997 resultados para Grand Rapids (Mich.)


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Sault Sainte Marie, Mich.

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verso: Things reached a fever pitch in 1915 as the Wolverine Paved Way was nearing completion. A brick road from Detroit to Lansing would be finished and the town's main street would finally be paved. In this photograph autos had started from Lansing and picked up others in all the small towns on the way to Howell for the big celebration. As you can see, they didn't worry about parking. They stopped their cars in the street and left them. Before Prohibition, Howell was known as the fun city of Southern Michigan, and there is said to have been 13 bars in the main four blocks of town. All the travelling men made it a point to stay over in Howell whenever possible. It was said that you could not fall down on the main street of town without falling into the doorway of a bar. This probably explains the empty cars after a long dusty trip. Notice, too, that about half the cars are still right hand drive.

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On verso: The Picturesque of Lake Superior. Photographed by B.F. Childs. C.B. Brubaker, Publisher. Houghton, Mich.

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No more published?

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The literature reports that workload factors affect nurses' ability to fully engage in continuing professional development. Hence the work environment in acute care calls for innovative approaches to achieve continuous development of nursing practice and work satisfaction. This study employs a one group pre-test post-test design to test the effectiveness of nursing grand rounds on nursing worklife satisfaction and work environment in an acute surgical ward. The effect of nursing grand rounds was measured using the Nursing Worklife Satisfaction Scale and the Practice Environment Scale. There was no change between pre- and post-test on these measures but trends were evident in some component scores. Statistical results were inconclusive but observational data indicated that nursing grand rounds was found to be feasible, well attended with tested processes for implementation in an acute care environment.