Sample records for interviews observations document

  1. Creating history: documents and patient participation in nurse-patient interviews.

    PubMed

    Jones, Aled

    2009-09-01

    Strongly worded directives regarding the need for increased patient participation during nursing interaction with patients have recently appeared in a range of 'best-practice' documents. This paper focuses on one area of nurse-patient communication, the hospital admission interview, which has been put forward as an ideal arena for increased patient participation. It uses data from a total of 27 admission interviews, extensive periods of participant observation and analysis of nursing records to examine how hospital admission interviews are performed by nurses and patients. Analysis shows that topics discussed during admission closely follow the layout of the admission document which nurses complete during the interview. Whilst it is tempting to describe the admission document as a 'super technological power' in influencing the interaction and restricting patient participation, this analysis attempts a more rounded reading of the data. Findings demonstrate that, whilst opportunities for patient participation were rare, admission interviews are complex interactional episodes that often belie simplistic or prescriptive guidance regarding interaction between nurses and patients. In particular, issue is taken with the lack of contextual and conceptual clarity with which best-practice guidelines are written.

  2. Patterns of Knowledge Construction

    ERIC Educational Resources Information Center

    Chang, Bo

    2018-01-01

    The purpose of this study was to identify knowledge construction patterns in a local learning community. Observation, documents, and semistructured interviews were employed to collect data. Twenty learners were interviewed. Data were analyzed inductively using the constant comparative method. Five major patterns--radiation, circulation,…

  3. Live, Model, Learn: Experiencing Information Systems Requirements through Simulation

    ERIC Educational Resources Information Center

    Hartzel, Kathleen S.; Pike, Jacqueline C.

    2015-01-01

    Information system professionals strive to determine requirements by interviewing clients, observing activities at the client's site, and studying existing system documentation. Still this often leads to vague and inaccurate requirements documentation. When teaching the skills needed to determine requirements, it is important to recreate a…

  4. Determination and prioritization of MoDOT geotechnical related problems with emphasis on effectiveness of design for bridge approach slabs and pavement edge drains

    DOT National Transportation Integrated Search

    2003-01-01

    Surveys, interviews and site visits were used to identify, observe and document geotechnical-related problems in Missouri DOT infrastructure. Documented issues were evaluated and prioritized. Additional attention was focused on Pavement Edge Drains a...

  5. Co-Development of Conceptual Understanding and Critical Attitude: Analyzing Texts on Radiocarbon Dating

    ERIC Educational Resources Information Center

    Décamp, N.; Viennot, L.

    2015-01-01

    This research documents the impact of a teaching interview aimed at developing a critical attitude in students, and focused on a particular topic: radiocarbon dating. This teaching interview is designed to observe students' reaction to limited written explanations of the phenomenon under study, and their possible frustration or intellectual…

  6. Co-development of Conceptual Understanding and Critical Attitude: Analyzing texts on radiocarbon dating

    NASA Astrophysics Data System (ADS)

    Décamp, N.; Viennot, L.

    2015-08-01

    This research documents the impact of a teaching interview aimed at developing a critical attitude in students, and focused on a particular topic: radiocarbon dating. This teaching interview is designed to observe students' reaction to limited written explanations of the phenomenon under study, and their possible frustration or intellectual satisfaction in relation to these texts. We aim to document the possible link between students' developing conceptual understanding of a topic and their ability to express their frustration when presented with very incomplete explanations, or their intellectual satisfaction when presented with complete explanation. As a side product, we intend to observe some of their a priori ideas concerning this topic. Ten teaching interviews conducted with fourth-year University students were recorded, transcribed and coded. Beyond a series of results concerning students' a priori understanding of the domain, the analysis of the interviews suggests that, when students are presented with texts of increasing completeness and discuss these with the interviewer, their critical reactions evolve in time in a very specific way. We propose a tentative model for this co-evolution of student conceptual command and critical stance. The discussion bears on possible interpretations for the 'anesthesia of judgment' observed in most students at the beginning of the interview, and for a few of them throughout the discussion. Keeping in mind the 'competence vs concepts' current alternative, the conditions that seem to free students' critical potential are analyzed in relation to their evolving command of the topic and their degree of intellectual satisfaction.

  7. Implementing Curriculum-Based Learning Portfolio: A Case Study in Taiwan

    ERIC Educational Resources Information Center

    Chen, Shu-Chin Susan; Cheng, Yu-Pay

    2011-01-01

    The main purpose of this descriptive research is to examine and document the development of a curriculum-based learning portfolio model for children in a preschool for three-six-year-olds in Taiwan. Data collection methods adopted include classroom observation, in-depth interviews, questionnaires and documentation. Participants include a preschool…

  8. A Study of University Teachers' Enactment of Curriculum Reform in China

    ERIC Educational Resources Information Center

    Yu, Aiqin

    2015-01-01

    This article documents an ongoing study of educational policy enactment in a Chinese university. Drawing upon data collected through document analysis, semi-structured interviews and classroom observations, this paper argues that the enactment of China's systemic College English curriculum reform is not a matter of simple implementation but the…

  9. Interviews as Historical Evidence: A Discussion of New Standards of Documentation and Access.

    ERIC Educational Resources Information Center

    Ritchie, Donald A.; And Others

    1991-01-01

    Presents a discussion of the documentation of and access to interviews for historical research purposes. Examines problems of documentation, transcription, permission, and storage. Presents questions of property, professional ethics, and witnesses. Argues for interview guidelines, training of researchers for interviewing, and taping of interviews.…

  10. Follow-Up Study of Rural Schools Implementing CSR Programs in the Southwest. Research Report.

    ERIC Educational Resources Information Center

    Carlson, Robert V.

    Case studies of five small and isolated rural schools in the Southwest focused on their ability to fully implement Comprehensive School Reform Demonstration (CSR) programs over the 3-year period of their federal grants. Data were gathered via interviews with school personnel, classroom observations, document reviews, and telephone interviews with…

  11. Description and Documentation of the Dental School Dental Delivery System.

    ERIC Educational Resources Information Center

    Chase, Rosen and Wallace, Inc., Alexandria, VA.

    A study was undertaken to describe and document the dental school dental delivery system using an integrated systems approach. In late 1976 and early 1977, a team of systems analysts and dental consultants visited three dental schools to observe the delivery of dental services and patient flow and to interview administrative staff and faculty.…

  12. An Observational Study of Print Literacy in Canadian Preschool Classrooms

    ERIC Educational Resources Information Center

    Lynch, Jacqueline

    2011-01-01

    The purpose of this study was to examine the role of print literacy in preschool classrooms. There were seven preschool teachers working in central Canada who were observed over three sessions. The process of analytic induction was used to formulate categories based on interviews, classroom observations and documents. The following categories were…

  13. A Critical Practice Analysis of Response to Intervention Appropriation in an Urban School

    ERIC Educational Resources Information Center

    King Thorius, Kathleen A.; Maxcy, Brendan D.; Macey, Erin; Cox, Adrienne

    2014-01-01

    This qualitative case study focuses on factors mediating an urban school's enactment of Response to Intervention (RTI). Over one school year, we (a) observed weekly RTI meetings, (b) debriefed observations weekly, (c) interviewed RTI team members, and (d) examined procedural documents. Analyses included post-observation debriefing and coding…

  14. Why Leadership Matters: One School's Journey to Success

    ERIC Educational Resources Information Center

    Ward, Cheryl James

    2013-01-01

    In the following study, the researcher, an experienced leadership coach and former principal, observed the leadership practices of a first-year principal over the course of one year as student achievement at his school increased dramatically. Employing participant observation, document analysis, interviewing, and administration of a teacher…

  15. The current practice of using multiple representations in year 4 science classrooms

    NASA Astrophysics Data System (ADS)

    Chuenmanee, Chanoknat; Thathong, Kongsak

    2018-01-01

    Multiple representations have been widely used as a reasoning tool for understanding complex scientific concepts. Thus this study attempted to investigate the current practice of using multiple representations on Year 4 science classrooms in terms of modes and levels which appear in curriculum documents, teaching plans, tasks and assessments, teaching practices, and students' behaviors. Indeed, documentary analysis, classroom observation, and interview were used as the data collection methods. First of all, Year 4 science documents were analyzed. Then classroom observation was used as a collecting method to seek what actually happen in the classroom. Finally, in-depth interviews were used to gather more information and obtain meaningful data. The finding reveals that many modes of verbal, visual, and tactile representations within three levels of representations are posed in Year 4 documents. Moreover, according to classroom observations and interviews, there are three main points of applying multiple representations into classrooms. First of all, various modes of representations were used, however, a huge number of them did not come together with the levels. The levels of representations, secondly, macroscopic and cellular levels were introduced into all classrooms while symbolic level was provided only in some classrooms. Finally, the connection of modes and levels pointed out that modes of representations were used without the considerations on the levels of them. So, it seems to be that teaching practice did not meet the aims of curriculum. Therefore, these issues were being considered in order to organize and design the further science lessons.

  16. Shared Decision-Making and the Limits of Democratization: A Case Study of Site-Based Reform.

    ERIC Educational Resources Information Center

    Radnofsky, Mary L.; Spielmann, Guy

    This paper presents findings of an ethnographic study of a school district's Staff Development, Supervision, and Evaluation Program (SDSEP). Data were gathered through interviews, observations, participant observation, analysis of kinesics and proxemics, semiotic analysis of discourse, unobtrusive measures, and analysis of official documents. The…

  17. Transformative Learning through Education Abroad: A Case Study of a Community College Program

    ERIC Educational Resources Information Center

    Brenner, Ashley A.

    2014-01-01

    This case study examined how participating in a short-term education abroad program fostered transformative learning for a small group of community college students. As a participant-observer, I utilized ethnographic methods, including interviews, observations, and document analysis, to understand students' perceptions of their experiences…

  18. Use of fish corrals in the seine fishery of the Virgin Islands

    USGS Publications Warehouse

    Jennings, C.A.

    1990-01-01

    Although selected aspects of the commercial fishery in the Virgin Islands have been documented since the early 1930's, fish corrals and their use have not been described. This account, based on personal observations made during 1985-86, summarizes commercial fishing methods in the Virgin Islands (U.S. and British), documents the use of fish corrals, and serves as an introduction to the methodologies of this harvesting technique. Interviews of commercial fishermen about how and when fish corrals are used provided information not available from direct observation.

  19. Developing Kindergarten Children's Mathematical Abilities and Character by Using Area Instruction Model

    ERIC Educational Resources Information Center

    Mardiana, Dinny; Mudrikah, Achmad; Amna, Nurjanah

    2016-01-01

    This study aimed to describe the application of Area Instruction Model on one of the state kindergarten in Bandung city. The study used a qualitative approach with descriptive qualitative design. Data was obtained through interviews, observation, and documentation. The validity of the analysis was guaranteed through perseverance observation and…

  20. An Ethnographic Case Study of the Administrative Organization, Processes, and Behavior in a Model Comprehensive High School.

    ERIC Educational Resources Information Center

    Zimman, Richard N.

    Using ethnographic case study methodology (involving open-ended interviews, participant observation, and document analysis) theories of administrative organization, processes, and behavior were tested during a three-week observation of a model comprehensive (experimental) high school. Although the study is limited in its general application, it…

  1. In Abundance: Networked Participatory Practices as Scholarship

    ERIC Educational Resources Information Center

    Stewart, Bonnie E.

    2015-01-01

    In an era of knowledge abundance, scholars have the capacity to distribute and share ideas and artifacts via digital networks, yet networked scholarship often remains unrecognized within institutional spheres of influence. Using ethnographic methods including participant observation, interviews, and document analysis, this study investigates…

  2. Advantages and Challenges of Distributing Leadership in Middle-Level Schools

    ERIC Educational Resources Information Center

    Grenda, J. Patrick; Hackmann, Donald G.

    2014-01-01

    This multiple-site case study examined distributed leadership practices of three middle school principals, using observations, interviews, and document analysis. Findings disclosed that the principals built on the interdisciplinary teaming structure to develop empowering organizational structures that promoted democratic governance. Employing…

  3. Two Charter School Principals' Engagement in Instructional Leadership

    ERIC Educational Resources Information Center

    Bickmore, Dana L.; Sulentic Dowell, Margaret-Mary

    2014-01-01

    This comparative case (Merriam, 2009) study explored two charter school principals' engagement in instructional leadership. Analysis of three data sources--interviews, observations, and documents--revealed that principals were almost exclusively focused on state accountability and possessed limited knowledge of pedagogical practices. In…

  4. 42 CFR 488.9 - Onsite observation of accreditation organization operations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... the application review process, the validation review process, or the continuing oversight of an... limited to, the review of documents, auditing meetings concerning the accreditation process, the evaluation of survey results or the accreditation decision-making process, and interviews with the...

  5. 42 CFR 488.9 - Onsite observation of accreditation organization operations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... the application review process, the validation review process, or the continuing oversight of an... limited to, the review of documents, auditing meetings concerning the accreditation process, the evaluation of survey results or the accreditation decision-making process, and interviews with the...

  6. 42 CFR 488.9 - Onsite observation of accreditation organization operations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... the application review process, the validation review process, or the continuing oversight of an... limited to, the review of documents, auditing meetings concerning the accreditation process, the evaluation of survey results or the accreditation decision-making process, and interviews with the...

  7. 42 CFR 488.9 - Onsite observation of accreditation organization operations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... the application review process, the validation review process, or the continuing oversight of an... limited to, the review of documents, auditing meetings concerning the accreditation process, the evaluation of survey results or the accreditation decision-making process, and interviews with the...

  8. A Case Study on Teaching of Energy as a Subject for 9th Graders

    ERIC Educational Resources Information Center

    Bezen, Sevim; Bayrak, Celal; Aykutlu, Isil

    2017-01-01

    This study aims to describe how energy subject is taught in 9th grades. The study is designed as a descriptive case study with the participation of 3 physics teachers and 85 students. Data were obtained through observation, interviews, and documents, and they were analyzed through descriptive analysis method. In the observations made at the…

  9. Student Teachers in Tibet: A Case Study.

    ERIC Educational Resources Information Center

    Su, Zhixin; Hawkins, John N.; Zhao, Chunhua; Huang, Tao

    2002-01-01

    Compared Tibetan student teachers' characteristics and attitudes to those of their mainstream Chinese counterparts. Surveys, interviews, observations, and document reviews revealed both similarities and differences. Tibetan student teachers tended to be middle class males, choose teaching for intrinsic reasons, and hesitate to commit themselves to…

  10. Working in Urban Schools.

    ERIC Educational Resources Information Center

    Corcoran, Thomas B.; And Others

    This document on the working conditions of urban teachers reports data from a survey of 31 elementary, middle, and secondary schools in five urban school districts. More than 400 interviews were conducted with teachers, school administrators, central office personnel, district officials, board members, and union officials. The observations,…

  11. The Salt Book.

    ERIC Educational Resources Information Center

    Wood, Pamela, Ed.

    Researched, written, illustrated, and photographed by Kennebunk, Maine, high school students under the guidance of their English teacher, this book documents the skills, crafts, and attitudes needed for survival in northern New England. Information gathered by personal interviews, on-site observation, and research is organized into two sections:…

  12. Linking the Central Office and Its Schools for Reform

    ERIC Educational Resources Information Center

    Johnson, Peggy E.; Chrispeels, Janet H.

    2010-01-01

    Purpose: This study investigates how linkages between a central office and its schools served as administrative controls while fostering professional accountability and organizational learning. Method: Using qualitative data sources (interviews, focus groups, observations, field notes, and document reviews), the study examines how resource,…

  13. Transforming Professional Learning into Practice

    ERIC Educational Resources Information Center

    Sahin, Iclal; Yildirim, Ali

    2016-01-01

    In this qualitative case study, we explored how ten EFL teachers who attended an in-service staff development programme subsequently integrated professional learning into their classroom practice, and which staff development practices were effective in this process. We triangulated data from interviews, observations, and document analysis. The…

  14. Investigation of guided school tours, student learning, and science reform recommendations at a museum of natural history

    NASA Astrophysics Data System (ADS)

    Cox-Petersen, Anne M.; Marsh, David D.; Kisiel, James; Melber, Leah M.

    2003-02-01

    A study of docent-led guided school tours at a museum of natural history was investigated. Researchers engaged in naturalistic inquiry to describe how natural history content was conveyed to students and what students gained from this model of touring. They also investigated how the content and pedagogy within the guided tour complemented recommendations from formal science standards documents and informal learning literature. About 30 visiting school groups in Grades 2-8 were observed. Teachers (n = 30) and select students (n = 85) were interviewed. Researchers found that tours were organized in a didactic way that conflicted with science education reform documents and research related to learning within informal contexts. Students' responses to interview questions indicated high satisfaction with the tours but low levels of science learning.

  15. Promoting Entrepreneurship Studies in the Community College Setting.

    ERIC Educational Resources Information Center

    Watts, Karen Southall

    This document examines the current promotional methods used by North Carolina community colleges to advance entrepreneurship education and identifies practical strategies for improving promotional efforts and outcomes. The observations, interviews, and anecdotal information presented in the paper are based on the author's three years of community…

  16. Playful Mindfulness: How Singapore Adolescent Students Embody Meaning with School Art

    ERIC Educational Resources Information Center

    Kan, Koon Hwee

    2011-01-01

    Drawn from Merleau-Ponty's embodiment theory and Vygotsky's sociocultural learning theory as conceptual framework, this research investigated how Singapore adolescent students accrued and embodied meaning with school art. Combining the methods of microethnographic observations and phenomenological interviews to document the process of artistic…

  17. Information Science and Responsive Evaluation

    ERIC Educational Resources Information Center

    Stake, Robert E.

    2014-01-01

    Responsive evaluation builds upon the methods of informal evaluation in disciplined ways: getting personally acquainted with the evaluand, observation of activities, interviewing people who are in different ways familiar with the evaluand, searching documents that reveal what happened in the past or somewhere else. It calls for sustained effort to…

  18. Multiple Case Study of STEM in School-Based Agricultural Education

    ERIC Educational Resources Information Center

    Stubbs, Eric A.; Myers, Brian E.

    2015-01-01

    This multiple case study investigated the integration of science, technology, engineering, and mathematics (STEM) in three Florida high school agriculture programs. Observations, interviews, documents, and artifacts provided qualitative data that indicated the types of STEM knowledge taught. Variables of interest included student and teacher…

  19. Beliefs and Practices of Writing Instruction in Japanese Elementary Schools

    ERIC Educational Resources Information Center

    Spence, Lucy K.; Kite, Yuriko

    2018-01-01

    Focusing on writing instruction within an era of international curricular reform, this study analysed classroom observations, educator interviews, and documents related to Japanese elementary writing instruction. A deductive approach using discourses of writing framework and an inductive approach to Japanese cultural practices uncovered beliefs…

  20. Washington School-to-Work Evaluation. Volume II: Case Study Report.

    ERIC Educational Resources Information Center

    Owens, Thomas R.

    School-to-work programs (STW) at 10 sites throughout Washington (Bethel, Camas, Central Valley, Columbia River, Goldendale, Grand Coulee Dam, Issaquah, Metlow Valley, Sumner, and Wenatchee) were examined through the following activities: reviewing background documents, interviewing key educators, observing academic and technical classes,…

  1. Recruitment and Selection: Meeting the Leadership Shortage in One Large Canadian School District

    ERIC Educational Resources Information Center

    Normore, Anthony H.

    2004-01-01

    This article investigates the recruitment and selection strategies of one large Canadian school district in Ontario, called here the "Northwestern School District." Data collection included interviews, document analyses and observations, and were gathered in 2001. Findings indicated that designated structured teams, financial and…

  2. Quality Assurance in Higher Education in Zimbabwe

    ERIC Educational Resources Information Center

    Garwe, Evelyn Chiyevo

    2014-01-01

    The purpose of this paper is to furnish local and global stakeholders with detailed information regarding the development and current status of quality assurance in the Zimbabwean higher education sector. The study used document analysis, observation and interviews with key informants as sources of data. This paper addresses the dearth of…

  3. Examining Teacher Instructional Leadership within the Small Group Dynamics of Collegial Groups.

    ERIC Educational Resources Information Center

    Keedy, John L.

    1999-01-01

    Examined the dynamics of teacher leadership, using two teacher collegial groups as a small-group context. After discussing teacher leadership and teacher-mediation effects, describes data collection, which involved observations, interviews, surveys, and document mining. Results indicated that teacher-mediation effects did not counter teacher…

  4. The Role of Principals in Professional Learning Communities

    ERIC Educational Resources Information Center

    Buttram, Joan L.; Farley-Ripple, Elizabeth N.

    2016-01-01

    The purpose of this article is to identify how principals shape the adoption and implementation of professional learning communities. The study employed a sequential mixed-methods approach in which interviews, observations, and document analysis informed survey design. Teachers were surveyed in four elementary schools about the practices and…

  5. General Educators' Perceptions and Attributions about Asian American Students: Implications for Special Education Referral

    ERIC Educational Resources Information Center

    Hui-Michael, Ying; Garcia, Shernaz B.

    2009-01-01

    This qualitative study investigated five elementary classroom teachers' perceptions of, and attributions about the school performance of Asian American students. Using naturalistic inquiry, data were obtained through interviews, classroom observations, document reviews and field notes; and were analyzed using grounded theory techniques. The…

  6. Configurations of Site-Based Financial Leadership Practice within School Contexts

    ERIC Educational Resources Information Center

    Tegano, Sylvia

    2009-01-01

    This study employed an ethnographic perspective to generate a grounded theory that contributes to the understanding of financial leadership practice in four elementary school contexts: Non Title I School, Title I School, Empowerment School and Charter School. The literature, interviews, observations, document analysis, and review of relevant…

  7. Developing and Presenting a Teaching Persona: The Tensions of Secondary Preservice Teachers

    ERIC Educational Resources Information Center

    Davis, Janine S.

    2012-01-01

    This qualitative, multiple case study investigated the ways that three preservice secondary teachers developed, presented, and considered their teaching personae. Data for each participant consisted of three interviews, field observations of both teaching and non-teaching, data collection of lessons and class documents, and four journal…

  8. Veterans Education: Coming Home to the Community College Classroom

    ERIC Educational Resources Information Center

    Persky, Karen Rae

    2010-01-01

    The purpose of this study was to identify the needs of veterans who are community college students and to examine community college programs and services essential to meeting their needs. A qualitative case study design using interviews, observations, field notes, document reviews, a focus group, and a preinterview demographic questionnaire…

  9. Sustaining Latina Student Organizations: An Exploratory Instrumental Case Study

    ERIC Educational Resources Information Center

    Castellanos, Michelle

    2016-01-01

    Utilizing the exploratory case study methodology, the author examines the conditions that support and limit a Latina-based student organization at a predominately White institution of higher education. Seven organizational structures were found to influence the organization's ability to advance its aims, from interviews, documents, observations,…

  10. Death as Insight into Life: Adolescents' Gothic Text Encounters

    ERIC Educational Resources Information Center

    Del Nero, Jennifer

    2017-01-01

    This qualitative case study explores adolescents' responses to texts containing death and destruction, a seminal trope of the Gothic literary genre. Participants read both classic and popular culture texts featuring characters grappling with death in their seventh grade reading classroom. Observations, interviews, and documents were collected and…

  11. Teaching through Modeling: Four Schools' Experiences in Sustainability Education

    ERIC Educational Resources Information Center

    Higgs, Amy Lyons; McMillan, Victoria M.

    2006-01-01

    In this article, the authors examine how 4 innovative secondary schools model sustainable practices to their students. During school visits, the authors conducted interviews, observed daily life, and reviewed school documents. They found that modeling is a valuable approach to sustainability education, promoting both learning about sustainability…

  12. Engaging Staff in the Development of Distributed Leadership

    ERIC Educational Resources Information Center

    Street, Gary Wayne

    2011-01-01

    During the 2010-11 school-year at Scootney Springs Elementary, an action research project with 8 teachers was initiated to create a culture of distributed leadership in the school building. Throughout phase 1 of the study, we collected data from interviews, surveys, checklists, meeting minutes, observations, and documented discussions with the…

  13. From Knowledge to Practice: A Gifted Educator's Journey

    ERIC Educational Resources Information Center

    Reinhard, Jessica J.

    2016-01-01

    This qualitative case study of a third-year teacher of intermediate students in a self-contained gifted education classroom uncovers the relationship between knowledge of pedagogical practices from national gifted education standards and their transfer to classroom practice. Ethnographic methods of interviews, field observations, lesson documents,…

  14. Teacher-Student Power Relations as a Reflection of Multileveled Intertwined Interactions

    ERIC Educational Resources Information Center

    Wong, Mei-Yee

    2016-01-01

    This paper examines the factors shaping teacher-student power relations, based on observations, interviews and document analysis from a Hong Kong study. It identifies and examines six factors: China's traditional culture of respect, examination-oriented teaching and religious culture were found to encourage imbalanced teacher-student power…

  15. Changes, Challenges, and Opportunities for Student Services at One Baccalaureate Degree-Granting Community College

    ERIC Educational Resources Information Center

    Martinez, Edna

    2018-01-01

    Objective: The objective of this study was to explore organizational changes within the area of student services at one baccalaureate degree-granting community college. Method: Data were collected via in-depth semistructured interviews with faculty and administrators, observations, and organizational documents. Results: Analysis revealed extensive…

  16. Integration of a Professional Dancer into College

    ERIC Educational Resources Information Center

    Pulinkala, Ivan

    2011-01-01

    This paper evaluates the experience of integrating a professional dancer into a collegiate environment using a case study method of qualitative research. Interviews, focus groups, observation studies and document analysis techniques were used to gather qualitative data for this study. The innovation of diffusion theory was used to highlight the…

  17. Multiple Solutions Approach (MSA): Conceptions and Practices of Primary School Teachers in Ghana

    ERIC Educational Resources Information Center

    Nabie, Michael Johnson; Raheem, Kolawole; Agbemaka, John Bijou; Sabtiwu, Rufai

    2016-01-01

    The study explored the curriculum guidelines and primary school teachers' conceptions and practices of the Multiple Solutions Approach (MSA) in teaching mathematics using basic qualitative research design. Informal conversation interviews (ICIs), observations, video and document analyses were used to collect data. Participants included a purposive…

  18. Concerns of the Novice Physical Education Teacher

    ERIC Educational Resources Information Center

    Gordon, Evelyn J.

    2016-01-01

    The purpose of this case study was to examine novice physical education teachers in the first and second year of teaching. Participants included two novice physical education teachers, John in Year 1 and Mark in Year 2. Methodology included observations, semistructured interviews, and documents. Data were analyzed using open coding and constant…

  19. Queens and Teen Zines: Early Adolescent Females Reading Their Way toward Adulthood.

    ERIC Educational Resources Information Center

    Finders, Margaret J.

    1996-01-01

    The reading of teen magazines by middle-class, Euro-American, seventh-grade girls is documented through participant observation, interviews, and collection of written artifacts. The study explores how the girls perceive and construct their emerging social roles and relationships as they enter junior high school. (MMU)

  20. Pedagogical Tools for Peacebuilding Education: Engaging and Empathizing with Diverse Perspectives in Multicultural Elementary Classrooms

    ERIC Educational Resources Information Center

    Parker, Christina

    2016-01-01

    This qualitative study used classroom observations, teacher and student interviews, and document analysis to examine the degree to which peacebuilding dialogue processes were implemented in 3 elementary school classrooms and how diverse students, particularly newcomer immigrants, experienced these pedagogies. The study critically examines how…

  1. Learning through Music Festivals

    ERIC Educational Resources Information Center

    Karlsen, Sidsel

    2009-01-01

    This article explores one particular music festival, the Festspel i Pite Alvdal, as a source of musical learning. It is grounded in the empirical data of a case study that was gathered through observation, a survey, in-depth interviews, documentation and archival records. The theoretical framework was taken from modernity theory, and the study's…

  2. Standardized Test Results: An Opportunity for English Program Improvement

    ERIC Educational Resources Information Center

    Jiménez, Maureyra; Rodríguez, Caroll; Rey Paba, Lourdes

    2017-01-01

    This case study explores the relationship between the results obtained by a group of Industrial Engineering students on a national standardized English test and the impact these results had on language program improvement. The instruments used were interviews, document analysis, observations, surveys, and test results analysis. Findings indicate…

  3. Use of National Parks for Outdoor Environmental Education: An Australian Case Study.

    ERIC Educational Resources Information Center

    Lugg, Alison; Slattery, Deirdre

    2003-01-01

    A study examined the objectives of outdoor education teachers and park staff involved in secondary school visits to Victoria (Australia) national parks. Interviews with teachers and park staff, observations, and document analysis indicate that outdoor education teachers needed training in socially critical environmental education, ecology, and…

  4. Exploring Employee Engagement from the Employee Perspective: Implications for HRD

    ERIC Educational Resources Information Center

    Shuck, M. Brad; Rocco, Tonette S.; Albornoz, Carlos A.

    2011-01-01

    Purpose: The purpose of this paper is to examine an employee's unique experience of being engaged in their work. Design/methodology/approach: Following Yin's case study design method, researchers collected documents, conducted semi-structured interviews and recorded observations at a large multinational service corporation ranked as one of the…

  5. Spousal Abuse among Immigrants from Ethiopia in Israel

    ERIC Educational Resources Information Center

    Kacen, Lea

    2006-01-01

    This ethnographic study obtains first-hand information on spousal abuse from Ethiopian immigrants in Israel. Data include 23 interviews with male and female immigrants of various ages and 10 professionals who worked with this community as well as observations and documents. The findings, verified by participants, show that during cultural…

  6. How Early Childhood Educators Are Initally Integrating Tablet Technology in the Curriculum

    ERIC Educational Resources Information Center

    Leonard, Jessica Alexis

    2013-01-01

    This qualitative research examined how two early childhood educators initially integrated tablet technology in the curriculum through classroom observation, interviews and a review of documentation. The overall question was: how are early childhood educators initially integrating tablet technologies in the curriculum? The researcher also asked…

  7. Excellent Teachers' Thinking Model: Implications for Effective Teaching

    ERIC Educational Resources Information Center

    Hamzah, Sahandri G.; Mohamad, Hapidah; Ghorbani, Mohammad R.

    2008-01-01

    This study aimed to suggest an Excellent Teacher Thinking Model that has the potential to be utilized in the development of excellent teachers. Interaction survey method using survey questions, observation, document review and interview was conducted in this study. One hundred and five excellent teachers were selected randomly as research…

  8. Multilingual Cultural Resources in Child-Headed Families in Uganda

    ERIC Educational Resources Information Center

    Namazzi, Elizabeth; Kendrick, Maureen E.

    2014-01-01

    This article reports on a study focusing on the use of multilingual cultural resources in child-headed households (CHHs) in Uganda's Rakai District. Using funds of knowledge and sociocultural perspectives on children's learning, we documented through ethnographic observations and interviews how children in four CHHs used multilingual cultural…

  9. Rebuilding Attendance Practices with Youth: The Role of Social Mediation

    ERIC Educational Resources Information Center

    Vellos, Renira E.; Vadeboncoeur, Jennifer A.

    2015-01-01

    This article highlights the experiences of students and educators from a larger sociocultural study of participation and engagement at a senior alternative high school programme in British Columbia, Canada. Drawing on participant observation, active interviews and document analysis, school attendance was remediated as a meaningful social practice…

  10. Linguistic Reception of Latin American Students in Catalonia and Their Responses to Educational Language Policies

    ERIC Educational Resources Information Center

    Newman, Michael; Patino-Santos, Adriana; Trenchs-Parera, Mireia

    2013-01-01

    This study explores the connections between language policy implementation in three Barcelona-area secondary schools and the language attitudes and behaviors of Spanish-speaking Latin American newcomers. Data were collected through interviews and ethnographic participant observation document indexes of different forms of language socialization…

  11. Preschool Teachers' Beliefs and Practices Related to Child-Centred Education in Turkey

    ERIC Educational Resources Information Center

    Sak, Ramazan; Tantekin-Erden, Feyza; Morrison, George S.

    2018-01-01

    This study describes the beliefs, self-reported practices and actual practices related to child-centred education of five female preschool teachers in Ankara, Turkey, and assesses the consistency between the participants' beliefs and practices. Data were collected through interviews, classroom observations and document review. The results…

  12. Beliefs and Instructional Practices of Four Community College Remedial Mathematics Instructors

    ERIC Educational Resources Information Center

    Wucherer, Robin M.

    2011-01-01

    In an extension of research linking teachers' beliefs about mathematics and their instructional practices at the Prek-12 level, the present study examined and documented both the beliefs and instructional practices of four community college instructors who teach remedial mathematics. Data was collected through survey, observations, interviews, and…

  13. Examining One High School's Restructuring Efforts within "Garbage Can" Decision Making Theory.

    ERIC Educational Resources Information Center

    Shindler, John V.

    A study examined decision making within one large urban high school's restructuring efforts, using an emergent qualitative case-study design. Data, collected over a 2-year period, included formal and informal interviews, participant and nonparticipant observations, surveys, and documents. Results of data analysis supported matching the…

  14. Learning in the Making: A Comparative Case Study of Three Makerspaces

    ERIC Educational Resources Information Center

    Sheridan, Kimberly M.; Halverson, Erica Rosenfeld; Litts, Breanne K.; Brahms, Lisa; Jacobs-Priebe, Lynette; Owens, Trevor

    2014-01-01

    Through a comparative case study, Sheridan and colleagues explore how makerspaces may function as learning environments. Drawing on field observations, interviews, and analysis of artifacts, videos, and other documents, the authors describe features of three makerspaces and how participants learn and develop through complex design and making…

  15. Children's Emotion and Behavior In Painting Activities

    ERIC Educational Resources Information Center

    Chen, I-Ju

    2013-01-01

    This study adopted various methods such as qualitative research, observation, interviews, and document collection to examine the emotional responses, behavior changes, and counseling effects on a single-parent child in a skipped-generation family before or after a series of painting activities. The participant was asked to take part in 50-minute…

  16. Success Structure for Accelerated Acquisition of English by Young ESL Learners

    ERIC Educational Resources Information Center

    Mohamed, Abdul Rashid; Tumin, Mahani; Omar, Hamzah

    2008-01-01

    This is an investigation into the accelerated acquisition of English among young ESL learners in an International School. It employed an ethnographic case study approach where data were gathered through non-participant observations, unstructured interviews, relevant documents, students' portfolios, field notes and biographical details. The sample…

  17. A Vision of Improvement of Learning: South African Teachers' Conceptions of Classroom Assessment

    ERIC Educational Resources Information Center

    Sethusha, Mantsose Jane

    2013-01-01

    This article explored conceptions that teachers hold about classroom assessment and how these conceptions influence their classroom assessment practices. The qualitative study employed a case study approach. Semi-structured interviews, observations and document analyses were used. The study utilized Brown's (2004) conceptual framework on…

  18. Negotiating the Digital Library: Document Delivery.

    ERIC Educational Resources Information Center

    Jacobs, Neil; Morris, Anne

    1999-01-01

    The eLib-funded FIDDO (Focused Investigation of Document Delivery Options) project provides library managers/others with information to support policy decisions. Senior libraries were interviewed about the future of document delivery and interviews were analyzed with the support of NUD*IST (Nonnumerical Unstructured Data by Indexing, Searching and…

  19. 42 CFR 60.61 - Responsibilities of a HEAL school.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... documentation of the exit interview, including the personal information collected for skiptracing activities... document an entrance interview with each student (individually or in groups) no later than prior to the... loan. The school must inform the loan recipient during the entrance interview of his or her rights and...

  20. Funding Based on Needs? A Study on the Use of Needs Assessment Data by a Major Humanitarian Health Assistance Donor in its Decisions to Allocate Funds

    PubMed Central

    Olin, Emma; von Schreeb, Johan

    2014-01-01

    Background: International humanitarian assistance is essential for disaster-affected populations, particularly in resource scarce settings. To target such assistance, needs assessments are required. According to internationally endorsed principles, donor governments should provide funding for humanitarian assistance based on need. Aim: The aim of this study is to explore a major donor’s use of needs assessment data in decision-making for allocations of funds for health-related humanitarian assistance contributions. Setting: This is a case study of the Swedish International Development Cooperation Agency (Sida), a major and respected international donor of humanitarian assistance. Methods: To explore Sida’s use of needs assessment data in practice for needs-based allocations, we reviewed all decision documents and assessment memoranda for humanitarian assistance contributions for 2012 using content analysis; this was followed by interviews with key personnel at Sida. Results: Our document analysis found that needs assessment data was not systematically included in Sida’s assessment memoranda and decision documents. In the interviews, we observed various descriptions of the concept of needs assessments, the importance of contextual influences as well as previous collaborations with implementing humanitarian assistance organizations. Our findings indicate that policies guiding funding decisions on humanitarian assistance need to be matched with available needs assessment data and that terminologies and concepts have to be clearly defined. Conclusion: Based on the document analysis and the interviews, it is unclear how well Sida used needs assessment data for decisions to allocate funds. However, although our observations show that needs assessments are seldom used in decision making, Sida’s use of needs assessments has improved compared to a previous study. To improve project funds allocations based on needs assessment data, it will be critical to develop distinct frameworks for allocation distributions based on needs assessment and clear definitions, measurements and interpretations of needs. Key words: Needs assessment, humanitarian assistance, disasters, donor decision-making PMID:24894417

  1. Distancing Students from Nature: Science Camp and the Representation of the Human-Nature Relationship

    ERIC Educational Resources Information Center

    Terrill, Laura Anne

    2015-01-01

    This study investigated the curricular representations of the environment and the human-environment relationship at one residential school sponsored science camp. Data gathered included field notes from observational time at the camp, interviews with staff and classroom teachers, and documents from the site's website, guides, manuals, and…

  2. Pedagogical Content Knowledge: A Case Study of ESL Teacher Educator

    ERIC Educational Resources Information Center

    Liu, Siping

    2013-01-01

    This single-case study focuses on the pedagogical content knowledge (PCK) of a university faculty member teaching Second Language Acquisition to elementary teacher candidates. The research questions address the pattern and development of PCK for ESL teaching. Based on data from classroom observation, interviews and document review, the study finds…

  3. The Significance of Materiality in Shaping Institutional Habitus: Exploring Dynamics Preceding School Effects

    ERIC Educational Resources Information Center

    Isling Poromaa, Pär

    2017-01-01

    This article examines the objective possibilities of Swedish schools to offer an equal and functional pedagogical practice for students' acquisition of knowledge and skills. The data consist of policy documents, observations, and interviews with students, teachers, and head teachers in three educational settings distinguished by different social…

  4. Action Research Supporting Students' Oral Language in Northern Canadian Schools: A Professional Development Initiative

    ERIC Educational Resources Information Center

    Peterson, Shelley Stagg

    2012-01-01

    Interview, document, and observational data were used to examine grade K-2 teachers' and literacy coaches' perceptions of the benefits and challenges of collaborative action research as a professional development initiative in rural schools. Eleven teachers and five literacy coaches in five northern Ontario school districts participated in…

  5. The Necessity of ASEAN Community in Producing Pilots

    ERIC Educational Resources Information Center

    Saowaros, Thanoo; Puncreobutr, Vichian

    2016-01-01

    The main objectives of this study are to identify the reasons for the shortage of pilots; the necessity of producing Pilots and the obstacles and problems faced by ASEAN Community in producing pilots. The study is conducted by official documents, observations, in-depth interview from personnel who are working for Airports Authority of Thailand,…

  6. Provision for Learners with Special Educational Needs in Botswana: A Situational Analysis

    ERIC Educational Resources Information Center

    Dart, Gareth

    2007-01-01

    This paper considers the support of children with special educational needs in Botswana. A variety of sources including policy documents, literature, statistical data, interviews with key personnel and observation, are used to analyse the context and delivery of provision. Botswana is a middle-income country that has seen rapid economic expansion…

  7. "Making the Difficult Choice": Understanding Georgia's Test-Based Grade Retention Policy in Reading

    ERIC Educational Resources Information Center

    Huddleston, Andrew P.

    2015-01-01

    The author uses Bourdieu's concepts of field, capital, and habitus to analyze how students, parents, teachers, and administrators are responding to Georgia's test-based grade retention policy in reading at one Georgia elementary school. In this multiple case study, the author interviewed, observed, and collected documents regarding ten fifth…

  8. Teacher Tensions when Adopting a New Approach to Teaching about Photosynthesis

    ERIC Educational Resources Information Center

    Kijkuakul, Sirinapa; Yutakom, Naruemon; Roadrangka, Vantipa

    2008-01-01

    This study examined a Thai biology teacher's creative tensions when she was challenged to adopt a new teaching approach to photosynthesis with her class. The teacher was purposively selected on her need of professional growth. Data from observations and interviews documented the tensions. The data indicated that the biology teacher experienced…

  9. Empathetic and Pro-Social Awareness in Primary School Students: A Case Study

    ERIC Educational Resources Information Center

    Dar, Fatima Rehan

    2016-01-01

    The study addressed a cognitive-affective gap in a primary English curriculum and noticed whether the curriculum, texts and class activities utilized empathetic and pro-social themes in teaching English language. The findings from the document review, interviews and observations revealed that the said themes were underrepresented in the…

  10. Educational Services for Tibetan Students with Disabilities Living in India: A Case Study

    ERIC Educational Resources Information Center

    Barnes, Britany; Gibb, Gordon S.; Ashbaker, Betty Y.; Prater, Mary Anne

    2014-01-01

    This case study describes services for students with disabilities at Karuna Home in Bylakuppe, Karnataka, India, a residential facility established to address the needs of individuals whose parents are primarily Tibetan immigrants. Interview, observation, and document review data collected over three months were used to describe and explain…

  11. Applying the Concept of Trustworthiness to the Evaluation of a Clinical Program.

    ERIC Educational Resources Information Center

    Barzansky, Barbara; And Others

    An attending tutor program designed to increase faculty-student contact within an Obstetrics and Gynecology clerkship was evaluated. Sessions were observed, written documents were reviewed, and faculty and students were interviewed in order to determine if the program was meeting its goals. Based on the evaluation data, the program was…

  12. Measuring the Difficult to Measure: Teaching and Learning with an iPad

    ERIC Educational Resources Information Center

    Hargis, Jace; Cavanaugh, Cathy; Kamali, Tayeb; Soto, Melissa

    2013-01-01

    This study applies a comprehensive set of measures to document teaching practice and instructor responses when integrating new mobile technology devices in the classroom. The triangulated measures include a rubric for observing teaching with mobile learning devices in higher education, an interview protocol for capturing faculty levels of mobile…

  13. Impact of Non-Formal Primary Education Programs: A Case Study of Northern Ghana.

    ERIC Educational Resources Information Center

    Mfum-Mensah, Obed

    A study assessed the impact of the Shepherd School program, a nonformal basic education program in rural northern Ghana implemented by a nongovernmental organization. Data were gathered through observation; document analysis; and interviews with 42 children, parents, community members, chiefs, school staff, NGO members, and assemblymen in 2…

  14. Research Experiences of Staff within a Specialist UK Higher Education Institution: Challenges, Opportunities and Priorities

    ERIC Educational Resources Information Center

    Hemmings, Brian; Hill, Doug; Sharp, John

    2013-01-01

    The study discussed here was based on a collective case approach involving a specialist UK higher education institution. Six individual interviews were carried out with a cross-sectional sample of the institution's staff members. Additional information was gained through observations and examination of relevant documents. These data were…

  15. Preparing Future Teacher Leaders: Lessons from Exemplary School Systems

    ERIC Educational Resources Information Center

    Schrum, Lynne; Levin, Barbara B.

