implementation of e-health to understand factors that influence implementation and be well equipped to devise strategies and interventions to improve the widespread effective use of e-health and address blockages to implementation. The aim of this systematic review of reviews was to provide a synthesis of the implementation of e-heath literature that both acknowledges the multi-level complexity of implementation and also provides a framework for thinking about implementation in a way that is accessible and useful for those planning implementation such as health service managers, healthcare professionals and researchers. Specific objectives were to (i) identify published reviews pertaining to implementation of e-health systems; (ii) summarise the data contained in these reviews; (iii) synthesise these data according to the Consolidated Framework for Implementation Research (CFIR) [8]; and (iv) provide recommendations for future implementations of e-health systems. The CFIR provides a systematic way of identifying the factors that are important for implementation, and its use also allows identification of areas where there is insufficient evidence and further research is required. The original review had used a thematic approach to analysing and synthesising the data, together with an analysis based on normalization process theory, which focusses on the work of implementation. In view of the large amount of new data, and the subsequent development of the CFIR [10], which pays more detailed attention to aspects such as legislative or financial frameworks, we decided to update the analytic approach to use an approach which drew on the principles of meta-ethnography for data synthesis, with the CFIR as an organising framework. The use of a framework like the CFIR aids the transferability and comparability of findings from this review to other implementation studies and allows those undertaking implementation to access the parts of this review that are of most interest to them. The CFIR [8], consolidates implementation factors from a broad array of implementation theories and is composed of five major constructs made up of components that influence the implementation of innovations into practice (see Table 2). A data extraction form was developed to extract key information and concepts from the included studies and to ease comparison between them. Data were firstly extracted to describe the type of study including publication date, e-health domain, healthcare setting, inclusion and exclusion criteria and methods used. Secondly, the main themes from each review relating to factors that influence implementation of e-health were extracted from both results and discussion sections of the included papers. Data from discussions were included as they often contained further interpretations from the authors, which offered important insights and enhanced the richness of the findings. A summary table created from this matrix with key study details, and summaries of main findings are presented in Additional file 2.

Digital Media Converter Serial Number In the diagram below, a command in Powershell lists some values regarding the above two USB devices. Clearly, what we have been calling the serial number does not conflate with what the identification in Powershell calls a serial number. I tried the setup on a different computer we will call Computer 2. As if by magic, GSmartControl now showed me all of the correct information including serial number. Well now I have even bigger problems. Why would it work properly on Computer 2 but not Computer 1? What does the computer have to do with it? A TV Box (also known as a digital cable box, digital converter box or digital receiver) processes digital-quality signals. With a TV Box, you can view our on-screen channel guide, which includes access to TV listings, program information, search tools, parental controls and more. You'll also get access to Xfinity On Demand and Pay Per View programming.You can get a Comcast TV Box by purchasing an Xfinity TV package online or by contacting us.Find your TV Box and view the user manual and other support materials for it. The serial number/ data code for Beckhoff IO devices is usually the 8-digit number printed on the device or on a sticker. The serial number indicates the configuration in delivery state and therefore refers to a whole production batch, without distinguishing the individual modules of a batch. So, I have an AP1130 that was physically installed as construction of the building was being completed. I no longer have the box that had a sticker on it with the serial number and MAC address. Its also in a place where I cant see the underside of the AP (I hope there is a sticker there with the serial number). I was afraid of that (thanks Sam for replying). This AP is a bugger. Cant remote into it, its not online yet. Basically its in a place that was to great a distance for cat5, so it has fiber going there. So, I'm going to have to use a media converter, and then also use a power injector (that was the subject of a rant mine in one of the community forums here). Plus its already mounted in a tricky spot. So you see my issue. I used the current version of Calibre, installed the Apprentice Alf plugin and added KFX input plugin. For the Alf plugin I customized it and chose the first option for kindle readers and put in my kindle serial number. I downloaded the file from my orders section of amazon and it converted just fine. This was after trying multiple ways including using old version of software on my MacBook. A utility-grade fiber optic media converter, the RUGGEDCOM RMC is designed specifically to operate in harsh environments such as those found in electric utility substations and factory floors. The RUGGEDCOM RMC provides industrial strength Ethernet copper-to-fiber media conversion allowing for 10BaseT-to-10BaseFL and 100BaseTX-to-100BaseFX over single-mode or multi-mode fiber optics. The RUGGEDCOM RMC20 is a utility-grade, protocol-independent, serial-to-fiber, and serial standards converter for all your serial communication requirements. Among its numerous functions, the RMC20 allows RS485, RS422, or RS232 devices or networks to communicate over secure, noise immune, optically isolated, fiber optic cabling at extended distances as well as convert RS232 to either RS485 or RS422 serial standards. The RUGGEDCOM