I have been having a problem setting up a document using the American
Psychological Association, (APA), v.6 document class with a longtable
I am getting impeccable results when using the doc option in the Document
Class but when I change to the man option three problems appear.
1. I get a blank page inserted before a landscape–oriented table when using
the man option. See Checking Man Layout.lyx. This does not happen if I use
a portrait–oriented table. Comment out the \begin{landscape} &
\end{landscape} commands in Checking Man Layout.lyx for an example.
2. The table remains where it was placed. My understanding is that in
manuscript mode (man) tables should be placed after the reference list. I
know that APA 6 introduced some changes to the olde APA 5 but I did not
think that table and figure placement has changed.
3. When using the longtable option with the man option I get a) a blank
page inserted before the table and a messed-up table—the vertical spacing
and paging is not correct. See Chelsea.full.paper.long.table.lyx
Non-man problems
1. When trying to run Chelsea.full.paper.long.table.lyx in jou mode I am
getting an error—Package longtable error: longtable not in 1-column mode. I
can probably trakc in down in the manuals or on the net but it anyone has a
fast answer, I'd appreciate it.
2. Not directly related to the main problem but I have a reference that
will not compile, (Gordon et al., 2013). Can anyone see what the problem
might be?
I hope I have given people enough information to see the problem. Various
example files are files are attached.

John Kane
Kingston ON Canada

Attachment: Checking Man layout.lyx
Description: application/lyx

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  Title                    = {Bedside coaching to improve nurses’ recognition of delirium:},
  Author                   = {Gordon, Susan Jean and Melillo, Karen Devereaux and Nannini, Angela and Lakatos, Barbara E.},
  Journal                  = {Journal of Neuroscience Nursing},
  Year                     = {2013},

  Month                    = oct,
  Number                   = {5},
  Pages                    = {288--293},
  Volume                   = {45},

  Abstract                 = {Delirium is a widespread complication of hospitalization and is frequently unrecognized by nurses and other healthcare professionals. Patients with neuroscience diagnoses are at increased risk for delirium as compared with other patients. The aims of this quality improvement project were to (1) increase neuroscience nurses' knowledge of delirium, (2) integrate coaching into evidence-based practice, and (3) evaluate the effectiveness of this combined approach to improve nurses' recognition of delirium on a neuroscience unit. Institutional review board approval was obtained. A retrospective chart review of randomly selected patients admitted before the intervention was completed. The (modified) Nurse's Knowledge of Delirium Tool was electronically administered to nursing staff (n = 47), followed within 2 weeks by a didactic presentation on delirium. Bedside coaching was performed over a period of 4 weeks. The (modified) Nurses Knowledge of Delirium Tool was electronically readministered to nurses 4 weeks later to determine the change in aggregate knowledge. A postintervention chart review was conducted. {SPSS} software was used to analyze descriptive statistics with regard to chart reviews, documentation, and change in questionnaire scores. Findings reveal that neuroscience nurses recognize the absence of delirium 94.4\% of the time and the presence of delirium 100\% of the time after a didactic session and coaching. The postintervention chart review showed a statistically significant increase (p = .000) in the documentation of delirium screening results. Expert coaching at the bedside may be a reliable method for teaching nurses to use evidence-based screening tools to detect delirium in patients with neuroscience diagnoses.},
  Doi                      = {10.1097/JNN.0b013e31829d8c8b},
  ISSN                     = {0888-0395},
  Language                 = {en},
  Shorttitle               = {Bedside Coaching to Improve Nurses’ Recognition of Delirium},
  Url                      = {http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=01376517-201310000-00007},
  Urldate                  = {2014-11-17}

  Title                    = {Do patient characteristics influence nursing adherence to a guideline for preventing delirium?: improvement of nursing delirium care},
  Author                   = {Ijkema, Roelie and Langelaan, Maaike and van de Steeg, Lotte and Wagner, Cordula},
  Journal                  = {Journal of Nursing Scholarship},
  Year                     = {2014},

  Month                    = may,
  Number                   = {3},
  Pages                    = {147--156},
  Volume                   = {46},