    2013-01-01

    In this paper, we argue that teachers have an opportunity to take on leadership roles in technology-rich schools and districts. Based on data collected during a year-long project to investigate award-winning schools and districts, we used observations, interviews and focus groups, and document analysis to glean lessons learned from leaders and…

  16. The Leadership Practices of the Dean of Combined Arms Academy

    ERIC Educational Resources Information Center

    Tafere, Matebe

    2014-01-01

    This study is on the leadership practices of the dean of Combined Army Academy. The research is a qualitative design. The academic staff members were the participants of the study. Formal and informal conversational interview approaches, personal observation and document analysis were the instruments of the study. Thematic analysis was used for…

  17. Third Culture Kids: Transition and Persistence When Repatriating to Attend University

    ERIC Educational Resources Information Center

    Jennison Smith, Virginia M

    2011-01-01

    Scope and Method of Study. This qualitative study used heuristic phenomenology and involved 20 interviews at 3 different sites, 2 focus groups, formal and informal observations, and the analysis of various artifacts including photos, drawings, and documents. Findings and Conclusions. Third culture kids are a diverse group of individuals who spent…

  18. Factors Underlying Technology Adoption in Academic Libraries in Kuwait

    ERIC Educational Resources Information Center

    Al-Fadhli, Meshal; Corrall, Sheila; Cox, Andrew

    2016-01-01

    The study analyzed factors shaping adoption of technology in academic libraries in Kuwait. The research was based on interviews conducted with library directors, staff, and users, combined with observation and document analysis. A major aspect of the Kuwaiti context was a relative lack of financial restraints and an enthusiasm for technology…

  19. Conflict at Higher Education Institutions: Factors and Solutions for Yemen

    ERIC Educational Resources Information Center

    Muthanna, Abdulghani; Sang, Guoyuan

    2018-01-01

    This is a qualitative case study focusing on reporting the dynamics that cause conflicts between academics and administrators in higher education in Yemen. Drawing upon a critical review of two policy documents, observational research and in-depth interviews with 59 administrators and academics, the article presents the key factors for conflict in…

  20. Improving Low-Performing Schools through External Assistance: Lessons from Chicago and California

    ERIC Educational Resources Information Center

    Finnigan, Kara S.; Bitter, Catherine; O'Day, Jennifer

    2009-01-01

    This article describes the design and implementation of external support to low-performing schools using data from Chicago and California. Using the literature on external support, instructional capacity, and policy strength, the study gathered data from interviews, observations, document review, and surveys. The findings suggest that the model of…

  1. If the Dress Fits, Wear It: Uncovering Meaning in Gender Stereotyping in an Australian Outdoor Education Program.

    ERIC Educational Resources Information Center

    Pinch, Katherine J.

    A study examined gender stereotyping in an outdoor adventure education program. Observations, interviews, and document reviews involving 138 adolescent students from 8 schools attending a residential outdoor education center in Queensland (Australia) found the following gender stereotypes: boys are physically stronger than girls; boys are…

  2. Restaurants as Learning Organizations: A Multiple-Site Case Study of U.S. Non-Chain Restaurants

    ERIC Educational Resources Information Center

    Boccia, Mark

    2016-01-01

    This study investigated the construct of the learning organization in the restaurant industry. Descriptive accounts of learning were gleaned from face-to-face interviews, focus groups, observations, document analysis, and data from the Dimensions of the Learning Organization Questionnaire (DLOQ) from 52 participants employed in three US…

  3. Dual Language Teachers' Use of Conventional, Environmental, and Personal Resources to Support Academic Language Development

    ERIC Educational Resources Information Center

    Lucero, Audrey

    2015-01-01

    This article reports findings from a study that investigated the ways in which first-grade dual language teachers drew on various resources to instructionally support academic language development among Spanish-English emergent bilingual students. Classroom observations, semistructured interviews, and document collection were conducted over a…

  4. Exploring a Paperless Business Administrative System (BAS) Implementation in a K-12 School

    ERIC Educational Resources Information Center

    Issa, Marwan M.

    2011-01-01

    The primary purpose of this qualitative study was to investigate how a paperless BAS can affect the overall performance of a school's administrative activities. The research included direct observation, survey questionnaires, document review, and both structured and unstructured interviews. The selected school, a K-12 charter school, was an ideal…

  5. Negotiating Control and Protecting the Private: History Teachers and the Virginia Standards of Learning.

    ERIC Educational Resources Information Center

    Smith, Ann Marie

    This study investigated what Virginia high school social studies teachers thought about the new Standards of Learning (SOL) mandates. The grounded theory ethnographic study collected data through interviews with five teachers, observations of social studies department meetings and classes, and school system and SOL program documents. Findings show…

  6. Islamic View of Environmental Conservation Education in Pondok Pesantren Nurul Haramain Lombok Barat-Indonesia

    ERIC Educational Resources Information Center

    Efendi, M. Harja; Irawati, Mimien Henie; Rohman, Fatchur; Gofur, Abdul

    2017-01-01

    This study aims to reveal environmental conservation education based on aspects of Islamic values. The method was qualitative (phenomenology at existing models). This study at Nurul Haramain Islamic Boarding School ("Pesantren"). The data were collected using in-depth interview, the documents study, and participatory observation.…

  7. A Case Study of a Community-Based Transition Education Project.

    ERIC Educational Resources Information Center

    Lake, John; Williamson, John

    Evaluation of a 3-year transition education program at the Pingelly School in Western Australia used data from 29 students and staff interviews, direct observation, and document analysis to compare 4 projects established to improve the employability of students (in particular, Aboriginal students and girls who were at highest risk of being early…

  8. A Chinese EFL Teacher's Classroom Assessment Practices

    ERIC Educational Resources Information Center

    Wang, Xiaoying

    2017-01-01

    This article reports on a case study of how an experienced EFL teacher assessed her students in her oral English course at a university in China. Data were collected over one semester through document analysis, classroom observation and recording, interviews, and student journals. Analysis revealed that the teacher assessed her students through…

  9. A Comparison of the Pedagogical Practices of Mathematics Education for Young Children in England and South Korea

    ERIC Educational Resources Information Center

    Siraj-Blatchford, Iram; Nah, Kwi-Ok

    2014-01-01

    The pedagogical practices of mathematics education for young children in English and Korean pre-schools were compared through analyses of interviews with practitioners, observations of classroom activities and an examination of documents related to the planning and implementation of mathematics education. Practitioners in both countries used…

  10. What Makes Hotel Expatriates Remain in Their Overseas Assignments: A Grounded Theory Study

    ERIC Educational Resources Information Center

    Ho, Zoe Ju-Yu

    2012-01-01

    In this study the researcher uses a qualitative research design to discover what makes hotel expatriates remain in their overseas assignments. In-depth interviews, participant observations, and personal documents are used as data collection methods. Four hotel expatriates are recruited as participants of the study. The collected interview…

  11. Rehabilitative Learning: Education during Pscyhiatric Hospitalization

    ERIC Educational Resources Information Center

    Shaked, Haim

    2014-01-01

    This article presents a case study of a school designed for youth hospitalized for mental disorders, aiming to reveal the educational approach of such a school, a topic on which nothing has been written so far. The study, which lasted a year, employed qualitative techniques: observations, document collection and interviews. The study has found…

  12. The Successes and Struggles of Closing a Facility-Based Employment Service.

    ERIC Educational Resources Information Center

    Butterworth, John; Fesko, Sheila Lynch

    1999-01-01

    This brief paper reports on an evaluation of 10 community rehabilitation providers, six that successfully closed a facility-based program between 1989 and 1994, and four who are currently involved in a change process. Data collection consisted of participant observation, in-depth interviews, and document analysis. Findings indicated: (1)…

  13. Syllabus of Vocational High School Based on ESP Approach

    ERIC Educational Resources Information Center

    Dewi, Sri Utami

    2015-01-01

    This study is designed as a case study and concerned on qualitative data, which reflected what actually happened in the area. The principal, the English teachers and students are placed as the key informants. The data is gained from the informants by applying in depth interview, questionnaire, documentation and observation. The data are analyzed…

  14. A Naturalistic Inquiry of a Distance Learning University TESOL Program for In-Service Teachers

    ERIC Educational Resources Information Center

    Summers-Rocha, Lonna

    2015-01-01

    In this naturalistic inquiry, I explore a professional development program which provided Teaching English to Speakers of Other Languages (TESOL) graduate coursework from a university in Northeast Kansas to in-service teachers in Southwest Kansas through distance learning. Data sources included interviews, participant observation, and document and…

  15. Cultural Competence, Educators, and Military Families: Understanding the Military in a Department of Defense Dependent's School

    ERIC Educational Resources Information Center

    Keegan, Danette; Hyle, Adrienne E.; Sanders, Vicki

    2004-01-01

    Military members have a strong cultural identity, one that distinguishes them from civilians. This qualitative study sought to identify the cultural competencies needed for educators to better understand an American military constituency. Data were obtained through semistructured interviews, collection of documents, and observations of public…

  16. The Philosophies, Contents and Pedagogies of Environmental Education Programs in 10 Israeli Elementary Schools

    ERIC Educational Resources Information Center

    Tal, Tali; Peled, Einat

    2017-01-01

    In this study, our aim was to understand how environmental education has been implemented in Israeli elementary schools. We selected ten schools that had implemented Education for Sustainability programs and analyzed their mission statements and curriculum documents. We observed each school's activities and interviewed teachers. Our analysis shows…

  17. "This Education is Not for Our Students": Responses of Mexican Educators to Globalising Education Policies and Practices

    ERIC Educational Resources Information Center

    Amanti, Cathy

    2017-01-01

    This article explores the relationship between travelling education policies and a 2008 Mexican high-school reform from the perspective of Mexican educators. Using an ethnographic approach, consisting of interviews, classroom and community observations, and document analysis, study findings show that the educators participating in this study…

  18. An Analysis of the Quality Assurance Policies in a Ghanian University

    ERIC Educational Resources Information Center

    Seniwoliba, Joseph Attiah; Yakubu, Richard Nalarb

    2015-01-01

    The study examined the implementation challenges of quality assurance in public universities in Ghana with a focus on University for Development Studies (UDS). The study adopted a qualitative case study design. The data for the study was collected through in-depth interviews, document analysis and participants observation. The study revealed that…

  19. Promoting Social Norms for Scientific Discourse: Planning Decisions of an Urban Elementary Teacher

    ERIC Educational Resources Information Center

    Mangiante, Elaine Silva

    2015-01-01

    This case study examined planning decisions made and challenges faced by an elementary teacher in a high-poverty urban district to promote students' adoption of social norms of interaction for scientific discourse. Through interviews, document analyses, and observations during a science unit, the findings indicated that the teacher's planning…

  20. Increasing Urban Students' Engagement with School: Toward the Expeditionary Learning Model

    ERIC Educational Resources Information Center

    Ikpeze, Chinwe

    2013-01-01

    This paper documents the findings of a case study of one K-10 urban expeditionary learning (EL) school. Drawing on theoretical perspectives consistent with the sociocultural theory, data were collected from a variety of sources that included a survey, interviews, field notes from classroom observations and other school activities. Thematic…

  1. Catholic School Principals' Leadership Perspectives in Lebanon: A Case Study of Mount Lebanon

    ERIC Educational Resources Information Center

    Younes, Jean Eias

    2011-01-01

    This qualitative case study investigated the leadership perspectives of 13 Lebanese Catholic school principals and 4 educational leaders in the Governorate of Mount Lebanon via personal interviews, observations, and documents. It focused on whether Catholic school principals are able to act as revolutionary or transformational change agents to…

  2. The implementation of portfolio assessment by the educators on the mathematics learning process in senior high school

    NASA Astrophysics Data System (ADS)

    Lestariani, Ida; Sujadi, Imam; Pramudya, Ikrar

    2018-05-01

    Portfolio assessment can shows the development of the ability of learners in a period through the work so that can be seen progress monitored learning of each learner. The purpose of research to describe and know the implementation of portfolio assessment on the mathematics learning process with the Senior High school math teacher class X as the subject because of the importance of applying the assessment for the progress of learning outcomes of learners. This research includes descriptive qualitative research type. Techniques of data collecting is done by observation method, interview and documentation. Data collection then validated using triangulation technique that is observation technique, interview and documentation. Data analysis technique is done by data reduction, data presentation and conclusion. The results showed that the steps taken by teachers in applying portfolio assessment obtained focused on learning outcomes. Student learning outcomes include homework and daily tests. Based on the results of research can be concluded that the implementation of portfolio assessment is the form of learning results are scored. Teachers have not yet implemented other portfolio assessment techniques such as student work.

  3. Vital sign documentation in electronic records: The development of workarounds.

    PubMed

    Stevenson, Jean E; Israelsson, Johan; Nilsson, Gunilla; Petersson, Goran; Bath, Peter A

    2018-06-01

    Workarounds are commonplace in healthcare settings. An increase in the use of electronic health records has led to an escalation of workarounds as healthcare professionals cope with systems which are inadequate for their needs. Closely related to this, the documentation of vital signs in electronic health records has been problematic. The accuracy and completeness of vital sign documentation has a direct impact on the recognition of deterioration in a patient's condition. We examined workflow processes to identify workarounds related to vital signs in a 372-bed hospital in Sweden. In three clinical areas, a qualitative study was performed with data collected during observations and interviews and analysed through thematic content analysis. We identified paper workarounds in the form of handwritten notes and a total of eight pre-printed paper observation charts. Our results suggested that nurses created workarounds to allow a smooth workflow and ensure patients safety.

  4. Development of Souvenir Production Transaction Processing System

    NASA Astrophysics Data System (ADS)

    Rumambi, H.; Kaparang, R.; Lintong, J.

    2018-01-01

    This research aims to design a souvenir production transaction processing system for the craftsmen in North Sulawesi. The craftsmen make very simple recordings about souvenir production transactions and use documents that are not in accordance with the generally accepted accounting practices. This research uses qualitative method. The data is collected through interviews, observations, documents and literatures studies. The research stages are conducted in preliminary studies, data collection, data analyzed and system design. The design of system is built from chart of account, accounting cycle and documents as input and get processed in accounting recording. The outputs are financial statements. The system design provides benefits for the craftsmen in assessing the financial performance and getting financing from bank.

  5. Changes in One Teacher's Proportional Reasoning Instruction after Participating in a CGI Professional Development Workshop

    ERIC Educational Resources Information Center

    de la Cruz, Jessica A.

    2016-01-01

    This study examined how one teacher used research-based knowledge of how adolescents think about proportions. Observations, interviews, document collection, and a workshop intervention were utilized. The design of the workshop was inspired by the cognitively guided instruction studies and its purpose was to explore the research findings on…

  6. Beyond Academic and Social Integration: Understanding the Impact of a STEM Enrichment Program on the Retention and Degree Attainment of Underrepresented Students

    ERIC Educational Resources Information Center

    Lane, Tonisha B.

    2016-01-01

    The current study used a case study methodological approach, including document analysis, semistructured interviews, and participant observations, to investigate how a science, technology, engineering, and mathematics (STEM) enrichment program supported retention and degree attainment of underrepresented students at a large, public, predominantly…

  7. Dominicanas entre La Gran Manzana y Quisqueya: Family, Schooling, and Language Learning in a Transnational Context

    ERIC Educational Resources Information Center

    Rodriguez, Tracy

    2009-01-01

    Drawing from a one-year qualitative research study, this article explores the transnational lives and experiences of three young women and their little sisters in New York with close ties to the Dominican Republic. Using ethnographic research methods--life history interviews, focus groups, participant observation, and document analysis, I examine…

  8. Highway to Reform: The Coupling of District Reading Policy and Instructional Practice

    ERIC Educational Resources Information Center

    Woulfin, Sarah L.

    2015-01-01

    This article presents findings on teachers' implementation of a reading reform in an urban school district. Findings are based in observation, interview, and document data related to 12 elementary teachers' responses to a new reading program, the Teachers College Reading and Writing Workshop. Utilizing coupling theory and the concept of routines,…

  9. Senior Surfing: Computer Use, Aging, and Formal Training

    ERIC Educational Resources Information Center

    Warren-Peace, Paula; Parrish, Elaine; Peace, C. Brian; Xu, Jianzhong

    2008-01-01

    In this article, we describe data from two case studies of seniors (one younger senior and one older senior) in learning to use computers. The study combined interviews, observations, and documents to take a close look at their experiences with computers, as well as the influences of aging and computer training on their experiences. The study…

  10. Factors that Facilitated an Alabama School Assistance Team's Success in a Low-Performing School

    ERIC Educational Resources Information Center

    Roy, Virginia; Kochan, Frances

    2012-01-01

    This study investigated the perceived factors that enabled an Alabama School Assistance Team (ASAT) to be effective in helping improve a low performing school. A case study was conducted with the ASATs and the Local Education Agency (LEA) site they served. Data were collected from interviews, documents and observations. The perceptions explored in…

  11. Rethinking the Scope of Environmental Injustice: Perceptions of Health Hazards in a Rural Native American Community Exposed to Carbon Black

    ERIC Educational Resources Information Center

    Shriver, Thomas E.; Webb, Gary R.

    2009-01-01

    We use in-depth interviews, participant observation, and document analysis to examine perceptions of environmental health and justice among Native Americans in a rural Oklahoma community. Residents live near the Continental Carbon Company, which manufactures a rubber compound know as "carbon black." Ponca tribal members believe their…

  12. Perspectives of Teachers and Parents of Chinese American Students with Disabilities about Their Home-School Communication

    ERIC Educational Resources Information Center

    Chu, Szu-Yin

    2014-01-01

    This exploratory qualitative study aimed to examine the perspectives of teachers and parents of Chinese American students with disabilities regarding home-school communication in the special education field. The author recruited 2 parents and 2 teachers for this study. Different sources of data including observations, interviews, documentations,…

  13. Identities, Intentionality and Institutional Fit: Perceptions of Senior Women Administrators at Liberal Arts Colleges in the Upper Midwestern Usa

    ERIC Educational Resources Information Center

    Enke, Kathryn A. E.

    2014-01-01

    This qualitative study engaged women senior administrators at liberal arts colleges in the Upper Midwestern USA to better understand how their intersecting identities mediate their enacted leadership. Data were collected from eight participants via a questionnaire, document review, one-on-one interviews and observations. Positionality theory…

  14. The Politics of Special Education Policy in Charter School Legislation: Lessons from Pennsylvania.

    ERIC Educational Resources Information Center

    Dale, Richard E.

    This study explored how and why special education policy issues were treated as they were in the formulation of Pennsylvania's charter school law, Act 22 of 1997. The qualitative study utilized formal and informal interviews of state policymakers, review of documents, review of archival records, and participant observation. Findings indicated a…

  15. Preschool Caregiver Perceptions of the Effect of Gender on Literacy Skills

    ERIC Educational Resources Information Center

    Moore, Jenifer; Yin, Lishu; Weaver, Tandi; Lydell, Peggie; Logan, Suzette

    2007-01-01

    The purpose of this study was to examine preschool caregivers' perceptions of the effect of gender on literacy skills. The five caregivers selected for the study were all female and full-time employees of the preschool. Case studies (including interviews, observations, and documentation) of each of the caregivers were conducted to examine their…

  16. Issues of Human Security and Educational Development in the Niger Delta Region of Nigeria

    ERIC Educational Resources Information Center

    Ololube, Nwachukwu Prince; Kpolovie, Peter James; Amaele, Samuel

    2013-01-01

    Drawing from documents, observation, interview and questionnaire, we highlighted the role of issues of human security and its impact on the educational development of the Niger Delta region as well as means of enhancing human security in Nigeria. This article is a conceptual and methodological breakthrough in Nigeria's academic landscape where…

  17. Pedagogical Ethical Dilemmas in a Responsive Evaluation of a Leadership Program for Youth

    ERIC Educational Resources Information Center

    Freeman, Melissa; Preissle, Judith

    2010-01-01

    How do responsive evaluators provide input to program planners when competing ethical principles point to different choices of effective feedback? A team of three evaluators used participant observation, individual and focus group interviews, and analysis of documents to provide input on the development and outcome of a summer program for high…

  18. The Implementation and Evaluation of an Instructional Design Based on the Interdisciplinary Approach: Conscious Consumer Education

    ERIC Educational Resources Information Center

    Karakus, Memet; Uyar, Melis Yesilpinar

    2018-01-01

    The aim of this study was to implement and evaluate the instructional design prepared as consumer-oriented and based upon interdisciplinary curriculum. In this study, case study approach, which is one of the qualitative research patterns, was employed. Observations, interviews and document analysis were used to collect data. For analyzing the…

  19. A Psychologist's View of Teacher Aide Training at Seattle Community College.

    ERIC Educational Resources Information Center

    Lunneborg, Patricia W.

    This document is an evaluation of a New Careers elementary teacher aide program offered by the Family Life Department of Seattle Community College and funded by the Office of Economic Opportunity. Based on classroom observations, interviews with instructors and students, and the guidelines laid down by Pearl and Riessman in New Careers for the…

  20. A Barking Dog That Never Bites? The British Sign Language (Scotland) Bill

    ERIC Educational Resources Information Center

    De Meulder, Maartje

    2015-01-01

    This article describes and analyses the pathway to the British Sign Language (Scotland) Bill and the strategies used to reach it. Data collection has been done by means of interviews with key players, analysis of official documents, and participant observation. The article discusses the bill in relation to the Gaelic Language (Scotland) Act 2005…

  1. Assessing School Council Contribution to the Enabling Conditions for Instructional Capacity Building: "An Urban District in Kentucky"

    ERIC Educational Resources Information Center

    Talley, Wade Kenneth; Keedy, John L.

    2006-01-01

    This study identified the enabling conditions related to building instructional capacity created by the councils in three high-performance schools in an urban district. The authors collected the data through observation, interview, and document mining. School-level data were sorted inductively into themes through constant comparative analysis.…

  2. Message in a Model: Teachers' Responses to a Court-Ordered Mandate for Curriculum Reform

    ERIC Educational Resources Information Center

    Ryan, Sharon

    2004-01-01

    This article reports the findings of a qualitative case study of two preschool teachers and their responses to a court-ordered mandate to use the High/Scope curriculum model. Analysis of the data record, which included interviews, observations, and documents, reveal that despite a framework for action, both teachers remained confused about their…

  3. "Let His Voice Be Heard": A Community's Response to Inclusion of an Indigenous Counter-Narrative in the District Curriculum

    ERIC Educational Resources Information Center

    McCarthy, Glenda; Stanton, Christine Rogers

    2017-01-01

    Curricular counter-narratives can affirm the experiences of marginalized youth, but, given their complexity and unfamiliarity, they can also generate discord between community members. This case study analyzes documents, observations, and interviews to explore ways an Indigenous counter-narrative can create space for multicultural education within…

  4. Duet or Duel? A Portrait of Two Logics of Reading Instruction in an Urban School District

    ERIC Educational Resources Information Center

    Woulfin, Sarah L.

    2016-01-01

    This article presents findings on the institutional logics of reading instruction in an urban school district, portraying how district leaders and coaches enacted two logics. Findings are grounded in observation, interview, and document data on district leaders and literacy coaches from a 13-month period. Using neoinstitutional theory, this…

  5. Perceptions of Co-Teaching: Closing the Achievement Gap between English Language Learners and Their English Monolingual Peers

    ERIC Educational Resources Information Center

    Ford-DeWaters, Carrie

    2017-01-01

    This qualitative exploratory single case research study used observations, semi-structured interviews, and document analysis to explore co-teachers' perceptions of the implementation of a co-teaching instructional model in elementary school general education classrooms with clusters of English learners (EL) in attendance. A total of four…

  6. Linking the Nature of Secondary School Students Who Are Highly Artistic with Curriculum Needs and Instructional Practice

    ERIC Educational Resources Information Center

    Visconti, Victoria

    2012-01-01

    This exploratory qualitative investigation examined the nature of 7 secondary school students who are highly artistic to link visual arts programs that best accommodate their learning needs. Instrumentation for data collection included 1 questionnaire, 3 in-depth semistructured one-on-one interviews, artwork documents, observations, and field…

  7. Lessons Learned from Secondary Schools Using Technology for School Improvement: It's Just Not That Simple!

    ERIC Educational Resources Information Center

    Levin, Barbara B.; Schrum, Lynne

    2014-01-01

    The purpose of this article is to describe lessons learned from studying the leadership in eight award-winning secondary schools and districts that were recognized for successfully leveraging technology as part of their efforts for school improvement. Data were collected through observations, interviews, and document analysis in schools and…

  8. Social Constructivism and Education Identity beyond Assimilation Vestiges: A Teacher's Latina Identity in a Middle School English as a Second Language Classroom

    ERIC Educational Resources Information Center

    Úbeda, Edwin R.

    2017-01-01

    This case study highlights the social-cultural relevant pedagogical impact a bilingual teacher has on the middle school ESL classroom through her Latina identity and lived experiences. Data gathering occurred over six months through the principal participant's in-depth interviews, classrooms observations, and document analysis of classroom…

  9. Actual and Ideal Decision-Making Processes Utilized in Senior High Schools That Individualize Instruction. Technical Report No. 460.

    ERIC Educational Resources Information Center

    Watkins, Arthur Noel

    The purpose of this study was to identify and describe the decision-making processes in senior high schools that were implementing programs of individualized schooling. Field methodology, including interviews, observations, and analysis of documents, was used to gather data in six senior high schools of varying size located throughout the country,…

  10. An Empirical Study of a District Wide K-2 Performance Assessment Program: Teacher Practices, Information Gained, and Use of Assessment Results.

    ERIC Educational Resources Information Center

    Lanting, Ashley

    This study used a qualitative research methodology to examine how four primary teachers used a district literacy performance assessment. Data were collected through observations, interviews, and documents. Grounded theory and NUD*IST software were used for text analysis and theory building. Findings show that a theory-grounded teacher-empowered…

  11. The Philosophy and Practice of Training and Development: The Case of the Jordanian Electricity Sector

    ERIC Educational Resources Information Center

    Ensour, Waed Abdel Razzaq; Kharabsheh, Radwan Alyan

    2015-01-01

    This study aimed to gain an understanding of training and development (T&D) as a philosophy and practice in Jordanian electricity companies and to explore factors that shape T&D. Data were gathered through in-depth interviews, observation and document analysis. Results indicate that T&D was interpreted in terms of learning, was…

  12. Public-Private Policy Change and Its Influence on the Linkage of Agricultural Research, Extension and Farmers in Iran

    ERIC Educational Resources Information Center

    Karamidehkordi, Esmail

    2013-01-01

    Purpose: This article aims to show the linkage of Iranian agricultural research centres with extension and farmers, using three case studies in 1999, 2005 and 2010. Design/methodology/approach: The data were collected through document analyses, structured and semi-structured interviews and observations. Findings: The 1999 and 2005 cases were…

  13. A Case Study of a Turnaround High School: An Examination of the Maryland State Department of Education Breakthrough Center Intervention

    ERIC Educational Resources Information Center

    Galindo, Claudia; Stein, Kathleen; Schaffer, Eugene

    2016-01-01

    This study examined the Maryland State Department of Education Breakthrough Center (BTC) engagement in a Baltimore City turnaround high school. Utilizing a case-study design and mixed-methods research, data were collected through interviews, informal observations, and review of administrative and achievement documents. Beginning in the 2011-2012…

  14. An Important Stage of Life-Long Learning: Adult Literacy and Benefits (Sampling of Kayseri in Turkey)

    ERIC Educational Resources Information Center

    Göçer, Ali

    2016-01-01

    The purpose of this research is to provide an overview of adult literacy within the framework of lifelong learning in Turkey. Triangulation technique is applied with the approach of qualitative research, and within this framework, document review, interviews and observations were made. The research was carried out in a workgroup. These working…

  15. From Hierarchy to Pluralism in American High Schools: Changing Patterns in Status Distinctions and Racial Segregation.

    ERIC Educational Resources Information Center

    Comas, Jordi, R.; Milner, Murray, Jr.

    Previous research on high school status consistently found a status structure characterized by extensive ranking and group salience. This case study, using observations and interviews, documents the emergence of a new pattern: status pluralism. The study was conducted in a medium-sized urban high school of about 1,000 students, who were nearly…

  16. "You Who Have Been to School, What Have You Become?": An Ethnographic Study of University Life in Benin

    ERIC Educational Resources Information Center

    Hessling O'Neil, Marcy

    2012-01-01

    This dissertation examines the relationship between higher education and social mobility among students and their families in Benin, West Africa. In this study I draw on ethnographic research conducted at the public University of Abomey-Calavi in Cotonou, Benin in 2010. I utilize interviews, historical documents, and participant observation to…

  17. HyperCard as a Text Analysis Tool for the Qualitative Researcher.

    ERIC Educational Resources Information Center

    Handler, Marianne G.; Turner, Sandra V.

    HyperCard is a general-purpose program for the Macintosh computer that allows multiple ways of viewing and accessing a large body of information. Two ways in which HyperCard can be used as a research tool are illustrated. One way is to organize and analyze qualitative data from observations, interviews, surveys, and other documents. The other way…

  18. Identifying Structural Changes from Within: Emancipatory Narratives Exploring Community Constraints to Women's Education and Empowerment in Rural India

    ERIC Educational Resources Information Center

    Baily, Supriya

    2015-01-01

    Using a critical theory framework, the article explores emancipatory narratives obtained through a case study of women in rural India. In-depth interviews, focus group conversations, observations, and document analysis highlight the complexity of the subsequent set of challenges facing women as it relates to both the education and empowerment for…

  19. Media Literacy, News Literacy, or News Appreciation? A Case Study of the News Literacy Program at Stony Brook University

    ERIC Educational Resources Information Center

    Fleming, Jennifer

    2014-01-01

    This case study provides practical and theoretical insights into the Stony Brook news literacy program, which is one of the most ambitious and well-funded curricular experiments in modern journalism education and media literacy. Analysis of document, interview, and observation data indicates that news literacy educators sought to teach students…

  20. A Case Study to Examine Student Retention at a Less Selective University with a High Rate of Retention

    ERIC Educational Resources Information Center

    Palmisano, Victoria M.

    2012-01-01

    This case study sheds light on successful matriculation practices which emerge from the combination of institutional efforts and student needs. In order to discern successful matriculation data was collected in the form of interviews, observations, and documents at a less selective college with a high rate of retention. Mortimer Adler College…

  1. Central American Refugees and U.S. High Schools. A Psychosocial Study of Motivation and Achievement.

    ERIC Educational Resources Information Center

    Suarez-Orozco, Marcelo M.

    This ethnographic study documents and interprets key school, work, and family life issues in the lives and experiences of a sampling of recent immigrants from the war-torn Central American nations; and suggests a psychocultural theory of achievement motivation. Information was gathered from observation in two urban high schools, interviews with 50…

  2. An Analysis of a Subject Department in an English Secondary School Using the Collaborative Practice Analytical Framework

    ERIC Educational Resources Information Center

    James, Christopher; Goodhew, Carolyn

    2011-01-01

    This article reports the outcomes of research into the nature of and influences on collective working in an English secondary school. A design and technology department was studied over a 13-month period. Data collection was by interviews, observations and document scrutiny. The findings were analysed using collaborative practice (CP) analytical…

  3. The Current State of Arts Education in Iran: A Case Study in Two Elementary Schools Using Educational Criticism

    ERIC Educational Resources Information Center

    Nouri, Ali; Farsi, Soheila

    2018-01-01

    The central aim of this study is to evaluate the effectiveness of the recently revised elementary curriculum for arts education in Iran. The study employed an educational criticism method and was conducted in two elementary schools. Data were collected by observation, semi-structured interviews and curriculum documents over a four-month period.…

  4. Effects of Information Access Cost and Accountability on Medical Residents' Information Retrieval Strategy and Performance During Prehandover Preparation: Evidence From Interview and Simulation Study.

    PubMed

    Yang, X Jessie; Wickens, Christopher D; Park, Taezoon; Fong, Liesel; Siah, Kewin T H

    2015-12-01

    We aimed to examine the effects of information access cost and accountability on medical residents' information retrieval strategy and performance during prehandover preparation. Prior studies observing doctors' prehandover practices witnessed the use of memory-intensive strategies when retrieving patient information. These strategies impose potential threats to patient safety as human memory is prone to errors. Of interest in this work are the underlying determinants of information retrieval strategy and the potential impacts on medical residents' information preparation performance. A two-step research approach was adopted, consisting of semistructured interviews with 21 medical residents and a simulation-based experiment with 32 medical residents. The semistructured interviews revealed that a substantial portion of medical residents (38%) relied largely on memory for preparing handover information. The simulation-based experiment showed that higher information access cost reduced information access attempts and access duration on patient documents and harmed information preparation performance. Higher accountability led to marginally longer access to patient documents. It is important to understand the underlying determinants of medical residents' information retrieval strategy and performance during prehandover preparation. We noted the criticality of easy access to patient documents in prehandover preparation. In addition, accountability marginally influenced medical residents' information retrieval strategy. Findings from this research suggested that the cost of accessing information sources should be minimized in developing handover preparation tools. © 2015, Human Factors and Ergonomics Society.

  5. Improving health care proxy documentation using a web-based interview through a patient portal

    PubMed Central

    Crotty, Bradley H; Kowaloff, Hollis B; Safran, Charles; Slack, Warner V

    2016-01-01

    Objective Health care proxy (HCP) documentation is suboptimal. To improve rates of proxy selection and documentation, we sought to develop and evaluate a web-based interview to guide patients in their selection, and to capture their choices in their electronic health record (EHR). Methods We developed and implemented a HCP interview within the patient portal of a large academic health system. We analyzed the experience, together with demographic and clinical factors, of the first 200 patients who used the portal to complete the interview. We invited users to comment about their experience and analyzed their comments using established qualitative methods. Results From January 20, 2015 to March 13, 2015, 139 of the 200 patients who completed the interview submitted their HCP information for their clinician to review in the EHR. These patients had a median age of 57 years (Inter Quartile Range (IQR) 45–67) and most were healthy. The 99 patients who did not previously have HCP information in their EHR were more likely to complete and then submit their information than the 101 patients who previously had a proxy in their health record (odds ratio 2.4, P = .005). Qualitative analysis identified several ways in which the portal-based interview reminded, encouraged, and facilitated patients to complete their HCP. Conclusions Patients found our online interview convenient and helpful in facilitating selection and documentation of an HCP. Our study demonstrates that a web-based interview to collect and share a patient’s HCP information is both feasible and useful. PMID:26568608

  6. Investigating How Nontraditional Elementary Pre-service Teachers Negotiate the Teaching of Science

    NASA Astrophysics Data System (ADS)

    Shelton, Mythianne

    This qualitative study was designed to investigate the influences on nontraditional preservice teachers as they negotiated the teaching of science in elementary school. Based upon a sociocultural theoretical framework with an identity-in-practice lens, these influences included beliefs about science teaching, life experiences, and the impact of the teacher preparation program. The study sample consisted of two nontraditional preservice teachers who were student teaching in an elementary classroom. Data, collected over a five-month period, included in-depth individual interviews, classroom observations, audio recordings, and reviews of documentations. Interviews focused on the participants' beliefs relating to the teaching of science, prior experiences, and their teacher preparation program experiences relating to the teaching of science. Classroom observations provided additional insights into the classroom setting, participants' teaching strategies, and participants' interactions with the students and cooperating teacher. A whole-text analysis of the interview transcripts, observational field notes, audio recordings and documents generated eight major categories: beliefs about science teaching, role of family, teaching science in the classroom, teacher identity, non-teacher identity, relationships with others, discourses of classroom teaching, and discourses of teachers. The following significant findings emerged from the data: (a) the identity of nontraditional student teachers as science teachers related to early life experiences in science classes; (b) the identity of nontraditional student teachers as science teachers was influenced by their role as parents; (c) nontraditional student teachers learned strategies that supported their beliefs about inquiry learning; and (d) nontraditional student teachers valued the teacher preparation program support system. The results from this qualitative study suggest that sociocultural theory with an identity-in-practice lens provides a theoretical framework for understanding the influences that affect why nontraditional preservice teachers select strategies to teach science in the elementary classroom.

  7. Challenges for Nurses Caring for Patients With Peripherally Inserted Central Catheters in Skilled Nursing Facilities

    PubMed Central

    Harrod, Molly; Montoya, Ana; Mody, Lona; McGuirk, Helen; Winter, Suzanne; Chopra, Vineet

    2016-01-01

    Objectives To understand frontline nurses’ (registered nurses and licensed practical nurses), unit nurse managers’ and skilled nursing facility (SNF) administrators’ perceived preparedness in providing care for patients with peripherally inserted central catheters (PICCs) in SNFs. Design An exploratory, qualitative pilot study. Setting Two community based SNFs. Participants Patients, frontline nurses (registered nurses and licensed practical nurses), unit nurse managers and SNF administrators. Methods Over 36-weeks, we observed and conducted informal interviews with 56 patients with PICCs and their nurses focusing on PICC care practices and documentation. In addition, we collected baseline PICC data including placement indication (e.g., antimicrobial administration), placement setting (hospital vs. SNF), and dwell time. We then conducted focus groups with frontline nurses and unit nurse managers and semi-structured interviews with SNF administrators to evaluate perceived preparedness for PICC care. Data were analyzed using a descriptive analysis approach. Results During weekly informal interviews and observations variations in documentation were observed. Differences between patient-reported PICC concerns (quality-of-life) and those described by frontline nurses were noted. Deficiencies in communication between hospitals and SNFs with respect to device care, date of last dressing change and PICC removal time were also noted. During focus group sessions, perceived inadequacy of information at the time of care transitions, limited availability of resources to care for PICCs and gaps in training and education were highlighted as barriers in improving practice and safety. Conclusion Our study suggests that practices for PICC care in SNFs can be improved. Multimodal strategies that enhance staff education, improve information exchange during care transitions and increase resource availability in SNFs appear necessary to enhance PICC care and patient safety. PMID:27603747

  8. Challenges for Nurses Caring for Individuals with Peripherally Inserted Central Catheters in Skilled Nursing Facilities.

    PubMed

    Harrod, Molly; Montoya, Ana; Mody, Lona; McGuirk, Helen; Winter, Suzanne; Chopra, Vineet

    2016-10-01

    To understand the perceived preparedness of frontline nurses (registered nurses (RNs), licensed practical nurses (LPNs)), unit nurse managers, and skilled nursing facility (SNF) administrators in providing care for residents with peripherally inserted central catheters (PICCs) in SNFs. Exploratory, qualitative pilot study. Two community based SNFs. Residents with PICCs, frontline nurses (RNs, LPNs), unit nurse managers, and SNF administrators. Over 36 weeks, 56 residents with PICCs and their nurses were observed and informally interviewed, focusing on PICC care practices and documentation. In addition, baseline PICC data were collected on placement indication (e.g., antimicrobial administration), placement setting (hospital vs SNF), and dwell time. Focus groups were then conducted with frontline nurses and unit nurse managers, and semistructured interviews were conducted with SNF administrators to evaluate perceived preparedness for PICC care. Data were analyzed using a descriptive analysis approach. Variations in documentation were observed during weekly informal interviews and observations. Differences were noted between resident self-reported PICC concerns (quality of life) and those described by frontline nurses. Deficiencies in communication between hospitals and SNFs with respect to device care, date of last dressing change, and PICC removal time were also noted. During focus group sessions, perceived inadequacy of information at the time of care transitions, limited availability of resources to care for PICCs, and gaps in training and education were highlighted as barriers to improving practice and safety. Practices for PICC care in SNFs can be improved. Multimodal strategies that enhance staff education, improve information exchange during care transitions, and increase resource availability in SNFs appear necessary to enhance PICC care and safety. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

  9. Investigating the Advantages of Constructing Multidigit Numeration Understanding through Oneida and Lakota Native Languages.

    ERIC Educational Resources Information Center

    Hankes, Judith Elaine

    This paper documents a culturally specific language strength for developing number sense among Oneida- and Lakota-speaking primary students. Qualitative research methods scaffolded this research study: culture informants were interviewed and interviews were transcribed and coded for analysis; culture documents were selected for analysis; and…

  10. Documenting Art Therapy Clinical Knowledge Using Interviews

    ERIC Educational Resources Information Center

    Regev, Dafna

    2017-01-01

    Practicing art therapists have vast stores of knowledge and experience, but in most cases, their work is not documented, and their clinical knowledge does not enter the academic discourse. This article proposes a systematic approach to the collection of practice knowledge about art therapy based on conducting interviews with art therapists who…

  11. Vocation Project Interview Questions--Support Document

    ERIC Educational Resources Information Center

    Wheelahan, Leesa; Leahy, Mary; Fredman, Nick; Moodie, Gavin; Arkoudis, Sophie; Bexley, Emmaline

    2012-01-01

    This document was produced by the authors based on their research for the report "Missing Links: The Fragmented Relation between Tertiary Education and Jobs. It is an added resource for further information. It contains interview questions for: (1) graduates; (2) learning advisors; (3) managers; (4) pathways officers; (5) students; and (6)…

  12. Ethnobotanical investigations among tribes in Madurai District of Tamil Nadu (India)

    PubMed Central

    Ignacimuthu, S; Ayyanar, M; Sivaraman K, Sankara

    2006-01-01

    Background An ethnobotanical survey was carried out to collect information on the use of medicinal plants in Southern Western Ghats of India (Madurai district, Tamil Nadu). Information presented in this paper was gathered from the paliyar tribes using an integrated approach of botanical collections, group discussions and interviews with questionnaires in the years 1998 – 1999. The informants interviewed were 12 among whom 4 were tribal practitioners. Results A total of 60 ethnomedicinal plant species distributed in 32 families are documented in this study. The medicinal plants used by paliyars are listed with Latin name, family, local name, parts used, mode of preparation and medicinal uses. Generally, fresh part of the plant was used for the preparation of medicine. Conclusion We observed that the documented ethnomedicinal plants were mostly used to cure skin diseases, poison bites, stomachache and nervous disorders. The results of this study showed that these tribal people still depend on medicinal plants in Madurai district forest areas. PMID:16689985

  13. A Case Study of the In-Class Use of a Video Game for Teaching High School History

    ERIC Educational Resources Information Center

    Watson, William R.; Mong, Christopher J.; Harris, Constance A.

