Understanding nurses’ decision-making when managing weaning from mechanical ventilation: a study of novice and experienced critical care nurses in Scotland and Greece.

Aim and objectives To examine how nurses collect and use cues from respiratory assessment to inform their decisions as they wean patients from ventilatory support. Background Prompt and accurate identification of the patient's ability to sustain reduction of ventilatory support has the potential to increase the likelihood of successful weaning. Nurses' information processing during the weaning from mechanical ventilation has not been well-described. Design A descriptive ethnographic study exploring critical care nurses' decision-making processes when weaning mechanically ventilated patients from ventilatory support in the real setting. Methods Novice and expert Scottish and Greek nurses from two tertiary intensive care units were observed in real practice of weaning mechanical ventilation and were invited to participate in reflective interviews near the end of their shift. Data were analysed thematically using concept maps based on information processing theory. Ethics approval and informed consent were obtained. Results Scottish and Greek critical care nurses acquired patient-centred objective physiological and subjective information from respiratory assessment and previous knowledge of the patient, which they clustered around seven concepts descriptive of the patient's ability to wean. Less experienced nurses required more encounters of cues to attain the concepts with certainty. Subjective criteria were intuitively derived from previous knowledge of patients' responses to changes of ventilatory support. All nurses used focusing decision-making strategies to select and group cues in order to categorise information with certainty and reduce the mental strain of the decision task. Conclusions Nurses used patient-centred information to make a judgment about the patients' ability to wean. Decision-making strategies that involve categorisation of patient-centred information can be taught in bespoke educational programmes for mechanical ventilation and weaning. Relevance to clinical practice Advanced clinical reasoning skills and accurate detection of cues in respiratory assessment by critical care nurses will ensure optimum patient management in weaning mechanical ventilation

Green Party Factionalism. The Case of the Federation of Ecologists Alternatives, Greece

To date, the Federation of Ecologists Alternatives (FEA) is the only Greek green party to have achieved representation in Parliament. Based on written accounts of the period and in-depth interviews with the main protagonists, this article offers a theoretical explanation of FEA's short-lived trajectory (1989-92), describing it as a case of 'primordial factionalism': a case of intraparty factionalism stemming from externally imposed stresses rather than any internal debate about ideological purity (the classical Realo/Fundi conflict). The article maintains that in such cases, it is highly probable for an emerging green party to disintegrate during its formative period, thus adding a new perspective to classical green party factionalism theories.

The impact of the summer 2007 forest fires in Greece: Recent environmental mobilizations, cyber-activism and electoral performance

This report circumambulates around the environmental issue, examining mobilizations in favour of public access to the seafront and protest events against the recent devastating forest fires. By framing this discussion within existing scholarly contributions on related dimensions of the environmental issue (environmental consciousness, grassroots environmental contestation) in Southern Europe in general and Greece in particular, it suggests that the environmental mobilization dynamic in Greece has been infused with a new, global, mobilizing resource that offers new avenues to evaluate the potency of Greek civil society. Finally, the article discusses the results of the 2007 national elections and ponders the chances of political ecology becoming a permanent feature of Greek parliamentary politics.

Grassroots mobilisations against waste disposal sites in Greece

The government of Greece has gained notoriety for its failure to implement EU environmental directives in general, and is criticised specifically for its lack of an effective plan for the safe disposal of waste. Local mobilisations against a series of planned 'Sanitary Waste Disposal Sites' (HETAs) in three municipalities of Attica are examined. Should such protests be classified as NIMBY (not in my backyard)? Or do they present broader claims of justice and equity? Qualitative analysis of the protesters' on-line campaign material reveals that while these mobilisations do demonstrate some NIMBY characteristics, such campaigns should rather be perceived as ad hoc mobilisations reflective of tensions of late modernity. The public's mistrust of science and concerns about democratic deficit and accountability, as well as different perceptions of risk, are prominent.

Square PoliticsKey characteristics of the indignant mobilizations in Greece.

This paper discusses the findings from an online survey completed by nearly 500 persons claiming participation in the indignant (Aganaktismenoi) mobilizations of Syntagma square in Athens during May/June 2011. The demographics of the respondents could have been highly affected by the research medium that was used. However, this paper argues that since the indignant mobilizations were called across different nations by using online social networks, like facebook, the characteristics identified in the Greek case perfectly fit within the general pattern that characterised the participants in these mobilizations. As such, this paper puts the mobilizations at Syntagma square in a good footing for comparative cross-national examination. Furthermore, this paper confirms the increasingly important role played by cyber activism over socio-political contestation in the Greek context. In addition, it discusses the impact that this cyber activism has on the gender composition of political activism and the role of mainstream political participation.