  Abstract                 = {{PURPOSE}:
The purpose of this study was to examine if the characteristics of patients influence nursing adherence to a quality improvement guideline. This guideline consists of delirium risk screening and preventive care, including the use of the Delirium Observation Screening Scale ({DOSS}). {DESIGN}:
A retrospective patient record review study was performed in 18 Dutch hospitals that were implementing a quality improvement project regarding delirium care. The records of patients 70 years of age or older were reviewed over an 11-month period. {METHODS}:
Patient characteristics, as well as the extent of risk screening and the application of the {DOSS} within the screened and nonscreened groups, were recorded by experienced research nurses. Characteristics were compared between these groups and within the high-risk group using multilevel logistic regression analysis. {FINDINGS}:
A total of 1,881 patient records were analyzed. In 55\% of the total sample, a risk screening was conducted, of which 44\% were identified as patients with a high risk for delirium. Acute admissions were screened significantly less often. The {DOSS} was used in 48\% of the patients in the high-risk group, but also in 13\% of the patients without an identified risk and in 15\% of the nonscreened patients. The factors influencing the use of the {DOSS} in screened and nonscreened patients included age, domestic circumstances, suffering from dementia, and acute admission. In the nonscreened group, comorbidity also showed significance. {CONCLUSIONS}:
Patient characteristics influence nursing in preventive delirium care. {CLINICAL} {RELEVANCE}:
The findings can help to improve preventive delirium care by nurses.},
  Doi                      = {10.1111/jnu.12067},
  ISSN                     = {15276546},
  Language                 = {en},
  Shorttitle               = {Do Patient Characteristics Influence Nursing Adherence to a Guideline for Preventing Delirium?},
  Url                      = {http://doi.wiley.com/10.1111/jnu.12067},
  Urldate                  = {2014-11-17}

  Title                    = {Precipitating factors for delirium in hospitalized elderly persons: predictive model and interrelationship with baseline vulnerability},
  Author                   = {Inouye, Sharon K.},
  Journal                  = {{JAMA}},
  Year                     = {1996},

  Month                    = mar,
  Number                   = {11},
  Pages                    = {852},
  Volume                   = {275},

  Abstract                 = {{OBJECTIVES}:
To prospectively develop and validate a predictive model for delirium based on precipitating factors during hospitalization, and to examine the interrelationship of precipitating factors and baseline vulnerability. {DESIGN}:
Two prospective cohort studies, in tandem. {SETTING}:
General medical wards, university teaching hospital. {PATIENTS}:
For the development cohort, 196 patients aged 70 years and older with no delirium at baseline, and for the validation cohort, 312 comparable patients. {MAIN} {OUTCOME} {MEASURE}:
New-onset delirium by hospital day 9, defined by the Confusion Assessment Method diagnostic criteria. {RESULTS}:
Delirium developed in 35 patients (18\%) in the development cohort. Five independent precipitating factors for delirium were identified; use of physical restraints (adjusted relative risk [{RR}], 4.4; 95\% confidence interval [{CI}], 2.5 to 7.9), malnutrition ({RR}, 4.0; 95\% {CI}, 2.2 to 7.4), more than three medications added ({RR}, 2.9; 95\% {CI}, 1.6 to 5.4), use of bladder catheter ({RR}, 2.4; 95\% {CI}, 1.2 to 4.7), and any iatrogenic event ({RR}, 1.9; 95\% {CI}, 1.1 to 3.2). Each precipitating factor preceded the onset of delirium by more than 24 hours. A risk stratification system was developed by adding 1 point for each factor present. Rates of delirium for low-risk (0 points), intermediate-risk (1 to 2 points), and high-risk groups ({\textgreater} or equal to 3 points) were 3\%, 20\%, and 59\%, respectively (P {\textless} .001). The corresponding rates in the validation cohort, in which 47 patients (15\%) developed delirium, were 4\%, 20\%, and 35\%, respectively (P {\textless} .001). When precipitating and baseline factors were analyzed in cross-stratified format, delirium rates increased progressively from low-risk to high-risk groups in all directions (double-gradient phenomenon). The contributions of baseline and precipitating factors were documented to be independent and statistically significant. {CONCLUSIONS}:
A simple predictive model based on the presence of five precipitating factors can be used to identify elderly medical patients at high risk for delirium. Precipitating and baseline vulnerability factors are highly interrelated and contribute to delirium in independent substantive, and cumulative ways.},
  Doi                      = {10.1001/jama.1996.03530350034031},
  ISSN                     = {0098-7484},
  Language                 = {en},
  Shorttitle               = {Precipitating Factors for Delirium in Hospitalized Elderly Persons},
  Url                      = {http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.1996.03530350034031},
  Urldate                  = {2014-11-17}