    2011-01-01

    This study examines the case of a sophomore high school history class where "Making History", a video game designed with educational purposes in mind, is used in the classroom to teach about World War II. Data was gathered using observation, focus group and individual interviews, and document analysis. The high school was a rural school…

  14. Meeting the Needs of Gifted and Talented Students: Case Study of a Virtual Learning Lab in a Rural Middle School

    ERIC Educational Resources Information Center

    Swan, Bonnie; Coulombe-Quach, Xuan-Lise; Huang, Angela; Godek, Jaime; Becker, Deborah; Zhou, Yan

    2015-01-01

    Researchers used case study methods to investigate a virtual learning lab (VLL) in a rural school district that was created in 2011 as a way to better meet the unique needs of exceptional students who are considered gifted. Data were collected through focus groups, classroom observations, interviews, and reviewing relevant documents. Topics…

  15. Curriculum Adaptation in Special Schools for Students with Intellectual Disabilities (SID): A Case Study of Project Learning in One SID School in Hong Kong

    ERIC Educational Resources Information Center

    Zhang, Jia-Wei; Wong, Lam; Chan, Tak-Hang; Chiu, Chi-Shing

    2014-01-01

    Using a qualitative case study approach, the authors analyzed the curriculum adaptation process for one project learning activity in School K, which is a SID school in the context of school-university collaboration. Multiple sources of data were collected for triangulation, including interviews, documents and observations. Curriculum adaptation…

  16. The Reinforcement to the Citizen Participation in Taking Care of the Environmental Protection Towards a Green Moral Concept-Based Sustainable Development

    ERIC Educational Resources Information Center

    Syahri, Mohamad

    2016-01-01

    The research sites were "Blitar, Malang" and "Batu" in East Java Province, Indonesia since those areas are regarded to have problems of environmental crises. In the data collection, this study made use of four methods, namely: a) observation, b) In-depth Interviews, c) documentation, and d) focus group discussion. The results…

  17. "I'll Do It My Own Way!": A Young Child's Appropriation and Recontextualization of School Literacy Practices in Out-of-School Spaces

    ERIC Educational Resources Information Center

    McTavish, Marianne

    2014-01-01

    What do young children do with the literacies they have learned at school? This article reexamines traditional notions of literacy by documenting a second grade child's literacy practices in school and out-of-school contexts. Data collected included field notes, interviews, observations of school and out-of-school literacy practices, and artefacts…

  18. A Study of Four Library Programs for Disadvantaged Persons. Part II, Appendices B: Brooklyn Public Library Community Coordinator Project, the New York Public Library North Manhattan Project.

    ERIC Educational Resources Information Center

    Winsor, Charlotte B.; Burrows, Lodema

    This document contains observations of library staff and interviews with community members about the Brooklyn Public Library Community Coordinator Project and the New York Public Library North Manhattan Project. The Community Coordinator Project employs four professional librarians to take an active part in community institutions and organizations…

  19. Leadership in Education Abroad Office: A Case Study Based on the Interactional Framework of Leadership and the Transformational-Transactional Leadership Theory

    ERIC Educational Resources Information Center

    Deng, Jie

    2017-01-01

    This case study explored the unique context and dynamics of leadership in an education abroad office. The focus was on how leadership took place in the synergistic interactions among the leader, the followers, and specific situations in such an office. Interviews, observations, and document review were used to collect data. Hughes, Ginnett, and…

  20. How to improve vital sign data quality for use in clinical decision support systems? A qualitative study in nine Swedish emergency departments.

    PubMed

    Skyttberg, Niclas; Vicente, Joana; Chen, Rong; Blomqvist, Hans; Koch, Sabine

    2016-06-04

    Vital sign data are important for clinical decision making in emergency care. Clinical Decision Support Systems (CDSS) have been advocated to increase patient safety and quality of care. However, the efficiency of CDSS depends on the quality of the underlying vital sign data. Therefore, possible factors affecting vital sign data quality need to be understood. This study aims to explore the factors affecting vital sign data quality in Swedish emergency departments and to determine in how far clinicians perceive vital sign data to be fit for use in clinical decision support systems. A further aim of the study is to provide recommendations on how to improve vital sign data quality in emergency departments. Semi-structured interviews were conducted with sixteen physicians and nurses from nine hospitals and vital sign documentation templates were collected and analysed. Follow-up interviews and process observations were done at three of the hospitals to verify the results. Content analysis with constant comparison of the data was used to analyse and categorize the collected data. Factors related to care process and information technology were perceived to affect vital sign data quality. Despite electronic health records (EHRs) being available in all hospitals, these were not always used for vital sign documentation. Only four out of nine sites had a completely digitalized vital sign documentation flow and paper-based triage records were perceived to provide a better mobile workflow support than EHRs. Observed documentation practices resulted in low currency, completeness, and interoperability of the vital signs. To improve vital sign data quality, we propose to standardize the care process, improve the digital documentation support, provide workflow support, ensure interoperability and perform quality control. Vital sign data quality in Swedish emergency departments is currently not fit for use by CDSS. To address both technical and organisational challenges, we propose five steps for vital sign data quality improvement to be implemented in emergency care settings.

  1. Changing times, changing stories: Generational differences in climate change perspectives from four remote indigenous communities in Subarctic Alaska

    USGS Publications Warehouse

    Herman-Mercer, Nicole M.; Matkin, Elli; Laituri, Melinda J.; Toohey, Ryan C; Massey, Maggie; Elder, Kelly; Schuster, Paul F.; Mutter, Edda A.

    2016-01-01

    Indigenous Arctic and Subarctic communities currently are facing a myriad of social and environmental changes. In response to these changes, studies concerning indigenous knowledge (IK) and climate change vulnerability, resiliency, and adaptation have increased dramatically in recent years. Risks to lives and livelihoods are often the focus of adaptation research; however, the cultural dimensions of climate change are equally important because cultural dimensions inform perceptions of risk. Furthermore, many Arctic and Subarctic IK climate change studies document observations of change and knowledge of the elders and older generations in a community, but few include the perspectives of the younger population. These observations by elders and older generations form a historical baseline record of weather and climate observations in these regions. However, many indigenous Arctic and Subarctic communities are composed of primarily younger residents. We focused on the differences in the cultural dimensions of climate change found between young adults and elders. We outlined the findings from interviews conducted in four indigenous communities in Subarctic Alaska. The findings revealed that (1) intergenerational observations of change were common among interview participants in all four communities, (2) older generations observed more overall change than younger generations interviewed by us, and (3) how change was perceived varied between generations. We defined “observations” as the specific examples of environmental and weather change that were described, whereas “perceptions” referred to the manner in which these observations of change were understood and contextualized by the interview participants. Understanding the differences in generational observations and perceptions of change are key issues in the development of climate change adaptation strategies.

  2. 8 CFR 204.1 - General information about immediate relative and family-sponsored petitions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... question. When an interview is required, all original documents must be presented for examination at the interview. (3) Foreign language documents must be accompanied by an English translation which has been... Service. If questions arise concerning the filing of the petition which cannot be resolved through a check...

  3. 8 CFR 204.1 - General information about immediate relative and family-sponsored petitions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... question. When an interview is required, all original documents must be presented for examination at the interview. (3) Foreign language documents must be accompanied by an English translation which has been... Service. If questions arise concerning the filing of the petition which cannot be resolved through a check...

  4. Improving health care proxy documentation using a web-based interview through a patient portal.

    PubMed

    Bajracharya, Adarsha S; Crotty, Bradley H; Kowaloff, Hollis B; Safran, Charles; Slack, Warner V

    2016-05-01

    Health care proxy (HCP) documentation is suboptimal. To improve rates of proxy selection and documentation, we sought to develop and evaluate a web-based interview to guide patients in their selection, and to capture their choices in their electronic health record (EHR). We developed and implemented a HCP interview within the patient portal of a large academic health system. We analyzed the experience, together with demographic and clinical factors, of the first 200 patients who used the portal to complete the interview. We invited users to comment about their experience and analyzed their comments using established qualitative methods. From January 20, 2015 to March 13, 2015, 139 of the 200 patients who completed the interview submitted their HCP information for their clinician to review in the EHR. These patients had a median age of 57 years (Inter Quartile Range (IQR) 45-67) and most were healthy. The 99 patients who did not previously have HCP information in their EHR were more likely to complete and then submit their information than the 101 patients who previously had a proxy in their health record (odds ratio 2.4, P = .005). Qualitative analysis identified several ways in which the portal-based interview reminded, encouraged, and facilitated patients to complete their HCP. Patients found our online interview convenient and helpful in facilitating selection and documentation of an HCP. Our study demonstrates that a web-based interview to collect and share a patient's HCP information is both feasible and useful. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  5. Is the Definition of Roma an Important Matter? The Parallel Application of Self and External Classification of Ethnicity in a Population-Based Health Interview Survey.

    PubMed

    Janka, Eszter Anna; Vincze, Ferenc; Ádány, Róza; Sándor, János

    2018-02-16

    The Roma population is typified by a poor and, due to difficulties in ethnicity assessment, poorly documented health status. We aimed to compare the usefulness of self-reporting and observer-reporting in Roma classification for surveys investigating differences between Roma and non-Roma populations. Both self-reporting and observer-reporting of Roma ethnicity were applied in a population-based health interview survey. A questionnaire was completed by 1849 people aged 18-64 years; this questionnaire provided information on 52 indicators (morbidity, functionality, lifestyle, social capital, accidents, healthcare use) indicators. Multivariate logistic regression models controlling for age, sex, education and employment were used to produce indicators for differences between the self-reported Roma ( N = 124) and non-Roma ( N = 1725) populations, as well as between observer-reported Roma ( N = 179) and non-Roma populations ( N = 1670). Differences between interviewer-reported and self-reported individuals of Roma ethnicity in statistical inferences were observed for only seven indicators. The self-reporting approach was more sensitive for two indicators, and the observer-reported assessment for five indicators. Based on our results, the self-reported identity can be considered as a useful approach, and the application of observer-reporting cannot considerably increase the usefulness of a survey, because the differences between Roma and non-Roma individuals are much bigger than the differences between indicators produced by self-reported or observer-reported data on individuals of Roma ethnicity.

  6. The effect of computer-mediated administration on self-disclosure of problems on the addiction severity index.

    PubMed

    Butler, Stephen F; Villapiano, Albert; Malinow, Andrew

    2009-12-01

    People tend to disclose more personal information when communication is mediated through the use of a computer. This study was conducted to examine the impact of this phenomenon on the way respondents answer questions during computer-mediated, self-administration of the Addiction Severity Index (ASI) called the Addiction Severity Index-Multimedia Version((R)) (ASI-MV((R))). A sample of 142 clients in substance abuse treatment was administered the ASI via an interviewer and the computerized ASI-MV((R)), three to five days apart in a counterbalanced order. Seven composite scores were compared between the two test administrations using paired t-tests. Post hoc analyses examined interviewer effects. Comparisons of composite scores for each of the domains between the face-to-face administered and computer-mediated, self-administered ASI revealed that significantly greater problem severity was reported by clients in five of the seven domains during administration of the computer-mediated, self-administered version compared to the trained interviewer version. Item analyses identified certain items as responsible for significant differences, especially those asking clients to rate need for treatment. All items that were significantly different between the two modes of administration revealed greater problem severity reported on the ASI-MV((R)) as compared to the interview administered assessment. Post hoc analyses yielded significant interviewer effects on four of the five domains where differences were observed. These data support a growing literature documenting a tendency for respondents to be more self-disclosing in a computer-mediated format over a face-to-face interview. Differences in interviewer skill in establishing rapport may account for these observations.

  7. Assessment of the Accountability of Night Vision Devices Provided to the Security Forces of Iraq

    DTIC Science & Technology

    2009-03-17

    of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering...and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other... data in this project. The qualitative data consisted of individual interviews, direct observation, and written documents. Quantitative data

  8. An Analysis of Business Professors' and Their Students' Perceptions of Excellence in Teaching at a Business School-Empirical Evidence from New England

    ERIC Educational Resources Information Center

    Anim, Stephen Kwasi

    2017-01-01

    This qualitative study used evidence gleaned from business professors and their students and compared it with the Measure of Effective Teaching model (MET, 2013). The research is based on a qualitative research design with the aim of collecting data from multiple sources such as interviews, focus group, document analysis and observation to develop…

  9. A grounded theory model for reducing stigma in health professionals in Canada.

    PubMed

    Knaak, S; Patten, S

    2016-08-01

    The Mental Health Commission of Canada was formed as a national catalyst for improving the mental health system. One of its initiatives is Opening Minds (OM), whose mandate is to reduce mental health-related stigma. This article reports findings from a qualitative study on antistigma interventions for healthcare providers, which includes a process model articulating key stages and strategies for implementing successful antistigma programmes. The study employed a grounded theory methodology. Data collection involved in-depth interviews with programme stakeholders, direct observation of programmes, a review of programme documents, and qualitative feedback from programme participants. Analysis proceeded via the constant comparison method. A model was generated to visually present key findings. Twenty-three in-depth interviews were conducted representing 18 different programmes. Eight programmes were observed directly, 48 programme documents were reviewed, and data from 1812 programme participants were reviewed. The analysis led to a four-stage process model for implementing successful antistigma programmes targeting healthcare providers, informed by the basic social process 'targeting the roots of healthcare provider stigma'. The process model developed through this research may function as a tool to help guide the development and implementation of antistigma programmes in healthcare contexts. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  10. A sociological exploration of the tensions related to interprofessional collaboration in acute-care discharge planning.

    PubMed

    Goldman, Joanne; Reeves, Scott; Wu, Robert; Silver, Ivan; MacMillan, Kathleen; Kitto, Simon

    2016-01-01

    Patient discharge is a key concern in hospitals, particularly in acute care, given the multifaceted and challenging nature of patients' healthcare needs. Policies on discharge have identified the importance of interprofessional collaboration, yet research has described its limitations in this clinical context. This study aimed to extend our understanding of interprofessional interactions related to discharge in a general internal medicine setting by using sociological theories to illuminate the existence of, and interplay between, structural factors and microlevel practices. An ethnographic approach was employed to obtain an in-depth insight into healthcare providers' perspectives, behaviours, and interactions regarding discharge. Data collection involved observations, interviews, and document analysis. Approximately 65 hours of observations were undertaken, 23 interviews were conducted with healthcare providers, and government and hospital discharge documents were collected. Data were analysed using a directed content approach. The findings indicate the existence of a medically dominated division of healthcare labour in patient discharge with opportunities for some interprofessional negotiations; the role of organizational routines in facilitating and challenging interprofessional negotiations in patient discharge; and tensions in organizational priorities that impact an interprofessional approach to discharge. The findings provide insight into the various levels at which interventions can be targeted to improve interprofessional collaboration in discharge while recognizing the organizational tensions that challenge an interprofessional approach.

  11. Western Kentucky University: Documentation of the Teachers for a New Era Learning Network. Case Study

    ERIC Educational Resources Information Center

    Academy for Educational Development, 2012

    2012-01-01

    The Academy for Educational Development (AED) sent a research team to Western Kentucky University (WKU) on June 19-20, 2008 to conduct interviews with individuals who play important roles in the university's teacher preparation program (see Appendix A). These interviews, along with additional documentation provided by WKU and identified by the AED…

  12. New York University: Documentation of the Teachers for a New Era Learning Network. Case Study

    ERIC Educational Resources Information Center

    Academy for Educational Development, 2012

    2012-01-01

    The Academy for Educational Development (AED) sent a research team to New York University (NYU) on December 8-9, 2008 to conduct interviews with individuals who play important roles in the university's teacher preparation program. These interviews, along with additional documentation provided by NYU and identified by the AED research team, provide…

  13. Montclair State University: Documentation of the Teachers for a New Era Learning Network. Case Study

    ERIC Educational Resources Information Center

    Academy for Educational Development, 2009

    2009-01-01

    The Academy for Educational Development (AED) sent a research team to Montclair State University (MSU) on September 25-26, 2008 to conduct interviews with individuals who play important roles in the university's teacher preparation program. These interviews, along with additional documentation provided by MSU and identified by the AED research…

  14. Jackson State University: Documentation of the Teachers for a New Era Learning Network. Case Study

    ERIC Educational Resources Information Center

    Academy for Educational Development, 2009

    2009-01-01

    The Academy for Educational Development (AED) sent a research team to Jackson State University (JSU) on October 13-14, 2008 to conduct interviews with individuals who play important roles in the university's teacher preparation program (see Appendix A). These interviews, along with additional documentation provided by JSU and identified by the AED…

  15. Arizona State University: Documentation of the Teachers for a New Era Learning Network. Case Study

    ERIC Educational Resources Information Center

    Academy for Educational Development, 2009

    2009-01-01

    The Academy for Educational Development (AED) sent a research team to Arizona State University (ASU) on October 20-21, 2008 to conduct interviews with individuals who play important roles in the university's teacher preparation program. These interviews, along with additional documentation provided by ASU and identified by the AED research team,…

  16. Disclosure of Sexual Abuse in Sport Organizations: A Case Study

    ERIC Educational Resources Information Center

    Parent, Sylvie

    2011-01-01

    The disclosure of sexual abuse in the world of sports is a process that has not been widely documented. This article presents the results of a document analysis of sport organization policies and interviews conducted with 27 sport stakeholders. The interviews focus on these stakeholders' perceptions of how the disclosure process would unfold if a…

  17. Trained student pharmacists' telephonic collection of patient medication information: Evaluation of a structured interview tool.

    PubMed

    Margolis, Amanda R; Martin, Beth A; Mott, David A

    2016-01-01

    To determine the feasibility and fidelity of student pharmacists collecting patient medication list information using a structured interview tool and the accuracy of documenting the information. The medication lists were used by a community pharmacist to provide a targeted medication therapy management (MTM) intervention. Descriptive analysis of patient medication lists collected with telephone interviews. Ten trained student pharmacists collected the medication lists. Trained student pharmacists conducted audio-recorded telephone interviews with 80 English-speaking, community-dwelling older adults using a structured interview tool to collect and document medication lists. Feasibility was measured using the number of completed interviews, the time student pharmacists took to collect the information, and pharmacist feedback. Fidelity to the interview tool was measured by assessing student pharmacists' adherence to asking all scripted questions and probes. Accuracy was measured by comparing the audio-recorded interviews to the medication list information documented in an electronic medical record. On average, it took student pharmacists 26.7 minutes to collect the medication lists. The community pharmacist said the medication lists were complete and that having the medication lists saved time and allowed him to focus on assessment, recommendations, and education during the targeted MTM session. Fidelity was high, with an overall proportion of asked scripted probes of 83.75% (95% confidence interval [CI], 80.62-86.88%). Accuracy was also high for both prescription (95.1%; 95% CI, 94.3-95.8%) and nonprescription (90.5%; 95% CI, 89.4-91.4%) medications. Trained student pharmacists were able to use an interview tool to collect and document medication lists with a high degree of fidelity and accuracy. This study suggests that student pharmacists or trained technicians may be able to collect patient medication lists to facilitate MTM sessions in the community pharmacy setting. Evaluating the sustainability of using student pharmacists or trained technicians to collect medication lists is needed. Copyright © 2016 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  18. Trained student pharmacists’ telephonic collection of patient medication information: Evaluation of a structured interview tool

    PubMed Central

    Margolis, Amanda R.; Martin, Beth A.; Mott, David A.

    2016-01-01

    Objective To determine the feasibility and fidelity of student pharmacists collecting patient medication list information using a structured interview tool and the accuracy of documenting the information. The medication lists were used by a community pharmacist to provide a targeted medication therapy management (MTM) intervention. Design Descriptive analysis of patient medication lists collected via telephone interviews. Participants 10 trained student pharmacists collected the medication lists. Intervention Trained student pharmacists conducted audio-recorded telephone interviews with 80 English-speaking community dwelling older adults using a structured interview tool to collect and document medication lists. Main outcome measures Feasibility was measured using the number of completed interviews, the time student pharmacists took to collect the information, and pharmacist feedback. Fidelity to the interview tool was measured by assessing student pharmacists’ adherence to asking all scripted questions and probes. Accuracy was measured by comparing the audio recorded interviews to the medication list information documented in an electronic medical record. Results On average it took student pharmacists 26.7 minutes to collect the medication lists. The community pharmacist said the medication lists were complete and that having the medication lists saved time and allowed him to focus on assessment, recommendations, and education during the targeted MTM session. Fidelity was high with an overall proportion of asked scripted probes of 83.75% (95%CI: 80.62–86.88%). Accuracy was also high for both prescription (95.1%, 95%CI: 94.3–95.8%) and non-prescription (90.5%, 95%CI: 89.4–91.4%) medications. Conclusion Trained student pharmacists were able to use an interview tool to collect and document medication lists with a high degree of fidelity and accuracy. This study suggests that student pharmacists or trained technicians may be able to collect patient medication lists to facilitate MTM sessions in the community pharmacy setting. Evaluating the sustainability of using student pharmacists or trained technicians to collect medication lists is needed. PMID:27000165

  19. Is the metaphor of 'barriers to change' useful in understanding implementation? Evidence from general medical practice.

    PubMed

    Checkland, Kath; Harrison, Stephen; Marshall, Martin

    2007-04-01

    To investigate how general medical practices in the UK react to bureaucratic initiatives, such as National Health Service (NHS) National Service Frameworks (NSFs), and to explore the value of the metaphor of 'barriers to change' for understanding this. Interviews, non-participant observation and documentary analysis within case studies of four practices in northern England. The practices had not actively implemented NSFs. At interview, various 'barriers' that had prevented implementation were listed, including the complexity of the documents and lack of time. Observation suggested that these barriers were constructions used by the participants to make sense of the situation in which they found themselves. The metaphor of 'removing barriers to change' was of limited use in a context where non-implementation of policy was an emergent property of underlying organizational realities, likely to be modifiable only if these realities were addressed.

  20. Chaplain Documentation and the Electronic Medical Record: A Survey of ACPE Residency Programs.

    PubMed

    Tartaglia, Alexander; Dodd-McCue, Diane; Ford, Timothy; Demm, Charles; Hassell, Alma

    2016-01-01

    This study explores the extent to which chaplaincy departments at ACPE-accredited residency programs make use of the electronic medical record (EMR) for documentation and training. Survey data solicited from 219 programs with a 45% response rate and interview findings from 11 centers demonstrate a high level of usage of the EMR as well as an expectation that CPE residents document each patient/family encounter. Centers provided considerable initial training, but less ongoing monitoring of chaplain documentation. Centers used multiple sources to develop documentation tools for the EMR. One center was verified as having created the spiritual assessment component of the documentation tool from a peer reviewed published model. Interviews found intermittent use of the student chart notes for educational purposes. One center verified a structured manner of monitoring chart notes as a performance improvement activity. Findings suggested potential for the development of a standard documentation tool for chaplain charting and training.

  1. The psychosocial impacts of multimedia biographies on persons with cognitive impairments.

    PubMed

    Damianakis, Thecla; Crete-Nishihata, Masashi; Smith, Karen L; Baecker, Ronald M; Marziali, Elsa

    2010-02-01

    The purpose of this feasibility pilot project was to observe Alzheimer's disease (AD) and mild cognitive impairment (MCI) patients' responses to personalized multimedia biographies (MBs). We developed a procedure for using digital video technology to construct DVD-based MBs of persons with AD or MCI, documented their responses to observing their MBs, and evaluated the psychosocial benefits. An interdisciplinary team consisting of multimedia biographers and social workers interviewed 12 family members of persons with AD and MCI and collected archival materials to best capture the families' and patients' life histories. We filmed patients' responses to watching the MBs and conducted follow-up interviews with the families and patients at 3 and 6 months following the initial viewing. Qualitative analytic strategies were used for extracting themes and key issues identified in both the filmed and the interview response data. Analysis of the interview and video data showed how evoked long-term memories stimulated reminiscing, brought mostly joy but occasionally moments of sadness to the persons with cognitive impairments, aided family members in remembering and better understanding their loved ones, and stimulated social interactions with family members and with formal caregivers. This study demonstrates the feasibility of using readily available digital video technology to produce MBs that hold special meaning for individuals experiencing AD or MCI and their families.

  2. University of North Carolina Greensboro: Documentation of the Teachers for a New Era Learning Network. Case Study

    ERIC Educational Resources Information Center

    Academy for Educational Development, 2009

    2009-01-01

    The Academy for Educational Development (AED) sent a research team to the University of North Carolina at Greensboro (UNCG) on October 23-24, 2008, to conduct interviews with individuals who play important roles in the university's teacher preparation program. These interviews, along with additional documentation provided by UNCG and identified by…

  3. 34 CFR 200.89 - MEP allocations; Re-interviewing; Eligibility documentation; and Quality control.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... determinations being tested) trained to conduct personal interviews and to understand and apply program... child eligibility determinations through the re-interview of a randomly selected sample of children previously identified as migratory. In conducting these re-interviews, an SEA must— (i) Use, at least once...

  4. 34 CFR 200.89 - MEP allocations; Re-interviewing; Eligibility documentation; and Quality control.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... determinations being tested) trained to conduct personal interviews and to understand and apply program... child eligibility determinations through the re-interview of a randomly selected sample of children previously identified as migratory. In conducting these re-interviews, an SEA must— (i) Use, at least once...

  5. “Because he has bought for her, he wants to sleep with her”: Alcohol as a currency for sexual exchange in South African drinking venues

    PubMed Central

    Watt, Melissa H.; Aunon, Frances M.; Skinner, Donald; Sikkema, Kathleen J.; Kalichman, Seth C.; Pieterse, Desiree

    2012-01-01

    Previous research has documented the practice of transactional sex in sub-Saharan Africa and its association with gender-based violence, gender inequalities and HIV risk. At the same time, it has been suggested that women may use transactional sex to obtain a greater sense of control over their lives and their sexualities, and to garner access to resources. The aim of this study was to better understand the practice of exchanging alcohol for sex in alcohol-serving venues in a township in Cape Town, South Africa. Data were collected between June 2009 and October 2010. Six venues were included and observations were conducted in each for four one-week periods over the course of a year. In-depth qualitative interviews included 31 women and 13 men whom interviewers had observed as regular venue customers. Follow-up interviews were conducted with 24 respondents to explore emerging themes. Interviews were recorded and transcribed. Using a grounded theory approach, Atlas.ti was used to code transcripts, field notes, and analytical memos written about each document. Results revealed that alcohol was commonly used as a currency of sexual exchange in this setting, and both women and men understood that accepting alcohol from a man implied consent for sexual favors. Women reported a sense of agency in participating in the transactional sex dynamic, especially when they were able to manipulate it to meet their own ends without fulfilling the men’s sexual expectations. At the same time, data revealed that the norm of transactional sex reinforced the undervaluing and commoditization of women. As identified elsewhere, transactional sex put both women and men at greater risk of HIV through multiple partners and inconsistent use of condoms, and the possibility of rape. Interventions are needed to address sexual risk behaviors and substance use within this context to prevent new HIV infections. PMID:22326304

  6. Mentors Lead and Leaders Mentor: A Qualitative Study of the Impact of Mentoring on the Pathway to the Presidency of Ethnic Minority Female Illinois Community College Presidents

    ERIC Educational Resources Information Center

    Stutz, Melissa

    2014-01-01

    This study was a qualitative study of the effect of mentoring on the career path of women who are members of racial and ethnic minority groups and have become presidents of community colleges in the state of Illinois. It used a multiple case study method utilizing in-depth interviews, documentation review and observations. Research shows nearly…

  7. Contact Tools in Japanese Acupuncture: An Ethnography of Acupuncture Practitioners in Japan.

    PubMed

    Chant, Benjamin Cw; Madison, Jeanne; Coop, Paul; Dieberg, Gudrun

    2017-10-01

    This study aimed to identify procedural elements of Japanese acupuncture, describe these elements in detail, and explain them in terms of the key thematic category of treatment principles. Between August 2012 and December 2016, ethnographic fieldwork was conducted in Japan. In total, 38 participants were recruited by chain referral and emergent sampling. Data was collected through participant observation, interviews, and by analyzing documents. A total of 22 participants agreed to clinical observation; 221 treatments were observed with 172 patients. Seventeen consented to formal interviews and 28 to informal interviews. Thematic analysis was used to critically evaluate data. One especially interesting theme was interpreted from the data: a variety of contact tools were applied in treatment and these were manipulated by adjusting elements of form, speed, repetition, and pressure. Tapping, holding, pressing/pushing, and stroking were the most important ways contact tools were used on patients. Contact tools are noninvasive, painless, can be applied in almost any environment, and may be easily accepted by patients worldwide. Contact tool theory and practice may be successfully integrated into acupuncture curricula outside of Japan, used to inform clinical trials, and contribute to an expanded repertoire of methods for practitioners to benefit individual patients in international contexts. Copyright © 2017. Published by Elsevier B.V.

  8. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment.

    PubMed

    Rosenbluth, Glenn; Bale, James F; Starmer, Amy J; Spector, Nancy D; Srivastava, Rajendu; West, Daniel C; Sectish, Theodore C; Landrigan, Christopher P

    2015-08-01

    Handoffs of patient care are a leading root cause of medical errors. Standardized techniques exist to minimize miscommunications during verbal handoffs, but studies to guide standardization of printed handoff documents are lacking. To determine whether variability exists in the content of printed handoff documents and to identify key data elements that should be uniformly included in these documents. Pediatric hospitalist services at 9 institutions in the United States and Canada. Sample handoff documents from each institution were reviewed, and structured group interviews were conducted to understand each institution's priorities for written handoffs. An expert panel reviewed all handoff documents and structured group-interview findings, and subsequently made consensus-based recommendations for data elements that were either essential or recommended, including best overall printed handoff practices. Nine sites completed structured group interviews and submitted data. We identified substantial variation in both the structure and content of printed handoff documents. Only 4 of 23 possible data elements (17%) were uniformly present in all sites' handoff documents. The expert panel recommended the following as essential for all printed handoffs: assessment of illness severity, patient summary, action items, situation awareness and contingency plans, allergies, medications, age, weight, date of admission, and patient and hospital service identifiers. Code status and several other elements were also recommended. Wide variation exists in the content of printed handoff documents. Standardizing printed handoff documents has the potential to decrease omissions of key data during patient care transitions, which may decrease the risk of downstream medical errors. © 2015 Society of Hospital Medicine.

  9. Factors Affecting Sexual History Taking in a Health Center Serving Homeless Persons.

    PubMed

    Sowicz, Timothy Joseph; Bradway, Christine K

    2018-03-01

    Low rates of documentation of sexual histories have been reported and research on sexual history taking (SHT) has focused on the content of, barriers to collecting, and interventions to improve documentation of sexual histories. Absent from this literature is an understanding of the contextual factors affecting SHT. To address this gap, a focused ethnography of one health center was conducted. Data were collected through observations of health care encounters and interviews with health care providers (HCPs). No SHT was observed and this was likely influenced by patients' characteristics, communication between patients and HCPs, the prioritization of patients' basic needs, and time constraints imposed upon encounters. Given that the health center studied serves patients experiencing homelessness, behavioral health concerns, and opioid use disorder, findings illuminate areas for future inquiry into a patient population affected by social as well as physiologic determinants of health and potentially at high risk for adverse sexual health outcomes.

  10. Documentation and knowledge acquisition

    NASA Technical Reports Server (NTRS)

    Rochowiak, Daniel; Moseley, Warren

    1990-01-01

    Traditional approaches to knowledge acquisition have focused on interviews. An alternative focuses on the documentation associated with a domain. Adopting a documentation approach provides some advantages during familiarization. A knowledge management tool was constructed to gain these advantages.

  11. Management of infection control in dental practice.

    PubMed

    Smith, A; Creanor, S; Hurrell, D; Bagg, J; McCowan, M

    2009-04-01

    This was an observational study in which the management policies and procedures associated with infection control and instrument decontamination were examined in 179 dental surgeries by a team of trained surveyors. Information relating to the management of a wide range of infection control procedures, in particular the decontamination of dental instruments, was collected by interview and by examination of practice documentation. This study found that although the majority of surgeries (70%) claimed to have a management policy on infection control, only 50% of these were documented. For infection control policies, 79% of surgeries had access to the British Dental Association Advice Sheet A12. Infection control policies were claimed to be present in 89% of surgeries, of which 62% were documented. Seventy-seven per cent of staff claimed to have received specific infection control training, but for instrument decontamination this was provided mainly by demonstration (97%) or observed practice (88%). Many dental nurses (74%) and dental practitioners (57%) did not recognise the symbol used to designate a single-use device. Audit of infection control or decontamination activities was undertaken in 11% of surgeries. The majority of surgeries have policies and procedures for the management of infection control in dental practice, but in many instances these are not documented. The training of staff in infection control and its documentation is poorly managed and consideration should be given to development of quality management systems for use in dental practice.

  12. Traditional and scientific conceptions of snakes in Kenya: Alternative perspectives for teaching

    NASA Astrophysics Data System (ADS)

    Wojnowski, David

    A 3-month qualitative study was conducted mid-September through mid-December 2005 to investigate rural southeast Kenyan teachers' conceptions of snakes. Teachers from five villages near Mt. Kasigau were interviewed to obtain an overall sense of what they thought about snakes (n = 60). Of those 60 teachers, 28 attended a 6-hour seminar on reptiles and amphibians. From these 28 teachers, 8 teachers from three villages were afforded additional educational opportunities about snakes, and 2 teachers from this group of 8 were teamed with 2 herpetologists as mentors during the last 2 months of the study. In turn, seven of these eight teachers presented lessons about snakes using live specimens to their fellow teachers and students. Observations of teacher participants during workshops and field outings were documented as well as teacher classroom pedagogy involving snakes before, during, and after the institute. Semi-structured and open-ended interviews were conducted with the eight core teacher participants and field notes were used to document participant observations during serendipitous live snake encounters, of which, there were many. In addition, village elders, including medicine men, one education administrator and one minister were interviewed to obtain a historical cultural backdrop, which teachers expressed as being an important influence while formulating their own conceptions about snakes. Findings suggest that teachers' conceptions of snakes, within a culture where all snakes are feared and killed onsite, can change toward a more favorable orientation when given the opportunity to learn about snakes, witness positive modeling of snake handling through mentoring by herpetologists, and experience direct contact with live harmless nonaggressive snakes (e.g., the Brown House Snake [Lamprohis fuliginosus] and Kenyan Sand Boa [ Eryx colubrinus]).

  13. The evaluator as technical assistant: A model for systemic reform support

    NASA Astrophysics Data System (ADS)

    Century, Jeanne Rose

    This study explored evaluation of systemic reform. Specifically, it focused on the evaluation of a systemic effort to improve K-8 science, mathematics and technology education. The evaluation was of particular interest because it used both technical assistance and evaluation strategies. Through studying the combination of these roles, this investigation set out to increase understanding of potentially new evaluator roles, distinguish important characteristics of the evaluator/project participant relationship, and identify how these roles and characteristics contribute to effective evaluation of systemic science education reform. This qualitative study used interview, document analysis, and participant observation as methods of data collection. Interviews were conducted with project leaders, project participants, and evaluators and focused on the evaluation strategies and process, the use of the evaluation, and technical assistance. Documents analyzed included transcripts of evaluation team meetings and reports, memoranda and other print materials generated by the project leaders and the evaluators. Data analysis consisted of analytic and interpretive procedures consistent with the qualitative data collected and entailed a combined process of coding transcripts of interviews and meetings, field notes, and other documents; analyzing and organizing findings; writing of reflective and analytic memos; and designing and diagramming conceptual relationships. The data analysis resulted in the development of the Multi-Function Model for Systemic Reform Support. This model organizes systemic reform support into three functions: evaluation, technical assistance, and a third, named here as "systemic perspective." These functions work together to support the project's educational goals as well as a larger goal--building capacity in project participants. This model can now serve as an informed starting point or "blueprint" for strategically supporting systemic reform.

  14. Past, present and perspectives of Manipur traditional medicine: A major health care system available for rural population in the North-East India.

    PubMed

    Deb, Lokesh; Laishram, Surbala; Khumukcham, Nongalleima; Ningthoukhongjam, Dhaneshwor; Nameirakpam, Surjit Singh; Dey, Amitabha; Moirangthem, Dinesh Singh; Talukdar, Narayan Chandra; Ningthoukhongjam, Tombi Raj

    2015-07-01

    Traditional health care practices are still being followed extensively in Manipur, North-East India. This is the major or the only medical facility available in some rural areas of Manipur. Cross cultural ethno-pharmacological survey was conducted to document traditional health care practices by Maiba-Maibi (male-female traditional health care practitioners of Manipur). All together 59 traditional practitioners belonging to 12 ethnic communities in nine districts of the Manipur state were interviewed. A predesigned questionnaire was used for interviews, which included queries for type of ailments treating, symptoms, bioresources used, method of preparation, dosage forms, formulation, unit doses. The entire interviews were done in the residence of respective Maiba-Maibi, their patient handing and preparation of medicinal formulations were documented in written and audio-visual format. The survey recorded traditional knowledge on 949 formulations used for 66 human ailments. Five hundred forty six plant products, 42 animal products and 22 organic/inorganic materials were found to be used in these 949 formulations. Five plant species - Zingiber officinale (Zingiberaceae), Cocos nucifera (Arecaceae), Oroxylum indicum (Bignonaceae), Curcuma longa (Zingiberaceae) and Allium sativum (Liliaceae) used by maximum number of Maiba and Maibi in maximum number of formulations. This particular method of documentation keeps traditional knowledge alive. The WHO estimated perspective of traditional medicine across the world. These observations support therapeutic worth of Manipur Traditional medicines (MTM). Having generated a large database in course of this survey, next focus targeted for the scientific justification of MTM with an aim to develop commercially viable products. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  15. Sustained User Engagement in Health Information Technology: The Long Road from Implementation to System Optimization of Computerized Physician Order Entry and Clinical Decision Support Systems for Prescribing in Hospitals in England.

    PubMed

    Cresswell, Kathrin M; Lee, Lisa; Mozaffar, Hajar; Williams, Robin; Sheikh, Aziz

    2017-10-01

    To explore and understand approaches to user engagement through investigating the range of ways in which health care workers and organizations accommodated the introduction of computerized physician order entry (CPOE) and computerized decision support (CDS) for hospital prescribing. Six hospitals in England, United Kingdom. Qualitative case study. We undertook qualitative semi-structured interviews, non-participant observations of meetings and system use, and collected organizational documents over three time periods from six hospitals. Thematic analysis was initially undertaken within individual cases, followed by cross-case comparisons. We conducted 173 interviews, conducted 24 observations, and collected 17 documents between 2011 and 2015. We found that perceived individual and safety benefits among different user groups tended to facilitate engagement in some, while other less engaged groups developed resistance and unsanctioned workarounds if systems were perceived to be inadequate. We identified both the opportunity and need for sustained engagement across user groups around system enhancement (e.g., through customizing software) and the development of user competencies and effective use. There is an urgent need to move away from an episodic view of engagement focused on the preimplementation phase, to more continuous holistic attempts to engage with and respond to end-users. © Health Research and Educational Trust.

  16. Advance Care Planning Documentation in Electronic Health Records: Current Challenges and Recommendations for Change.

    PubMed

    Lamas, Daniela; Panariello, Natalie; Henrich, Natalie; Hammes, Bernard; Hanson, Laura C; Meier, Diane E; Guinn, Nancy; Corrigan, Janet; Hubber, Sean; Luetke-Stahlman, Hannah; Block, Susan

    2018-04-01

    To develop a set of clinically relevant recommendations to improve the state of advance care planning (ACP) documentation in the electronic health record (EHR). Advance care planning (ACP) is a key process that supports goal-concordant care. For preferences to be honored, clinicians must be able to reliably record, find, and use ACP documentation. However, there are no standards to guide ACP documentation in the electronic health record (EHR). We interviewed 21 key informants to understand the strengths and weaknesses of EHR documentation systems for ACP and identify best practices. We analyzed these interviews using a qualitative content analysis approach and subsequently developed a preliminary set of recommendations. These recommendations were vetted and refined in a second round of input from a national panel of content experts. Informants identified six themes regarding current inadequacies in documentation and accessibility of ACP information and opportunities for improvement. We offer a set of concise, clinically relevant recommendations, informed by expert opinion, to improve the state of ACP documentation in the EHR.

  17. Stability of measures from children's interviews: the effects of time, sample length, and topic.

    PubMed

    Heilmann, John; DeBrock, Lindsay; Riley-Tillman, T Chris

    2013-08-01

    The purpose of this study was to examine the reliability of, and sources of variability in, language measures from interviews collected from young school-age children. Two 10-min interviews were collected from 20 at-risk kindergarten children by an examiner using a standardized set of questions. Test-retest reliability coefficients were calculated for 8 language measures. Generalizability theory (G-theory) analyses were completed to document the variability introduced into the measures from the child, session, sample length, and topic. Significant and strong reliability correlation coefficients were observed for most of the language sample measures. The G-theory analyses revealed that most of the variance in the language measures was attributed to the child. Session, sample length, and topic accounted for negligible amounts of variance in most of the language measures. Measures from interviews were reliable across sessions, and the sample length and topic did not have a substantial impact on the reliability of the language measures. Implications regarding the clinical feasibility of language sample analysis for assessment and progress monitoring are discussed.

  18. 15 CFR 700.71 - Audits and investigations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... interviews and a systems evaluation to detect problems or failures in the implementation of this regulation... Commerce to interview the person's employees or agents, to inspect books, records, documents, other... them, and to inspect a person's property when such interviews and inspections are necessary or...

  19. Timeliness of Care Planning upon Initiation of Chronic Opioid Therapy for Chronic Pain.

    PubMed

    Von Korff, Michael; Turner, Judith A; Shortreed, Susan M; Saunders, Kathleen; Rosenberg, Dori; Thielke, Stephen; LeResche, Linda

    2016-03-01

    Chronic opioid therapy (COT) guidelines recommend developing a COT care plan at the initiation of COT. Assess the timeliness of care planning upon initiation of COT. Observational cohort study in a setting incentivizing and tracking documentation of COT care plans in electronic health records (EHRs). Study participants (N = 896) were aged 45 years or older, had initiated an episode of opioid use within the prior 6 months, and reported regular use of prescription analgesics when screened for a baseline interview about 3 months after an index opioid prescription MEASURES: A timely care plan was defined by an EHR documented care plan prior to or within 4 months after the index opioid prescription. Among COT initiators, 30% had a timely COT care plan documented in the EHR within 4 months following index prescription, while 51% had a documented COT care plan within 12 months following index prescription. Among those interviewed at 1 year follow-up (N = 735), 252 (34.2%) reported opioid use on 7 or more days in the prior 2 weeks. Less than half (45.6%) of the 252 individuals who sustained regular opioid use at 1 year had predicted at baseline that it was somewhat, very, or extremely likely they would be using opioids regularly in 1 year. Patients initiating COT were unlikely to have timely COT care plans. Many who sustained regular opioid use at 1 year had not anticipated using opioids long term. © 2015 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  20. 78 FR 2443 - Criminal Justice Interview Room Recording System (IRRS) Standard, Supplier's Declaration of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-11

    ... DEPARTMENT OF JUSTICE Office of Justice Programs [OJP (NIJ) Docket No. 1612] Criminal Justice Interview Room Recording System (IRRS) Standard, Supplier's Declaration of Conformity Requirements, and... three draft documents related to Interview Room Recording Systems (IRRS) used by criminal justice...

