Objective: The objective of the study was to evaluate the effect of two self-designed structured clinical tools on overall self-perceptions of confidence in the assessment, management and communication of acutely unwell residents in nursing and care staff of residential aged care facilities (RACFs). Methods: Quasi-experimental pre-post design using surveys in 22 RACFs in Metropolitan Sydney, Australia. A convenience sample of 254 nursing and care staff were recruited. Two structured tools were developed to enhance confidence: (1) RACF Emergency Decision Index (REDI) and (2) Clinical Handover Assessment Tool (CHAT). The REDI is a clinical decision guide for treatment implementation and escalation, and the CHAT is a structured communication aid. Surveys were administered to participating nursing and care staff working within the RACFs prior to the implementation of the two structured tools (T0) and 6 months later (T1). Results: There was a significant increase in reported overall confide
have too big of an i am of an impact in 2012. george w. bush led aç successful liberation against kuwait against saddam hussein he approval rating of 90%. president obama has 42%. and it continued. after that you had romania falling all of the eastern soviet bloc countries following up through the 1992 elections. voters said that isç nice, that you mr. president bush we think president clinton is going to turn the economy around and president clinton was elected. these foreign policy things voters like to see a baseline level of competence. in terms of voting on the issues, doesn t happen unless there s an active war time issue. alexis, final wore. i think itç is more than baseline confidence. i think it is actually about leadership.