  Title                    = {Delirium in older patients: a diagnostic study of {NEECHAM} Confusion Scale in surgical intensive care unit},
  Author                   = {Matarese, Maria and Generoso, Stefano and Ivziku, Dhurata and Pedone, Claudio and De Marinis, Maria Grazia},
  Journal                  = {Journal of Clinical Nursing},
  Year                     = {2013},

  Month                    = oct,
  Number                   = {19-20},
  Pages                    = {2849--2857},
  Volume                   = {22},

  Abstract                 = {{AIMS} {AND} {OBJECTIVES}:
To estimate the diagnostic value and determine the feasibility of the {NEECHAM} Confusion Scale on critically ill older patients. {BACKGROUND}:
Delirium is a common syndrome in hospitalised older patients, especially in surgical intensive care units, and the consequences of under-detection can be very serious for older people. Therefore, assessment of the cognitive status of older patients using a valid instrument is important in intensive care units. {DESIGN}:
A descriptive prospective design was used. {METHODS}:
Consecutive nonintubated patients aged 65 and older, admitted to a surgical intensive care unit of an Italian hospital during a seven months period, were assessed for delirium using the {NEECHAM} scale and the Confusion Assessment Method for intensive care unit, once per shift, for 48 hours after admission. Cohen's kappa coefficient, {ROC} curve, sensitivity and specificity were estimated. An open ended questionnaire was used to assess user-friendliness of the scale. {RESULTS}:
A sample of 41 older patients with a mean age of 78·3 years was studied. The kappa coefficient was 0·95. The sensitivity was 99·19\%, specificity 95\% at cut-off of 25, and the area under the curve was 0·99 ({CI} 0·99-1·00). Nurses evaluated positively the scale as they were able to collect data during care process in maximum 10 minutes, but experienced problems in rating the appearance behaviour and physiological control items of the scale. {CONCLUSIONS}:
Findings from this study confirm the good diagnostic value and ease of application of the {NEECHAM} scale with nonventilated intensive care patients. {RELEVANCE} {TO} {CLINICAL} {PRACTICE}:
The {NEECHAM} scale can be used to detect delirium during the routine nursing assessment of nonintubated older patients as it requires minimal demand and stress on the patient as well as on the bedside nurse.},
  Doi                      = {10.1111/j.1365-2702.2012.04300.x},
  ISSN                     = {09621067},
  Language                 = {en},
  Shorttitle               = {Delirium in older patients},
  Url                      = {http://doi.wiley.com/10.1111/j.1365-2702.2012.04300.x},
  Urldate                  = {2014-11-17}

  Title                    = {A quantitative exploration of the subjective burden experienced by nurses when caring for patients with delirium: Subjective burden},
  Author                   = {Mc Donnell, Siobhan and Timmins, Fiona},
  Journal                  = {Journal of Clinical Nursing},
  Year                     = {2012},

  Month                    = sep,
  Number                   = {17-18},
  Pages                    = {2488--2498},
  Volume                   = {21},