  1. Improving Information Dissemination Impact on Districts and Schools. Knowledge Brief Number 5.

    ERIC Educational Resources Information Center

    Mills, Stephen R.

    The California Department of Education commissioned a study to help guide ongoing information dissemination practices to the educational community. A pilot study, department of education staff interviews, and field interviews preceded document tracking. Phone interviews were conducted with district administrators, principals, and teachers…

  2. [Psychoanalysis and Psychiatrie-Enquete: expert interviews and document analysis].

    PubMed

    Söhner, Felicitas Petra; Fangerau, Heiner; Becker, Thomas

    2017-12-01

    Background The purpose of this paper is to analyse the perception of the role of psychoanalysis and psychoanalysts in the coming about of the Psychiatrie-Enquete in the Federal Republic of Germany (West Germany). Methods We performed a qualitative content analysis of expert interviews with persons involved in the Enquete (or witnessing the events as mental health professionals active at the time), a selective literature review and an analysis of documents on the Enquete process. Results Expert interviews, relevant literature and documents point to a role of psychoanalysis in the Enquete process. Psychoanalysts were considered to have been effective in the run-up to the Enquete and the work of the commission. Conclusion Psychoanalysis and a small number of psychoanalysts were perceived as being relevant in the overall process of the Psychiatrie-Enquete in West Germany. Georg Thieme Verlag KG Stuttgart · New York.

  3. What do Australian consumers, pharmacists and prescribers think about documenting indications on prescriptions and dispensed medicines labels?: A qualitative study.

    PubMed

    Garada, Mona; McLachlan, Andrew J; Schiff, Gordon D; Lehnbom, Elin C

    2017-11-15

    Documenting the indication on prescriptions and dispensed medicines labels is not standard practice in Australia. However, previous studies that have focused on the content and design of dispensed medicines labels, have suggested including the indication as a safety measure. The aim of this study was to investigate the perspectives of Australian consumers, pharmacists and prescribers on documenting the indication on prescriptions and dispensed medicines labels. Semi-structured interviews were conducted and mock-up of dispensed medicines labels were designed for participants. Consumers (n = 19) and pharmacists (n = 7) were recruited by convenience sample at community pharmacies in Sydney (Australia) and prescribers (n = 8), including two medical students, were recruited through snowballing. Thirty-four participants were interviewed. Most participants agreed that documenting the indication would be beneficial especially for patients who are forgetful or take multiple medications. Participants also believed it would improve consumers' medication understanding and adherence. Prescribers and pharmacists believed it could help reduce prescribing and dispensing errors by matching the drug/dosage to the correct indication. Prescribers refrained from documenting the indication to protect patients' privacy; however, most patients did not consider documenting the indication as a breach of privacy. Prescribers raised concerns about the extra time to include indications on prescriptions and best language to document indications, using plain language as opposed to medical terminology. All interviewed stakeholders identified numerous benefits of documenting the indication on prescriptions and dispensed medicines labels. Whether these potential benefits can be realized remains unknown and addressing prescribers' concern regarding the time involved in documenting the indication on prescriptions remains a challenge for vendors of electronic medication management systems.

  4. 77 FR 54571 - Notice of Submission for OMB Review; Office of Postsecondary Education; Assessing Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-05

    ... Undergraduate International Studies and Foreign Language Programs Phone Interviews SUMMARY: The U.S. Department... Language Programs Phone Interviews. OMB Control Number: Pending. Type of Review: New. Total Estimated... collected through phone interviews will be used to document the implementation of individual projects as...

  5. Exploring ecology in Alaska: Reflective storytelling as a model for environmental education

    NASA Astrophysics Data System (ADS)

    Shoemaker, Kay Warren

    This professional project is formatted as a book that was written as a part of a qualitativeparticipatory action research study exploring best practices for diverse communities in Alaska to access reflective storytelling method as environmental education. Non-invasive assessment was utilized with participants in the form of talking circles, where program leaders and educators met in small groups with youth to practice sharing and reflecting on their experiential education activity. Youth voice and educator opinions were gathered in structured and unstructured interviews. Along with interviews, standard practice methods for a qualitative research project were utilized, including: participant observation, non-participant observation, field notes, reflexive journals, and analysis of documents and materials. The current book project was designed as a tool to assist with the implementation of the Alaska Natural Resource and Environmental Literacy Plan. Through place-based curriculum and experiential learning techniques, it shares examples of a unique method of teaching outdoor environmental education through storytelling.

  6. 21 CFR 10.115 - Good guidance practices.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ..., journal articles and editorials, media interviews, press materials, warning letters, memoranda of... document “Guidance Document Submission” and submit it to Division of Dockets Management (HFA-305), 5630... review. (iv) After providing an opportunity for public comment on a Level 1 guidance document, FDA will...

  7. 21 CFR 10.115 - Good guidance practices.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ..., journal articles and editorials, media interviews, press materials, warning letters, memoranda of... document “Guidance Document Submission” and submit it to Division of Dockets Management (HFA-305), 5630... review. (iv) After providing an opportunity for public comment on a Level 1 guidance document, FDA will...

  8. 21 CFR 10.115 - Good guidance practices.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., journal articles and editorials, media interviews, press materials, warning letters, memoranda of... document “Guidance Document Submission” and submit it to Division of Dockets Management (HFA-305), 5630... review. (iv) After providing an opportunity for public comment on a Level 1 guidance document, FDA will...

  9. 21 CFR 10.115 - Good guidance practices.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ..., journal articles and editorials, media interviews, press materials, warning letters, memoranda of... document “Guidance Document Submission” and submit it to Division of Dockets Management (HFA-305), 5630... review. (iv) After providing an opportunity for public comment on a Level 1 guidance document, FDA will...

  10. [Culture and empowerment: health promotion and AIDS prevention among prostitutes in Rio de Janeiro].

    PubMed

    De Meis, Carla

    2011-01-01

    This paper discusses the difficulties that can arise when health promotion projects are developed within marginalized groups. This could be documented using the example of AIDS prevention among prostitutes. We applied questionnaires and focus group interviews were performed with prostitutes in Mangue, Rio de Janeiro in 1989. Later, during the decade of 1990, we accomplished open interviews with prostitutes who frequented São João Square in Niterói and with the leaders of the prostitutes' movement of Rio de Janeiro. During the analysis of the interviews we observed that although, from a public health point of view, prostitutes are considered as a group, they seldomly represent themselves in this way. In other words, while the goal of health promotion agencies and the prostitute movement is to build a prostitutes' grassroots movement able to organize and fight for prostitutes' rights and citizenship, most of the subjects studied believed that prostitution was an evil activity and consequently created narratives which denied their belonging to the prostitutes' community.

  11. Cultural analysis of communication behaviors among juveniles in a correctional facility.

    PubMed

    Sanger, D D; Creswell, J W; Dworak, J; Schultz, L

    2000-01-01

    This study addressed communication behaviors of female juvenile delinquents in a correctional facility. Qualitative methodology was used to study 78 participants ranging in age from 13.1 to 18.9 (years; months), over a five-month period. Data collection consisted of observations, participant observation, interviews, and a review of documents. Additionally, participants were tested on the Clinical Evaluation of Language Fundamentals-3. Listening and following rules, utterance types, topics of conversion, politeness, and conversational management emerged as themes. Findings indicated that as many as 22% of participants were potential candidates for language services. Implications for speech-language pathologists (SLPs) providing communication services will be provided.

  12. 77 FR 62592 - Agency Information Collection Activities: Proposed Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-15

    ... application process, we conduct a personal interview, either face-to- face or via telephone, and document the interview using Form SSA-7165. The respondents are applicants for Social Security benefits, whose...

  13. Critical issues in an electronic documentation system.

    PubMed

    Weir, Charlene R; Nebeker, Jonathan R

    2007-10-11

    The Veterans Health Administration (VHA), of the U.S. Department of Veteran Affairs has instituted a medical record (EMR) that includes electronic documentation of all narrative components of the medical record. To support clinicians using the system, multiple efforts have been instituted to ease the creation of narrative reports. Although electronic documentation is easier to read and improves access to information, it also may create new and additional hazards for users. This study is the first step in a series of studies to evaluate the issues surrounding the creation and use of electronic documentation. Eighty-eight providers across multiple clinical roles were interviewed in 10 primary care sites in the VA system. Interviews were tape-recorded, transcribed and qualitatively analyzed for themes. In addition, specific questions were asked about perceived harm due to electronic documentation practices. Five themes relating to difficulties with electronic documentation were identified: 1) information overload; 2) hidden information; 3) lack of trust; 4) communication; 5) decision-making. Three providers reported that they knew of an incident where current documentation practices had caused patient harm and over 75% of respondents reported significant mis-trust of the system.

  14. A social and historical perspective of the San Francisco Gay Men's Chorus.

    PubMed

    Hilliard, Russell E

    2008-01-01

    This study sought to understand the various roles music played for gay men who were members of the San Francisco Gay Men's Chorus, the world's first gay men's chorus. Specifically, it answers the following questions: What is the demographic profile of the chorus members? How has the chorus shaped or reflected social issues; how has the chorus shaped or reflected political issues; how has the music evolved over time?; How was the chorus impacted by the HIV/AIDS epidemic? Historical information for this study was gathered through eight interviews of original and long-time choral members as well as the current artistic director. Interviews were conducted in San Francisco at the San Francisco Gay Men's Chorus office, and additional data were derived from programs of previous choral concerts, two questionnaires (Internalized Homophobia Scale and Gay Chorus Questionnaire), and observations of choral rehearsals and concerts. As a follow-up to a previous study documenting the formation of the chorus in 1978-1982, this study historically documents the chorus's evolution from 1983 through 2003, emphasizing the chorus's impact on social and political issues, the musicality of the chorus, and the impact of HIV/AIDS on the chorus.

  15. Medication communication through documentation in medical wards: knowledge and power relations.

    PubMed

    Liu, Wei; Manias, Elizabeth; Gerdtz, Marie

    2014-09-01

    Health professionals communicate with each other about medication information using different forms of documentation. This article explores knowledge and power relations surrounding medication information exchanged through documentation among nurses, doctors and pharmacists. Ethnographic fieldwork was conducted in 2010 in two medical wards of a metropolitan hospital in Australia. Data collection methods included participant observations, field interviews, video-recordings, document retrieval and video reflexive focus groups. A critical discourse analytic framework was used to guide data analysis. The written medication chart was the main means of communicating medication decisions from doctors to nurses as compared to verbal communication. Nurses positioned themselves as auditors of the medication chart and scrutinised medical prescribing to maintain the discourse of patient safety. Pharmacists utilised the discourse of scientific judgement to guide their decision-making on the necessity of verbal communication with nurses and doctors. Targeted interdisciplinary meetings involving nurses, doctors and pharmacists should be organised in ward settings to discuss the importance of having documented medication information conveyed verbally across different disciplines. Health professionals should be encouraged to proactively seek out each other to relay changes in medication regimens and treatment goals. © 2013 John Wiley & Sons Ltd.

  16. Clinician preferences for verbal communication compared to EHR documentation in the ICU

    PubMed Central

    Collins, S.A.; Bakken, S.; Vawdrey, D.K.; Coiera, E.; Currie, L

    2011-01-01

    Background Effective communication is essential to safe and efficient patient care. Additionally, many health information technology (HIT) developments, innovations, and standards aim to implement processes to improve data quality and integrity of electronic health records (EHR) for the purpose of clinical information exchange and communication. Objective We aimed to understand the current patterns and perceptions of communication of common goals in the ICU using the distributed cognition and clinical communication space theoretical frameworks. Methods We conducted a focus group and 5 interviews with ICU clinicians and observed 59.5 hours of interdisciplinary ICU morning rounds. Results Clinicians used an EHR system, which included electronic documentation and computerized provider order entry (CPOE), and paper artifacts for documentation; yet, preferred the verbal communication space as a method of information exchange because they perceived that the documentation was often not updated or efficient for information retrieval. These perceptions that the EHR is a “shift behind” may lead to a further reliance on verbal information exchange, which is a valuable clinical communication activity, yet, is subject to information loss. Conclusions Electronic documentation tools that, in real time, capture information that is currently verbally communicated may increase the effectiveness of communication. PMID:23616870

  17. 76 FR 61664 - Notice of Intent To Request New Information Collection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... interviews........ 1932 1.00 1932 0.08 160.96 Household Interview 2: Completed interviews........ 5099 1.00... #0; #0;Notices #0; Federal Register #0; #0; #0;This section of the FEDERAL REGISTER contains documents other than rules #0;or proposed rules that are applicable to the public. Notices of hearings #0...

  18. Sustaining Teaching Careers: Perceptions of Veteran Teachers in a Rural Mid-Atlantic School Division

    ERIC Educational Resources Information Center

    Parker, DeJuanna M.

    2016-01-01

    This qualitative study explored rural veteran teachers' perceptions of career longevity attainment. Interviews, focus group interviews, and a review of documents were the sources of data for the study. The study produced four emergent themes from interview data: Respect and Recognition in the Community, Involvement with the Community, Intrinsic…

  19. Use of an electronic Partograph: feasibility and acceptability study in Zanzibar, Tanzania.

    PubMed

    Litwin, Lindsay Elizabeth; Maly, Christina; Khamis, Asma Ramadan; Hiner, Cyndi; Zoungrana, Jérémie; Mohamed, Khadija; Drake, Mary; Machaku, Michael; Njozi, Mustafa; Muhsin, Salhiya Ali; Kulindwa, Yusuph K; Gomez, Patricia P

    2018-05-09

    The ePartogram is a tablet-based application developed to improve care for women in labor by addressing documented challenges in partograph use. The application is designed to provide real-time decision support, improve data entry, and increase access to information for appropriate labor management. This study's primary objective was to evaluate the feasibility and acceptability of ePartogram use in resource-constrained clinical settings. The ePartogram was introduced at three facilities in Zanzibar, Tanzania. Following 3 days of training, skilled birth attendants (SBAs) were observed for 2 weeks using the ePartogram to monitor laboring women. During each observed shift, data collectors used a structured observation form to document SBA comfort, confidence, and ability to use the ePartogram. Results were analyzed by shift. Short interviews, conducted with SBAs (n = 82) after each of their first five ePartogram-monitored labors, detected differences over time. After the observation period, in-depth interviews were conducted (n = 15). A thematic analysis of interview transcripts was completed. Observations of 23 SBAs using the ePartogram to monitor 103 women over 84 shifts showed that the majority of SBAs (87-91%) completed each of four fundamental ePartogram tasks-registering a client, entering first and subsequent measurements, and navigating between screens-with ease or increasing ease on their first shift; this increased to 100% by the fifth shift. Nearly all SBAs (93%) demonstrated confidence and all SBAs demonstrated comfort in using the ePartogram by the fifth shift. SBAs expressed positive impressions of the ePartogram and found it efficient and easy to use, beginning with first client use. SBAs noted the helpfulness of auditory reminders (indicating that measurements were due) and visual alerts (signaling abnormal measurements). SBAs expressed confidence in their ability to interpret and act on these reminders and alerts. It is feasible and acceptable for SBAs to use the ePartogram to support labor management and care. With structured training and support during initial use, SBAs quickly became competent and confident in ePartogram use. Qualitative findings revealed that SBAs felt the ePartogram improved timeliness of care and supported decision-making. These findings point to the ePartogram's potential to improve quality of care in resource-constrained labor and delivery settings.

  20. Health Information Management System for Elderly Health Sector: A Qualitative Study in Iran

    PubMed Central

    Sadoughi, Farahnaz; Shahi, Mehraban; Ahmadi, Maryam; Davaridolatabadi, Nasrin

    2016-01-01

    Background: There are increasing change and development of information in healthcare systems. Given the increase in aging population, managers are in need of true and timely information when making decision. Objectives: The aim of this study was to investigate the current status of the health information management system for the elderly health sector in Iran. Materials and Methods: This qualitative study was conducted in two steps. In the first step, required documents for administrative managers were collected using the data gathering form and observed and reviewed by the researcher. In the second step, using an interview guide, the required information was gathered through interviewing experts and faculty members. The convenience, purposeful and snowball sampling methods were applied to select interviewees and the sampling continued until reaching the data saturation point. Finally, notes and interviews were transcribed and content analysis was used to analyze them. Results: The results of the study showed that there was a health information management system for the elderly health sector in Iran. However, in all primary health care centers the documentation of data was done manually; the data flow was not automated; and the analysis and reporting of data are also manually. Eventually, decision makers are provided with delayed information. Conclusions: It is suggested that the steward of health in Iran, the ministry of health, develops an appropriate infrastructure and finally puts a high priority on the implementation of the health information management system for elderly health sector in Iran. PMID:27186383

  1. Health Information Management System for Elderly Health Sector: A Qualitative Study in Iran.

    PubMed

    Sadoughi, Farahnaz; Shahi, Mehraban; Ahmadi, Maryam; Davaridolatabadi, Nasrin

    2016-02-01

    There are increasing change and development of information in healthcare systems. Given the increase in aging population, managers are in need of true and timely information when making decision. The aim of this study was to investigate the current status of the health information management system for the elderly health sector in Iran. This qualitative study was conducted in two steps. In the first step, required documents for administrative managers were collected using the data gathering form and observed and reviewed by the researcher. In the second step, using an interview guide, the required information was gathered through interviewing experts and faculty members. The convenience, purposeful and snowball sampling methods were applied to select interviewees and the sampling continued until reaching the data saturation point. Finally, notes and interviews were transcribed and content analysis was used to analyze them. The results of the study showed that there was a health information management system for the elderly health sector in Iran. However, in all primary health care centers the documentation of data was done manually; the data flow was not automated; and the analysis and reporting of data are also manually. Eventually, decision makers are provided with delayed information. It is suggested that the steward of health in Iran, the ministry of health, develops an appropriate infrastructure and finally puts a high priority on the implementation of the health information management system for elderly health sector in Iran.

  2. Failures in communication through documents and documentation across the perioperative pathway.

    PubMed

    Braaf, Sandra; Riley, Robin; Manias, Elizabeth

    2015-07-01

    To explore how communication failures occur in documents and documentations across the perioperative pathway in nurses' interactions with other nurses, surgeons and anaesthetists. Documents and documentation are used to communicate vital patient and procedural information among nurses, and in nurses' interactions with surgeons and anaesthetists, across the perioperative pathway. Previous research indicates that communication failure regularly occurs in the perioperative setting. A qualitative study was undertaken. The study was conducted over three hospitals in Melbourne, Australia. One hundred and twenty-five healthcare professionals from the disciplines of surgery, anaesthesia and nursing participated in the study. Data collection commenced in January 2010 and concluded in October 2010. Data were generated through 350 hours of observation, two focus groups and 20 semi-structured interviews. A detailed thematic analysis was undertaken. Communication failure occurred owing to a reliance on documents and documentation to transfer information at patient transition points, poor quality documents and documentation, and problematic access to information. Institutional ruling practices of professional practice, efficiency and productivity, and fiscal constraint dominated the coordination of nurses', surgeons' and anaesthetists' communication through documents and documentation. These governing practices configured communication to be incongruous with reliably meeting safety and quality objectives. Communication failure occurred because important information was sometimes buried in documents, insufficient, inaccurate, out-of-date or not verbally reinforced. Furthermore, busy nurses were not always able to access information they required in a timely manner. Patient safety was affected, which led to delays in treatment and at times inadequate care. Organisational support needs to be provided to nurses, surgeons and anaesthetists so they have sufficient time to complete, locate, and read documents and documentation. Infrastructure supporting communication technologies should be implemented to enable the rapid retrieval, entry, and dispersion of information. © 2015 John Wiley & Sons Ltd.

  3. Science Teacher Beliefs and Classroom Practice Related to Constructivism in Different School Settings

    NASA Astrophysics Data System (ADS)

    Savasci, Funda; Berlin, Donna F.

    2012-02-01

    Science teacher beliefs and classroom practice related to constructivism and factors that may influence classroom practice were examined in this cross-case study. Data from four science teachers in two schools included interviews, demographic questionnaire, Classroom Learning Environment Survey (preferred/perceived), and classroom observations and documents. Using an inductive analytic approach, results suggested that the teachers embraced constructivism, but classroom observations did not confirm implementation of these beliefs for three of the four teachers. The most preferred constructivist components were personal relevance and student negotiation; the most perceived component was critical voice. Shared control was the least preferred, least perceived, and least observed constructivist component. School type, grade, student behavior/ability, curriculum/standardized testing, and parental involvement may influence classroom practice.

  4. Preliminary inventory of mammals from Yurubí National Park, Yaracuy, Venezuela with some comments on their natural history.

    PubMed

    García, Franger J; Delgado-Jaramillo, Mariana; Machado, Marjorie; Aular, Luis

    2012-03-01

    In Venezuela, mammals represent an important group of wildlife with high anthropogenic pressures that threaten their permanence. Focused on the need to generate baseline information that allows us to contribute to document and conserve the richness of local wildlife, we conducted a mammalogical inventory in Yurubí National Park, located in Yaracuy State in Venezuela. We carried out fieldworks in three selected vegetation types: an evergreen forest at 197m, a semi-deciduous forest ranging between 100-230m, and a cloud forest at 1 446m. We used Victor, Sherman, Havahart and pitfall traps for the capture of small non-volant mammals and mist nets for bats. In addition, we carried out interviews with local residents and direct-indirect observations for medium-large sized mammals. At least 79 species inhabit the area, representing 28% of the species recorded for the North side of the country. Chiroptera (39 spp.), Carnivora (13 spp.) and Rodentia (9 spp.) were the orders with the highest richness, as expected for the Neotropics. The evergreen forest had the greatest species richness (n=68), with a sampling effort of 128 net-hours, 32 bucket-days, 16 hours of observations, and three persons interviewed, followed by cloud forest (n=45) with 324 net-hours, 790 traps-night, 77 bucket-days, 10 hours of observations, and one person interviewed. The lowest richness value was in the semi-deciduous forest (n=41), with 591 traps-night, 15 net-hours, 10 hours of observations and three persons interviewed. Data and observations obtained in this inventory (e.g., endemism, species known as "surrogate species" threatened in Venezuela) give an important role at the Yurubí National Park in the maintenance and conservation of local ecosystems and wildlife, threatened by human pressures in the Cordillera de la Costa.

  5. Learning in Preschool: Teachers' Talk about Their Work with Documentation in Swedish Preschools

    ERIC Educational Resources Information Center

    Löfgren, Håkan

    2017-01-01

    This article investigates preschool teachers' professionalism and professional strategies in relation to narratives about learning in preschool. These are expressed through the teachers' talk about documentation. A policy on increased systematic documentation in preschools has been introduced in Sweden. Preschool teachers were interviewed about…

  6. Inquiry-based Science Instruction in High School Biology Courses: A Multiple Case Study

    NASA Astrophysics Data System (ADS)

    Aso, Eze

    A lack of research exists about how secondary school science teachers use inquiry-based instruction to improve student learning. The purpose of this qualitative study was to explore how science teachers used inquiry-based instruction to improve student learning in high school biology courses. The conceptual framework was based on Banchi and Bell's model of increasing levels of complexity for inquiry-based instruction. A multiple case study research design was conducted of biology programs at 3 high schools in an urban school district in the northeastern region of the United States. Participants included 2 biology teachers from each of the 3 high schools. Data were collected from individual interviews with biology teachers, observations of lessons in biology, and documents related to state standards, assessments, and professional development. The first level of data analysis involved coding and categorizing the interview and observation data. A content analysis was used for the documents. The second level of data analysis involved examining data across all sources and all cases for themes and discrepancies. According to study findings, biology teachers used confirmation, structure, and guided inquiry to improve student learning. However, they found open inquiry challenging and frustrating to implement because professional development about scaffolding of instruction over time was needed, and students' reading and writing skills needed to improve. This study contributes to positive social change by providing educators and researchers with a deeper understanding about how to scaffold levels of inquiry-based science instruction in order to help students become scientifically literate citizens.

  7. Temporal and subjective work demands in office-based patient care: an exploration of the dimensions of physician work intensity.

    PubMed

    Jacobson, C Jeff; Bolon, Shannon; Elder, Nancy; Schroer, Brian; Matthews, Gerald; Szaflarski, Jerzy P; Raphaelson, Marc; Horner, Ronnie D

    2011-01-01

    Physician work intensity (WI) during office-based patient care affects quality of care and patient safety as well as physician job-satisfaction and reimbursement. Existing, brief work intensity measures have been used in physician studies, but their validity in clinical settings has not been established. Document and describe subjective and temporal WI dimensions for physicians in office-based clinical settings. Examine these in relation to the measurement procedures and dimensions of the SWAT and NASA-TLX intensity measures. A focused ethnographic study using interviews and direct observations. Five family physicians, 5 general internists, 5 neurologists, and 4 surgeons. Through interviews, each physician was asked to describe low and high intensity work responsibilities, patients, and events. To document time and task allotments, physicians were observed during a routine workday. Notes and transcripts were analyzed using the editing method in which categories are obtained from the data. WI factors identified by physicians matched dimensions assessed by standard, generic instruments of work intensity. Physicians also reported WI factors outside of the direct patient encounter. Across specialties, physician time spent in direct contact with patients averaged 61% for office-based services. Brief work intensity measures such as the SWAT and NASA-TLX can be used to assess WI in the office-based clinical setting. However, because these measures define the physician work "task" in terms of effort in the presence of the patient (ie, intraservice time), substantial physician effort dedicated to pre- and postservice activities is not captured.

  8. A Qualitative Phenomenology of Christian Middle School Implementation of Inquiry-based Science Instruction

    NASA Astrophysics Data System (ADS)

    Ferrin, Patricia Ann

    The purpose of this qualitative phenomenology study will be to explore curriculum coordinators, teachers, and principals' implementation of Inquiry-Based Instruction (IBI) in Christian middle school science classes in the central Virginia area. IBI will be referred to as "a teaching method that combines the curiosity of students and the scientific method to enhance the development of critical thinking skills while learning science" (Warner & Myers, 2008, p.3). A qualitative phenomenology study will be made to consider the requirements and implementation of IBI in the Christian middle schools as compared to the requirements and implementation of IBI in the National Science Education Standard (NSES). Curriculum coordinators, teachers, and principals, and participated in this study from five Christian middle schools in the central Virginia area. The guiding theories include John Dewey's (1948) Constructivism, Lev Vygotsky's (1998) Social Constructivism, and William Glasser's (2005) Choice Theory as they relate to the beliefs curriculum coordinators, teachers, and principals have regarding the implementation of IBI. A primary research question for this study is, "If research supports successful outcomes of IBI, then how and why do Christian CMSST, principals, and curriculum coordinators implement or not implement IBI?" Interviews, classroom observations, and document reviews were used for triangulation and data collection. The data analysis used in this study were completed by using Moustakas' (1994) seven step thematic coding derived from the observations, interview transcriptions, and school documents in the form of lesson plans and objectives (Merriam, 2009; Moustakas, 1994).

  9. Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care.

    PubMed

    Cifuentes, Maribel; Davis, Melinda; Fernald, Doug; Gunn, Rose; Dickinson, Perry; Cohen, Deborah J

    2015-01-01

    This article describes the electronic health record (EHR)-related experiences of practices striving to integrate behavioral health and primary care using tailored, evidenced-based strategies from 2012 to 2014; and the challenges, workarounds and initial health information technology (HIT) solutions that emerged during implementation. This was an observational, cross-case comparative study of 11 diverse practices, including 8 primary care clinics and 3 community mental health centers focused on the implementation of integrated care. Practice characteristics (eg, practice ownership, federal designation, geographic area, provider composition, EHR system, and patient panel characteristics) were collected using a practice information survey and analyzed to report descriptive information. A multidisciplinary team used a grounded theory approach to analyze program documents, field notes from practice observation visits, online diaries, and semistructured interviews. Eight primary care practices used a single EHR and 3 practices used 2 different EHRs, 1 to document behavioral health and 1 to document primary care information. Practices experienced common challenges with their EHRs' capabilities to 1) document and track relevant behavioral health and physical health information, 2) support communication and coordination of care among integrated teams, and 3) exchange information with tablet devices and other EHRs. Practices developed workarounds in response to these challenges: double documentation and duplicate data entry, scanning and transporting documents, reliance on patient or clinician recall for inaccessible EHR information, and use of freestanding tracking systems. As practices gained experience with integration, they began to move beyond workarounds to more permanent HIT solutions ranging in complexity from customized EHR templates, EHR upgrades, and unified EHRs. Integrating behavioral health and primary care further burdens EHRs. Vendors, in cooperation with clinicians, should intentionally design EHR products that support integrated care delivery functions, such as data documentation and reporting to support tracking patients with emotional and behavioral problems over time and settings, integrated teams working from shared care plans, template-driven documentation for common behavioral health conditions such as depression, and improved registry functionality and interoperability. This work will require financial support and cooperative efforts among clinicians, EHR vendors, practice assistance organizations, regulators, standards setters, and workforce educators. © Copyright 2015 by the American Board of Family Medicine.

  10. 8 CFR 1216.4 - Joint petition to remove conditional basis of lawful permanent resident status for alien spouse.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... with the interview requirements contained in the Act. Furthermore, if the documentation submitted in... marital relationship, the petitioner must arrange for the affiants to be present at the interview, at no..., provided the alien and the petitioning spouse comply with the interview requirements described in § 1216.4...

  11. Implementation of case studies in undergraduate didactic nursing courses: a qualitative study.

    PubMed

    Dutra, Danette K

    2013-07-04

    The implementation of unfolding scenario-based case studies in the didactic classroom is associated with learner-centered education. The utilization of learner-centered pedagogies, such as case studies, removes the focus from the instructor and instead places it on the student. Learner-centered pedagogies are believed to improve students' levels of cognition. The purpose of this study was to examine how nurse educators are implementing the pedagogies of case studies in their undergraduate didactic courses. The goal was to examine, document, report, and, ultimately, implement the strategies. Purposeful sampling was utilized in this qualitative, multisite-designed study. For each of the four participants, three separate site visits were completed. Observations and post-observational interviews took place at each site visit. Transcribed data from interviews, observations, and course documents were imported into the computer program Nvivo8. Repetitive comparative analysis was utilized to complete the data coding process. The guiding research question of this study sought to investigate the implementation strategies of case studies in didactic nursing courses. The implementation of case studies by the participants reflected two primary patterns: Formal Implementation (FI) and Informal Implementation (II) of case studies. The FI of case studies was further divided into two subcategories: Formal Implementation of case studies used Inside the Classroom setting (FIIC) and Formal Implementation of cases studies used Outside of the Classroom (FIOC). Results of this investigation have led to an increased understanding of implementation strategies of unfolding scenario-based case studies in undergraduate nursing didactic courses. Data collected were rich in the description of specific methodologies for utilization of case studies and may serve as a resource for faculty in development of creative strategies to enhance the didactic classroom experience.

  12. Implementation of case studies in undergraduate didactic nursing courses: a qualitative study

    PubMed Central

    2013-01-01

    Background The implementation of unfolding scenario-based case studies in the didactic classroom is associated with learner-centered education. The utilization of learner-centered pedagogies, such as case studies, removes the focus from the instructor and instead places it on the student. Learner-centered pedagogies are believed to improve students’ levels of cognition. The purpose of this study was to examine how nurse educators are implementing the pedagogies of case studies in their undergraduate didactic courses. The goal was to examine, document, report, and, ultimately, implement the strategies. Methods Purposeful sampling was utilized in this qualitative, multisite-designed study. For each of the four participants, three separate site visits were completed. Observations and post-observational interviews took place at each site visit. Transcribed data from interviews, observations, and course documents were imported into the computer program Nvivo8. Repetitive comparative analysis was utilized to complete the data coding process. Results The guiding research question of this study sought to investigate the implementation strategies of case studies in didactic nursing courses. The implementation of case studies by the participants reflected two primary patterns: Formal Implementation (FI) and Informal Implementation (II) of case studies. The FI of case studies was further divided into two subcategories: Formal Implementation of case studies used Inside the Classroom setting (FIIC) and Formal Implementation of cases studies used Outside of the Classroom (FIOC). Conclusion Results of this investigation have led to an increased understanding of implementation strategies of unfolding scenario-based case studies in undergraduate nursing didactic courses. Data collected were rich in the description of specific methodologies for utilization of case studies and may serve as a resource for faculty in development of creative strategies to enhance the didactic classroom experience. PMID:23826925

  13. Implementation of green infrastructure concept in Citarum Watershed

    NASA Astrophysics Data System (ADS)

    Maryati, Sri; Humaira, An Nisaa'Siti

    2017-03-01

    Green infrastructure has several benefits compared to grey infrastructure in term of environmental services and sustainability, such as reducing energy consumption, improving air quality, providing carbon sequestration, and increasing property values. Nevertheless in practice, the implementation of the concept in Indonesia is still limited. Implementation of the certain concept has to be guided in planning document. In this paper, green infrastructure concept in the current spatial plan and other planning documents is assessed. The purpose of this research is to figure out how far the green infrastructure concept is integrated into planning system, based on the analysis of planning documents in Citarum Watershed and expert interviews with local stakeholders. Content analysis method is used to analyze the documents and result of interview. The result shows that green infrastructure concept has not been accommodated in spatial plan or other planning documents widely. There are some challenges in implementing the concept including reward and punishment system (incentive and disincentive), coordination, and lack of human resources.

  14. Creating Synergies: Local Government Facilitating Learning and Development through Partnerships--Support Document

    ERIC Educational Resources Information Center

    Waterhouse, Peter; Virgona, Crina; Brown, Richard

    2006-01-01

    This research sought to document and better understand four evolving learning communities in Victoria. It was based upon an earlier study by the Victorian Local Governance Association (VLGA) (Snelling, 2003). The study was qualitative in nature, based on face-to-face interviews and case studies. This supporting document provides the literature…

  15. Revenue-Generating Language Programs at Canadian Post-Secondary Institutions: Emerging Themes from a Documentation Analysis

    ERIC Educational Resources Information Center

    Eaton, Sarah Elaine; Goddard, J. Tim

    2008-01-01

    This presentation identifies emerging themes in a study combining documentation analysis (Atkinson & Coffey, 2004) and interviews that examine policy statements, promotional materials and various institutional documents from selected English as a Second Language (ESL) programs at one Canadian University. It looks at how and why ESL programs…

  16. [Constraints and opportunities for inter-sector health promotion initiatives: a case study].

    PubMed

    Magalhães, Rosana

    2015-07-01

    This article analyzes the implementation of inter-sector initiatives linked to the Family Grant, Family Health, and School Health Programs in the Manguinhos neighborhood in the North Zone of Rio de Janeiro, Brazil. The study was conducted in 2010 and 2011 and included document review, local observation, and 25 interviews with program managers, professionals, and staff. This was an exploratory case study using a qualitative approach that identified constraints and opportunities for inter-sector health experiences, contributing to the debate on the effectiveness of health promotion and poverty relief programs.

  17. Building the Capacity to Innovate: The Role of Human Capital--Support Document

    ERIC Educational Resources Information Center

    Smith, Andrew; Courvisanos, Jerry; Tuck, Jacqueline; McEachern, Steven

    2012-01-01

    This document was produced by the authors based on their research for the report "Building the Capacity to Innovate: The Role of Human Capital," and is an added resource for further information. This document contains the following appendices: (1) Survey methodology; (2) Synopsis of the literature; (3) Interview questions; and (4) Survey…

  18. World Voice Day in news: analysis of reports on the Voice Campaign in Brazil.

    PubMed

    Dornelas, Rodrigo; Giannini, Susana Pimentel Pinto; Ferreira, Léslie Piccolotto

    2015-01-01

    To analyze the television reports on the World Voice Day transmitted by Globo(r) TV. We researched television reports broadcasted by Globo(r) Network in regional television news programs from March 15 to April 20, 2013. For the data analysis, the Document Analysis technique was used. The analyzed variables were the following: location, broadcasting period, duration, interviewed professional, mention of multiprofessional work, orientation to the population, and the interview approach (health promotion or disease prevention). Through statistical analysis, the interview approach was considered the outcome and associated with the other variables. On the regions where there are news programs for the researched TV station, the majority made reports about the Voice Campaign. Among these, we discovered that the five regions of Brazil were contemplated, in the morning/afternoon periods, with medium duration of 5.3 minutes. The presence of the speech-language pathologist was observed in greater numbers of the interviews, as also the emphasis on the importance of a multiprofessional work. Regarding the content presented, the interviewees focused on diseases caused by habits that impair the voice, with orientation to the public about what negatively interferes in the vocal well-being. The approach of the interviews was not, in the majority of times, of the same nature (promoting the vocal well-being or preventing voice disorder), and the interprofessional practice is still seen less frequently as a possible work strategy.

  19. NASA's New Technology Reporting System: A Review and Future Prospects

    NASA Technical Reports Server (NTRS)

    Chapman, Richard L.

    1985-01-01

    This report represents a systematic effort to describe how NASA's new technology reporting system operates today, and how that system might be enhanced. Although the system has run for more than two decades, it is not well documented in terms of organization, operational practices, or other program benchmarks. The study seeks to identify and assess incentives or disincentives to reporting, program management, program follow through, and the feasibility of various means for improving the general process. Initially, it was hoped that the study team might uncover the kind of information that would permit the determination of some 'average' sequence of events (or a time line) from the point of identifying a solution to technical 'need' to the point where its solution was actually reported to NASA. Information regarding this objective proved to be too elusive, primarily because early probes revealed that con- tractor awareness of the new technology requirements generally was too poor to provide useful information. The report that follows is based primarily upon documents furnished by NASA Headquarters, by Field Center technology utilization officers, and interviews with persons knowledgeable about the system. Visits were made to seven Field Centers: Ames Research Center, Goddard Space Flight Center, Jet Propulsion Laboratory, Johnson Space Center, Langley Research Center, Lewis Research Center, and Marshall Space Flight Center. Other documents were furnished by officials of major aerospace corporations. Detailed interviews were conducted with Field Center technology utilization officials, project engineers or scientists, patent counsels, and other Field Center officials who had knowledge about the new technology reporting system. Interviews also were conducted with knowledgeable officials from a number of the primary aerospace companies. Numeric data was obtained from regular NASA reports, from original sources such as, NASA Tech Briefs, or from contractor reports. I am indebted to dozens of persons in both NASA and industry who took time to assist in the data collection by being interviewed, and through answering follow up questions on the telephone. Individuals interviewed and their affiliations are shown in Appendix A. I am most grateful to them for their kind assistance. A note of thanks is due to the other members of the DRI study team: Jody Briles, Kathy Hirst, and Joel Johnson. The responsibility for this report, its accuracy, and the nature of the observations and conclusions rest solely with the author. Text or citations in the numbered footnotes are to be found at the end of each chapter.

  20. Understanding the distributed cognitive processes of intensive care patient discharge.

    PubMed

    Lin, Frances; Chaboyer, Wendy; Wallis, Marianne

    2014-03-01

    To better understand and identify vulnerabilities and risks in the ICU patient discharge process, which provides evidence for service improvement. Previous studies have identified that 'after hours' discharge and 'premature' discharge from ICU are associated with increased mortality. However, some of these studies have largely been retrospective reviews of various administrative databases, while others have focused on specific aspects of the process, which may miss crucial components of the discharge process. This is an ethnographic exploratory study. Distributed cognition and activity theory were used as theoretical frameworks. Ethnographic data collection techniques including informal interviews, direct observations and collecting existing documents were used. A total of 56 one-to-one interviews were conducted with 46 participants; 28 discharges were observed; and numerous documents were collected during a five-month period. A triangulated technique was used in both data collection and data analysis to ensure the research rigour. Under the guidance of activity theory and distributed cognition theoretical frameworks, five themes emerged: hierarchical power and authority, competing priorities, ineffective communication, failing to enact the organisational processes and working collaboratively to optimise the discharge process. Issues with teamwork, cognitive processes and team members' interaction with cognitive artefacts influenced the discharge process. Strategies to improve shared situational awareness are needed to improve teamwork, patient flow and resource efficiency. Tools need to be evaluated regularly to ensure their continuous usefulness. Health care professionals need to be aware of the impact of their competing priorities and ensure discharges occur in a timely manner. Activity theory and distributed cognition are useful theoretical frameworks to support healthcare organisational research. © 2013 John Wiley & Sons Ltd.

  1. Taming Liquid Hydrogen: The Centaur Upper Stage Rocket

    NASA Technical Reports Server (NTRS)

    Dawson, Virginia P.; Bowles, Mark D.

    2004-01-01

    The Centaur is one of the most powerful rockets in the world. As an upper-stage rocket for the Atlas and Titan boosters it has been a reliable workhorse for NASA for over forty years and has played an essential role in many of NASA's adventures into space. In this CD-ROM you will be able to explore the Centaur's history in various rooms to this virtual museum. Visit the "Movie Theater" to enjoy several video documentaries on the Centaur. Enter the "Interview Booth" to hear and read interviews with scientists and engineers closely responsible for building and operating the rocket. Go to the "Photo Gallery" to look at numerous photos of the rocket throughout its history. Wander into the "Centaur Library" to read various primary documents of the Centaur program. Finally, stop by the "Observation Deck" to watch a virtual Centaur in flight.

  2. Content analysis to detect high stress in oral interviews and text documents

    NASA Technical Reports Server (NTRS)

    Thirumalainambi, Rajkumar (Inventor); Jorgensen, Charles C. (Inventor)

    2012-01-01

    A system of interrogation to estimate whether a subject of interrogation is likely experiencing high stress, emotional volatility and/or internal conflict in the subject's responses to an interviewer's questions. The system applies one or more of four procedures, a first statistical analysis, a second statistical analysis, a third analysis and a heat map analysis, to identify one or more documents containing the subject's responses for which further examination is recommended. Words in the documents are characterized in terms of dimensions representing different classes of emotions and states of mind, in which the subject's responses that manifest high stress, emotional volatility and/or internal conflict are identified. A heat map visually displays the dimensions manifested by the subject's responses in different colors, textures, geometric shapes or other visually distinguishable indicia.

  3. A Behavior-Analytic Account of Motivational Interviewing

    ERIC Educational Resources Information Center

    Christopher, Paulette J.; Dougher, Michael J.

    2009-01-01

    Several published reports have now documented the clinical effectiveness of motivational interviewing (MI). Despite its effectiveness, there are no generally accepted or empirically supported theoretical accounts of its effects. The theoretical accounts that do exist are mentalistic, descriptive, and not based on empirically derived behavioral…

  4. Guide to transcribing and summarizing oral histories : Historic Columbia River Highway oral history project.

    DOT National Transportation Integrated Search

    2010-03-01

    Because how we speak can be very different from how we write, transcribing interviews is often more complicated than copying a persons words down verbatim. Thus, this document includes tips for transcribing oral history interviews and provides gui...