RMC40 is a 4-port unmanaged Ethernet switch that provides both copper-to-fiber media conversion as well as 10Mbps to 100Mbps speed conversion. Not only does the RMC40 come with an option to use in place of traditional copper-to-fiber media converters, it also has the added ability to convert speed from 10Mbps to 100Mbps. With dual fiber optics, daisy chaining of Ethernet enabled devices can easily be accomplished. For the most demanding of systems, a dual-redundant fiber optic connection can be created for a device that only offers a single 10/100TX port. The RUGGEDCOM RMC41 is a 2-port unmanaged Ethernet switch that provides both copper-to-fiber media conversion as well as 10Mbps to 100Mbps speed conversion. The versatility and wide selection of fiber optics allows the RMC41 to be used in a variety of applications. It can be used in place of traditional copper-to-fiber media converters along with the added ability to convert speed from 10Mbps to 100Mbps. Capture has been a trusted Walmart partner for over11years. Since our founding in 1999, we have helped over 8 million families protect and share generations of memories. We are the largest digital media transfer service worldwide and believe in providing a service that we would trust to preserve our own special memories. Power Centers. The model number is on a label behind the door. The serial number is a bar-code label on the base. You will not need the serial number unless Warranty replacement is required. They are used to encode information such as key identifiers (product, shipment, location, etc.) and key attributes (serial numbers, batch/lot numbers, dates, etc.) via GS1 syntaxes (plain, GS1 element string and GS1 Digital Link URI). Your VIN is a unique 17 character (including letters) serial number that can be found on your vehicle (the passenger side door sill, for example) or in your vehicle's documentation (like its registration). The dealer will inspect the serial number of the ABS actuator and, if affected, replace the actuator with a new one free of charge. If your vehicle was inspected as part of a previous recall (16V-636), your ABS actuator will be replaced with a new one, at no cost you. Step 7: On most Kindles, you can find this by going to Settings > All Settings > Device Options > Device Info on your Kindle. You should see information about your Kindle, including the serial number. Congress could also mandate that VIN numbers be etched onto converters. Under federal law, cars are already required to label several other parts, including the engine. A bill in congress would add catalytic converters to the list and create a grant program to help pay for marking existing vehicles. DateNumber = datenum(DateString) converts text representing dates and times to serial date numbers. If the format used in the text is known, specify the format as formatIn.Syntaxes without formatIn are significantly slowerthan syntaxes that include it. DateNumber = datenum(Y,M,D) returnsthe serial date numbers for corresponding elements of the Y, M,and D (year, month, day) arrays. The arrays mustbe of the same size (or any can be a scalar). You also can specifythe input arguments as a date vector, [Y,M,D]. DateNumber = datenum(Y,M,D,H,MN,S) additionallyreturns the serial date numbers for corresponding elements of the H, MN,and S (hour, minute, and second) arrays. The arraysmust be of the same size (or any can be a scalar). You also can specifythe input arguments as a date vector, [Y,M,D,H,MN,S]. Dates and times, specified as an array of datetime or duration values. The datenum function does not account for time zone information in t and does not adjust datetime values that occur during Daylight Saving Time. That is, datenum treats the TimeZone property of datetime arrays as empty and converts the remaining date and time information to a serial date number. There are no plans to remove datenum. However, the datetime, duration, and calendarDuration data types are recommended instead. The datetime data type provides flexible date and time formats, storage out to nanosecond precision, and properties to account for time zones and daylight saving time. MATLAB functions that accept serial date numbers as inputs also accept datetime arrays as inputs. All Statement products are expertly hand built to order, however please note: Statement series (NAP S1, NAC S1) are likely to have serial numbers of an earlier manufacture year. This is due to a number of serial numbers being held back specifically for Statement series products to ensure that serial numbers are sequential when customers are purchasing a full Statement system. Parts: to purchase, replace or report a missing part please click here: Parts Web Form, email support2@curtiscs.com or call 1-800-968-9853. Please be prepared to provide the model and serial number of the unit as well as the part required. In 1982, the former CCIR issued CCIR 601 on the basis of the institutional proposals of the European Broadcasting Union (EBU) and the American Society of Motion Picture and Television Engineers (SMPTE) at a sampling frequency of 13.5 MHz and 8 Bit quantification and 4: 2: 2 chrominance sub-sampling unify the digital parameters of both 525/60 and 625/50 television scanning systems. In 1986 CCIR released CCIR 656, based on the EBU Tech.3246 and SMPTE 125 standards, and proposed a parallel interface that transmits CCIR 601 specifications using 11 twisted pair and 25-pin D-type connectors, Some early digital devices used this interface, but because of the short transmission distance, the connection is complicated and other reasons, not suitable for large-scale use. In fact, the CCIR 656 also includes the EBU Tech.3247 serial digital interface standard proposed by EBU in 1983 and uses 8/9 block coding at a bit rate of 243 Mb / s but only supports 8-bit quantization and is not easy to design stable cheap interface chip. In 1990, the release of Recommendation ITU-R BT.709, the accelerated development of high-definition television technology, the use of a serial digital interface to transmit high-definition signals has been agreed in the industry, for which SMPTE defined in the 292M standard clock frequency up to 1 The serial digital interface of 5 Gb / s level, the corresponding international standard is ITU-R BT. 1120, this is the well-known HD-SDI.

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