  Abstract                 = {The aim of this study is to examine the subjective burden experienced by nurses when they provide care for patients with acute delirium. {BACKGROUND}:
Nurses' responses to dealing with the increased functional and copious demands associated with caring for a patient with delirium are not well explored. {DESIGN}:
The study was descriptive and retrospective, adopting quantitative research methodologies. {METHODS}:
The Strain of Care for Delirium Index ({SCDI}) was used to collect data in 2007 from a random sample of the national nurses' register (n=800), in the Republic of Ireland. {RESULTS}:
The subjective burden that nurses experience when caring for patients with delirium was high (M=2.97). The hyperactive/hyperalert subscale was deemed the most challenging to deal with (M=3.41). In relation to individual behaviours, the patients who averaged highest in terms of burden are those who are uncooperative and difficult to manage (M=3.58). {CONCLUSION}:
This study represents the first reported measurement and examination of the subjective burden nurses experience when caring for patients with delirium, following initial development and testing of a sensitive tool (International Journal of Nursing Studies41, 775). Findings outlined the subtypes and behaviours that increase the burden of caring for patients with delirium. This is an issue that needs to be addressed and further research is needed to explore the impact of nurse reactions further and to identify supportive/preventative methods for nurses. A specific examination into the factors that cause high levels of strain needs is required. {RELEVANCE} {TO} {CLINICAL} {PRACTICE}:
This study highlights and confirms that nursing patients with delirium is challenging for nurses. It raises awareness of the practice and policy implications of nurses' potential negative reactions to these patients. It highlights the need for additional training and education to ensure that nurses understand this condition to provide for prevention, early detection and prompt intervention.},
  Doi                      = {10.1111/j.1365-2702.2012.04130.x},
  ISSN                     = {09621067},
  Language                 = {en},
  Shorttitle               = {A quantitative exploration of the subjective burden experienced by nurses when caring for patients with delirium},
  Url                      = {http://doi.wiley.com/10.1111/j.1365-2702.2012.04130.x},
  Urldate                  = {2014-11-17}

  Title                    = {Orthopaedic nursesʼ knowledge of delirium in older hospitalized patients},
  Author                   = {Meako, Michelle E. and Thompson, Hilaire J. and Cochrane, Barbara B.},
  Journal                  = {Orthopaedic Nursing},
  Year                     = {2011},
  Number                   = {4},
  Pages                    = {241--248},
  Volume                   = {30},

  Abstract                 = {{BACKGROUND}: Delirium is a serious health issue experienced by many hospitalized older adults following orthopaedic surgery. Nurses often do not recognize delirium, attributing symptoms to normal changes associated with aging or dementia. {OBJECTIVES}: To (a) describe orthopaedic nurses' baseline knowledge about delirium in orthopaedic patients, particularly those aged 65 years, (b) test the effectiveness of an educational intervention based on nationally recommended guidelines, and (c) describe factors associated with differences in (1) nurses' baseline knowledge about delirium and (2) the effectiveness of the educational intervention. {METHODS}: A pretest-posttest study design, using an educational evidence-based intervention. {RESULTS}: Regardless of education, years of experience, or shift worked, orthopaedic {RNs} had difficulty with questions related to recognition of delirium, predisposing, and precipitating risk factors, and medications that can contribute to delirium. The educational intervention was effective and scores significantly improved from baseline following the intervention. {CONCLUSIONS}: Baseline knowledge assessment confirmed orthopaedic nurses' lack of understanding of delirium. The 1-hr educational intervention, based on nationally recommended standards, improved the nurses' knowledge and could be useful in orthopaedic nursing continuing education.},
  Doi                      = {10.1097/NOR.0b013e3182247c2b},
  ISSN                     = {0744-6020},
  Language                 = {en},
  Shorttitle               = {Orthopaedic Nursesʼ Knowledge of Delirium in Older Hospitalized Patients},
  Url                      = {http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00006416-201107000-00006},
  Urldate                  = {2014-11-17}

  Title                    = {Implementation of a validated delirium assessment tool in critically ill adults},
  Author                   = {Scott, Pamela and McIlveney, Fiona and Mallice, Marianne},
  Journal                  = {Intensive and Critical Care Nursing},
  Year                     = {2013},

  Month                    = apr,
  Number                   = {2},
  Pages                    = {96--102},
  Volume                   = {29},