  5. Elementary Assistant Principals: Perspectives on Role and Responsibilities

    ERIC Educational Resources Information Center

    Best, Terri L.

    2016-01-01

    This qualitative study explored elementary assistant principals' perspectives on their role and responsibilities. Online interview questions, focus group interviews and review of documents were the source of data for this study. The study produced seven emergent themes: School Operational Management, Daily Discipline Management, Teacher Support…

  6. Black lesbian gender and sexual culture: celebration and resistance.

    PubMed

    Wilson, Bianca D M

    2009-04-01

    Lesbian gender expression is a persistent theme in research and writing about lesbian culture. Yet little empirical research has examined the ways lesbian gender functions within the sexual culture of lesbian communities, particularly among lesbians of colour. This study was aimed at documenting and assessing the functions of lesbian gender among African American lesbians. Particular attention was paid to identifying core characteristics of sexual discourses, such as evidence of dominant and resistant sexual scripts and contradictions between messages about sex. This study took the form of a rapid ethnography of an African American lesbian community in the USA using focus groups, individual community leader interviews and participant observations at a weekly open mic event. Findings document how lesbian gender roles translated into distinct sexual roles and expectations that appear to both parallel and radically reject heterosexual norms for sex. The deep roots of the social pressure to date within these roles were also evident within observations at the open microphone events. While data highlighted the central role that lesbian gender roles play in this community, analyses also revealed a strong resistance to the dominance of this sexual cultural system.

  7. Use of active management of the third stage of labour in seven developing countries.

    PubMed

    Stanton, Cynthia; Armbruster, Deborah; Knight, Rod; Ariawan, Iwan; Gbangbade, Sourou; Getachew, Ashebir; Portillo, Jose Angel; Jarquin, Douglas; Marin, Flor; Mfinanga, Sayoka; Vallecillo, Jesus; Johnson, Hope; Sintasath, David

    2009-03-01

    To document the use of active management of the third stage of labour for preventing postpartum haemorrhage and to explore factors associated with such use in seven developing countries. Nationally representative samples of facility-based deliveries were selected and observed to determine the use of active management of the third stage of labour and associated factors. Policies on active management were assessed through document review and interviews with relevant professionals. Use of a uterotonic during the third or fourth stages of labour was nearly universal. Correct use of active management of the third stage of labour was found in only 0.5% to 32% of observed deliveries due to multiple deficiencies in practice. In every country except Indonesia, policies regarding active management were conflicting. Developing countries have not targeted decreasing postpartum haemorrhage as an achievable goal; there is little use of active management of the third stage of labour, and policies regarding such management often conflict. Studies are needed to identify the most effective components of active management so that the most efficient package of practices can be promoted.

  8. Medical students' experiences of resuscitation and discussions surrounding resuscitation status.

    PubMed

    Aggarwal, Asha R; Khan, Iqbal

    2018-01-01

    In the UK, cardiopulmonary resuscitation (CPR) should be undertaken in the event of cardiac arrest unless a patient has a "Do Not Attempt CPR" document. Doctors have a legal duty to discuss CPR with patients or inform them that CPR would be futile. In this study, final-year medical students were interviewed about their experiences of resuscitation on the wards and of observing conversations about resuscitation status to explore whether they would be equipped to have an informed discussion about resuscitation in the future. Twenty final-year medical students from two medical schools were interviewed about their experiences on the wards. Interviews were transcribed verbatim, and thematic analysis was undertaken. Students who had witnessed CPR on the wards found that aspects of it were distressing. A significant minority had never seen resuscitation status being discussed with a patient. No students reported seeing a difficult conversation. Half of the students interviewed reported being turned away from difficult conversations by clinicians. Only two of the twenty students would feel comfortable raising the issue of resuscitation with a patient. It is vital that doctors are comfortable talking to patients about resuscitation. Given the increasing importance of this aspect of communication, it should be considered for inclusion in the formal communication skills teaching during medical school.

  9. Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis.

    PubMed

    Calder, Lisa Anne; Mastoras, George; Rahimpour, Mitra; Sohmer, Benjamin; Weitzman, Brian; Cwinn, A Adam; Hobin, Tara; Parush, Avi

    2017-12-01

    In order to enhance patient safety during resuscitation of critically ill patients, we need to optimize team communication and enhance team situational awareness but little is known about resuscitation team communication patterns. The objective of this study is to understand how teams communicate during resuscitation; specifically to assess for a shared mental model (organized understanding of a team's relationships) and information needs. We triangulated 3 methods to evaluate resuscitation team communication at a tertiary care academic trauma center: (1) interviews; (2) simulated resuscitation observations; (3) live resuscitation observations. We interviewed 18 resuscitation team members about shared mental models, roles and goals of team members and procedural expectations. We observed 30 simulated resuscitation video recordings and documented the timing, source and destination of communication and the information category. We observed 12 live resuscitations in the emergency department and recorded baseline characteristics of the type of resuscitations, nature of teams present and type and content of information exchanges. The data were analyzed using a qualitative communication analysis method. We found that resuscitation team members described a shared mental model. Respondents understood the roles and goals of each team member in order to provide rapid, efficient and life-saving care with an overall need for situational awareness. The information flow described in the interviews was reflected during the simulated and live resuscitations with the most responsible physician and charting nurse being central to team communication. We consolidated communicated information into six categories: (1) time; (2) patient status; (3) patient history; (4) interventions; (5) assistance and consultations; 6) team members present. Resuscitation team members expressed a shared mental model and prioritized situational awareness. Our findings support a need for cognitive aids to enhance team communication during resuscitations.

  10. Student Leadership Development: A Functional Framework

    ERIC Educational Resources Information Center

    Hine, Gregory Stephen Colin

    2014-01-01

    This article presents a longitudinal, qualitative case study of a student leadership program in a Catholic secondary school in Perth, Western Australia. Data were collected over a period of three years through multiple methods, including one-on-one interviewing, focus group interviewing, document searches, field notes, and researcher reflective…

  11. Interviewing Children: Reporter Guide

    ERIC Educational Resources Information Center

    Carr, Sarah

    2012-01-01

    Interviewing children is a critical element of the education reporter's daily work. However, practices for gaining access and avoiding harm and embarrassment vary widely depending on the news organization and individual reporter in question. This document aims to provide journalists with broad guidelines, but it stops short of advocating for the…

  12. Key informant interviews test plan : model deployment of a regional, multi-modal 511 traveler information system

    DOT National Transportation Integrated Search

    2004-01-28

    This document presents the detailed plan to conduct the Key Informants Interviews Test, one of several test activities to be conducted as part of the national evaluation of the regional, multi-modal 511 Traveler Information System Model Deployment. T...

  13. Effects of increased nurses' workload on quality documentation of patient information at selected Primary Health Care facilities in Vhembe District, Limpopo Province.

    PubMed

    Shihundla, Rhulani C; Lebese, Rachel T; Maputle, Maria S

    2016-05-13

    Recording of information on multiple documents increases professional nurses' responsibilities and workload during working hours. There are multiple registers and books at Primary Health Care (PHC) facilities in which a patient's information is to be recorded for different services during a visit to a health professional. Antenatal patients coming for the first visit must be recorded in the following documents: tick register; Prevention of Mother-ToChild Transmission (PMTCT) register; consent form for HIV and AIDS testing; HIV Counselling and Testing (HCT) register (if tested positive for HIV and AIDS then this must be recorded in the Antiretroviral Therapy (ART) wellness register); ART file with an accompanying single file, completion of which is time-consuming; tuberculosis (TB) suspects register; blood specimen register; maternity case record book and Basic Antenatal Care (BANC) checklist. Nurses forget to record information in some documents which leads to the omission of important data. Omitting information might lead to mismanagement of patients. Some of the documents have incomplete and inaccurate information. As PHC facilities in Vhembe District render twenty four hour services through a call system, the same nurses are expected to resume duty at 07:00 the following morning. They are expected to work effectively and when tired a nurse may record illegible information which may cause problems when the document is retrieved by the next person for continuity of care. The objective of this study was to investigate and describe the effects of increased nurses' workload on quality documentation of patient information at PHC facilities in Vhembe District, Limpopo Province. The study was conducted in Vhembe District, Limpopo Province, where the effects of increased nurses' workload on quality documentation of information is currently experienced. The research design was explorative, descriptive and contextual in nature. The population consisted of all nurses who work at PHC facilities in Vhembe District. Purposive sampling was used to select nurses and three professional nurses were sampled from each PHC facility. An in-depth face-to-face interview was used to collect data using an interview guide. PHC facilities encountered several effects due to increased nurses' workload where incomplete patient information is documented. Unavailability of patient information was observed, whilst some documented information was found to be illegible, inaccurate and incomplete. Documentation of information at PHC facilities is an evidence of effective communication amongst professional nurses. There should always be active follow-up and mentoring of the nurses' documentation to ensure that information is accurately and fully documented in their respective facilities. Nurses find it difficult to cope with the increased workload associated with documenting patient information on the multiple records that are utilized at PHC facilities, leading to incomplete information. The number of nurses at facilities should be increased to reduce the increased workload.

  14. Preserving Our Legacy for Future Generations of Educators

    ERIC Educational Resources Information Center

    Hearn, Colleen Porter; Crabtree, Kacy E.

    2008-01-01

    Preserving dance history for future generations includes documenting and maintaining the life and work of dance pioneers who today's dance educators can learn from and imitate. This article offers basic guidelines for conducting interviews; preserving valuable documentation, including photographs and recordings; and unearthing forgotten stories…

  15. Pilot-testing an adverse drug event reporting form prior to its implementation in an electronic health record.

    PubMed

    Chruscicki, Adam; Badke, Katherin; Peddie, David; Small, Serena; Balka, Ellen; Hohl, Corinne M

    2016-01-01

    Adverse drug events (ADEs), harmful unintended consequences of medication use, are a leading cause of hospital admissions, yet are rarely documented in a structured format between care providers. We describe pilot-testing structured ADE documentation fields prior to integration into an electronic medical record (EMR). We completed a qualitative study at two Canadian hospitals. Using data derived from a systematic review of the literature, we developed screen mock-ups for an ADE reporting platform, iteratively revised in participatory workshops with diverse end-user groups. We designed a paper-based form reflecting the data elements contained in the mock-ups. We distributed them to a convenience sample of clinical pharmacists, and completed ethnographic workplace observations while the forms were used. We reviewed completed forms, collected feedback from pharmacists using semi-structured interviews, and coded the data in NVivo for themes related to the ADE form. We completed 25 h of clinical observations, and 24 ADEs were documented. Pharmacists perceived the form as simple and clear, with sufficient detail to capture ADEs. They identified fields for omission, and others requiring more detail. Pharmacists encountered barriers to documenting ADEs including uncertainty about what constituted a reportable ADE, inability to complete patient follow-up, the need for inter-professional communication to rule out alternative diagnoses, and concern about creating a permanent record. Paper-based pilot-testing allowed planning for important modifications in an ADE documentation form prior to implementation in an EMR. While paper-based piloting is rarely reported prior to EMR implementations, it can inform design and enhance functionality. Piloting with other groups of care providers and in different healthcare settings will likely lead to further revisions prior to broader implementations.

  16. Political science. Reverse-engineering censorship in China: randomized experimentation and participant observation.

    PubMed

    King, Gary; Pan, Jennifer; Roberts, Margaret E

    2014-08-22

    Existing research on the extensive Chinese censorship organization uses observational methods with well-known limitations. We conducted the first large-scale experimental study of censorship by creating accounts on numerous social media sites, randomly submitting different texts, and observing from a worldwide network of computers which texts were censored and which were not. We also supplemented interviews with confidential sources by creating our own social media site, contracting with Chinese firms to install the same censoring technologies as existing sites, and--with their software, documentation, and even customer support--reverse-engineering how it all works. Our results offer rigorous support for the recent hypothesis that criticisms of the state, its leaders, and their policies are published, whereas posts about real-world events with collective action potential are censored. Copyright © 2014, American Association for the Advancement of Science.

  17. [Implementation of joint-crisis plans--a study of health care users and professionals].

    PubMed

    Grätz, Juliane; Brieger, Peter

    2012-11-01

    To study effects of the implementation of joint-crisis plans (JCP) on health-care users and professionals. The first 3 years of the implementation of JCP were followed with structured interviews with health-care users and professionals. Legal and administrative complications were documented. 36 of 44 subjects with JCP were assessed. Most of them had learned of JCP through other users or self-help. 55 % had prior experience with compulsory treatment. Better communication and self-determination were main goals of JCP. A relevant change in hospital treatment through JCP was not observed. Only few professionals had made direct experience with JCP. They valued JCP mildly positive. No legal and administrative complications were documented. Only a small minority of users signed JCP. JCP were easily employed and improved communication and self-determination. © Georg Thieme Verlag KG Stuttgart · New York.

  18. [The process of organizational culture formation in a philanthropic hospital].

    PubMed

    Machado, Valéria Bertonha; Kurcgant, Paulina

    2004-09-01

    This study was carried out in a philanthropic medium-size hospital institution in Sao Paulo - Brazil, aiming to disclose the cultural features of the institution. The adopted methodology was the qualitative study, following the steps proposed by Thévenet: document analysis, interview and observation. The analysis showed that when a new professional group starts working in an institution, it considers that some values must be changed. This change means to restructure the management of the organization and the people involved in it, facing the conflict posed by changing or preserving the old system.

  19. A case study of middle school food policy and persisting barriers to healthful eating.

    PubMed

    Jara, Eddy; Ozer, Emily J; Seyer-Ochi, Ingrid

    2014-01-01

    Decreasing access to competitive foods in schools has produced only modest effects on adolescents' eating patterns. This qualitative case study investigated persistent barriers to healthful eating among students attending an ethnically diverse middle school in a working-class urban neighborhood that had banned on campus competitive food sales. Participant observations, semi-structured interviews and document reviews were conducted. Unappealing school lunches and easily accessible unhealthful foods, combined with peer and family influences, increased the appeal of unhealthy foods. Areas for further inquiry into strategies to improve urban middle school students' school and neighborhood food environments are discussed.

  20. Five-year external reviews of the eight Department of Interior Climate Science Centers: Alaska Climate Science Center

    USGS Publications Warehouse

    Shasby, Mark; Dolloff, C. Andrew; Hicke, Jeffrey A.; Marcot, Bruce G.; McCarl, Bruce; McMahon, Gerard; Morton, John M.

    2017-01-01

    This report primarily addresses the first two purposes of the review while providing comments on the third as identified by the science review team (SRT). A separate report of recommendations for the recompetition, based upon compiled observation from all three reviews conducted in 2016, was submitted to NCCWSC on April 15, 2016 to assist with the development of recompetition documents. To further address host-university administrative competencies and efficiencies, separate interviews of host-university faculty and administrators were conducted by NCCWSC staff in conjunction with the on-site component of the reviews.

  1. Ethnomathematics: Exploration in Javanese culture

    NASA Astrophysics Data System (ADS)

    Risdiyanti, Irma; Charitas Indra Prahmana, Rully

    2017-12-01

    This research is the exploration study to indicate the correlation between mathematics and Javanese culture. These studies have a purpose of exploring Javanese culture in Yogyakarta that contains mathematics concept namely Batik. The activity of society in making Batik in all regency at Yogyakarta is the focus of this study. The research use ethnography method. The technic to collection data uses principles in ethnography such as observation, interview, documentation, and field note making with the original ethnography description. The result is exploration ethnomathematics in the several motifs of Yogyakarta batik that contains philosophy, deep cultural value, and mathematics concept, especially geometry transform subject.

  2. "Inside-out Pedagogy": Theorising Pedagogical Transformation through Teaching Philosophy

    ERIC Educational Resources Information Center

    Scholl, Rosie

    2014-01-01

    This retrospective interview study focused on the impact that training and implementation of Philosophy, in Lipman's tradition of Philosophy for Children, had on the pedagogy of 14 primary teachers at one school. Semi-structured interviews were conducted to document the impact of teaching Philosophy on pedagogy, the resources required to…

  3. Job Analysis and the Preparation of Job Descriptions. Mendip Papers MP 037.

    ERIC Educational Resources Information Center

    Saunders, Bob

    This document provides guidelines for conducting job analyses and writing job descriptions. It covers the following topics: the rationale for job descriptions, the terminology of job descriptions, who should write job descriptions, getting the information to write job descriptions, preparing for staff interviews, conducting interviews, writing the…

  4. Complexities of Counting.

    ERIC Educational Resources Information Center

    Stake, Bernadine Evans

    This document focuses on one child's skip counting methods. The pupil, a second grade student at Steuben School, in Kankakee, Illinois, was interviewed as she made several attempts at counting twenty-five poker chips on a circular piece of paper. The interview was part of a larger study of "Children's Conceptions of Number and Numeral,"…

  5. Challenges and opportunities in establishing a collaborative multisite observational study of chronic diseases and lifestyle factors among adults in Puerto Rico.

    PubMed

    Mattei, Josiemer; Rodríguez-Orengo, José F; Tamez, Martha; Corujo, Francheska; Claudio, Aida; Villanueva, Héctor; Campos, Hannia; Willett, Walter C; Tucker, Katherine L; Ríos-Bedoya, Carlos F

    2017-01-31

    Prevalence of chronic diseases and unhealthy lifestyle behaviors among the adult population of Puerto Rico (PR) is high; however, few epidemiological studies have been conducted to address these. We aimed to document the methods and operation of establishing a multisite cross-sectional study of chronic diseases and risk factors in PR, in partnership with academic, community, clinical, and research institutions. The Puerto Rico Assessment of Diet, Lifestyle and Diseases (PRADLAD) documented lifestyle and health characteristics of adults living in PR, with the goal of informing future epidemiological and intervention projects, as well as public health, policy, and clinical efforts to help improve the population's health. The study was conducted in three primary care clinics in the San Juan, PR metropolitan area. Eligible volunteers were 30-75y, living in PR for at least 10 months of the previous year, and able to answer interviewer-administered questionnaires without assistance. Questions were recorded electronically by trained interviewers, and included socio-demographic characteristics, lifestyle behaviors, self-reported medically-diagnosed diseases, and psychosocial factors. Waist and hip circumferences were measured following standardized protocols. A subset of participants answered a validated food frequency questionnaire, a legumes questionnaire, and had medical record data abstracted. Process and outcome evaluation indicators were assessed. The study screened 403 participants in 5 months. Of these, 396 (98%) were eligible and 380 (94%) had reliable and complete information. A subset of 242 participants had valid dietary data, and 236 had medical record data. The mean time to complete an interview was 1.5 h. Participants were generally cooperative and research collaborators were fully engaged. Having multiple sites helped enhance recruitment and sociodemographic representation. Diagnosed conditions were prevalent across sites. Challenges in data monitoring, interviewer training, and scheduling were identified and corrected, and should be addressed in future studies. Epidemiological studies in PR can be successfully implemented in partnership with multiple institutions. Effective recruitment and implementation requires concerted planning and continued involvement from partners, frequent quality control, brief interviews, reasonable incentives, and thorough training/re-training of culturally-sensitive interviewers. Further studies are feasible and needed to help address highly prevalent chronic conditions in PR.

  6. Evaluation of introduction of the Haemophilus influenzae vaccine in Côte d’Ivoire

    PubMed

    Yohou, Kévin Sylvestre; Aka, Nicaise Lepri; Noufe, Soualihou; Douba, Alfred; Assi Assi, Bernard; Dagnan, Simplice N Cho

    2016-11-25

    Introduction: Côte d’Ivoire introduced the Haemophilus influenzae type b vaccine into the EPI in March 2009. Following this introduction, an evaluation was conducted in 2012 in order to evaluate the vaccine introduction process. Methods: Data collection methods consisted of document review, structured interviews and direct observation. This study collected information from six health region officials, 12 health districts and 36 healthcare institutions. Seventy-two mothers or child carers were also interviewed. Collected data were processed and analysed by Excel, Epi Info and SPSS. Results: A vaccine introduction plan was developed, but was not communicated at the operational level. The planned training for district health care providers was conducted eighteen months after introduction of the vaccine. None of the vaccinating centres had communication support about the new vaccine. Temperature recording was regularly performed in 92% of district deposits and 68% of vaccinating centres. Deteriorated vaccines were observed in 6% of vaccinating centres. Only 3.5% of parents had been informed about introduction of the vaccine. Increased immunization coverage for the third dose of pentavalent vaccine was observed in one half of health districts. Conclusion: Evaluation of the introduction of Haemophilus influenzae type b vaccine highlightsthe strengths and weaknesses of the health system and provides lessons for the introduction of other vaccines into the expanded programme on immunization.

  7. Lab notebooks as scientific communication: Investigating development from undergraduate courses to graduate research

    NASA Astrophysics Data System (ADS)

    Stanley, Jacob T.; Lewandowski, H. J.

    2016-12-01

    In experimental physics, lab notebooks play an essential role in the research process. For all of the ubiquity of lab notebooks, little formal attention has been paid to addressing what is considered "best practice" for scientific documentation and how researchers come to learn these practices in experimental physics. Using interviews with practicing researchers, namely, physics graduate students, we explore the different experiences researchers had in learning how to effectively use a notebook for scientific documentation. We find that very few of those interviewed thought that their undergraduate lab classes successfully taught them the benefit of maintaining a lab notebook. Most described training in lab notebook use as either ineffective or outright missing from their undergraduate lab course experience. Furthermore, a large majority of those interviewed explained that they did not receive any formal training in maintaining a lab notebook during their graduate school experience and received little to no feedback from their advisors on these records. Many of the interviewees describe learning the purpose of, and how to maintain, these kinds of lab records only after having a period of trial and error, having already started doing research in their graduate program. Despite the central role of scientific documentation in the research enterprise, these physics graduate students did not gain skills in documentation through formal instruction, but rather through informal hands-on practice.

  8. Student Problems with Documentation.

    ERIC Educational Resources Information Center

    Freimer, Gloria R.; Perry, Margaret M.

    1986-01-01

    Interviews with faculty, a survey of 20 students, and examination of style manuals revealed that students are confused by inconsistencies in and multiplicity of styles when confronted with writing and documenting a research paper. Librarians are urged to teach various citation formats and work for adoption of standardization. (17 references) (EJS)

  9. Outdoor-sleeping and other night-time activities in northern Ghana: implications for residual transmission and malaria prevention.

    PubMed

    Monroe, April; Asamoah, Obed; Lam, Yukyan; Koenker, Hannah; Psychas, Paul; Lynch, Matthew; Ricotta, Emily; Hornston, Sureyya; Berman, Amanda; Harvey, Steven A

    2015-01-28

    Despite targeted indoor residual spraying (IRS) over a six-year period and free mass distribution of long-lasting insecticide-treated nets (ITNs), malaria rates in northern Ghana remain high. Outdoor sleeping and other night-time social, cultural and economic activities that increase exposure to infective mosquito bites are possible contributors. This study was designed to document these phenomena through direct observation, and to explore the context in which they occur. During the late dry season months of February and March 2014, study team members carried out continuous household observations from dusk to dawn in one village in Ghana's Northern Region and one in Upper West Region. In-depth interviews with health workers and community residents helped supplement observational findings. Study team members completed observations of 182 individuals across 24 households, 12 households per site. Between the two sites, they interviewed 14 health workers, six community health volunteers and 28 community residents. In early evening, nearly all study participants were observed to be outdoors and active. From 18.00-23.00 hours, socializing, night school, household chores, and small-scale economic activities were common. All-night funerals, held outdoors and attended by large numbers of community members, were commonly reported and observed. Outdoor sleeping was frequently documented at both study sites, with 42% of the study population sleeping outdoors at some time during the night. While interviewees mentioned bed net use as important to malaria prevention, observed use was low for both indoor and outdoor sleeping. Net access within households was 65%, but only 17% of those with access used a net at any time during the night. Participants cited heat as the primary barrier and reported higher net use during the rainy season. Outdoor sleeping and other night-time activities were extensive, and could significantly increase malaria risk. These findings suggest that indoor-oriented control measures such as ITNs and IRS are insufficient to eliminate malaria in this setting, especially given the low net use observed. Development and evaluation of complementary outdoor control strategies should be prioritized. A research agenda is proposed to quantify the relative risk of outdoor night-time activities and test potential vector control interventions that might reduce that risk.

  10. Validation of life-charts documented with the personal life-chart app - a self-monitoring tool for bipolar disorder.

    PubMed

    Schärer, Lars O; Krienke, Ute J; Graf, Sandra-Mareike; Meltzer, Katharina; Langosch, Jens M

    2015-03-14

    Long-term monitoring in bipolar affective disorders constitutes an important therapeutic and preventive method. The present study examines the validity of the Personal Life-Chart App (PLC App), in both German and in English. This App is based on the National Institute of Mental Health's Life-Chart Method, the de facto standard for long-term monitoring in the treatment of bipolar disorders. Methods have largely been replicated from 2 previous Life-Chart studies. The participants documented Life-Charts with the PLC App on a daily basis. Clinicians assessed manic and depressive symptoms in clinical interviews using the Inventory of Depressive Symptomatology, clinician-rated (IDS-C) and the Young Mania Rating Scale (YMRS) on a monthly basis on average. Spearman correlations of the total scores of IDS-C and YMRS were calculated with both the Life-Chart functional impairment rating and mood rating documented with the PLC App. 44 subjects used the PLC App in German and 10 subjects used the PLC App in English. 118 clinical interviews from the German sub-sample and 97 from the English sub-sample were analysed separately. The results in both sub-samples are similar to previous Life-Chart validation studies. Again statistically significant high correlations were found between the Life-Chart function rating assigned through the PLC App and well-established observer-rated methods. Again correlations were weaker for the Life-Chart mood rating than for the Life-Chart function impairment. No relevant correlation was found between the Life-chart mood rating and YMRS in the German sub-sample. This study gives further evidence for the validity of the Life-Chart method as a valid tool for the recognition of both manic and depressive episodes. Documenting Life-Charts with the PLC App (English and German) does not seem to impair the validity of patient ratings.

  11. Trialability, observability and risk reduction accelerating individual innovation adoption decisions.

    PubMed

    Hayes, Kathryn J; Eljiz, Kathy; Dadich, Ann; Fitzgerald, Janna-Anneke; Sloan, Terry

    2015-01-01

    The purpose of this paper is to provide a retrospective analysis of computer simulation's role in accelerating individual innovation adoption decisions. The process innovation examined is Lean Systems Thinking, and the organizational context is the imaging department of an Australian public hospital. Intrinsic case study methods including observation, interviews with radiology and emergency personnel about scheduling procedures, mapping patient appointment processes and document analysis were used over three years and then complemented with retrospective interviews with key hospital staff. The multiple data sources and methods were combined in a pragmatic and reflexive manner to explore an extreme case that provides potential to act as an instructive template for effective change. Computer simulation of process change ideas offered by staff to improve patient-flow accelerated the adoption of the process changes, largely because animated computer simulation permitted experimentation (trialability), provided observable predictions of change results (observability) and minimized perceived risk. The difficulty of making accurate comparisons between time periods in a health care setting is acknowledged. This work has implications for policy, practice and theory, particularly for inducing the rapid diffusion of process innovations to address challenges facing health service organizations and national health systems. Originality/value - The research demonstrates the value of animated computer simulation in presenting the need for change, identifying options, and predicting change outcomes and is the first work to indicate the importance of trialability, observability and risk reduction in individual adoption decisions in health services.

  12. EU Employment and Social Policy, 1999-2001: Jobs, Cohesion, Productivity.

    ERIC Educational Resources Information Center

    Commission of the European Communities, Brussels (Belgium). Directorate-General for Employment and Social Affairs.

    This document examines employment and social policy in the European Union in 1999-2001. The document begins with an interview with Anna Diamantopoulou, the European Union's commissioner for employment and social affairs and the paper "Balancing Jobs, Cohesion, and Productivity" by Odile Quintin, the European Union's director-general for…

  13. Shifting Governance and Control in Church-Related Institutions of Higher Education.

    ERIC Educational Resources Information Center

    Fioke, Clarence J.; King, Richard A.

    Factors related to shifts in governance patterns of church-related private colleges were investigated through historical document analysis, interviews with 34 presidents and board members, and 59 questionnaires returned by current and past board members of 2 New Mexico institutions. Document analysis focused upon mission statements, annual…

  14. Current status of brown bears in the Manasalu Conservation Area, Nepal

    USGS Publications Warehouse

    Aryal, Achyut; Sathyakumar, S.; Schwartz, Charles C.

    2010-01-01

    Although brown bears (Ursus arctos) are rare in the Himalayan region, populations have been documented in alpine habitats of Pakistan and India. Brown bears were once known to exist in both Nepal and Bhutan, but current information on their numbers and distributions was lacking. We document the presence of brown bears in the Manasalu Conservation Area (MCA) in Nepal using field surveys and interviews with local people. We were able to confirm the existence of a remnant population based on finding bear scat and locations where bears excavated for Himalayan marmots (Marmota himalayana). Based on interviews with local people, it appeared that the presence of brown bears in the area is relatively recent and likely a result of immigration of bears from the Tibetan Autonomous Region. Interviews with local herders also indicated that livestock losses from brown bear predation amounted to approximately 318,000 Nepali rupees (US $4,240) from February 2006 through July 2008.

  15. A new framework for the documentation and interpretation of oral food challenges in population-based and clinical research.

    PubMed

    Grabenhenrich, L B; Reich, A; Bellach, J; Trendelenburg, V; Sprikkelman, A B; Roberts, G; Grimshaw, K E C; Sigurdardottir, S; Kowalski, M L; Papadopoulos, N G; Quirce, S; Dubakiene, R; Niggemann, B; Fernández-Rivas, M; Ballmer-Weber, B; van Ree, R; Schnadt, S; Mills, E N C; Keil, T; Beyer, K

    2017-03-01

    The conduct of oral food challenges as the preferred diagnostic standard for food allergy (FA) was harmonized over the last years. However, documentation and interpretation of challenge results, particularly in research settings, are not sufficiently standardized to allow valid comparisons between studies. Our aim was to develop a diagnostic toolbox to capture and report clinical observations in double-blind placebo-controlled food challenges (DBPCFC). A group of experienced allergists, paediatricians, dieticians, epidemiologists and data managers developed generic case report forms and standard operating procedures for DBPCFCs and piloted them in three clinical centres. The follow-up of the EuroPrevall/iFAAM birth cohort and other iFAAM work packages applied these methods. A set of newly developed questionnaire or interview items capture the history of FA. Together with sensitization status, this forms the basis for the decision to perform a DBPCFC, following a standardized decision algorithm. A generic form including details about severity and timing captures signs and symptoms observed during or after the procedures. In contrast to the commonly used dichotomous outcome FA vs no FA, the allergy status is interpreted in multiple categories to reflect the complexity of clinical decision-making. The proposed toolbox sets a standard for improved documentation and harmonized interpretation of DBPCFCs. By a detailed documentation and common terminology for communicating outcomes, these tools hope to reduce the influence of subjective judgment of supervising physicians. All forms are publicly available for further evolution and free use in clinical and research settings. © 2016 The Authors. Allergy Published by John Wiley & Sons Ltd.

  16. National evaluation of the benefits and risks of greater structuring and coding of the electronic health record: exploratory qualitative investigation.

    PubMed

    Morrison, Zoe; Fernando, Bernard; Kalra, Dipak; Cresswell, Kathrin; Sheikh, Aziz

    2014-01-01

    We aimed to explore stakeholder views, attitudes, needs, and expectations regarding likely benefits and risks resulting from increased structuring and coding of clinical information within electronic health records (EHRs). Qualitative investigation in primary and secondary care and research settings throughout the UK. Data were derived from interviews, expert discussion groups, observations, and relevant documents. Participants (n=70) included patients, healthcare professionals, health service commissioners, policy makers, managers, administrators, systems developers, researchers, and academics. Four main themes arose from our data: variations in documentation practice; patient care benefits; secondary uses of information; and informing and involving patients. We observed a lack of guidelines, co-ordination, and dissemination of best practice relating to the design and use of information structures. While we identified immediate benefits for direct care and secondary analysis, many healthcare professionals did not see the relevance of structured and/or coded data to clinical practice. The potential for structured information to increase patient understanding of their diagnosis and treatment contrasted with concerns regarding the appropriateness of coded information for patients. The design and development of EHRs requires the capture of narrative information to reflect patient/clinician communication and computable data for administration and research purposes. Increased structuring and/or coding of EHRs therefore offers both benefits and risks. Documentation standards within clinical guidelines are likely to encourage comprehensive, accurate processing of data. As data structures may impact upon clinician/patient interactions, new models of documentation may be necessary if EHRs are to be read and authored by patients.

  17. National evaluation of the benefits and risks of greater structuring and coding of the electronic health record: exploratory qualitative investigation

    PubMed Central

    Morrison, Zoe; Fernando, Bernard; Kalra, Dipak; Cresswell, Kathrin; Sheikh, Aziz

    2014-01-01

    Objective We aimed to explore stakeholder views, attitudes, needs, and expectations regarding likely benefits and risks resulting from increased structuring and coding of clinical information within electronic health records (EHRs). Materials and methods Qualitative investigation in primary and secondary care and research settings throughout the UK. Data were derived from interviews, expert discussion groups, observations, and relevant documents. Participants (n=70) included patients, healthcare professionals, health service commissioners, policy makers, managers, administrators, systems developers, researchers, and academics. Results Four main themes arose from our data: variations in documentation practice; patient care benefits; secondary uses of information; and informing and involving patients. We observed a lack of guidelines, co-ordination, and dissemination of best practice relating to the design and use of information structures. While we identified immediate benefits for direct care and secondary analysis, many healthcare professionals did not see the relevance of structured and/or coded data to clinical practice. The potential for structured information to increase patient understanding of their diagnosis and treatment contrasted with concerns regarding the appropriateness of coded information for patients. Conclusions The design and development of EHRs requires the capture of narrative information to reflect patient/clinician communication and computable data for administration and research purposes. Increased structuring and/or coding of EHRs therefore offers both benefits and risks. Documentation standards within clinical guidelines are likely to encourage comprehensive, accurate processing of data. As data structures may impact upon clinician/patient interactions, new models of documentation may be necessary if EHRs are to be read and authored by patients. PMID:24186957

  18. Exploring 21st Century Literacy through Writing: Urban Educators' Use of Digital Storytelling with Struggling Writers

    ERIC Educational Resources Information Center

    Phillips, Sarah A.

    2017-01-01

    This qualitative study explored the lived experiences of urban educators' integration of digital storytelling into supporting instruction, developing students' writing potential, and engaging students that struggle with writing literacy. Interviews, focus group interviews, review of documents, and audio-visual resources were the sources of data…

  19. Intelligence Studies in Higher Education: Integrating a Community of Practice Pedagogical Strategy

    ERIC Educational Resources Information Center

    Westbrooks, Dennis A., II

    2016-01-01

    This qualitative study explored faculty members' and senior level administrators' views of intelligence studies, communities of practice, and learning approaches. A focus group interview, individual interviews, and a review of documents were the sources of data for the study. Themes emerging from the investigation were strategies to connect…

  20. Needs for Psychosocial Support in Home Care Hospice Patients.

    ERIC Educational Resources Information Center

    Gotay, Carolyn Cook

    There is little research documenting the psychosocial support needs of hospice patients and their families. To assess hospice patients' and families' use of and perceptions of need for support, 77 patients and their families were interviewed during home care for terminal illness (Group 1), and 50 family members (84% spouses) were interviewed 1…

  1. Adult Adjustment of Survivors of Institutional Child Abuse in Ireland

    ERIC Educational Resources Information Center

    Carr, Alan; Dooley, Barbara; Fitzpatrick, Mark; Flanagan, Edel; Flanagan-Howard, Roisin; Tierney, Kevin; White, Megan; Daly, Margaret; Egan, Jonathan

    2010-01-01

    Objective: To document the adult adjustment of survivors of childhood institutional abuse. Method: Two hundred and forty-seven adult survivors of institutional abuse with a mean age of 60 were interviewed with a protocol that included the Childhood Trauma Questionnaire, modules from the Structured Clinical Interview for Axis I Disorders of DSM IV…

  2. Internationalisation in the Swedish Nurse Education from the Perspective of Teachers Involved: An Interview Study

    ERIC Educational Resources Information Center

    Svensson, Lennart; Wihlborg, Monne

    2007-01-01

    This paper presents results from an interview investigation with teachers in Swedish nurse education especially interested in internationalising the education. The aim has been to study teachers' understandings and experiences of internationalisation against the backdrop of the strong concern for internationalisation expressed in policy documents.…

  3. Fire prevention in Delaware: a case study of fire and life safety initiatives.

    PubMed

    Frattaroli, Shannon; Gielen, Andrea C; Piver-Renna, Jennifer; Pollack, Keshia M; Ta, Van M

    2011-01-01

    Injuries resulting from residential house fires are a significant public health issue. The fire service is engaged in fire prevention activities aimed at preventing fire-related morbidity and mortality. The fire service in Delaware is regarded by some leaders in the field as a model for fire and life safety education (FLSE). We identified 3 questions to guide this research. What is the culture and context of fire prevention in Delaware? What prevention programs and policies constitute Delaware's fire prevention efforts? What can be learned from select model programs regarding their impact, sustainability, strengths, limitations, and general applicability? A discussion of the lessons learned from Delaware's experience with FLSE initiatives concludes the article. We used a single case study design and collected and analyzed data from in-depth interviews, documents, and participant observation notes to address the research questions. Data were collected in Delaware. Interviewees included a purposeful sample of members of the Delaware fire service. Descriptions of the context in which fire prevention occurs, the initiatives underway, and the factors associated with successfully supporting fire prevention in the state. Data from 16 key informant interviews, relevant documents, and direct observations of FLSE events revealed a fire service rooted in tradition, dedication, and community. A compilation of state and local FLSE initiatives illustrates the diversity of FLSE in Delaware. Thematic analysis of the data emphasize the importance of a strategic, comprehensive, and coordinated approach to realizing success in Delaware's approach to FLSE. The fire service is an important part of the public health infrastructure. While their role as first responders is evident, their contributions to prevention are also significant. This research suggests ways to support fire service prevention efforts and more fully integrate their FLSE work into the public health infrastructure.

  4. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals.

    PubMed

    Cresswell, Kathrin M; Mozaffar, Hajar; Lee, Lisa; Williams, Robin; Sheikh, Aziz

    2017-07-01

    Concerns with the usability of electronic prescribing (ePrescribing) systems can lead to the development of workarounds by users. To investigate the types of workarounds users employed, the underlying reasons offered and implications for care provision and patient safety. We collected a large qualitative data set, comprising interviews, observations and project documents, as part of an evaluation of ePrescribing systems in five English hospitals, which we conceptualised as case studies. Data were collected at up to three different time points throughout implementation and adoption. Thematic analysis involving deductive and inductive approaches was facilitated by NVivo 10. Our data set consisted of 173 interviews, 24 rounds of observation and 17 documents. Participating hospitals were at various stages of implementing a range of systems with differing functionalities. We identified two types of workarounds: informal and formal. The former were informal practices employed by users not approved by management, which were introduced because of perceived changes to professional roles, issues with system usability and performance and challenges relating to the inaccessibility of hardware. The latter were formalised practices that were promoted by management and occurred when systems posed threats to patient safety and organisational functioning. Both types of workarounds involved using paper and other software systems as intermediaries, which often created new risks relating to a lack of efficient transfer of real-time information between different users. Assessing formal and informal workarounds employed by users should be part of routine organisational implementation strategies of major health information technology initiatives. Workarounds can create new risks and present new opportunities for improvement in system design and integration. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  5. Organisational strategies and midwives' readiness to provide care for out of hospital births: an analysis from the birthplace organisational case studies.

    PubMed

    McCourt, Christine; Rayment, Juliet; Rance, Susanna; Sandall, Jane

    2012-10-01

    the objective of the Birthplace in England Case Studies was to explore the organisational and professional issues that may impact on the quality and safety of labour and birth care in different birth settings: Home, Freestanding Midwifery Unit, Alongside Midwifery Unit or Obstetric Unit. This analysis examines the factors affecting the readiness of community midwives to provide women with choice of out of hospital birth, using the findings from the Birthplace in England Case Studies. organisational ethnographic case studies, including interviews with professionals, key stakeholders, women and partners, observations of service processes and document review. a maximum variation sample of four maternity services in terms of configuration, region and population characteristics. All were selected from the Birthplace cohort study sample as services scoring 'best' or 'better' performing in the Health Care Commission survey of maternity services (HCC 2008). professionals and stakeholders (n=86), women (64), partners (6), plus 50 observations and 200 service documents. each service experienced challenges in providing an integrated service to support choice of place of birth. Deployment of community midwives was a particular concern. Community midwives and managers expressed lack of confidence in availability to cover home birth care in particular, with the exception of caseload midwifery and a 'hub and spoke' model of care. Community midwives and women's interviews indicated that many lacked home birth experience and confidence. Those in midwifery units expressed higher levels of support and confidence. maternity services need to consider and develop models for provision of a more integrated model of staffing across hospital and community boundaries. Copyright © 2012 Elsevier Ltd. All rights reserved.

  6. Ethnomedicinal uses of Hagenia abyssinica (Bruce) J.F. Gmel. among rural communities of Ethiopia

    PubMed Central

    2010-01-01

    Ethiopian communities highly depend on local plant resources to secure their subsistence and health. Local tree resources are exploited and used intensively for medicinal purposes. This study provides insight into the medicinal importance of Hagenia abyssinica as well as the degree of threat on its population. An ethnobotanical study was carried out to document medicinal uses of Hagenia abyssinica by rural communities of North and Southeastern Ethiopia. The study was conducted using an integrated approach of group discussions, observation, a local market survey and interviews. A total of 90 people were interviewed among whom elderly and traditional healers were the key informants. Societies in the study sites still depend on Hagenia abyssinica for medicine. All plant parts are used to treat different aliments. Tree identification, collection and utilization were different among the studied communities. In spite of its significance, interest in utilizing flowers of Hagenia abyssinica as an anthelmintic seems to be diminishing, notably among young people. This is partly because the medicine can be harmful when it is taken in large quantities. Nowadays, the widely used Hagenia abyssinica is endangered primarily due to various anthropogenic impacts. This in turn may become a threat for the associated knowledge. It is recommended to assist communities in documenting their traditional knowledge. Measures for conserving species are urgently needed. PMID:20701760

  7. Perspectives of rural and remote primary healthcare services on the meaning and goals of clinical governance.

    PubMed

    Kwedza, Ruyamuro K; Larkins, Sarah; Johnson, Julie K; Zwar, Nicholas

    2017-10-01

    Definitions of clinical governance are varied and there is no one agreed model. This paper explored the perspectives of rural and remote primary healthcare services, located in North Queensland, Australia, on the meaning and goals of clinical governance. The study followed an embedded multiple case study design with semi-structured interviews, document analysis and non-participant observation. Participants included clinicians, non-clinical support staff, managers and executives. Similarities and differences in the understanding of clinical governance between health centre and committee case studies were evident. Almost one-third of participants were unfamiliar with the term or were unsure of its meaning; alongside limited documentation of a definition. Although most cases linked the concept of clinical governance to key terms, many lacked a comprehensive understanding. Similarities between cases included viewing clinical governance as a management and administrative function. Differences included committee members' alignment of clinical governance with corporate governance and frontline staff associating clinical governance with staff safety. Document analysis offered further insight into these perspectives. Clinical governance is well-documented as an expected organisational requirement, including in rural and remote areas where geographic, workforce and demographic factors pose additional challenges to quality and safety. However, in reality, it is not clearly, similarly or comprehensively understood by all participants.

