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"Roberts, Michele"
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Ignorance : a novel
\"In every war there are stories that do not surface. You can try to forget, but sometimes the past can return: in the scent of a bar of soap, in whispers darting through a village after mass, in the color of an undelivered letter.Jeanne Nerin and Marie-Angele Baudry grow up side by side in the Catholic village of Ste. Madeleine, but their worlds could not be more different. Marie-Angele is the grocer's daughter, inflated with ideas of her own piety and rightful place in society. Jeanne's mother washes clothes for a living. She used to be a Jew until this became too dangerous. Jeanne does not think twice about stealing food when she is hungry, nor about grasping the slender chances life throws at her. Marie-Angele does not grasp; she aspires to a life of comfort and influence. When war falls out of the sky, the forces that divide the two girls threaten to overwhelm those that bind them together. In this dizzying new order, the truth can be buried under a pyramid of recriminations.\"--Provided by publisher.
Book
Care that Matters: Quality Measurement and Health Care
* There is limited evidence that many \"quality\" measures--including those tied to incentives and those promoted by health insurers and governments--lead to improved health outcomes. * Despite the lack of evidence, these measures and comparative \"quality ratings\" are used increasingly. * These measures are often based on easily measured, intermediate endpoints such as risk-factor control or care processes, not on meaningful, patient-centered outcomes; their use interferes with individualized approaches to clinical complexity and may lead to gaming, overtesting, and overtreatment. * Measures used for financial incentives and public reporting should meet higher standards. * We propose a set of core principles for the implementation of quality measures with greater validity and utility.
Journal Article
The effects of television and Internet food advertising on parents and children
The current study examined the impact of television and Internet food advertising on Australian parents and children.
Parents and their children aged 8 to 14 years were exposed to a television advertisement, an Internet advertisement or a control picture for four commonly advertised energy-dense, nutrient-poor foods.
Online web panel survey, Australia.
Parents (n 1302) and their children aged 8 to 14 years (n 1302).
After a single exposure to each advertisement, parent respondents in the two exposure conditions evaluated the products more favourably, had a greater desire to consume the products and thought the product could be consumed more frequently than those in the control condition. Similar trends were observed among children, although the differences were statistically significant only for the frequency of food consumption in the Internet advertisement condition and the evaluation of one product.
The results have implications for assumptions of adults’ immunity to advertising. This is of particular importance in efforts to address child obesity and the reliance on parents to mediate the effects of food advertising.
Journal Article
Compliance with children’s television food advertising regulations in Australia
Background
The objective of this study was to assess the effectiveness of the Australian co-regulatory system in limiting children’s exposure to unhealthy television food advertising by measuring compliance with mandatory and voluntary regulations. An audit was conducted on food and beverage television advertisements broadcast in five major Australian cities during children’s programming time from 1
st
September 2010 to 31
st
October 2010. The data were assessed against mandatory and voluntary advertising regulations, the information contained in an industry report of breaches, and the Australian Guide to Healthy Eating.
Results
During the two months of data collection there were a total of 951 breaches of the combined regulations. This included 619 breaches of the mandatory regulations (CTS) and 332 breaches of the voluntary regulations (RCMI and QSRI). Almost 83% of all food and beverages advertised during children’s programming times were for foods classified as ‘Extras’ in the Australian Guide to Healthy Eating. There were also breaches in relation to the amount of advertising repetition and the use of promotional appeals such as premium offers, competitions, and endorsements by popular children’s characters. The self-regulatory systems were found to have flaws in their reporting and there were errors in the Australian Food and Grocery Council’s compliance report.
Conclusions
This audit suggests that current advertising regulations are inadequate. Regulations need to be closely monitored and more tightly enforced to protect children from advertisements for unhealthy foods.
Journal Article
The advertised diet: An examination of the extent and nature of food advertising on Australian television
Issues addressed: The aim of the present study was to describe food advertising and expenditure on Australian television, and to conduct an audit to assess what proportion of food and beverage television advertisements was consistent with dietary recommendations. Methods: Data were acquired from a national media monitoring company for advertisements broadcast in five major Australian cities from 1 September 2010 to 31 October 2010. Content analysis was undertaken on these advertisements and the advertised foods were assessed against the Australian Guide to Healthy Eating. The data also included advertising expenditures. Results: Most advertised foods were non-core foods (63%), with few advertisements for fruits and vegetables (6%). Advertisements for non-core foods were significantly more frequent during prime time viewing periods (71% vs 60%; P < 0.01). High levels of advertising for fast food (28%) and non-core beverages (24%) were recorded. Conclusions: The present study found that the foods advertised during the data-collection period were inconsistent with the recommended diet. There are clear areas for policy concern given that the majority of recorded advertisements were for foods classified as 'occasional foods', there were low levels of advertising for fruit and vegetables, and there were no social marketing messages to support healthy eating. So what? The findings of the study suggest that there is an urgent need for more comprehensive regulation of food advertising in Australia.
Journal Article
Evaluation of a Statewide Nurse Residency Collaborative: An Apprenticeship Model in Acute Care
Background
The New Jersey Nurse Residency Collaborative included 21 hospitals that used the Vizient/American Association of Colleges of Nursing (AACN) Nurse Residency ProgramTM. Thirteen followed the Department of Labor apprenticeship Vizient/AACN model that included (a) full-time employment, (b) 144 hours of education, (c) 2,000 hours of precepted/mentored time, and (d) a salary increase at program completion. The remaining hospitals provided 48 hours of education, with varying numbers of hours of orientation over a period of 12 months with preceptors/mentors, referred to as the traditional Vizient/AACN model.
Method
Retrospective data were reviewed to evaluate the collaborative overall and compare the two models. This review included confidence, competence, and retention for 1,644 nurse residents who started in 2022-2023.
Results
The 1-year retention rate for the collaborative was 89%. The apprenticeship Vizient/AACN model had lower initial skill scores means, yet a 12% higher retention rate than the traditional Vizient/AACN model.
Conclusion
A statewide nurse residency collaborative promotes retention of new nurses who are confident and competent.
Journal Article