  Abstract                 = {{AIM}:
To evaluate the feasibility and effectiveness of the validated Confusion Assessment Method-{ICU} ({CAM}-{ICU}) delirium screening tool in a critical care unit. {DESIGN}:
A single centre service evaluation design was conducted in an 18 bed critical care unit comprising medical and surgical patients. Two self report questionnaires were administered to nursing staff (n=78) one immediately prior to and then three months following delirium education and {CAM}-{ICU} practical training. {RESULTS}:
The response rates of the questionnaires were 92\% (72/78) and 60\% (47/78) respectively, completed by predominantly females with a similar age range across the two groups. Prior to education and training 54\% (39/72) of nurses agreed that delirium was a significantly underdiagnosed problem. Few nurses (6\%, 4/72) considered evaluating their patients for it and 69\% (50/72) did not feel the need to routinely monitor. Following a simple educational intervention 68\% (32/47) believed delirium was a very serious problem, 74.5\% (35/47) frequently evaluated their patients and only 31\% (15/47) felt that {CAM}-{ICU} assessments should not be part of routine nursing care. The majority (85.1\%, 40/47) of nurses found the {CAM}-{ICU} easy to administer, were confident in using the tool (74.4\%, 35/47) and felt it led to a more comprehensive patient assessment (83\%, 39/47). Despite this, barriers to undertaking delirium assessment identified at the start of the project remained and included patient intubation (42\%, 20/47), sedation level (40\%, 19/47) and medical staff inability to act on {CAM}-{ICU} assessment data (25\%, 12/47). {CONCLUSION}:
This service evaluation has shown that implementation of a delirium screening tool into daily nursing practice is achievable within a relatively short time period. A simple, educational intervention incorporating written and video information improved the capacity of critical care nurses to perform delirium assessments in a standardised way and reduced the discordance between the perceived importance of delirium and the practice of its evaluation. Such data is especially important since delirium assessments had not traditionally been part of daily nursing care.},
  Doi                      = {10.1016/j.iccn.2012.09.001},
  ISSN                     = {09643397},
  Language                 = {en},
  Url                      = {http://linkinghub.elsevier.com/retrieve/pii/S0964339712000882},
  Urldate                  = {2014-11-17}

  Title                    = {Delirium and sedation recognition using validated instruments: Reliability of bedside intensive care unit nursing assessments from 2007 to 2010},
  Author                   = {Vasilevskis, Eduard E. and Morandi, Alessandro and Boehm, Leanne and Pandharipande, Pratik P. and Girard, Timothy D. and Jackson, James C and Thompson, Jennifer L. and Shintani, Ayumi and Gordon, Sharon M. and Pun, Brenda T. and Wesley Ely, E.},
  Journal                  = {Journal of the American Geriatrics Society},
  Year                     = {2011},

  Month                    = nov,
  Pages                    = {S249--S255},
  Volume                   = {59},

  Abstract                 = {{OBJECTIVES}:
To describe the reliability and sustainability of delirium and sedation measurements of bedside intensive care unit ({ICU}) nurses. {DESIGN}:
Prospective cohort study. {SETTING}:
A tertiary care academic medical center. {PARTICIPANTS}:
Five hundred ten {ICU} patients from 2007 to 2010; 627 bedside nurses. {MEASUREMENTS}:
Bedside nurses and well-trained reference-rater research nurses independently measured delirium and sedation levels in routine care. Bedside nurses were instructed to use the Confusion Assessment Method for the Intensive Care Unit ({CAM}-{ICU}) every 12 hours to measure delirium and the Richmond Agitation-Sedation Scale ({RASS}) every 4 hours to measure sedation. {CAM}-{ICU} and {RASS} assessment agreement were computed using weighted kappa statistics across the entire population and subgroups (e.g., {ICU} type). Sensitivity and specificity of bedside nurse identification of delirium were calculated to understand sources of discordance. {RESULTS}:
Six thousand one hundred ninety-eight {CAM}-{ICU} and 6,880 {RASS} measurement pairs obtained on 3,846 patient-days. For {CAM}-{ICU} measurements, agreement between bedside and research nurses was substantial (weighted kappa = 0.67, 95\% confidence interval ({CI}) = 0.66-0.70) and stable over 3 years of data collection. {RASS} measures also demonstrated substantial agreement (weighted kappa = 0.66, 95\% {CI} = 0.64-0.68), which was stable across all years of data collection. The sensitivity of delirium nurse assessments was 0.81 (95\% {CI} = 0.78-0.83), and the specificity was 0.81 (95\% {CI} = 0.78-0.85). {CONCLUSION}:
Bedside nurse measurements of delirium and sedation are sustainable and reliable sources of information. These measures can be used for clinical decision-making, quality improvement, and quality measurement activities.},
  Doi                      = {10.1111/j.1532-5415.2011.03673.x},
  ISSN                     = {00028614},
  Language                 = {en},
  Shorttitle               = {Delirium and Sedation Recognition Using Validated Instruments},
  Url                      = {http://doi.wiley.com/10.1111/j.1532-5415.2011.03673.x},
  Urldate                  = {2014-11-17}