  8. Integrated care.

    PubMed

    Warwick-Giles, Lynsey; Checkland, Kath

    2018-03-19

    Purpose The purpose of this paper is to try and understand how several organisations in one area in England are working together to develop an integrated care programme. Weick's (1995) concept of sensemaking is used as a lens to examine how the organisations are working collaboratively and maintaining the programme. Design/methodology/approach Qualitative methods included: non-participant observations of meetings, interviews with key stakeholders and the collection of documents relating to the programme. These provided wider contextual information about the programme. Comprehensive field notes were taken during observations and analysed alongside interview transcriptions using NVIVO software. Findings This paper illustrates the importance of the construction of a shared identity across all organisations involved in the programme. Furthermore, the wider policy discourse impacted on how the programme developed and influenced how organisations worked together. Originality/value The role of leaders from all organisations involved in the programme was of significance to the overall development of the programme and the sustained momentum behind the programme. Leaders were able to generate a "narrative of success" to drive the programme forward. This is of particular relevance to evaluators, highlighting the importance of using multiple methods to allow researchers to probe beneath the surface of programmes to ensure that evidence moves beyond this public narrative.

  9. Professionalism of Lecturers at Faculty of Education

    NASA Astrophysics Data System (ADS)

    Tangkere, T. F. S.; Langitan, F. W.; Maukar, S. M. D.; Roring, R. F.

    2018-02-01

    The main objective of this research was to get the picture pertaining to the professionalization of Lecturers at Faculty of Education in Manado State University, Indonesia. The research method was naturalistic inquiry with qualitative approach. The research techniques were: deep interview, participative observation and document study. The data were analyzed by: data reduction, data display and conclusions, while the validation of data was done by four criteria, namely: credibility, transferability, dependability and conformability. The collecting procedure and data recording were done through observation and interviews. From the findings and conclusions, it can be identified that professionalization of Lecturers at Faculty of Education in Manado State University has been well processed. This can be proved by fulfillment of the minimum academic standard Ninety-one out of the total l12 lecturers has been certified. Based on conclusions, the researcher recommends that the teacher always develop their capability through increasing their academic qualification, self-development through attending educational trainings, conducting more research and publishing those researches through accredited journals. Dean of every Faculty and also execute supporting activities which will support self-development of the lectures and increase the budget for research of the lecturers.

  10. What Is Real-World Data? A Review of Definitions Based on Literature and Stakeholder Interviews.

    PubMed

    Makady, Amr; de Boer, Anthonius; Hillege, Hans; Klungel, Olaf; Goettsch, Wim

    Despite increasing recognition of the value of real-world data (RWD), consensus on the definition of RWD is lacking. To review definitions publicly available for RWD to shed light on similarities and differences between them. A literature review and stakeholder interviews were used to compile data from eight groups of stakeholders. Data from documents and interviews were subjected to coding analysis. Definitions identified were classified into four categories: 1) data collected in a non-randomized controlled trial setting, 2) data collected in a non-interventional/non-controlled setting, 3) data collected in a non-experimental setting, and 4) others (i.e., data that do not fit into the other three categories). The frequency of definitions identified per category was recorded. Fifty-three documents and 20 interviews were assessed. Thirty-eight definitions were identified: 20 out of 38 definitions (53%) were category 1 definitions, 9 (24%) were category 2 definitions, 5 (13%) were category 3 definitions, and 4 (11%) were category 4 definitions. Differences were identified between, and within, definition categories. For example, opinions differed on the aspects of intervention with which non-interventional/non-controlled settings should abide. No definitions were provided in two interviews or identified in 33 documents. Most of the definitions defined RWD as data collected in a non-randomized controlled trial setting. A considerable number of definitions, however, diverged from this concept. Moreover, a significant number of authors and stakeholders did not have an official, institutional definition for RWD. Persisting variability in stakeholder definitions of RWD may lead to disparities among different stakeholders when discussing RWD use in decision making. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  11. Policy environment for prevention, control and management of cardiovascular diseases in primary health care in Kenya.

    PubMed

    Asiki, Gershim; Shao, Shuai; Wainana, Carol; Khayeka-Wandabwa, Christopher; Haregu, Tilahun N; Juma, Pamela A; Mohammed, Shukri; Wambui, David; Gong, Enying; Yan, Lijing L; Kyobutungi, Catherine

    2018-05-09

    In Kenya, cardiovascular diseases (CVDs) accounted for more than 10% of total deaths and 4% of total Disability-Adjusted Life Years (DALYs) in 2015 with a steady increase over the past decade. The main objective of this paper was to review the existing policies and their content in relation to prevention, control and management of CVDs at primary health care (PHC) level in Kenya. A targeted document search in Google engine using keywords "Kenya national policy on cardiovascular diseases" and "Kenya national policy on non-communicable diseases (NCDs)" was conducted in addition to key informant interviews with Kenyan policy makers. Relevant regional and international policy documents were also included. The contents of documents identified were reviewed to assess how well they aligned with global health policies on CVD prevention, control and management. Thematic content analysis of the key informant interviews was also conducted to supplement the document reviews. A total of 17 documents were reviewed and three key informants interviewed. Besides the Tobacco Control Act (2007), all policy documents for CVD prevention, control and management were developed after 2013. The national policies were preceded by global initiatives and guidelines and were similar in content with the global policies. The Kenya health policy (2014-2030), The Kenya Health Sector Strategic and Investment Plan (2014-2018) and the Kenya National Strategy for the Prevention and Control of Non-communicable diseases (2015-2020) had strategies on NCDs including CVDs. Other policy documents for behavioral risk factors (The Tobacco Control Act 2007, Alcoholic Drinks Control (Licensing) Regulations (2010)) were available. The National Nutrition Action Plan (2012-2017) was available as a draft. Although Kenya has a tiered health care system comprising primary healthcare, integration of CVD prevention and control at PHC level was not explicitly mentioned in the policy documents. This review revealed important gaps in the policy environment for prevention, control and management of CVDs in PHC settings in Kenya. There is need to continuously engage the ministry of health and other sectors to prioritize inclusion of CVD services in PHC.

  12. Developing patient portals in a fragmented healthcare system.

    PubMed

    Otte-Trojel, Terese; de Bont, Antoinette; Aspria, Marcello; Adams, Samantha; Rundall, Thomas G; van de Klundert, Joris; de Mul, Marleen

    2015-10-01

    Use of patient portals may contribute to improved patient health and experiences and better organizational performance. In the Netherlands, patient portals have gained considerable attention in recent years, as evidenced by various policy initiatives and practical efforts directed at developing portals. Due to the fragmented setup of the Dutch healthcare system patient portals that give patients access to information and services from across their providers are developed in inter-organizational collaboration. The objective of this paper is to identify and describe the types of collaborations, or networks, that have been established to develop patient portals in the Netherlands. Understanding the characteristics of these networks as well as the development of their respective portals enables us to assess the enabling and constraining effects of different network types on patient portal initiatives. We used qualitative methods including interview and documents analysis. In a first step, we interviewed eighteen experts and reviewed relevant national policy and strategy documents. Based on this orientation, we selected three networks we deemed to be representative of inter-organizational efforts to develop Dutch patient portals in 2012. In a second step, we interviewed twelve representatives of these patient portal networks and collected documents related to the portals. We applied content analytic techniques to analyze data from the three cases. The three studied networks differed in their number and diversity of actors, the degree to which these actors were mutually dependent, the degree to which network governance was decentralized, and the dynamics of the network structures. We observed that the portals developed in networks displaying the highest degree of these characteristics experienced most difficulties associated with developing patient portals - such as achieving interoperability, successful implementation, regulatory complaisance, and financial sustainability. Yet, at the same time, the portals developed in these networks may hold the highest functionality to patients, since they can consolidate information and services from a broad array of health service providers. The early empirical evidence provided here indicates that effective development of patient portals begs a tradeoff between envisioned functionality and ease of development. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  13. Educating for health service reform: clinical learning, governance and capability - a case study protocol.

    PubMed

    Gardner, Anne; Gardner, Glenn; Coyer, Fiona; Gosby, Helen

    2016-01-01

    The nurse practitioner is a growing clinical role in Australia and internationally, with an expanded scope of practice including prescribing, referring and diagnosing. However, key gaps exist in nurse practitioner education regarding governance of specialty clinical learning and teaching. Specifically, there is no internationally accepted framework against which to measure the quality of clinical learning and teaching for advanced specialty practice. A case study design will be used to investigate educational governance and capability theory in nurse practitioner education. Nurse practitioner students, their clinical mentors and university academic staff, from an Australian university that offers an accredited nurse practitioner Master's degree, will be invited to participate in the study. Semi-structured interviews will be conducted with students and their respective clinical mentors and university academic staff to investigate learning objectives related to educational governance and attributes of capability learning. Limited demographic data on age, gender, specialty, education level and nature of the clinical healthcare learning site will also be collected. Episodes of nurse practitioner student specialty clinical learning will be observed and documentation from the students' healthcare learning sites will be collected. Descriptive statistics will be used to report age groups, areas of specialty and types of facilities where clinical learning and teaching is observed. Qualitative data from interviews, observations and student documents will be coded, aggregated and explored to inform a framework of educational governance, to confirm the existing capability framework and describe any additional characteristics of capability and capability learning. This research has widespread significance and will contribute to ongoing development of the Australian health workforce. Stakeholders from industry and academic bodies will be involved in shaping the framework that guides the quality and governance of clinical learning and teaching in specialty nurse practitioner practice. Through developing standards for advanced clinical learning and teaching, and furthering understanding of capability theory for advanced healthcare practitioners, this research will contribute to evidence-based models of advanced specialty postgraduate education.

  14. Behavioural aspects surrounding medicine purchases from pharmacies in Australia

    PubMed Central

    Emmerton, Lynne

    2008-01-01

    Objective This study aimed to produce current data regarding behavioural aspects of non-prescription (over-the-counter) medicine purchases, in light of changes in the pharmaceutical market and increasing provision of professional services in pharmacies. Methods Data were collected in 15 community pharmacies in South-East Queensland, Australia, over 540 hours in five days in August, 2006. The method, previously validated, involved documentation of both observational and interview data. Fifteen trained researchers were stationed in a selected pharmacy each to unobtrusively observe all eligible sales of non-prescription medicines, and, where possible, interview the purchasers post-sale. Non-response was supplemented by observational data and recall by the salesperson. The data included details of the purchase and purchasing behaviour, while new questions addressed issues of topical importance, including customers’ privacy concerns. A selection of the analyses is reported here. Results In total, 3470 purchases were documented (135-479 per pharmacy), with customers of 67.5% of purchases (74.7% excluding an outlier pharmacy) participating in the survey. Customers averaged 1.2 non-prescription medicines per transaction. Two-thirds (67.2%) of customers were female, and 38.8% of the customers were aged 31-45 years. Analgesics and respiratory medicines accounted for two-thirds of the sales data (33.4% and 32.4%, respectively). Intended-brand purchases comprised 71% of purchases (2004/2824); in-store substitution then occurred in 8.8% of these cases, mainly following recommendations by pharmacy staff. Medicines intended for self-use comprised 62.9% of purchases (1752/2785). First-time purchases (30.8%, 799/2594) were more commonly influenced by pharmacy staff than by advertising. Conclusions This study used validated methods adapted to a changing marketplace, thus providing data that both confirm and add to knowledge surrounding medicine purchases. Despite the dynamics of the non-prescription market, it revealed consistencies with previous research. PMID:25177407

  15. Fidelity of Implementation of Research Experience for Teachers in the Classroom

    NASA Astrophysics Data System (ADS)

    Sen, Tapati

    In this study, the Arizona State University Mathematics and Science Teaching Fellows 2010 program was analyzed qualitatively from start to finish to determine the impact of the research experience on teachers in the classroom. The sample for the study was the 2010 cohort of eight high school science teachers. Erickson’s (1986) interpretive, participant observational fieldwork method was used to report data by means of detailed descriptions of the research experience and classroom implementation. Data was collected from teacher documents, interviews, and observations. The findings revealed various factors that were responsible for an ineffective implementation of the research experience in the classroom such as research experience, curriculum support, availability of resources, and school curriculum. Implications and recommendations for future programs are discussed in the study.

  16. Application of theory to enhance audit and feedback interventions to increase the uptake of evidence-based transfusion practice: an intervention development protocol.

    PubMed

    Gould, Natalie J; Lorencatto, Fabiana; Stanworth, Simon J; Michie, Susan; Prior, Maria E; Glidewell, Liz; Grimshaw, Jeremy M; Francis, Jill J

    2014-07-29

    Audits of blood transfusion demonstrate around 20% transfusions are outside national recommendations and guidelines. Audit and feedback is a widely used quality improvement intervention but effects on clinical practice are variable, suggesting potential for enhancement. Behavioural theory, theoretical frameworks of behaviour change and behaviour change techniques provide systematic processes to enhance intervention. This study is part of a larger programme of work to promote the uptake of evidence-based transfusion practice. The objectives of this study are to design two theoretically enhanced audit and feedback interventions; one focused on content and one on delivery, and investigate the feasibility and acceptability. Study A (Content): A coding framework based on current evidence regarding audit and feedback, and behaviour change theory and frameworks will be developed and applied as part of a structured content analysis to specify the key components of existing feedback documents. Prototype feedback documents with enhanced content and also a protocol, describing principles for enhancing feedback content, will be developed. Study B (Delivery): Individual semi-structured interviews with healthcare professionals and observations of team meetings in four hospitals will be used to specify, and identify views about, current audit and feedback practice. Interviews will be based on a topic guide developed using the Theoretical Domains Framework and the Consolidated Framework for Implementation Research. Analysis of transcripts based on these frameworks will form the evidence base for developing a protocol describing an enhanced intervention that focuses on feedback delivery. Study C (Feasibility and Acceptability): Enhanced interventions will be piloted in four hospitals. Semi-structured interviews, questionnaires and observations will be used to assess feasibility and acceptability. This intervention development work reflects the UK Medical Research Council's guidance on development of complex interventions, which emphasises the importance of a robust theoretical basis for intervention design and recommends systematic assessment of feasibility and acceptability prior to taking interventions to evaluation in a full-scale randomised study. The work-up includes specification of current practice so that, in the trials to be conducted later in this programme, there will be a clear distinction between the control (usual practice) conditions and the interventions to be evaluated.

  17. Impact of a pharmacist-driven beta-lactam allergy interview on inpatient antimicrobial therapy: A pilot project.

    PubMed

    Sigona, Nicholas S; Steele, Jeffrey M; Miller, Christopher D

    To determine the impact of a pharmacist-driven beta-lactam allergy interview on antimicrobial therapy. Tertiary care academic medical center. Clarification of beta-lactam allergy may expand treatment options for patients and potentially improve outcomes, reduce toxicity, and reduce costs. At our institution, a pilot service using a pharmacy resident and infectious diseases clinical pharmacist was implemented to clarify beta-lactam allergy information and, where appropriate, recommend a change to the patient's antibiotic therapy. Adult patients with a documented beta-lactam allergy who had received non-penicillin antibiotics and who had undergone a beta-lactam allergy interview were identified via pharmacy intervention data. A pharmacist interviewed these patients with the use of an internally developed allergy questionnaire. Recommendations for beta-lactam therapy were made to the patient's primary medical team based on the results of the allergy interview and factors including infection type and culture results. The primary objectives were to determine the percentage of patients successfully switched to beta-lactam therapy as a result of the drug allergy interview, to identify allergy discrepancies between the electronic medical record (EMR) and pharmacist's interview, and to quantify the acceptance rate of the pharmacist's antimicrobial recommendations after drug allergy clarification. Thirty-two patients were interviewed, and 24 were candidates for a beta-lactam recommendation. As a result of the interview, 21 patients (65.6%) were successfully switched from a non-penicillin antibiotic to a cephalosporin, carbapenem, or penicillin. A discrepancy between the EMR-reported allergy and history obtained on interview was identified in 11 patients (34.4%). Medical providers accepted 87.5% of pharmacists' antimicrobial recommendations. A pharmacist-driven beta-lactam allergy interview was effective in switching eligible patients to beta-lactam therapy and identifying discrepancies between EMR-documented allergies and confirmed allergies. Antimicrobial recommendations were well received by medical providers with a high acceptance rate. Copyright © 2016 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  18. An Organizational Effectiveness Officer Tackles a Management Job: A follow-Up OE Case Study

    DTIC Science & Technology

    1981-06-01

    time, the COPPER "users manual " had not been updated to reflect the current methods and procedures of the PPSD. RAJ Johnson felt that documentation of...Users’ Manual , now known as PPSD Users’ Manual , to document every action and show document ilow with a flow chart. Also prior to implementing the change...comments is a document to work from. I’ll use it from my level, but let’s push it down in the organizacion ." When interviewed in December, RAJ Johnson was

  19. Approaches to Measuring and Understanding Employer Training Expenditure: Support Document

    ERIC Educational Resources Information Center

    Smith, Andrew; Burke, Gerald; Long, Michael; Dumbrell, Tom

    2008-01-01

    This support document was produced by the authors based on their research for the report "Approaches to Measuring and Understanding Employer Training Expenditure," and is an added resource for further information. As outlined in the report, the research for this study was based on interviews and case studies, analysis of other research…

  20. David J. Gross and the Strong Force

    Science.gov Websites

    allows physicist to predict experimental results to within one part in 100 million. ... The new Nobelists available in electronic documents and on the Web. Documents: Ultraviolet Behavior of Non-Abelian Gauge Gross, Interview (video) Top Some links on this page may take you to non-federal websites. Their

  1. Report of the AD HOC Committee on Patent Documentation.

    ERIC Educational Resources Information Center

    Urbach, Peter; And Others

    The Committee was established in September 1967 to study and make recommendations on Recommendation XXIX and XXX of the Report of the President's Commission on the Patent System. Based on interviews with Patent Office officials, patent examiners and classifiers and a review of Patent Office studies and documents, the Committee concluded that the…

  2. Comparative Study on the Senior Secondary School Mathematics Curricula Development in Ethiopia and Australia

    ERIC Educational Resources Information Center

    Meleta, Fufa E.; Zhang, Weizhong

    2017-01-01

    The main objective of this study is to compare the process of the senior secondary school mathematics curricula development in Ethiopia and Australia. The study was investigated qualitatively with document analysis and semi-structured interview research methods. The documents were collected from Federal Democratic Republic of Ethiopia Ministry of…

  3. Sources of support for women experiencing obstetric fistula in northern Ghana: A focused ethnography.

    PubMed

    Sullivan, Ginger; O'Brien, Beverley; Mwini-Nyaledzigbor, Prudence

    2016-09-01

    we explored how women in northern Ghana who have or have had obstetric fistula and those close to them perceive support. focused ethnography, that includes in-depth interviews, participant observation, and scrutiny of relevant records. a fistula treatment centre in a regional urban centre and three remote villages located in northern Ghana. the sources of data included in-depth interview (n=14), non-participant observation and interaction, as well as scrutiny of relevant health records and documents. Participants for in-depth interviews and observation included women affected by obstetric fistula, their partners, parents, relatives, nurses and doctors. presentation of obstetric fistula information, particularly by Non-Governmental Organisations was not in a format that was readily understandable for many women and their families. Food and other basic requirements for daily living were not necessarily available in the fistula treatment centre. Travelling for care was costly and frequently not easily accessed from their communities. Fistula repair surgery was available at unpredictable times and only for a few days every one to two months. women perceived support from spouses/partner, family members, and other relatives but much of this is limited to tangible support. Perceptions of support were particularly focused on access to information and finances. the implementation of strategies to increase support for women living with obstetric fistula include improving access to fistula repair treatment, directing resources to create a dedicated specialist fistula centre located where most cases of OF occur and providing education to front-line workers. Strategies to prevent fistula as well as identify and support safe motherhood practices are needed for women affected by obstetric fistula. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. College Student Unions: What Professionals Are Doing to Assess Learning Outcomes for Student Program Board Leaders

    ERIC Educational Resources Information Center

    O'Toole-Curran, Janette J.

    2015-01-01

    The descriptive survey employed in this study explored current assessment practices of learning outcomes, including the resources used and the learning outcomes assessed for student programming board leaders. The researcher collected data through document review and phone interviews. She interviewed 21 student activities and union advisors who are…

  5. New Faculty Interview Protocol.

    ERIC Educational Resources Information Center

    National Center on Postsecondary Teaching, Learning, and Assessment, University Park, PA.

    This document is a protocol for interviewing new faculty to be used in conjunction with a new faculty survey as part of a project to create a profile of new faculty at U.S. colleges and universities. An introduction reports that the survey had been distributed to 5 schools (2 liberal arts colleges, a community college, a comprehensive univesity,…

  6. Interview with Pierre A. Lévy, French Philosopher of Collective Intelligence

    ERIC Educational Resources Information Center

    Peters, Michael A.

    2015-01-01

    This article features an interview with Pierre A. Lévy, Professor in the Department of Communication, University of Ottawa, Canada. He occupies the Canada Research Chair in Collective Intelligence where he is engaged in research on the design of a universal system for semantic addressing of digital documents. He completed his MA at the Sorbonne…

  7. Western Oregon University: Documentation of the Teachers for a New Era Learning Network. Case Study

    ERIC Educational Resources Information Center

    Academy for Educational Development, 2009

    2009-01-01

    The Academy for Educational Development (AED) sent a research team to Western Oregon University (WOU) on November 17-18, 2008, to conduct interviews with individuals who play important roles in the university's teacher preparation program. These interviews, along with additional materials provided by WOU and identified by the AED research team,…

  8. SPSP Phase III Recruiting, Selecting, and Developing Secure Power Systems Professionals: Behavioral Interview Guidelines by Job Roles

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    O'Neil, Lori Ross; Conway, T. J.; Tobey, D. H.

    The Secure Power Systems Professional Phase III final report was released last year which an appendix of Behavioral Interview Guidelines by Job Roles. This new report is that appendix broken out as a standalone document to assist utilities in recruiting and developing Secure Power Systems Professionals at their site.

  9. Contextualizing Black Boys' Use of a Street Identity in High School

    ERIC Educational Resources Information Center

    Payne, Yasser Arafat; Starks, Brian Chad; Gibson, LaMar Rashad

    2009-01-01

    This participatory action research project worked with four street-life-oriented black men to document how a community sample of street-life-oriented black adolescents between the ages of sixteen and nineteen frame street life as a site of resiliency inside schools based on 156 surveys, 10 individual interviews, and 1 group interview. Data…

  10. Transcripts of Oral Histories for An Ethnohistory of the Westport-Norwalk Area from 1900 to Today.

    ERIC Educational Resources Information Center

    Westport-Weston Arts Council, CT.

    Transcripts are presented of interviews with 20 individuals of various ethnic backgrounds who live in the Westport-Norwalk, Connecticut, area. The document is part of a project to investigate the ethnically varied cultural, heritage of the Westport-Norwalk area from 1900 to 1979. Persons interviewed are identified by ethnic group, including…

  11. Tips on Finding and Getting a Job...Searching for, Writing a Resume, and Interviewing. ICPAC Information Series.

    ERIC Educational Resources Information Center

    Indiana Career and Postsecondary Advancement Center, Bloomington.

    This packet documents suggestions for conducting a job search, writing a resume, and interviewing. Suggestions for a job search include the following: knowing one's skills, knowing what one is looking for, and knowing where to look for jobs, including newspaper advertisements, employment centers, employment firms, networking, and blind attempts.…

  12. Is there still an unknown Freud? A note on the publications of Freud's texts and on unpublished documents.

    PubMed

    Falzeder, Ernst

    2007-01-01

    This article presents an overview of the existing editions of what Freud wrote (works, letters, manuscripts and drafts, diaries and calendar notes, dedications and margin notes in books, case notes, and patient calendars) and what he is recorded as having said (minutes of meetings, interviews, memoirs of and interviews with patients, family members, and followers, and other quotes). There follows a short overview of biographies of Freud and other documentation on his life. It is concluded that a wealth of material is now available to Freud scholars, although more often than not this information is used in a biased and partisan way.

  13. Performance assessment in algebra learning process

    NASA Astrophysics Data System (ADS)

    Lestariani, Ida; Sujadi, Imam; Pramudya, Ikrar

    2017-12-01

    The purpose of research to describe the implementation of performance assessment on algebra learning process. The subject in this research is math educator of SMAN 1 Ngawi class X. This research includes descriptive qualitative research type. Techniques of data collecting are done by observation method, interview, and documentation. Data analysis technique is done by data reduction, data presentation, and conclusion. The results showed any indication that the steps taken by the educator in applying the performance assessment are 1) preparing individual worksheets and group worksheets, 2) preparing rubric assessments for independent worksheets and groups and 3) making performance assessments rubric to learners’ performance results with individual or groups task.

  14. Multi-disciplinary team meetings in stroke rehabilitation: an observation study and conceptual framework.

    PubMed

    Tyson, S F; Burton, L; McGovern, A

    2014-12-01

    To explore how multi-disciplinary team meetings operate in stroke rehabilitation. Non-participant observation of multi-disciplinary team meetings and semi-structured interviews with attending staff. Twelve meetings were observed (at least one at each site) and 18 staff (one psychologist, one social worker; four nurses; four physiotherapists four occupational therapists, two speech and language therapists, one stroke co-ordinator and one stroke ward manager) were interviewed in eight in-patient stroke rehabilitation units. Multi-disciplinary team meetings in stroke rehabilitation were complex, demanding and highly varied. A model emerged which identified the main inputs to influence conduct of the meetings were personal contributions of the members and structure and format of the meetings. These were mediated by the team climate and leadership skills of the chair. The desired outputs; clinical decisions and the attributes of apparently effective meetings were identified by the staff. A notable difference between the meetings that staff considered effective and those that were not, was their structure and format. Successful meetings tended to feature a set agenda, structured documentation; formal use of measurement tools; pre-meeting preparation and skilled chairing. These features were often absent in meetings perceived to be ineffective. The main features of operation of multi-disciplinary team meetings have been identified which will enable assessment tools and interventions to improve effectiveness to be developed. © The Author(s) 2014.

  15. Affordances and Limitations of Immersive Participatory Augmented Reality Simulations for Teaching and Learning

    NASA Astrophysics Data System (ADS)

    Dunleavy, Matt; Dede, Chris; Mitchell, Rebecca

    2009-02-01

    The purpose of this study was to document how teachers and students describe and comprehend the ways in which participating in an augmented reality (AR) simulation aids or hinders teaching and learning. Like the multi-user virtual environment (MUVE) interface that underlies Internet games, AR is a good medium for immersive collaborative simulation, but has different strengths and limitations than MUVEs. Within a design-based research project, the researchers conducted multiple qualitative case studies across two middle schools (6th and 7th grade) and one high school (10th grade) in the northeastern United States to document the affordances and limitations of AR simulations from the student and teacher perspective. The researchers collected data through formal and informal interviews, direct observations, web site posts, and site documents. Teachers and students reported that the technology-mediated narrative and the interactive, situated, collaborative problem solving affordances of the AR simulation were highly engaging, especially among students who had previously presented behavioral and academic challenges for the teachers. However, while the AR simulation provided potentially transformative added value, it simultaneously presented unique technological, managerial, and cognitive challenges to teaching and learning.

  16. Supporting public involvement in interview and other panels: a systematic review.

    PubMed

    Baxter, Susan; Clowes, Mark; Muir, Delia; Baird, Wendy; Broadway-Parkinson, Andrea; Bennett, Carole

    2017-10-01

    Members of the public are increasingly being invited to become members of a variety of different panels and boards. This study aimed to systematically search the literature to identify studies relating to support or training provided to members of the public who are asked to be members of an interview panel. A systematic search for published and unpublished studies was carried out from June to September 2015. The search methods included electronic database searching, reference list screening, citation searching and scrutinizing online sources. We included studies of any design including published and unpublished documents which outlined preparation or guidance relating to public participants who were members of interview panels or representatives on other types of panels or committees. Results were synthesised via narrative methods. Thirty-six documents were included in the review. Scrutiny of this literature highlighted ten areas which require consideration when including members of the public on interview panels: financial resources; clarity of role; role in the interview process; role in evaluation; training; orientation/induction; information needs; terminology; support; and other public representative needs such as timing, accessibility and support with information technology. The results of the review emphasize a range of elements that need to be fully considered when planning the involvement of public participants on interview panels. It highlights potential issues relating to the degree of involvement of public representatives in evaluating/grading decisions and the need for preparation and on-going support. © 2016 The Authors. Health Expectations Published by John Wiley & Sons Ltd.

  17. Computers in the examination room and the electronic health record: physicians' perceived impact on clinical encounters before and after full installation and implementation.

    PubMed

    Doyle, Richard J; Wang, Nina; Anthony, David; Borkan, Jeffrey; Shield, Renee R; Goldman, Roberta E

    2012-10-01

    We compared physicians' self-reported attitudes and behaviours regarding electronic health record (EHR) use before and after installation of computers in patient examination rooms and transition to full implementation of an EHR in a family medicine training practice to identify anticipated and observed effects these changes would have on physicians' practices and clinical encounters. We conducted two individual qualitative interviews with family physicians. The first interview was before and second interview was 8 months later after full implementation of an EHR and computer installation in the examination rooms. Data were analysed through project team discussions and subsequent coding with qualitative analysis software. At the first interviews, physicians frequently expressed concerns about the potential negative effect of the EHR on quality of care and physician-patient interaction, adequacy of their skills in EHR use and privacy and confidentiality concerns. Nevertheless, most physicians also anticipated multiple benefits, including improved accessibility of patient data and online health information. In the second interviews, physicians reported that their concerns did not persist. Many anticipated benefits were realized, appearing to facilitate collaborative physician-patient relationships. Physicians reported a greater teaching role with patients and sharing online medical information and treatment plan decisions. Before computer installation and full EHR implementation, physicians expressed concerns about the impact of computer use on patient care. After installation and implementation, however, many concerns were mitigated. Using computers in the examination rooms to document and access patients' records along with online medical information and decision-making tools appears to contribute to improved physician-patient communication and collaboration.

  18. Community-based birth waiting homes in Northern Sierra Leone: Factors influencing women's use.

    PubMed

    Kyokan, Michiko; Whitney-Long, Melissa; Kuteh, Mabel; Raven, Joanna

    2016-08-01

    to explore the factors influencing women's use of birth waiting homes in the Northern Bombali district, Sierra Leone. this was a descriptive exploratory study using qualitative research methodology, which included in depth interviews, key informant interviews, focus group discussions, document review and observations. two chiefdoms in the Northern Bombali district, Sierra Leone. eight interviews were conducted with women who had delivered in the past one year and used birth waiting homes; eight key informant interviews with a project manager, birth waiting homes hosts, and community members; thirteen women who delivered in the past year without using birth waiting homes (four interviews and two focus group discussions). there are several factors influencing the use of birth waiting homes (BWHs) including: past experience of childbirth, promotion of the birth waiting homes by traditional birth attendance, distance and costs of transport to the homes, child care and other family commitments, family's views of the importance of the homes, the costs of food during women's stay, and information given to women and families about when and how to use the homes. some barriers, especially those related to family commitments and costs of food, are challenging to solve. In order to make a BWH a user-friendly and viable option, it may be necessary to adjust ways in which BWHs are used. Good linkage with the health system is strength of the programme. However, further strengthening of community participation in monitoring and managing the BWHs is needed for the long term success and sustainability of the BWHs. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Tracking Our Success: How TAFE Institutes Measure Their Effectiveness and Efficiency--Case Studies. Support Document

    ERIC Educational Resources Information Center

    Misko, Josie; Wynes, Sian Halliday

    2009-01-01

    This report is the support document to "Tracking Our Success: How TAFE Institutes Measure Their Effectiveness and Efficiency". It comprises reports on each of the nine technical and further education (TAFE) institutes that have taken part in the study. Information was collected via in-depth interviews with chief executive officers and…

  20. "The Dog Ate It" and Other Reasons Why Students Delay Registration.

    ERIC Educational Resources Information Center

    Bryant, Debbie; And Others

    1996-01-01

    Data on the registration patterns of 203 applicants accepted to a regional comprehensive university but registering late found that 15 never made it to the fifth day of class, 22 withdrew officially, 7 were withdrawn administratively for failure to complete documentation, and 1 was suspended for falsifying an official document. Interviews with six…

  1. An Evaluation of Grades 9 and 10 Mathematics Textbooks vis-a-vis Fostering Problem Solving Skills

    ERIC Educational Resources Information Center

    Buishaw, Alemayehu; Ayalew, Assaye

    2013-01-01

    This study sought to evaluate the adequacy of integration of problematic situations and general problem-solving strategies (heuristics) in grades 9 and 10 mathematics textbooks. Grade 9 and grade 10 mathematics textbooks were used for analysis. Document analysis and interview were used as data gathering instruments. Document analysis was carried…

  2. National Childcare Consumer Study: 1975. Volume IV: Supplemental Documentation.

    ERIC Educational Resources Information Center

    Unco, Inc., Washington, DC.

    This document is the fourth and final report of a study sponsored by the Office of Child Development of the U.S. Department of Health, Education and Welfare to determine patterns of child care usage and related consumer preferences, attitudes and opinions about child care. The study was based on 4609 personal interviews conducted in 1975 from a…

  3. Transcript of Audio Narrative Portion of: Scandinavian Heritage. A Set of Five Audio-Visual Film Strip/Cassette Presentations.

    ERIC Educational Resources Information Center

    Anderson, Gerald D.; Olson, David B.

    The document presents the transcript of the audio narrative portion of approximately 100 interviews with first and second generation Scandinavian immigrants to the United States. The document is intended for use by secondary school classroom teachers as they develop and implement educational programs related to the Scandinavian heritage in…

  4. The content and meaning of administrative work: a qualitative study of nursing practices.

    PubMed

    Michel, Lucie; Waelli, Mathias; Allen, Davina; Minvielle, Etienne

    2017-09-01

    To investigate the content and meaning of nurses' administrative work. Nurses often report that administrative work keeps them away from bedside care. The content and meaning of this work remains insufficiently explored. Comparative case studies. The investigation took place in 2014. It was based on 254 hours of observations and 27 interviews with nurses and staff in two contrasting units: intensive care and long-term care. A time and motion study was also performed over a period of 96 hours. Documentation and Organizational Activities is composed of six categories; documenting the patient record, coordination, management of patient flow, transmission of information, reporting quality indicators, ordering supplies- stock management Equal amounts of time were spent on these activities in each case. Nurses did not express complaints about documentation in intensive care, whereas they reported feeling frustrated by it in long-term care. These differences reflected the extent to which these activities could be integrated into nurses' clinical work and this is in turn was related to several factors: staff ratios, informatics, and relevance to nursing work. Documentation and Organizational Activities are a main component of care. The meaning nurses attribute to them is dependent on organizational context. These activities are often perceived as competing with bedside care, but this does not have to be the case. The challenge for managers is to fully integrate them into nursing practice. Results also suggest that nurses' Documentation and Organizational Activities should be incorporated into informatics strategies. © 2017 John Wiley & Sons Ltd.

  5. Revealing Adaptive Management of Environmental Flows

    NASA Astrophysics Data System (ADS)

    Allan, Catherine; Watts, Robyn J.

    2018-03-01

    Managers of land, water, and biodiversity are working with increasingly complex social ecological systems with high uncertainty. Adaptive management (learning from doing) is an ideal approach for working with this complexity. The competing social and environmental demands for water have prompted interest in freshwater adaptive management, but its success and uptake appear to be slow. Some of the perceived "failure" of adaptive management may reflect the way success is conceived and measured; learning, rarely used as an indicator of success, is narrowly defined when it is. In this paper, we document the process of adaptive flow management in the Edward-Wakool system in the southern Murray-Darling Basin, Australia. Data are from interviews with environmental water managers, document review, and the authors' structured reflection on their experiences of adaptive management and environmental flows. Substantial learning occurred in relation to the management of environmental flows in the Edward-Wakool system, with evidence found in planning documents, water-use reports, technical reports, stakeholder committee minutes, and refereed papers, while other evidence was anecdotal. Based on this case, we suggest it may be difficult for external observers to perceive the success of large adaptive management projects because evidence of learning is dispersed across multiple documents, and learning is not necessarily considered a measure of success. We suggest that documentation and sharing of new insights, and of the processes of learning, should be resourced to facilitate social learning within the water management sector, and to help demonstrate the successes of adaptive management.

  6. Revealing Adaptive Management of Environmental Flows.

    PubMed

    Allan, Catherine; Watts, Robyn J

    2018-03-01

    Managers of land, water, and biodiversity are working with increasingly complex social ecological systems with high uncertainty. Adaptive management (learning from doing) is an ideal approach for working with this complexity. The competing social and environmental demands for water have prompted interest in freshwater adaptive management, but its success and uptake appear to be slow. Some of the perceived "failure" of adaptive management may reflect the way success is conceived and measured; learning, rarely used as an indicator of success, is narrowly defined when it is. In this paper, we document the process of adaptive flow management in the Edward-Wakool system in the southern Murray-Darling Basin, Australia. Data are from interviews with environmental water managers, document review, and the authors' structured reflection on their experiences of adaptive management and environmental flows. Substantial learning occurred in relation to the management of environmental flows in the Edward-Wakool system, with evidence found in planning documents, water-use reports, technical reports, stakeholder committee minutes, and refereed papers, while other evidence was anecdotal. Based on this case, we suggest it may be difficult for external observers to perceive the success of large adaptive management projects because evidence of learning is dispersed across multiple documents, and learning is not necessarily considered a measure of success. We suggest that documentation and sharing of new insights, and of the processes of learning, should be resourced to facilitate social learning within the water management sector, and to help demonstrate the successes of adaptive management.

  7. [Document management systems to support quality management systems at university hospitals - an interview-based study].

    PubMed

    Holderried, Martin; Bökel, Ann-Catrin; Ochsmann, Elke

    2018-05-01

    In order to save and control the processes and quality of medical services, a suitable steering system of all relevant documents is essential from the point of view of clinical quality management. Systems supporting an automated steering system of documents are called document management systems (DMS), and they also enter the healthcare sector. The use of DMS in the German healthcare sector has hardly been investigated so far. To close this knowledge gap, interviews were carried out with German university hospitals over a six-month period and subjected to a qualitative content analysis according to Mayring. In total, 25 university hospitals agreed to participate in this study, 19 of which have been working with a digital DMS for about six years on average. There was a great variety among the IT systems used. Document management and usability of the DMS as well as its integration into existing IT structures were key decision-making criteria for the selection of a digital DMS. In general, the long-term usability of the DMS is supported by regular evaluation of one's own requirements for the system, administration and training programs. In addition, DMS have a positive effect on patient safety and the quality of medical care. Copyright © 2018. Published by Elsevier GmbH.

  8. What are the key contextual factors when preparing for successful implementation of assistive living technology in primary elderly care? A case study from Norway.

    PubMed

    Gjestsen, Martha Therese; Wiig, Siri; Testad, Ingelin

    2017-09-07

    To identify contextual factors at different organisational levels to guide the implementation of an assistive living technology intervention in Norwegian primary home care. A single embedded case study design was carried out in an urban municipality in Western Norway to get an overview of key contextual factors from the municipality's perspective. The data collection was based on a triangulation of methods involving document analysis, semi-structured individual interviews and focus group interviews to get a broad insight when preparing for an intervention. Data were collected on three levels of the healthcare system: (1) national policy documents and regulations (macro), (2) five individual interviews with senior managers and municipal strategy documents (meso) and (3) two focus group interviews with nurses and nurse managers in direct patient care (micro). The Model for Understanding Success in Quality framework was used as a guide in the data analysis. The main contextual factors identified were external motivators and project sponsorship (macro level); leadership, workforce focus and maturity (meso level);and motivation to change and maturity (micro level). Strategies developed in policy documents affected upper management in the municipality, but healthcare personnel at the micro level were not so familiar with strategies and emphasis on assistive living technologies. Healthcare personnel in our study were motivated to use technological solutions, but lack of data infrastructure and resource availability hindered this. Aligning interests across multiple stakeholders remain a challenge when planning for an assistive living technology intervention in primary care. In the studied municipality, integration of technological solutions into healthcare services was more a vision than a reality because of a low level of organisational readiness. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  9. The wonder of their voices: The 1946 Holocaust interviews of David Boder (New York: Oxford, 2010).

    PubMed

    Rosen, Alan C

    2012-05-01

    Writing a study of psychologist David Boder's 1946 displaced persons (DP) interview project gave me a chance to further document the substantial early response to the Holocaust. This was clearly one important piece of my study, and one that was eminently straightforward. Yet much of the research on Boder's project at the point in time that I carried it out was elliptical, partly because the primary interview materials were coming to light at an astonishing pace, partly because the archive collections were virtually untapped, and partly because of the misconception of Boder and his interview project itself.

  10. Integrating Technologies in Higher Education: The Issue of Recommended Educational Features Still Making Headline News

    ERIC Educational Resources Information Center

    Amemado, Dodzi

    2014-01-01

    The integration of technology in higher education has been swiftly changing since 2000. This study, which focused on issues related to technology integration in higher education, included 24 interviews done in 15 universities. The interviews documented an accelerated pace of change as well a wide range of innovations. Relying on the idea that…

  11. University of Dayton: Documentation of the Teachers for a New Era Learning Network. Case Study

    ERIC Educational Resources Information Center

    Academy for Educational Development, 2012

    2012-01-01

    The Academy for Educational Development (AED) sent a research team to the University of Dayton (UD) on November 5-7, 2008, to conduct interviews with individuals who played significant roles in the university's teacher preparation program (see Appendix A). These interviews, along with additional materials provided by UD and identified by the AED…

  12. 40 CFR 80.1165 - What are the additional requirements under this subpart for a foreign small refiner?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... audits may be by EPA employees or contractors to EPA. (iv) Any documents requested that are related to... interviewing employees. (vii) Any employee of the foreign refiner must be made available for interview by the... service on this agent constitutes service on the foreign refiner or any employee of the foreign refiner...

  13. 40 CFR 80.1165 - What are the additional requirements under this subpart for a foreign small refiner?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... audits may be by EPA employees or contractors to EPA. (iv) Any documents requested that are related to... interviewing employees. (vii) Any employee of the foreign refiner must be made available for interview by the... service on this agent constitutes service on the foreign refiner or any employee of the foreign refiner...

  14. Educators Look to the Poets and Artists: The Importance of Creative Visioning in Education.

    ERIC Educational Resources Information Center

    Cromwell, Ronald R.

    This document summarizes a study attempting to understand the critical skill of creative visioning. In the study, 20 people who were involved in creativity or creative visioning were interviewed for 1.5-4 hours. Seven central themes emerged from the interviews: (1) the meaning of creative visioning; (2) trusting; (3) imagination; (4) connections;…

  15. Mathematics Education in Rural Middle Schools: Parent Perceptions of Their Role in Mathematics Learning

    ERIC Educational Resources Information Center

    Bradley, Austrai

    2017-01-01

    This qualitative study explored parent perceptions of parental involvement in mathematics learning. The study was conducted in a rural area of South Carolina. Face-to-face interviews, online interviews, and review of documents were the sources of data for this inquiry. Findings revealed that parents admitted to a lack of involvement as long as…

  16. Proficiency-Based High School Diploma Systems in Maine: Implications for Special Education and Career and Technical Education Programming and Student Populations

    ERIC Educational Resources Information Center

    Stump, Erika; Johnson, Amy; Jacobs, Cathy

    2017-01-01

    Document review and interviews were conducted with college admissions' personnel to gather data regarding alignment of proficiency-based diploma systems and college eligibility and entry requirements. In addition, leaders and representative personnel from and Maine businesses and the U.S. military were interviewed to identify postsecondary career…

  17. Emotional Risks to Respondents in Survey Research: Some Empirical Evidence

    PubMed Central

    Labott, Susan M.; Johnson, Timothy P.; Fendrich, Michael; Feeny, Norah C.

    2014-01-01

    Some survey research has documented distress in respondents with pre-existing emotional vulnerabilities, suggesting the possibility of harm. In this study, respondents were interviewed about a personally distressing event; mood, stress, and emotional reactions were assessed. Two days later, respondents participated in interventions to either enhance or alleviate the effects of the initial interview. Results indicated that distressing interviews increased stress and negative mood, although no adverse events occurred. Between the interviews, moods returned to baseline. Respondents who again discussed a distressing event reported moods more negative than those who discussed a neutral or a positive event. This study provides evidence that, among nonvulnerable survey respondents, interviews on distressing topics can result in negative moods and stress, but they do not harm respondents. PMID:24169422

  18. Truth is at hand: How gesture adds information during investigative interviews

    PubMed Central

    Broaders, Sara C.; Goldin-Meadow, Susan

    2010-01-01

    The accuracy of information obtained in forensic interviews is critically important to credibility in our legal system. Research has shown that the way interviewers frame questions influences the accuracy of witnesses’ reports. A separate body of research has shown that speakers spontaneously gesture when they talk, and that these gestures can express information not found anywhere in the speaker’s talk. This study of children interviewed about an event that they witnessed joins these two literatures and demonstrates that (1) interviewers’ gestures serve as a source of information and, at times, misinformation that can lead witnesses to report incorrect details; (2) the gestures witnesses spontaneously produce during interviews convey substantive information that is often not conveyed anywhere in their speech, and thus would not appear in written transcripts of the proceedings. These findings underscore the need to attend to and document gestures produced in investigative interviews, particularly interviews conducted with children. PMID:20483837

  19. Computer-aided documentation. Quality, productivity, coding, and enhanced reimbursement.

    PubMed

    Foxlee, R H

    1993-10-01

    Physicians currently use technology, where appropriate, to improve patient care, for example, MRI and three-dimensional radiotherapy dose planning. One area that has seen limited benefit from current technology is in documenting of medical information. Review of related literature and directed interviews. Technology is available to assist in documenting the initial patient encounter. Patient care, quality of practice, and reimbursement may be improved with careful implementation. It will be worthwhile for practices to examine how to implement this technology to obtain the potential benefits.

  20. End-user support for primary care electronic medical records: a qualitative case study of users’ needs, expectations and realities

    PubMed Central

    Shachak, Aviv; Montgomery, Catherine; Dow, Rustam; Barnsley, Jan; Tu, Karen; Jadad, Alejandro R.; Lemieux-Charles, Louise

    2015-01-01

    Support is considered an important factor for realizing the benefits of health information technology (HIT) but there is a dearth of research on the topic of support, especially in primary care. We conducted a qualitative multiple case study of 4 family health teams (FHTs) and one family health organization (FHO) in Ontario, Canada in an attempt to gain insight into users’ expectations and needs, and the realities of end-user support for primary care electronic medical records (EMRs). Data were collected by semi-structured interviews, documents review, and observation of training sessions. The analysis highlights the important role of on-site information technology (IT) staff and super-users in liaising with various stakeholders to solve technical problems and providing hardware and functional (‘how to’) support; the local development of data support practices to ensure consistent documentation; and the gaps that exist in users’ and support personnel’s understanding of each other’s work processes. PMID:26225209

  1. Partnering With a Family Advisor to Improve Communication in a Pediatric Intensive Care Unit.

    PubMed

    Czulada, Laura; Leino, Patience; Willis, Tina Schade

    2016-11-01

    Inadequate communication between medical teams and families can lead to errors and poor-quality care. The objective was to understand why communication between the clinical team and families was not occurring consistently in the pediatric intensive care unit and improve the system using a multidisciplinary improvement team including a family advisor. This improvement project used Lean Six Sigma. The team observed updates and collected documented communication, survey, interview, and focus group data from families and staff. Root causes of failures included lack of assigned responsibility, lack of defined daily update, and lack of a daily communication standard. Process changes were implemented, resulting in an increased mean documented communication rate from 13% pre intervention to 65% post intervention that was sustained for more than 2 years (P < .001). Including a family advisor as an equal member of an improvement team provides family empowerment and a greater chance of success in complex areas. © The Author(s) 2015.

  2. Evaluation of applied public health emergency system at Prince Mohammed International Airport in Almedinah during Hajj season 2014: a qualitative case study.

    PubMed

    Gosadi, Ibrahim M; BinSaeed, Abdulaziz; Al-Hazmi, Ali M; Fadl, Amin A; Alharbi, Khalid H; Swarelzahab, Mazin M

    2015-09-12

    During the Hajj season 2014, several public health measures were applied by the Ministry of Health at Prince Mohammed International Airport in Almedinah. However, several operational defects affected the provision of preventive health services for passengers and airport workers. This study aims to evaluate the applied public health emergency system at the airport, detect any potential gaps and to provide appropriate operational solutions. This is a qualitative case study conducted at Prince Mohammed International Airport in Almedinah during the 2014 Hajj season, September 2014. Data were collected via semi-structured interviews, focus groups and policy document reviews. Interviews were conducted with the 14 individuals of the airport's decision makers and relevant health practitioners. Data were recorded via taking notes during interviews and data coding was performed to produce the main themes and subthemes of the study. The main findings of the study revealed three main defects affecting the applied public health emergency system at the airport. The main themes were mainly related to shortage in logistics related to public health emergency systems, shortage in proper documentation of policies and lack of documented protocols of communications among airport stakeholders. The study highlighted the main factors hindering the application of public health emergency measures at the airport. A Public Health Emergency Contingency Plan was proposed as a method to regulate the process of providing logistics for public health preventive services, the method of producing documented policies and methods of producing Memoranda of Understandings as communication regulators.

  3. Using systems thinking and the Intervention Level Framework to analyse public health planning for complex problems: Otitis media in Aboriginal and Torres Strait Islander children

    PubMed Central

    Durham, Jo; Vaughan, Lisa; Willis, Cameron D.

    2018-01-01

    Background Middle ear disease (otitis media) is endemic among Aboriginal and Torres Strait Islander children in Australia and represents an important cause of hearing loss. The disease is the result of a mix of biological, environmental and host risk factors that interact in complex, non-linear ways along a dynamic continuum. As such, it is generally recognised that a holistic, systems approach is required to reverse the high rates of otitis media in Aboriginal and Torres Strait Islander children. The objective of this paper is to examine the alignment between efforts designed to address otitis media in Aboriginal and Torres Strait Islander children in Queensland, Australia and core concepts of systems thinking. This paper’s overall purpose is to identify which combination of activities, and at which level, hold the potential to facilitate systems changes to better support ear health among Aboriginal and Torres Strait Islander children. Methods We began with a review of documents identified in consultation with stakeholders and an online search. In addition, key informants were invited to participate in an online survey and a face-to-face or phone interview. Qualitative interviews using a semi-structured interview guide were used to explore survey responses in more depth. We also undertook interviews at the community level to elicit a diverse range of views. Ideas, statements or activities reported in the documents and interviews as being performed under the Intervention Level Framework were identified using qualitative thematic and content analysis. A quantitative descriptive analysis was also undertaken, whereby data was extracted into an Excel spreadsheet and coded under the relevant strategic directions and performance indicators of the Framework. Subsequently, we coded activities against the five-level intervention framework developed by Malhi and colleagues, that is: 1) paradigm; 2) goals; 3) system structure; 4) feedback and delays; and 5) structural elements. Results Overall, twenty documents were reviewed. We examined surveys and interviews with six key informants. Twenty-four individual and 3 group interviews were conducted across central and community level informants. One hundred and four items were coded from the 20 documents and 156 items from interview data. For both data sets, the majority of activities were coded at the structural elements level. The results suggested three key areas where further work is needed to drive sustained improvements: 1) build the governance structures needed for paradigm shift to achieve a multi-sectoral approach; 2) develop shared system level goals; 3) develop system-wide feedback processes. Conclusions Sustained progress in improving ear health within Aboriginal and Torres Strait Islander children requires a holistic, system-wide approach. To advance such work, governance structures for multi-sectoral collaboration including the development of joint goals and monitoring and feedback are required. Intervening at these higher leverage points could have a profound effect on persistent public health issues. PMID:29561891

  4. Using systems thinking and the Intervention Level Framework to analyse public health planning for complex problems: Otitis media in Aboriginal and Torres Strait Islander children.

    PubMed

    Durham, Jo; Schubert, Lisa; Vaughan, Lisa; Willis, Cameron D

    2018-01-01

    Middle ear disease (otitis media) is endemic among Aboriginal and Torres Strait Islander children in Australia and represents an important cause of hearing loss. The disease is the result of a mix of biological, environmental and host risk factors that interact in complex, non-linear ways along a dynamic continuum. As such, it is generally recognised that a holistic, systems approach is required to reverse the high rates of otitis media in Aboriginal and Torres Strait Islander children. The objective of this paper is to examine the alignment between efforts designed to address otitis media in Aboriginal and Torres Strait Islander children in Queensland, Australia and core concepts of systems thinking. This paper's overall purpose is to identify which combination of activities, and at which level, hold the potential to facilitate systems changes to better support ear health among Aboriginal and Torres Strait Islander children. We began with a review of documents identified in consultation with stakeholders and an online search. In addition, key informants were invited to participate in an online survey and a face-to-face or phone interview. Qualitative interviews using a semi-structured interview guide were used to explore survey responses in more depth. We also undertook interviews at the community level to elicit a diverse range of views. Ideas, statements or activities reported in the documents and interviews as being performed under the Intervention Level Framework were identified using qualitative thematic and content analysis. A quantitative descriptive analysis was also undertaken, whereby data was extracted into an Excel spreadsheet and coded under the relevant strategic directions and performance indicators of the Framework. Subsequently, we coded activities against the five-level intervention framework developed by Malhi and colleagues, that is: 1) paradigm; 2) goals; 3) system structure; 4) feedback and delays; and 5) structural elements. Overall, twenty documents were reviewed. We examined surveys and interviews with six key informants. Twenty-four individual and 3 group interviews were conducted across central and community level informants. One hundred and four items were coded from the 20 documents and 156 items from interview data. For both data sets, the majority of activities were coded at the structural elements level. The results suggested three key areas where further work is needed to drive sustained improvements: 1) build the governance structures needed for paradigm shift to achieve a multi-sectoral approach; 2) develop shared system level goals; 3) develop system-wide feedback processes. Sustained progress in improving ear health within Aboriginal and Torres Strait Islander children requires a holistic, system-wide approach. To advance such work, governance structures for multi-sectoral collaboration including the development of joint goals and monitoring and feedback are required. Intervening at these higher leverage points could have a profound effect on persistent public health issues.

  5. Impact of Homecare Electronic Health Record on Timeliness of Clinical Documentation, Reimbursement, and Patient Outcomes

    PubMed Central

    Bowles, K. H.; Adelsberger, M. C.; Chittams, J. L.; Liao, C.

    2014-01-01

    Summary Background Homecare is an important and effective way of managing chronic illnesses using skilled nursing care in the home. Unlike hospitals and ambulatory settings, clinicians visit patients at home at different times, independent of each other. Twenty-nine percent of 10,000 homecare agencies in the United States have adopted point-of-care EHRs. Yet, relatively little is known about the growing use of homecare EHRs. Objective Researchers compared workflow, financial billing, and patient outcomes before and after implementation to evaluate the impact of a homecare point-of-care EHR. Methods The design was a pre/post observational study embedded in a mixed methods study. The setting was a Philadelphia-based homecare agency with 137 clinicians. Data sources included: (1) clinician EHR documentation completion; (2) EHR usage data; (3) Medicare billing data; (4) an EHR Nurse Satisfaction survey; (5) clinician observations; (6) clinician interviews; and (7) patient outcomes. Results Clinicians were satisfied with documentation timeliness and team communication. Following EHR implementation, 90% of notes were completed within the 1-day compliance interval (n = 56,702) compared with 30% of notes completed within the 7-day compliance interval in the pre-implementation period (n = 14,563; OR 19, p <. 001). Productivity in the number of clinical notes documented post-implementation increased almost 10-fold compared to pre-implementation. Days to Medicare claims fell from 100 days pre-implementation to 30 days post-implementation, while the census rose. EHR implementation impact on patient outcomes was limited to some behavioral outcomes. Discussion Findings from this homecare EHR study indicated clinician EHR use enabled a sustained increase in productivity of note completion, as well as timeliness of documentation and billing for reimbursement with limited impact on improving patient outcomes. As EHR adoption increases to better meet the needs of the growing population of older people with chronic health conditions, these results can inform homecare EHR development and implementation. PMID:25024760

  6. Evacuation support system for improved medical documentation and information flow in the field.

    PubMed

    Walderhaug, Ståle; Meland, Per Håkon; Mikalsen, Marius; Sagen, Terje; Brevik, John Ivar

    2008-02-01

    Documentation of medical treatment and observation of patients during evacuation from the point of injury to definitive treatment is important both for optimizing patient treatment and managing the evacuation process. The current practice in military medical field documentation uses paper forms and voice communication. There are many shortcomings associated with this approach, especially with respect to information capture and sharing processes. Current research addresses the use of new technology for civilian ambulance-to-hospital communication. The research work presented in this article addresses information capture and sharing in extreme military conditions by evaluating a targeted computerized information system called EvacSys during a military exercise in northern Norway in December 2003. EvacSys was designed and implemented in close cooperation with military medical personnel in both Norway and the USA. The system was evaluated and compared to the traditional paper-based documentation method during a military exercise. The on-site evaluation was conducted in a military medical platoon in the Norwegian Armed Forces, using questionnaires, semi-structured interviews, observation and video recording to capture the users' system acceptance. A prototype software system running on a commercial off-the-shelf hardware platform was successfully developed. The evaluation of this system shows that the usability of digital information capturing and sharing are perceived to be at least as good as the traditional paper-based method. The medics found the new digital method to be more viable than the old one. No technical problems were encountered. Our research shows that it is feasible to utilize digital information systems for medical documentation in extreme outdoor environments. The usability concern is of utmost importance, and more research should be put into the design and alignment with existing workflow. Successful digitalization of information at the point of care will provide accurate and timely information for the management of resources during disaster response.

  7. Ethnomedicinal plants of the Bauri tribal community of Moulvibazar District, Bangladesh.

    PubMed

    Das, Protiva Rani; Islam, Md Tabibul; Mostafa, Mohd Nabil; Rahmatullah, Mohammed

    2013-01-01

    Bangladesh reportedly has more than 100 tribal communities; however, documentation of their medicinal practices is markedly absent. The aim of the present study was to conduct an ethnomedicinal survey among the little known Bauri tribe of Bangladesh, whose tribal medicinal practices are yet to be documented. The survey was carried out among the Bauri tribal community of Purbo Tila village in Moulvibazar District. The community is believed to be the only Bauri community in the country and had four tribal healers who continue their traditional medicinal practices. Interviews of the healers were carried out with the help of a semi-structured questionnaire and the guided field-walk method where the healers took the interviewers on guided field-walks through areas from where they collected their medicinal plants. Here they identified the plants and described their uses. The Bauri healers were observed to use 40 different plant species and one bird species for treatment of ailments such as fever, respiratory tract disorders, pain, gastrointestinal disorders, eye problems like cataract and conjunctivitis, jaundice, abscess, cardiovascular disorders, urinary problems, paralysis, dog bite, snake bite, helminthiasis, lesions on the tongue or lips and piles. Leaves were the major plant part used and constituted 38.3% of total uses followed by fruits at 14.9%. A review of the relevant scientific literature showed that a number of medicinal plants used by the Bauri healers possess pharmacological activities, which were in line with the traditional uses, thus validating their use by the Bauri tribe.

  8. Participation a Key Factor for Life Recovery After Disaster: A Grounded Theory Study in an Iranian Context

    PubMed Central

    Nakhaei, Maryam; Khankeh, Hamid Reza; Masoumi, Gholam Reza; Hosseini, Mohammad Ali; Parsa-Yekta, Zohreh

    2016-01-01

    Background Since life recovery after disasters is a subjective and multifaceted construct influenced by different factors, and survivors’ main concerns and experiences are not clear, the researchers intended to explore this process. Materials and Methods This study was conducted in 2011 - 2014 based on the grounded theory approach. Participants were selected by purposeful sampling followed by theoretical sampling to achieve conceptual and theoretical saturation. Data were collected through interviews, observation, focus group discussion, and document reviews. Data were analyzed by Strauss and Corbin’s (2008) recommended approach. Results Transcribed data from 26 interviews (managers, health care providers, and receivers), field notes, and other documents were analyzed, and 1,652 open codes were identified. The codes were categorized, using constant comparative analysis, into five main categories including reactive exposure, subsiding emotions, need for comprehensive health recovery, improvement of normalization (new normality achievement), and contextual factors. The process of life recovery after disaster was also explored. Conclusions The results clarified a deep perception of participants’ experiences after disaster. The path of life recovery after disasters involves participants’ striving to achieve a comprehensive health recovery, which starts with the need for all-inclusive health recovery as a main concern; this is the motivator for a responding strategy. This strategy is participatory, and the process is progressive; achievement of a new normality is the final goal, with new development and levels of empowerment. PMID:27703797

  9. The Role of the Social Partners in Vocational Education and Training, Including Continuing Education and Training, in Ireland.

    ERIC Educational Resources Information Center

    Murphy, Timothy; Coldrick, Arthur J.

    This document is the result of the analysis of reports and the conduct of interviews with representatives of the social partners (employers, employers' organizations, and unions), education and training agencies, and other relevant agencies in Ireland. The document consists of four parts and a bibliography. The first part describes vocational…

  10. Science Education Researchers as Orthographers: Documenting Keiyo (Kenya) Knowledge, Learning and Narratives about Snakes.

    ERIC Educational Resources Information Center

    Thomson, Norman

    2003-01-01

    Advances the argument that science educators have a pivotal role as orthographers in preserving and promoting science for all. Interviews Keiyo elders and students (n=748) to determine indigenous names for snakes and how Keiyo oral narratives of snakes are used in teaching and learning. Uses the data to document Keiyo language and construct…

  11. Preliminary Assessment of the Proposed Closure of the National Technical Information Service (NTIS): A Report to the President and the Congress.

    ERIC Educational Resources Information Center

    Horton, Forest Woody, Ed.; Kadec, Sarah T., Ed.

    This document reports on an NCLIS (National Commission on Libraries and Information Science) study of the proposal to close NTIS (National Technical Information Service) and shift its paper, microfiche, digital archives, and bibliographic database to the Library of Congress. The report documents the results of research, interviews, public…

  12. Understanding the Role of Critical Incidents in Relation to Self-Efficacy during Course-Embedded Preservice Teacher Field Experiences: A Qualitative Study

    ERIC Educational Resources Information Center

    Epperly, Anna C.

    2017-01-01

    This qualitative, collective case study documented the development of the self-efficacy beliefs of special education preservice candidates during one semester of a course-embedded field experience in a small, private, faith-based university in the Midwest. Interviews of candidates regarding critical incidents in field experiences as documented by…

  13. Indiana State University: Documentation of the Teachers for a New Era Learning Network. Case Study

    ERIC Educational Resources Information Center

    Academy for Educational Development, 2009

    2009-01-01

    The Academy for Educational Development (AED) sent a research team to Indiana State University (ISU) on November 11-12, 2008 to conduct interviews with individuals who play important roles in the university's teacher preparation program. Based upon the nine case studies, the AED research team will prepare a cross-case study that will document and…

  14. The Nationalised and Gendered Citizen in a Global World--Examples from Textbooks, Policy and Steering Documents in Turkey and Sweden

    ERIC Educational Resources Information Center

    Carlson, Marie; Kanci, Tuba

    2017-01-01

    This article analyses the construction of the gendered and nationalised citizen in education in Turkey and Sweden. We draw on a narrative approach identifying narratives linked to educational discourses. Our empirical data consist of textbooks (in the later years of mandatory schooling), steering documents and interviews. In both our cases, we…

  15. Children's Self-Documentation and Understanding of the Concepts "Healthy" and "Unhealthy"

    ERIC Educational Resources Information Center

    Reeve, Suzanne; Bell, Philip

    2009-01-01

    The present paper describes a study in which 13 children aged 9-11 years, of diverse ethnic, linguistic, and socio-economic backgrounds, were asked to use a digital camera and small notebook to document the range of things they consider to be healthy and unhealthy. Using open-ended interview questions, the children were then asked to explain each…

  16. [Tablet computers and their benefits for nursing home residents with dementia: Results of a qualitative pilot study].

    PubMed

    Nordheim, Johanna; Hamm, Sabine; Kuhlmey, Adelheid; Suhr, Ralf

    2015-08-01

    Initial sporadic experiences in a Berlin nursing home showed that residents with dementia responded well to activating therapy with tablet computers. This innovative technology seemed to provide a differentiated and individual therapeutic access. These observations encouraged the nursing home management to contact the Institute of Medical Sociology and Rehabilitation Science at the Charité Universitätsmedizin Berlin with the aim to examine the practical experiences. The Centre for Quality in Care (ZQP) sponsored the 1 year pilot study. An examination of the feasibility and usability of tablet computers in the daily care of nursing home residents with dementia was carried out. In this study 14 residents (12 women and 2 men) of a special care unit for dementia patients were included in a 3-month intervention of tablet activation 3 times a week. Qualitative and quantitative methods were used to analyze data (e.g. observation protocols and videos, staff interviews, document analysis of nursing records and standardized resident interviews/proxy interviews). Nursing home residents suffering from dementia showed a high degree of acceptance of tablet computers. Most notable benefits were easy handling and the variety of multifunctional applications. Sustainable therapeutic effects resulted in stimulation of communication and interaction, improvement of well-being, memory training and reduction of neuropsychiatric symptoms. Furthermore, contact to family members of several residents was improved. The use of tablet computers was convincing as an activation therapy for nursing home residents with dementia. Further research and development of specially adapted software are required.

  17. The medical necessity for medicinal cannabis: prospective, observational study evaluating the treatment in cancer patients on supportive or palliative care.

    PubMed

    Bar-Sela, Gil; Vorobeichik, Marina; Drawsheh, Saher; Omer, Anat; Goldberg, Victoria; Muller, Ella

    2013-01-01

    Background. Cancer patients using cannabis report better influence from the plant extract than from synthetic products. However, almost all the research conducted to date has been performed with synthetic products. We followed patients with a medicinal cannabis license to evaluate the advantages and side effects of using cannabis by cancer patients. Methods. The study included two interviews based on questionnaires regarding symptoms and side effects, the first held on the day the license was issued and the second 6-8 weeks later. Cancer symptoms and cannabis side effects were documented on scales from 0 to 4 following the CTCAE. The distress thermometer was used also. Results. Of the 211 patients who had a first interview, only 131 had the second interview, 25 of whom stopped treatment after less than a week. All cancer or anticancer treatment-related symptoms showed significant improvement (P < 0.001). No significant side effects except for memory lessening in patients with prolonged cannabis use (P = 0.002) were noted. Conclusion. The positive effects of cannabis on various cancer-related symptoms are tempered by reliance on self-reporting for many of the variables. Although studies with a control group are missing, the improvement in symptoms should push the use of cannabis in palliative treatment of oncology patients.

  18. Exploration of the perceptions of emergency physicians and interns regarding the medical documentation practices of interns.

    PubMed

    Isoardi, Jonathon; Spencer, Lyndall; Sinnott, Michael; Nicholls, Kim; O'Connor, Angela; Jones, Fleur

    2013-08-01

    The primary objective of the present study was to learn the factors that influence the documentation practices of ED interns. A second objective was to identify the expectations of emergency physicians (EPs) towards the medical record documentation of ED interns. A qualitative design was adopted using semi-structured interviews in convenience samples drawn from both groups. Eighteen interviews were conducted with intern volunteers and 10 with EP volunteers. One (5%) intern and two (20%) EPs had received medical documentation training. Factors that encouraged interns' documentation included: patient acuity (the more critical the condition, the more comprehensive the documentation) and the support of senior colleagues. Inhibiting factors included uncertainty about how much to write, and the shift being worked (interns indicated they wrote less at night). Factors of consequence to senior personnel included the apparent reluctance of interns to document management plans. They noted that interns frequently confine their notes to assessment, investigations and treatments, whereas EPs preferred records that demonstrated intern thought processes and included such matters as future actions to follow immediate treatment. A positive theme that emerged included the high level of support interns received from their senior colleagues. Another theme, the influence of patient acuity, held both positive and negative implications for intern writing practices. The lack of formal training is an impediment to the production of useful medical records by ED interns. One solution proposed by both interns and senior personnel was the introduction of the subject into intern education programmes. © 2013 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  19. Impacts of Computerized Physician Documentation in a Teaching Hospital: Perceptions of Faculty and Resident Physicians

    PubMed Central

    Embi, Peter J.; Yackel, Thomas R.; Logan, Judith R.; Bowen, Judith L.; Cooney, Thomas G.; Gorman, Paul N.

    2004-01-01

    Objective: Computerized physician documentation (CPD) has been implemented throughout the nation's Veterans Affairs Medical Centers (VAMCs) and is likely to increasingly replace handwritten documentation in other institutions. The use of this technology may affect educational and clinical activities, yet little has been reported in this regard. The authors conducted a qualitative study to determine the perceived impacts of CPD among faculty and housestaff in a VAMC. Design: A cross-sectional study was conducted using semistructured interviews with faculty (n = 10) and a group interview with residents (n = 10) at a VAMC teaching hospital. Measurements: Content analysis of field notes and taped transcripts were done by two independent reviewers using a grounded theory approach. Findings were validated using member checking and peer debriefing. Results: Four major themes were identified: (1) improved availability of documentation; (2) changes in work processes and communication; (3) alterations in document structure and content; and (4) mistakes, concerns, and decreased confidence in the data. With a few exceptions, subjects felt documentation was more available, with benefits for education and patient care. Other impacts of CPD were largely seen as detrimental to aspects of clinical practice and education, including documentation quality, workflow, professional communication, and patient care. Conclusion: CPD is perceived to have substantial positive and negative impacts on clinical and educational activities and environments. Care should be taken when designing, implementing, and using such systems to avoid or minimize any harmful impacts. More research is needed to assess the extent of the impacts identified and to determine the best strategies to effectively deal with them. PMID:15064287

  20. The Existence of Alternative Framework in Students' Scientific Imagination on the Concept of Matter at Submicroscopic Level: Macro Imagination

    ERIC Educational Resources Information Center

    Abdullah, Nurdiana; Surif, Johari

    2015-01-01

    This study is conducted with the purpose of identifying the alternative framework contained in students' imagination on the concept of matter at submicroscopic level. Through the design of purposive sampling techniques, a total of 15 students are interviewed to obtain the data. Data from analysis document is utilized to strengthen the interview.…

  1. Concurrent Medical Conditions and Health Care Use and Needs among Children with Learning and Behavioral Developmental Disabilities, National Health Interview Survey, 2006-2010

    ERIC Educational Resources Information Center

    Schieve, Laura A.; Gonzalez, Vanessa; Boulet, Sheree L.; Visser, Susanna N.; Rice, Catherine E.; Braun, Kim Van Naarden; Boyle, Coleen A.

    2012-01-01

    Studies document various associated health risks for children with developmental disabilities (DDs). Further study is needed by disability type. Using the 2006-2010 National Health Interview Surveys, we assessed the prevalence of numerous medical conditions (e.g. asthma, frequent diarrhea/colitis, seizures), health care use measures (e.g. seeing a…

  2. Combating Terrorism: Strategy to Counter Iran in the Western Hemisphere Has Gaps That State Department Should Address

    DTIC Science & Technology

    2014-09-01

    Waste , and Abuse in Federal Programs Congressional Relations Public Affairs Please Print on Recycled Paper. ...of national strategies. GAO analyzed agency documents and interviewed agency officials in Washington, D.C.; Argentina; Brazil ; Colombia; and...interviewed officials at the U.S. embassies in Argentina, Brazil , Colombia, and Mexico, and host government officials in Colombia and Mexico regarding

  3. AIDS Knowledge and Attitudes, Provisional Data from the National Health Interview Survey: United States, August 1987. Advance Data from Vital and Health Statistics. No. 146.

    ERIC Educational Resources Information Center

    Dawson, Deborah A.; And Others

    This document presents provisional data for all Acquired Immune Deficiency Syndrome (AIDS) questionnaire items from the National Health Interview Survey (NHIS) for August 1987. It notes that the AIDS questionnaire was designed to provide baseline estimates of public knowledge and attitudes about AIDS transmission, the prevention of AIDS virus…

  4. On-Site Pedagogical Content Knowledge Development

    NASA Astrophysics Data System (ADS)

    Chan, Kennedy Kam Ho; Yung, Benny Hin Wai

    2015-05-01

    Experiences and reflection have long been regarded as a foundation for pedagogical content knowledge (PCK) development. However, little is known about how experienced teachers develop their PCK via reflection-in-action during their moment-to-moment classroom instruction. Drawing upon data sources including classroom observations, semi-structured interviews and stimulated recall interviews based on lesson videos, this study examined instances when four experienced teachers were found to invent new instructional strategies/representations on the spot during the lesson (referred to as on-site PCK development) in their first attempts at teaching a new topic. The study documented the moment-to-moment experiences of the teachers, including their reconstructed thought processes associated with these instances of on-site PCK development. An explanatory model of a three-step process comprising a stimulus, an integration process and a response was advanced to account for the on-site PCK development observed among the teachers. Three categories of stimulus that triggered on-site PCK development were identified. Factors influencing the integration process and, hence, the resulting response, included teachers' subject matter knowledge of the new topic, their general pedagogical knowledge and their knowledge of student learning difficulties/prior knowledge related to the new topic. Implications for teacher professional development in terms of how to enhance teachers' on-site PCK development are discussed.

  5. Juggling confidentiality and safety: a qualitative study of how general practice clinicians document domestic violence in families with children.

    PubMed

    Drinkwater, Jessica; Stanley, Nicky; Szilassy, Eszter; Larkins, Cath; Hester, Marianne; Feder, Gene

    2017-06-01

    Domestic violence and abuse (DVA) and child safeguarding are interlinked problems, impacting on all family members. Documenting in electronic patient records (EPRs) is an important part of managing these families. Current evidence and guidance, however, treats DVA and child safeguarding separately. This does not reflect the complexity clinicians face when documenting both issues in one family. To explore how and why general practice clinicians document DVA in families with children. A qualitative interview study using vignettes with GPs and practice nurses (PNs) in England. Semi-structured telephone interviews with 54 clinicians (42 GPs and 12 PNs) were conducted across six sites in England. Data were analysed thematically using a coding frame incorporating concepts from the literature and emerging themes. Most clinicians recognised DVA and its impact on child safeguarding, but struggled to work out the best way to document it. They described tensions among the different roles of the EPR: a legal document; providing continuity of care; information sharing to improve safety; and a patient-owned record. This led to strategies to hide information, so that it was only available to other clinicians. Managing DVA in families with children is complex and challenging for general practice clinicians. National integrated guidance is urgently needed regarding how clinicians should manage the competing roles of the EPR, while maintaining safety of the whole family, especially in the context of online EPRs and patient access. © British Journal of General Practice 2017.

  6. Juggling confidentiality and safety: a qualitative study of how general practice clinicians document domestic violence in families with children

    PubMed Central

    Drinkwater, Jessica; Stanley, Nicky; Szilassy, Eszter; Larkins, Cath; Hester, Marianne; Feder, Gene

    2017-01-01

    Background Domestic violence and abuse (DVA) and child safeguarding are interlinked problems, impacting on all family members. Documenting in electronic patient records (EPRs) is an important part of managing these families. Current evidence and guidance, however, treats DVA and child safeguarding separately. This does not reflect the complexity clinicians face when documenting both issues in one family. Aim To explore how and why general practice clinicians document DVA in families with children. Design and setting A qualitative interview study using vignettes with GPs and practice nurses (PNs) in England. Method Semi-structured telephone interviews with 54 clinicians (42 GPs and 12 PNs) were conducted across six sites in England. Data were analysed thematically using a coding frame incorporating concepts from the literature and emerging themes. Results Most clinicians recognised DVA and its impact on child safeguarding, but struggled to work out the best way to document it. They described tensions among the different roles of the EPR: a legal document; providing continuity of care; information sharing to improve safety; and a patient-owned record. This led to strategies to hide information, so that it was only available to other clinicians. Conclusion Managing DVA in families with children is complex and challenging for general practice clinicians. National integrated guidance is urgently needed regarding how clinicians should manage the competing roles of the EPR, while maintaining safety of the whole family, especially in the context of online EPRs and patient access. PMID:28137783

  7. Exploring Quality Teaching of Information and Communication Technology in New South Wales and Yenbai High Schools: A Comparative Case Study

    NASA Astrophysics Data System (ADS)

    Tran, Manh Thang

    This study compares ICT policy and curriculum and assessment practices between Australian and Vietnamese secondary schools, and investigates differences between these two school systems. Document analyses and case studies were used to examine the key differences in ICT curriculum and policy and assessment practices between Australian and Vietnamese secondary schools. The document analyses focused on the intended ICT policy and curriculum and assessment, as presented in official documents in both countries. Using a case study approach for in-depth examination, two secondary schools were selected (one from Yenbai province, Vietnam and one from Sydney, New South Wales, Australia). Two principals and three teachers were interviewed. Classroom teaching and assessment practices were observed, and principals and teachers' views were obtained through semi-structured interviews and extensive discussions. Findings from the two case studies were compared with the findings from the document analysis. This study explored and analysed differences in ICT teaching, learning, assessment, and achievement between Vietnamese and Australian secondary students. It was found that that Australian ICT school curricula and assessment differed markedly from the Vietnamese system. Student ICT achievement in these Australian and Vietnamese schools could not only be attributed to higher standards of intended ICT curricula and assessment, or teacher knowledge or classroom practices. These differences are better explained by economic and cultural factors, ICT policies and their degrees of implementation, and extra ICT curricula. In order to bridge the gap and implement adequate ICT curricula and policies, rigorous professional training in teaching and assessment is essential for both Australian and Vietnamese teachers. In order to improve Australian students' ICT achievement, achievement motivation must be addressed. Many challenging aspects were found in ICT policies and classrooms in the Vietnamese educational system that calls for immediate change and improvement. In order to implement reforms in Vietnamese education, the impact of cultural influence must be considered more seriously. In particular, this study highlights the need to integrate case study with large-scale study in international comparative studies.

  8. Socially situated activities and identities: Second-grade dual language students and the social construction of science

    NASA Astrophysics Data System (ADS)

    Bryce, Nadine

    Latina and Latino American students are among the lowest achievers in science, when compared to European and Asian American students, and are highly underrepresented in science careers. Studies suggested that a part of this problem is students' lack of access to science, due to their status as English language learners and their perceived status as deficient students. This study investigated the social construction of science in a second grade dual language urban classroom that offered bilingual students access to science, while positioning them as competent, capable learners. What participants valued in science was interpreted from their stated beliefs and attitudes, as well as their patterned ways of reading, writing, and talking. A bilingual European American teacher and three Latina and Latino focal students were observed over the course of 10 weeks, as they enacted a science unit, in English, on habitats. Science lessons were videotaped, documented with field notes, and transcribed. Interviews with the teacher and students were audiotaped and transcribed, and relevant curriculum documents, and teacher- and student-generated documents, copied. Gee's (1999) d/Discourse analysis system was applied to the transcripts of science lessons and interviews as a way to understand how participants used language to construct situated activities and identities in science. Curriculum documents were analyzed to understand the positioning of the teacher and students by identifying the situated activities and roles recommended. Students' nonfiction writing and published nonfiction texts were analyzed for linguistic structures, semantic relationships and conventions of science writing. Results indicated that the teacher drew on traditional and progressive pedagogical practices that shaped her and her students' science activities and situated identities. The teacher employed traditional talk strategies to build science themes, while students enacted their roles as compliant learners, but the teacher also provided curricular structures for students to engage in science as knowledge brokers, researching and writing from nonfiction books, and authoring original texts. Conclusions drawn suggest that teachers should be aware that students are multiply positioned as learners, d/Discourse analysis can be a useful tool for studying classroom practices, and science is relational as well as discipline-centered.

  9. The role of government policy in service development in a New Zealand statutory mental health service: implications for policy planning and development.

    PubMed

    Stanley-Clarke, Nicky; Sanders, Jackie; Munford, Robyn

    2014-12-01

    To explore the relationship between government policy and service development in a New Zealand statutory mental health provider, Living Well. An organisational case study utilising multiple research techniques including qualitative interviews, analysis of business and strategic documents and observation of meetings. Staff understood and acknowledged the importance of government policy, but there were challenges in its implementation. Within New Zealand's statutory mental health services staff struggled to know how to implement government policy as part of service development; rather, operational concerns, patient need, local context and service demands drove the service development process. © The Royal Australian and New Zealand College of Psychiatrists 2014.

  10. Beyond Academic and Social Integration: Understanding the Impact of a STEM Enrichment Program on the Retention and Degree Attainment of Underrepresented Students

    PubMed Central

    Lane, Tonisha B.

    2016-01-01

    The current study used a case study methodological approach, including document analysis, semistructured interviews, and participant observations, to investigate how a science, technology, engineering, and mathematics (STEM) enrichment program supported retention and degree attainment of underrepresented students at a large, public, predominantly white institution. From this study, a model emerged that encompassed four components: proactive care, holistic support, community building, and catalysts for STEM identity development. These components encompassed a number of strategies and practices that were instrumental in the outcomes of program participants. This paper concludes with implications for practice, such as using models to inform program planning, assessment, and evaluation. PMID:27543638

  11. The Characteristics Of Malay House Spatial Layout Of Pekanbaru In Accordance With Islamic Values

    NASA Astrophysics Data System (ADS)

    Samra, Boby

    2017-12-01

    House is not only is a place to get rest and do activities bu also treated as a pride for the Malay community. The values contained in the spatial layout of the house have specific meaning to the owners. This makes the Malay house becomes the symbol of pride to uphold the “tuah” and dignity of the owner. This research is conducted using qualitative approach through management and data management available through several methods such as observation, interview, documentation and group discussion. This is expected to provide understanding of the perception of Islam dealing with the characteristics of the spatial layout of the Malay house of Pekanbaru.

  12. [Work schedule management in the health institutions of Abomey-Calavi (Benin)].

    PubMed

    Makoutodé, M; Kassanga, N N; Ouendo, E M; Agueh, V D; Diallo, P M

    1999-12-01

    Work time management of the health personnel of the health institutions in the sub-prefecture of Abomey-Calavi (Benin) This study was carried out with a sample size of 130, comprising health personnel, patients, members of management committees and twelve health institutions of the subprefecture of Abomey-Calavi. The survey was carried out through observation, one-on-one interviews and consultation of documents. The results reveal that work time is poorly managed in almost all of the programmes surveyed. There exist long waiting lines in almost all the health programmes. On average, the traffic report per service is 82 and 10 out of 12 of the programmes investigated do not have an agenda of activities.

  13. Quality Control for Interviews to Obtain Dietary Recalls from Children for Research Studies

    PubMed Central

    SHAFFER, NICOLE M.; THOMPSON, WILLIAM O.; BAGLIO, MICHELLE L.; GUINN, CAROLINE H.; FRYE, FRANCESCA H. A.

    2005-01-01

    Quality control is an important aspect of a study because the quality of data collected provides a foundation for the conclusions drawn from the study. For studies that include interviews, establishing quality control for interviews is critical in ascertaining whether interviews are conducted according to protocol. Despite the importance of quality control for interviews, few studies adequately document the quality control procedures used during data collection. This article reviews quality control for interviews and describes methods and results of quality control for interviews from two of our studies regarding the accuracy of children's dietary recalls; the focus is on quality control regarding interviewer performance during the interview, and examples are provided from studies with children. For our two studies, every interview was audio recorded and transcribed. The audio recording and typed transcript from one interview conducted by each research dietitian either weekly or daily were randomly selected and reviewed by another research dietitian, who completed a standardized quality control for interviews checklist. Major strengths of the methods of quality control for interviews in our two studies include: (a) interviews obtained for data collection were randomly selected for quality control for interviews, and (b) quality control for interviews was assessed on a regular basis throughout data collection. The methods of quality control for interviews described may help researchers design appropriate methods of quality control for interviews for future studies. PMID:15389417

  14. Conceptions of systemic reform: California science education as an investigative example

    NASA Astrophysics Data System (ADS)

    Sachse, Thomas Paul

    This study explored three perspectives of systemic reform in the context of the California state strategies for improving science education. The three perspectives are those of conceptualizers, implementers, and government administrators. The California case study is examined during the ten-year period from 1983 to 1993. This study is of particular significance, because it examines science education reforms during the ten-year period of Bill Honig's state superintendency in the largest and most diverse state. By examining the facets of state science reforms from three rather different perspectives, the study contrasts how systemic reform definitions vary with role. This qualitative study employs document analysis, archival reviews, and participant interviews as the primary data collection methods. Document analysis included key curriculum frameworks, project proposals and reports, relevant legislation, and professional correspondence. Archival reviews included databases (such as the California Basic Educational Data System), assessment reports (such as the California Assessment Program---Rationale and Content), and policy analyses (such as the Policy Analysis for California Education---Conditions of Education). Interviews were conducted for each of the three perspectives across five segments of the reform strategy for a total of fifteen interviews. Data analysis consisted of combining detailed reviews of documents, archives, and interview information with an examination of perspectives, by role group. The study concludes with an analysis of how each role group perceived the facets of systemic reform in the context of the California case study of science education reform. In addition, the research points to "lessons learned", the strengths and weaknesses of systemic reform strategies at the state level. The study offers recommendations to other large-scale (state level) policy reformers interested in creating, sustaining, and maintaining lasting change.