  Title                    = {Accuracy of nurse documentation of delirium symptoms in medical charts},
  Author                   = {Voyer, Philippe and Cole, Martin G and McCusker, Jane and St-Jacques, Sylvie and Laplante, Johanne},
  Journal                  = {International Journal of Nursing Practice},
  Year                     = {2008},

  Month                    = apr,
  Number                   = {2},
  Pages                    = {165--177},
  Volume                   = {14},

  Abstract                 = {The purpose of this study undertaken in an acute care hospital was to evaluate sensitivity and specificity of the documentation of nurse-reported delirium symptoms in medical charts. This is a descriptive study based on the clinical assessments of a study nurse and nursing notes in the medical charts of 226 delirious older patients newly admitted to an acute care hospital. The results of this prospective validation study indicated that documentation of delirium symptoms is poor. Disorientation, agitation and altered level of consciousness were the three symptoms yielding a higher level of sensitivity, but even so said symptoms were reported in less than a third of the medical charts. Univariate analysis suggested that higher comorbidity level, more severe symptoms of delirium and the use of physical restraints were associated with more valid documentation of delirium symptoms in medical charts. Lastly, this study corroborates results of previous studies, indicating that documentation of delirium symptoms in medical charts can be improved. Future study should target improving nurse documentation of delirium symptoms in medical charts.},
  Doi                      = {10.1111/j.1440-172X.2008.00681.x},
  ISSN                     = {1322-7114, 1440-172X},
  Language                 = {en},
  Url                      = {http://doi.wiley.com/10.1111/j.1440-172X.2008.00681.x},
  Urldate                  = {2014-11-17}

  Title                    = {Nursing practices to detect acute delirium, safeguard patients experiencing acute delirium, and help reduce or eliminate acute delirium},
  Author                   = {Wilson, Donna M and Low, Gail and Thurston, Amy and Lichlyter, Bonnie and Kinch, Janice and Fahey, Francene and Clarkes, Mary-Ann},
  Journal                  = {Global Journal of Health Science},
  Year                     = {2010},

  Month                    = mar,
  Number                   = {1},
  Volume                   = {2},

  Abstract                 = {Acute delirium is very common among hospital patients, particularly older patients. Nurses have a major role in the care of these patients, yet there are no evidence-based nursing care guidelines to help nurses detect patients who are experiencing acute delirium, safeguard them, and assist their recovery. This study sought to identify and prioritize nursing practices for detecting these patients, safeguarding them, and assisting their recovery from acute delirium. A two-stage voluntary paper Delphi survey was used for this purpose. This study targeted all nurses who worked on adult medical/surgical units at two full-service acute care hospitals in Western Canada who had cared for a patient diagnosed with acute delirium in the past 12 months. The first survey revealed many nursing practices exist to detect, safeguard, and assist recovery. The second revealed one preferred practice and four others for each of the following: Detecting acute delirium, safeguarding patients, and helping patients recover. Research is now needed to establish if these constitute “best practice” nursing care for enhanced patient},
  Doi                      = {10.5539/gjhs.v2n1p81},
  ISSN                     = {1916-9744, 1916-9736},
  Url                      = {http://www.ccsenet.org/journal/index.php/gjhs/article/view/4100},
  Urldate                  = {2014-11-17}

Attachment: Chelsea.full paper.longtable.lyx
Description: application/lyx

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