  15. Kenya's health workforce information system: a model of impact on strategic human resources policy, planning and management.

    PubMed

    Waters, Keith P; Zuber, Alexandra; Willy, Rankesh M; Kiriinya, Rose N; Waudo, Agnes N; Oluoch, Tom; Kimani, Francis M; Riley, Patricia L

    2013-09-01

    Countries worldwide are challenged by health worker shortages, skill mix imbalances, and maldistribution. Human resources information systems (HRIS) are used to monitor and address these health workforce issues, but global understanding of such systems is minimal and baseline information regarding their scope and capability is practically non-existent. The Kenya Health Workforce Information System (KHWIS) has been identified as a promising example of a functioning HRIS. The objective of this paper is to document the impact of KHWIS data on human resources policy, planning and management. Sources for this study included semi-structured interviews with senior officials at Kenya's Ministry of Medical Services (MOMS), Ministry of Public Health and Sanitation (MOPHS), the Department of Nursing within MOMS, the Nursing Council of Kenya, Kenya Medical Practitioners and Dentists Board, Kenya's Clinical Officers Council, and Kenya Medical Laboratory Technicians and Technologists Board. Additionally, quantitative data were extracted from KHWIS databases to supplement the interviews. Health sector policy documents were retrieved from MOMS and MOPHS websites, and reviewed to assess whether they documented any changes to policy and practice as having been impacted by KHWIS data. Interviews with Kenyan government and regulatory officials cited health workforce data provided by KHWIS influenced policy, regulation, and management. Policy changes include extension of Kenya's age of mandatory civil service retirement from 55 to 60 years. Data retrieved from KHWIS document increased relicensing of professional nurses, midwives, medical practitioners and dentists, and interviewees reported this improved compliance raised professional regulatory body revenues. The review of Government records revealed few references to KHWIS; however, documentation specifically cited the KHWIS as having improved the availability of human resources for health information regarding workforce planning, management, and development. KHWIS data have impacted a range of improvements in health worker regulation, human resources management, and workforce policy and planning at Kenya's ministries of health. Published by Elsevier Ireland Ltd.

  16. Ethnobotanical study on medicinal plants used by Maonan people in China.

    PubMed

    Hong, Liya; Guo, Zhiyong; Huang, Kunhui; Wei, Shanjun; Liu, Bo; Meng, Shaowu; Long, Chunlin

    2015-04-30

    This paper is based on an ethnobotanical investigation that focused on the traditional medicinal plants used by local Maonan people to treat human diseases in Maonan concentration regions. The Maonan people have relied on traditional medicine since ancient times, especially medicinal plants. The aim of this study is to document medicinal plants used by the Maonans and to report the status of medicinal plants and associated traditional knowledge. Ethnobotanical data were collected from June 2012 to September 2014 in Huanjiang Maonan Autonomous County, northern Guangxi, southwest China. In total, 118 knowledgeable informants were interviewed. Following statistically sampling method, eighteen villages from 5 townships were selected to conduct field investigations. Information was collected through the approache of participatory observation, semi-structured interviews, ranking exercises, key informant interviews, focus group discussions, and participatory rural appraisals. A total of 368 medicinal plant species were investigated and documented together with their medicinal uses by the Maonans, most of which were obtained from the wild ecosystems. The plants were used to treat 95 human diseases. Grinding was a widely used method to prepare traditional herbal medicines. There were significant relationships between gender and age, and between gender and informants' knowledge of medicinal plant use. Deforestation for agricultural purposes was identified as the most destructive factor of medicinal plants, followed by drought and over-harvest. The species diversity of medicinal plants used by the Maonans in the study area was very rich. Medicinal plants played a significant role in healing various human disorders in the Maonan communities. However, the conflicts between traditional inheriting system and recent socio-economic changes (and other factors) resulted in the reduction or loss of both medicinal plants and associated indigenous knowledge. Thus, conservation efforts and policies, and innovation of inheriting system are necessary for protecting the medicinal plants and associated indigenous knowledge. Awareness is also needed to be raised among local Maonans focusing on sustainable utilization and management of both medicinal plants and traditional knowledge.

  17. Acceptability and clinical outcomes of first- and second-trimester surgical abortion by suction aspiration in Colombia.

    PubMed

    DePiñeres, Teresa; Baum, Sarah; Grossman, Daniel

    2014-09-01

    Since partial decriminalization of abortion in Colombia, Oriéntame has provided legal abortion services through 15 weeks gestation in an outpatient primary care setting. We sought to document the safety and acceptability of the second trimester compared to the first-trimester surgical abortion in this setting. This was a prospective cohort study using a consecutive sample of 100 women undergoing surgical first-trimester abortion (11 weeks 6 days gestational age or less) and 200 women undergoing second-trimester abortion (12 weeks 0 days-15 weeks 0 days) over a 5-month period in 2012. After obtaining informed consent, a trained interviewer collected demographic and clinical information from direct observation and the patient's clinical chart. The interviewer asked questions after the procedure regarding satisfaction with the procedure, physical pain and emotional discomfort. Fifteen days later, the interviewer assessed satisfaction with the procedure and any delayed complications. There were no major complications and seven minor complications. Average measured blood loss was 37.87 mL in the first trimester and 109 mL in the second trimester (p<.001). Following the procedure, more second-trimester patients reported being very satisfied (81% vs. 94%, p=.006). Satisfaction was similar between groups at follow-up. There were no differences in reported emotional discomfort after the procedure or at follow-up, with the majority reporting no emotional discomfort. The majority of women (99%) stated that they would recommend the clinic to a friend or family member. Second-trimester surgical abortion in an outpatient primary care setting in Colombia can be provided safely, and satisfaction with these services is high. This is one of the first studies from Latin America, a region with a high proportion of maternal mortality due to unsafe abortion, which documents the safety and acceptability of surgical abortion in an outpatient primary care setting. Findings could support increased access to safe abortion services, particularly in the second trimester. Copyright © 2014 Elsevier Inc. All rights reserved.

  18. Impact of reflective writing assignments on dental students' views of cultural competence and diversity.

    PubMed

    Isaac, Carol; Behar-Horenstein, Linda; Lee, Barbara; Catalanotto, Frank

    2015-03-01

    To respond to widespread disparities in access to oral health care, the Institute of Medicine, the Commission on Dental Accreditation (CODA), and the U.S. surgeon general have stressed that prospective dentists should become culturally competent, socially responsible practitioners. The aim of this study was to examine linguistic differences in dental students' reflective writing assignments before and after interviewing an individual who was culturally different from themselves. The authors analyzed 160 documents from 80 first-year dental students at the University of Florida in 2012. This cohort consisted of 36 male (45%) and 44 female (55%) students; 26 (32%) were from underrepresented minority (URM) groups and 54 (68%) were identified as white non-minority. Text analysis software identified word counts, categories, frequencies, and contexts. Significantly positive differences occurred for interviews between assignments 1 and 2 (p=0.005 to p<0.001) in five areas of cultural diversity. Differences were observed for Factor 1 ("important others' influence") between assignments (p<0.001), assignments by interview categories (p=0.033), and URM/majority participants by assignments by interview category (p=0.018). Factor 4 ("my social world in relation to others") was statistically different between assignments for URM/majority participants (p=0.019). Factor 5 ("wrong because") was statistically different for gender (p=0.041), suggesting that males may have experienced a rebound effect from stereotype suppression. The findings suggest that the use of reflective writing and interviews affected the students' awareness of how important others had influenced their lives and attitudes and facilitated their questioning preconceived assumptions. Reactions to coursework focusing on social and personal domains warrant further investigation.

  19. Transcript of Interview: Mark K. Craig

    NASA Technical Reports Server (NTRS)

    McCurdy, Howard E.

    1992-01-01

    This document is a transcript of an interview given by Howard E. McCurdy to Mark K. Craig. Craig gives details on his background including information on his family, education, and career path, his reaction to the news that America was planning to put a man on the Moon, why he thinks we should go to Mars, and the political speeches made at the time of early human space exploration planning.

  20. Changing Reasons as Reasoning Changes: A Narrative Interview on Second Language Classroom Motivation, Telecollaboration, and the Learning of Foreign Languages

    ERIC Educational Resources Information Center

    Negueruela-Azarola, Eduardo

    2011-01-01

    This narrative interview study of a Spanish learner documents and explains apparent contradictions in a student's story when reporting on why she continues to take Spanish even when she does not like it or perform well in foreign language courses. A dialectical approach to human activity based on sociocultural theory is used to make sense of her…

  1. Implementation and adoption of nationwide electronic health records in secondary care in England: final qualitative results from prospective national evaluation in “early adopter” hospitals

    PubMed Central

    Cornford, Tony; Barber, Nicholas; Avery, Anthony; Takian, Amirhossein; Lichtner, Valentina; Petrakaki, Dimitra; Crowe, Sarah; Marsden, Kate; Robertson, Ann; Morrison, Zoe; Klecun, Ela; Prescott, Robin; Quinn, Casey; Jani, Yogini; Ficociello, Maryam; Voutsina, Katerina; Paton, James; Fernando, Bernard; Jacklin, Ann; Cresswell, Kathrin

    2011-01-01

    Objectives To evaluate the implementation and adoption of the NHS detailed care records service in “early adopter” hospitals in England. Design Theoretically informed, longitudinal qualitative evaluation based on case studies. Setting 12 “early adopter” NHS acute hospitals and specialist care settings studied over two and a half years. Data sources Data were collected through in depth interviews, observations, and relevant documents relating directly to case study sites and to wider national developments that were perceived to impact on the implementation strategy. Data were thematically analysed, initially within and then across cases. The dataset consisted of 431 semistructured interviews with key stakeholders, including hospital staff, developers, and governmental stakeholders; 590 hours of observations of strategic meetings and use of the software in context; 334 sets of notes from observations, researchers’ field notes, and notes from national conferences; 809 NHS documents; and 58 regional and national documents. Results Implementation has proceeded more slowly, with a narrower scope and substantially less clinical functionality than was originally planned. The national strategy had considerable local consequences (summarised under five key themes), and wider national developments impacted heavily on implementation and adoption. More specifically, delays related to unrealistic expectations about the capabilities of systems; the time needed to build, configure, and customise the software; the work needed to ensure that systems were supporting provision of care; and the needs of end users for training and support. Other factors hampering progress included the changing milieu of NHS policy and priorities; repeatedly renegotiated national contracts; different stages of development of diverse NHS care records service systems; and a complex communication process between different stakeholders, along with contractual arrangements that largely excluded NHS providers. There was early evidence that deploying systems resulted in important learning within and between organisations and the development of relevant competencies within NHS hospitals. Conclusions Implementation of the NHS Care Records Service in “early adopter” sites proved time consuming and challenging, with as yet limited discernible benefits for clinicians and no clear advantages for patients. Although our results might not be directly transferable to later adopting sites because the functionalities we evaluated were new and untried in the English context, they shed light on the processes involved in implementing major new systems. The move to increased local decision making that we advocated based on our interim analysis has been pursued and welcomed by the NHS, but it is important that policymakers do not lose sight of the overall goal of an integrated interoperable solution. PMID:22006942

  2. Barriers and facilitators to physical activity amongst overweight and obese women in an Afro-Caribbean population: A qualitative study.

    PubMed

    Alvarado, Miriam; Murphy, Madhuvanti M; Guell, Cornelia

    2015-07-28

    The proportion of obese women is nearly twice the proportion of obese men in Barbados, and physical inactivity may be a partial determinant. Using qualitative interviews and 'semi-structured' participant observation, the aim of this study was to identify modifiable barriers to physical activity and to explore the factors that facilitate physical activity amongst overweight and obese women in this low-resourced setting. Seventeen women aged 25 to 35 years with a BMI ≥25, purposefully sampled from a population-based cross-sectional study conducted in Barbados, were recruited in 2014 to participate in in-depth semi-structured interviews. Twelve of these women participated in one or more additional participant observation sessions in which the researcher joined and observed a routine activity chosen by the participant. More than 50 hours of participant observation data collection were accumulated and documented in field notes. Thematic content analysis was performed on transcribed interviews and field notes using the software Dedoose. Social, structural and individual barriers to physical activity were identified. Social factors related to gender norms and expectations. Women tended to be active with their female friends rather than partners or male peers, and reported peer support but also alienation. Being active also competed with family responsibilities and expectations. Structural barriers included few opportunities for active commuting, limited indoor space for exercise in the home, and low perceived access to convenient and affordable exercise classes. Several successful strategies associated with sustained activity were observed, including walking and highly social, low-cost exercise groups. Individual barriers related to healthy living strategies included perceptions about chronic disease and viewing physical activity as a possible strategy for desired weight loss but less effective than dieting. It is important to understand why women face barriers to physical activity, particularly in low-resourced settings, and to investigate how this could be addressed. This study highlights the role that gender norms and health beliefs play in shaping experiences of physical activity. In addition, structural barriers reflect a mix of resource-scarce and resource-rich factors which are likely to be seen in a wide variety of developing contexts.

  3. Endoscope reprocessing methods: a prospective study on the impact of human factors and automation.

    PubMed

    Ofstead, Cori L; Wetzler, Harry P; Snyder, Alycea K; Horton, Rebecca A

    2010-01-01

    The main cause of endoscopy-associated infections is failure to adhere to reprocessing guidelines. More information about factors impacting compliance is needed to support the development of effective interventions. The purpose of this multisite, observational study was to evaluate reprocessing practices, employee perceptions, and occupational health issues. Data were collected utilizing interviews, surveys, and direct observation. Written reprocessing policies and procedures were in place at all five sites, and employees affirmed the importance of most recommended steps. Nevertheless, observers documented guideline adherence, with only 1.4% of endoscopes reprocessed using manual cleaning methods with automated high-level disinfection versus 75.4% of those reprocessed using an automated endoscope cleaner and reprocessor. The majority reported health problems (i.e., pain, decreased flexibility, numbness, or tingling). Physical discomfort was associated with time spent reprocessing (p = .041). Discomfort diminished after installation of automated endoscope cleaners and reprocessors (p = .001). Enhanced training and accountability, combined with increased automation, may ensure guideline adherence and patient safety while improving employee satisfaction and health.

  4. Hello World! - Experiencing Usability Methods without Usability Expertise

    NASA Astrophysics Data System (ADS)

    Eriksson, Elina; Cajander, Åsa; Gulliksen, Jan

    How do you do usability work when no usability expertise is available? What happens in an organization when system developers, with no previous HCI knowledge, after a 3-day course, start applying usability methods, and particularly field studies? In order to answer these questions qualitative data were gathered through participatory observations, a feed back survey, field study documentation and interviews from 47 system developers from a public authority. Our results suggest that field studies enhance the developer’s understanding of the user perspective, and provide a more holistic overview of the use situation, but that some developers were unable to interpret their observations and see solutions to the users’ problems. The field study method was very much appreciated and has now become standard operating procedure within the organization. However, although field studies may be useful, it does not replace the need for usability pro fes sion als, as their knowledge is essential for more complex observations, analysis and for keeping the focus on usability.

  5. Perceptions of the characteristics of the Alberta Nutrition Guidelines for Children and Youth by child care providers may influence early adoption of nutrition guidelines in child care centres.

    PubMed

    Nikolopoulos, Hara; Farmer, Anna; Berry, Tanya R; McCargar, Linda J; Mager, Diana R

    2015-04-01

    In 2008, the Alberta government released the Alberta Nutrition Guidelines for Children and Youth (ANGCY) as a resource for child care facilities to translate nutrition recommendations into practical food choices. Using a multiple case study method, early adoption of the guidelines was examined in two child care centres in Alberta, Canada. Key constructs from the Diffusion of Innovations framework were used to develop an interview protocol based on the perceived characteristics of the guidelines (relative advantage, compatibility, complexity, trialability and observability) by child care providers. Analysis of the ANGCY was conducted by a trained qualitative researcher and validated by an external qualitative researcher. This entailed reviewing guideline content, layout, organisation, presentation, format, comprehensiveness and dissemination to understand whether characteristics of the guidelines affect the adoption process. Data were collected through direct observation, key informant interviews and documentation of field notes. Qualitative data were analysed using content analysis. Overall, the guidelines were perceived positively by child care providers. Child care providers found the guidelines to have a high relative advantage, be compatible with current practice, have a low level of complexity, easy to try and easy to observe changes. It is valuable to understand how child care providers perceive characteristics of guidelines as this is the first step in identifying the needs of child care providers with respect to early adoption and identifying potential educational strategies important for dissemination. © 2012 Blackwell Publishing Ltd.

  6. Regulation and Mindful Resident Care in Nursing Homes

    PubMed Central

    Colón-Emeric, Cathleen S.; Plowman, Donde; Bailey, Donald; Corazzini, Kirsten; Utley-Smith, Queen; Ammarell, Natalie; Toles, Mark; Anderson, Ruth

    2009-01-01

    Regulatory oversight is intended to improve the health outcomes of nursing home residents, yet evidence suggests that regulations can inhibit mindful staff behaviors that are associated with effective care. We explored the influence of regulations on mindful staff behavior as it relates to resident health outcomes, and offer a theoretical explanation of why regulations sometimes enhance mindfulness and other times inhibit it. We analyzed data from an in-depth, multiple case study including field notes, interviews, and documents collected in 8 nursing homes. We completed a conceptual/thematic description using the concept of mindfulness to reframe the observations. Shared facility mission strongly impacted staff perceptions of the purpose and utility of regulations. In facilities with a resident-centered culture, regulations increased mindful behavior, whereas in facilities with a cost-focused culture, regulations reduced mindful care practices. When managers emphasized the punitive aspects of regulation we observed a decrease in mindful practices in all facilities. PMID:20479137

  7. The limits of global health diplomacy: Taiwan's observer status at the world health assembly.

    PubMed

    Herington, Jonathan; Lee, Kelley

    2014-10-01

    In 2009, health authorities from Taiwan (under the name "Chinese Taipei")a formally attended the 62nd World Health Assembly (WHA) of the World Health Organization as observers, marking the country's participation for the first time since 1972. The long process of negotiating this breakthrough has been cited as an example of successful global health diplomacy. This paper analyses this negotiation process, drawing on government documents, formal representations from both sides of the Taiwan Strait, and key informant interviews. The actors and their motivations, along with the forums, practices and outcomes of the negotiation process, are detailed. While it is argued that non-traditional diplomatic action was important in establishing the case for Taiwan's inclusion at the WHA, traditional concerns regarding Taiwanese sovereignty and diplomatic representation ultimately played a decisive role. The persistent influence of these traditional diplomatic questions illustrates the limits of global health diplomacy.

  8. Effective science teaching in a high poverty middle school: A case study

    NASA Astrophysics Data System (ADS)

    Meyer, Georgette Wright

    This qualitative case study described the characteristics of science teachers in a high poverty urban middle school whose 2010 scores on South Carolina's Palmetto Assessment of State Standards (PASS) ranked second in the state. Data was obtained through classroom observations, open-ended interviews, school documents, and photographs taken inside the school from ten participants, who were seven science teachers, a science coach, and two administrators. Findings revealed a school culture that pursued warm and caring relationships with students while communicating high expectations for achievement, strong central leadership who communicated their vision and continuously checked for its implementation through informal conversations, frequent classroom observations, and test score analysis. A link between participants' current actions and their perception of prior personal and professional experiences was found. Participants related their classroom actions to the lives of the students outside of school, and evidenced affection for their students.

  9. The horizontal working mobility of employees with garment technique educational background

    NASA Astrophysics Data System (ADS)

    Supraptono, Eko; Sudana, I. Made; Rini, Sri Hastuti Eko

    2018-03-01

    The purposes of this report are: 1) to know how is the working mobility for garment employees, 2) to analyze the factors that caused working mobility, and new working orientation who searched by garment employees. This research is using qualitative and quantitative approach. The Informant in this research is gotten by purposive action. The data collecting techniques are observations, interviews, and documentations. The data analysis is using descriptive qualitative analysis by observing every aspect. The result of research shows that the criteria of the labor migration was high. It can be seen from Ungaran Sari Garment Company. The length of the migration is high, between 1 until 6 months. and the types of new job that searched by the employees is appropriate job vacancy with their competence. Some factors that influence the working mobility are mental of the workers and company management system. The orientation of the new job is feeling comfortable while working.

  10. [Sociology as a Major Factor for the Psychiatrie-Enquete in the Federal Republic of Germany - Results from Expert Interviews and Document Analyses].

    PubMed

    Söhner, Felicitas; Fangerau, Heiner; Becker, Thomas

    2018-05-01

    This paper examines the influence of sociology as a discipline on the Psychiatrie-Enquete by analysing interviews with expert (psychiatrist, psychologist, sociologist etc.) witnesses of the Enquete process and by analysing pertinent documents. 24 interviews were conducted and analysed using qualitative secondary analysis. Sociological texts and research results influenced the professional development of psychiatrists at the time. Cross-talk between psychiatry and sociology developed through seminal sociological analyses of psychiatric institutions and the interest taken in medical institutions in a number of sociological texts. Inter-disciplinary joint studies (of sociologists and psychiatrists) affected the research interest and professional behaviour of psychiatrists involved in the process on the way to the Psychiatrie-Enquete. Tenacity of psychiatrists' systems of opinion was dissolved by impulses from the sociological thought community. The forms of contact between the psychiatric and the sociological thought collective which we could reconstruct are an example of the evolution of knowledge and practice through transdisciplinary communication. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Documentation systems for educators seeking academic promotion in U.S. medical schools.

    PubMed

    Simpson, Deborah; Hafler, Janet; Brown, Diane; Wilkerson, LuAnn

    2004-08-01

    To explore the state and use of teaching portfolios in promotion and tenure in U.S. medical schools. A two-phase qualitative study using a Web-based search procedure and telephone interviews was conducted. The first phase assessed the penetration of teaching portfolio-like systems in U.S. medical schools using a keyword search of medical school Web sites. The second phase examined the current use of teaching portfolios in 16 U.S. medical schools that reported their use in a survey in 1992. The individual designated as having primary responsibility for faculty appointments/promotions was contacted to participate in a 30-60 minute interview. The Phase 1 search of U.S. medical schools' Web sites revealed that 76 medical schools have Web-based access to information on documenting educational activities for promotion. A total of 16 of 17 medical schools responded to Phase 2. All 16 continued to use a portfolio-like system in 2003. Two documentation categories, honors/awards and philosophy/personal statement regarding education, were included by six more of these schools than used these categories in 1992. Dissemination of work to colleagues is now a key inclusion at 15 of the Phase 2 schools. The most common type of evidence used to document education was learner and/or peer ratings with infrequent use of outcome measures and internal/external review. The number of medical schools whose promotion packets include portfolio-like documentation associated with a faculty member's excellence in education has increased by more than 400% in just over ten years. Among early-responder schools the types of documentation categories have increased, but students' ratings of teaching remain the primary evidence used to document the quality or outcomes of the educational efforts reported.

  12. Rewriting abortion: deploying medical records in jurisdictional negotiation over a forbidden practice in Senegal.

    PubMed

    Suh, Siri

    2014-05-01

    Boundary work refers to the strategies deployed by professionals in the arenas of the public, the law and the workplace to define and defend jurisdictional authority. Little attention has been directed to the role of documents in negotiating professional claims. While boundary work over induced abortion has been extensively documented, few studies have examined jurisdictional disputes over the treatment of abortion complications, or post-abortion care (PAC). This study explores how medical providers deploy medical records in boundary work over the treatment of complications of spontaneous and induced abortion in Senegal, where induced abortion is prohibited under any circumstance. Findings are based on an institutional ethnography of Senegal's national PAC program over a period of 13 months between 2010 and 2011. Data collection methods included in-depth interviews with 36 health care professionals, observation of PAC services at three hospitals, a review of abortion records at each hospital, and a case review of illegal abortions prosecuted by the state. Findings show that health providers produce a particular account of the type of abortion treated through a series of practices such as the patient interview and the clinical exam. Providers obscure induced abortion in medical documents in three ways: the use of terminology that does not differentiate between induced and spontaneous abortion in PAC registers, the omission of data on the type of abortion altogether in PAC registers, and reporting the total number but not the type of abortions treated in hospital data transmitted to state health authorities. The obscuration of suspected induced abortion in the record permits providers to circumvent police inquiry at the hospital. PAC has been implemented in approximately 50 countries worldwide. This study demonstrates the need for additional research on how medical professionals negotiate conflicting medical and legal obligations in the daily practice of treating abortion complications. Copyright © 2014 Elsevier Ltd. All rights reserved.

  13. Rewriting abortion: deploying medical records in jurisdictional negotiation over a forbidden practice in Senegal

    PubMed Central

    Suh, Siri

    2014-01-01

    Boundary work refers to the strategies deployed by professionals in the arenas of the public, the law and the workplace to define and defend jurisdictional authority. Little attention has been directed to the role of documents in negotiating professional claims. While boundary work over induced abortion has been extensively documented, few studies have examined jurisdictional disputes over the treatment of abortion complications, or post-abortion care (PAC). This study explores how medical providers deploy medical records in boundary work over the treatment of complications of spontaneous and induced abortion in Senegal, where induced abortion is prohibited under any circumstance. Findings are based on an institutional ethnography of Senegal’s national PAC program over a period of 13 months between 2010 and 2011. Data collection methods included in-depth interviews with 36 health care professionals, observation of PAC services at three hospitals, a review of abortion records at each hospital, and a case review of illegal abortions prosecuted by the state. Findings show that health providers produce a particular account of the type of abortion treated through a series of practices such as the patient interview and the clinical exam. Providers obscure induced abortion in medical documents in three ways: the use of terminology that does not differentiate between induced and spontaneous abortion in PAC registers, the omission of data on the type of abortion altogether in PAC registers, and reporting the total number but not the type of abortions treated in hospital data transmitted to state health authorities. The obscuration of suspected induced abortion in the record permits providers to circumvent police inquiry at the hospital. PAC has been implemented in nearly 50 countries worldwide. This study demonstrates the need for additional research on how medical professionals negotiate conflicting medical and legal obligations in the daily practice of treating abortion complications. PMID:24608117

  14. Emergency Medicine Resident Physicians’ Perceptions of Electronic Documentation and Workflow

    PubMed Central

    Neri, P.M.; Redden, L.; Poole, S.; Pozner, C.N.; Horsky, J.; Raja, A.S.; Poon, E.; Schiff, G.

    2015-01-01

    Summary Objective To understand emergency department (ED) physicians’ use of electronic documentation in order to identify usability and workflow considerations for the design of future ED information system (EDIS) physician documentation modules. Methods We invited emergency medicine resident physicians to participate in a mixed methods study using task analysis and qualitative interviews. Participants completed a simulated, standardized patient encounter in a medical simulation center while documenting in the test environment of a currently used EDIS. We recorded the time on task, type and sequence of tasks performed by the participants (including tasks performed in parallel). We then conducted semi-structured interviews with each participant. We analyzed these qualitative data using the constant comparative method to generate themes. Results Eight resident physicians participated. The simulation session averaged 17 minutes and participants spent 11 minutes on average on tasks that included electronic documentation. Participants performed tasks in parallel, such as history taking and electronic documentation. Five of the 8 participants performed a similar workflow sequence during the first part of the session while the remaining three used different workflows. Three themes characterize electronic documentation: (1) physicians report that location and timing of documentation varies based on patient acuity and workload, (2) physicians report a need for features that support improved efficiency; and (3) physicians like viewing available patient data but struggle with integration of the EDIS with other information sources. Conclusion We confirmed that physicians spend much of their time on documentation (65%) during an ED patient visit. Further, we found that resident physicians did not all use the same workflow and approach even when presented with an identical standardized patient scenario. Future EHR design should consider these varied workflows while trying to optimize efficiency, such as improving integration of clinical data. These findings should be tested quantitatively in a larger, representative study. PMID:25848411

  15. Reports of unintended consequences of financial incentives to improve management of hypertension.

    PubMed

    Hysong, Sylvia J; SoRelle, Richard; Broussard Smitham, Kristen; Petersen, Laura A

    2017-01-01

    Given the increase in financial-incentive programs nationwide, many physicians and physician groups are concerned about potential unintended consequences of providing financial incentives to improve quality of care. However, few studies examine whether actual unintended consequences result from providing financial incentives to physicians. We sought to document the extent to which the unintended consequences discussed in the literature were observable in a randomized clinical trial (RCT) of financial incentives. We conducted a qualitative observational study nested within a larger RCT of financial incentives to improve hypertension care. We conducted 30-minute telephone interviews with primary care personnel at facilities participating in the RCT housed at12 geographically dispersed Veterans Affairs Medical Centers nationwide. Participants answered questions about unintended effects, clinic team dynamics, organizational impact on care delivery, study participation. We employed a blend of inductive and deductive qualitative techniques for analysis. Sixty-five participants were recruited from RCT enrollees and personnel not enrolled in the larger RCT, plus one primary care leader per site. Emergent themes included possible patient harm, emphasis on documentation over improving care, reduced professional morale, and positive spillover. All discussions of unintended consequences involving patient harm were only concerns, not actual events. Several unintended consequences concerned ancillary initiatives for quality improvement (e.g., practice guidelines and performance measurement systems) rather than financial incentives. Many unintended consequences of financial incentives noted were either only concerns or attributable to ancillary quality-improvement initiatives. Actual unintended consequences included improved documentation of care without necessarily improving actual care, and positive unintended consequences. Clinicaltrials.gov Identifier: NCT00302718.

  16. Initial Steps toward Validating and Measuring the Quality of Computerized Provider Documentation

    PubMed Central

    Hammond, Kenric W.; Efthimiadis, Efthimis N.; Weir, Charlene R.; Embi, Peter J.; Thielke, Stephen M.; Laundry, Ryan M.; Hedeen, Ashley

    2010-01-01

    Background: Concerns exist about the quality of electronic health care documentation. Prior studies have focused on physicians. This investigation studied document quality perceptions of practitioners (including physicians), nurses and administrative staff. Methods: An instrument developed from staff interviews and literature sources was administered to 110 practitioners, nurses and administrative staff. Short, long and original versions of records were rated. Results: Length transformation did not affect quality ratings. On several scales practitioners rated notes less favorably than administrators or nurses. The original source document was associated with the quality rating, as was tf·idf, a relevance statistic computed from document text. Tf·idf was strongly associated with practitioner quality ratings. Conclusion: Document quality estimates were not sensitive to modifying redundancy in documents. Some perceptions of quality differ by role. Intrinsic document properties are associated with staff judgments of document quality. For practitioners, the tf·idf statistic was strongly associated with the quality dimensions evaluated. PMID:21346983

  17. Boundary‐spanning actors in complex adaptive governance systems: The case of multisectoral nutrition

    PubMed Central

    Gervais, Suzanne; Hafeez‐ur‐Rehman, Hajra; Sanou, Dia; Tumwine, Jackson

    2017-01-01

    Abstract A growing literature highlights complexity of policy implementation and governance in global health and argues that the processes and outcomes of policies could be improved by explicitly taking this complexity into account. Yet there is a paucity of studies exploring how this can be achieved in everyday practice. This study documents the strategies, tactics, and challenges of boundary‐spanning actors working in 4 Sub‐Saharan Africa countries who supported the implementation of multisectoral nutrition as part of the African Nutrition Security Partnership in Burkina Faso, Mali, Ethiopia, and Uganda. Three action researchers were posted to these countries during the final 2 years of the project to help the government and its partners implement multisectoral nutrition and document the lessons. Prospective data were collected through participant observation, end‐line semistructured interviews, and document analysis. All 4 countries made significant progress despite a wide range of challenges at the individual, organizational, and system levels. The boundary‐spanning actors and their collaborators deployed a wide range of strategies but faced significant challenges in playing these unconventional roles. The study concludes that, under the right conditions, intentional boundary spanning can be a feasible and acceptable practice within a multisectoral, complex adaptive system in low‐ and middle‐income countries. PMID:29024002

  18. Developing the Students’ English Speaking Ability Through Impromptu Speaking Method.

    NASA Astrophysics Data System (ADS)

    Lumettu, A.; Runtuwene, T. L.

    2018-01-01

    Having multi -purposes, English mastery has becomea necessary for us.Of the four language skills, speaking skill should get the first priority in English teaching and speaking skills development cannot be separated from listening.One communicative way of developing speaking skill is impromptu speaking,a method sudden speaking which depends only on experience and insight by applying spontaneity or improvisation. It is delivered based on the need of the moment of speaking using simple language.This research aims to know (1). Why impromptu speaking is necessary in teaching speaking? (2). How can impromptu speaking develop the students’ speaking skills.The method of this research is qualitative method and the techniques of data collection are: observation,interview and documentation. The results of data analysis using Correlation shows a strong relation between the students’ speaking ability and impromptu speaking method (r = 0.80).The research show that by using impromptu speaking method, the students are trained to interact faster naturally and spontaneously and enrich their vocabulary and general science to support speaking development through interview, speech, presentation, discussion and storytelling.

  19. The creation of innovation through public-private collaboration.

    PubMed

    Esteve, Marc; Ysa, Tamyko; Longo, Francisco

    2012-09-01

    This article develops the notion of how different options of public-private collaborations implemented by organizations affect the creation of innovation through a case study: the Blood and Tissue Bank. Data were obtained through in-depth semi-structured interviews with the entire managerial team of the organization under analysis. We coded the interviews, and implemented content analysis. These data were triangulated with the analysis of the organization's internal documents. This article contributes to the understanding of innovation management in public-private collaborations in health professions by identifying the existence of different options in an organization to develop collaborative innovation among the public and the private sectors: contracts, contractual public-private partnership, and institutionalised public-private partnership. We observed that the creation of innovation is directly related to the institutional arrangement chosen to develop each project. Thus, certain innovations are unfeasible without a high degree of maturity in the interorganizational collaboration. However, it is also noteworthy that as the intensity of the collaboration increases, so do costs, and control over the process decreases. Copyright © 2012 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

  20. Understanding the barriers to setting up a healthcare quality improvement process in resource-limited settings: a situational analysis at the Medical Department of Kamuzu Central Hospital in Lilongwe, Malawi.

    PubMed

    Agyeman-Duah, Josephine Nana Afrakoma; Theurer, Antje; Munthali, Charles; Alide, Noor; Neuhann, Florian

    2014-01-02

    Knowledge regarding the best approaches to improving the quality of healthcare and their implementation is lacking in many resource-limited settings. The Medical Department of Kamuzu Central Hospital in Malawi set out to improve the quality of care provided to its patients and establish itself as a recognized centre in teaching, operations research and supervision of district hospitals. Efforts in the past to achieve these objectives were short-lived, and largely unsuccessful. Against this background, a situational analysis was performed to aid the Medical Department to define and prioritize its quality improvement activities. A mix of quantitative and qualitative methods was applied using checklists for observed practice, review of registers, key informant interviews and structured patient interviews. The mixed methods comprised triangulation by including the perspectives of the clients, healthcare providers from within and outside the department, and the field researcher's perspectives by means of document review and participatory observation. Human resource shortages, staff attitudes and shortage of equipment were identified as major constraints to patient care, and the running of the Medical Department. Processes, including documentation in registers and files and communication within and across cadres of staff were also found to be insufficient and thus undermining the effort of staff and management in establishing a sustained high quality culture. Depending on their past experience and knowledge, the stakeholder interviewees revealed different perspectives and expectations of quality healthcare and the intended quality improvement process. Establishing a quality improvement process in resource-limited settings is an enormous task, considering the host of challenges that these facilities face. The steps towards changing the status quo for improved quality care require critical self-assessment, the willingness to change as well as determined commitment and contributions from clients, staff and management.

  1. Barriers and facilitators related to implementation of regulated midwifery in Manitoba: a case study.

    PubMed

    Thiessen, Kellie; Heaman, Maureen; Mignone, Javier; Martens, Patricia; Robinson, Kristine

    2016-03-15

    In 2000, midwifery was regulated in the Canadian Province of Manitoba. Since the establishment of the midwifery program, little formal research has analyzed the utilization of regulated midwifery services. In Manitoba, the demand for midwifery services has exceeded the number of midwives in practice. The specific objective of this study was to explore factors influencing the implementation and utilization of regulated midwifery services in Manitoba. The case study design incorporated qualitative exploratory descriptive methods, using data derived from two sources: interviews and public documents. Twenty-four key informants were purposefully selected to participate in semi-structured in-depth interviews. All documents analyzed were in the public domain. Content analysis was employed to analyze the documents and transcripts of the interviews. The results of the study were informed by the Behavioral Model of Health Services Use. Three main topic areas were explored: facilitators, barriers, and future strategies and recommendations. The most common themes arising under facilitators were funding of midwifery services and strategies to integrate the profession. Power and conflict, and lack of a productive education program emerged as the most prominent themes under barriers. Finally, future strategies for sustaining the midwifery profession focused on ensuring avenues for registration and education, improving management strategies and accountability frameworks within the employment model, enhancing the work environment, and evaluating both the practice and employment models. Results of the document analysis supported the themes arising from the interviews. These findings on factors that influenced the implementation and integration of midwifery in Manitoba may provide useful information to key stakeholders in Manitoba, as well as other provinces as they work toward successful implementation of regulated midwifery practice. Funding for new positions and programs was consistently noted as a successful strategy. While barriers such as structures of power within Regional Health Authorities and inter and intra-professional conflict were identified, the lack of a productive midwifery education program emerged as the most prominent barrier. This new knowledge highlights issues that impact the ongoing growth and capacity of the midwifery profession and suggests directions for ensuring its sustainability.

  2. Does implementation matter if comprehension is lacking? A qualitative investigation into perceptions of advance care planning in people with cancer.

    PubMed

    Ugalde, Anna; O'Callaghan, Clare; Byard, Clem; Brean, Samantha; MacKay, Jenelle; Boltong, Anna; Davoren, Sondra; Lawson, Deborah; Parente, Phillip; Michael, Natasha; Livingston, Patricia

    2018-05-11

    While advance care planning holds promise, uptake is variable and it is unclear how well people engage with or comprehend advance care planning. The objective of this study was to explore how people with cancer comprehended advance care plans and examine how accurately advance care planning documentation represented patient wishes. This study used a qualitative descriptive design. Data collection comprised interviews and an examination of participants' existing advance care planning documentation. Participants included those who had any diagnosis of cancer with an advance care plan recorded: Refusal of Treatment Certificate, Statement of Choices, and/or Enduring Power of Attorney (Medical Treatment) at one cancer treatment centre. Fourteen participants were involved in the study. Twelve participants were female (86%). The mean age was 77 (range: 61-91), and participants had completed their advance care planning documentation between 8 and 72 weeks prior to the interview (mean 33 weeks). Three themes were evident from the data: incomplete advance care planning understanding and confidence, limited congruence for attitude and documentation, advance care planning can enable peace of mind. Complete advance care planning understanding was unusual; most participants demonstrated partial comprehension of their own advance care plan, and some indicated very limited understanding. Participants' attitudes and their written document congruence were limited, but advance care planning was seen as helpful. This study highlighted advance care planning was not a completely accurate representation of patient wishes. There is opportunity to improve how patients comprehend their own advance care planning documentation.

  3. Evidence Study Guide.

    DTIC Science & Technology

    1987-04-01

    involving novel scientific evidence, e.g., the drug-induced or hypnosis -induced interview of a witness. Although the rules on experts contain no reference...under the Fed.R.Evid. Among the evidence which Nil.R.Evid. 803(6) makes admissible are forensic laboratory reports and chain of custody documents. The...34 inclusion of forensic laboratory reports and chain of custody documents in this Mil.R.Evid. is in conflict with the legislative history of

  4. An audit of level two and level three checks of anaesthesia delivery systems performed at three hospitals in South Australia.

    PubMed

    Sweeney, N; Owen, H; Fronsko, R; Hurlow, E

    2012-11-01

    Anaesthetists may subject patients to unnecessary risk by not checking anaesthetic equipment thoroughly before use. Numerous adverse events have been associated with failure to check equipment. The Australian and New Zealand College of Anaesthetists and anaesthetic delivery system manufactures have made recommendations on how anaesthetic equipment should be maintained and checked before use and for the training required for staff who use such equipment. These recommendations are made to minimise the risk to patients undergoing anaesthesia. This prospective audit investigated the adherence of anaesthetic practitioners to a selection of those recommendations. Covert observations of anaesthetic practitioners were made while they were checking their designated anaesthetic machine, either at the beginning of a day's list or between cases. Structured interviews with staff who check the anaesthetic machine were carried out to determine the training they had received. The results indicated poor compliance with recommendations: significantly, the backup oxygen cylinders' pressure/contents were not checked in 45% of observations; the emergency ventilation device was not checked in 67% of observations; the breathing circuit was not tested between patients in 79% of observations; no documentation of the checks performed was done in any cases; and no assessment or accreditation of the staff who performed these checks was performed. It was concluded that the poor compliance was a system failing and that patient safety might be increased with training and accrediting staff responsible for checking equipment, documenting the checks performed, and the formulation and use of a checklist.

  5. Patients' comprehension of their emergency department encounter: a pilot study using physician observers.

    PubMed

    Musso, Mandi W; Perret, J Nelson; Sanders, Taylor; Daray, Ross; Anderson, Kyle; Lancaster, Melissa; Lim, David; Jones, Glenn N

    2015-02-01

    The current study examines patients' comprehension of their emergency department (ED) encounter, using physician observers to document both physician communication and details of the encounter. Eighty-nine patients were recruited from a convenience sample in an urban ED. To be included in this study, patients had to have low triage levels (4 and 5) and be discharged from the ED. Physician observers were present throughout the encounter, documenting physician communication and procedures performed. Patients were then interviewed by physician observers about their communication with physicians, accuracy in recalling facts about the encounter, and understanding of information provided during the encounter. The majority of patients were black and had a high school education. Physicians typically engaged in behaviors related to building rapport and diagnosing patients. However, physicians informed patients about test results and diagnoses less frequently. In terms of patients' accuracy and understanding of the visit, patients were generally aware of basic facts in regard to their ED encounter (ie, whether they had blood drawn), but 65.9% of patients demonstrated less than "good" understanding in at least 1 area assessed. The findings of the current study indicate physicians could improve communication with patients, particularly in regard to care received in the ED. This study also indicates that a large percentage of patients fail to understand information about their ED encounter even when physicians provide it. A primary limitation of the current study is the relatively homogenous physician sample. Copyright © 2014 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  6. The Papua New Guinea medical supply system - documenting opportunities and challenges to meet the Millennium Development Goals

    PubMed Central

    2014-01-01

    Objectives Limited human resources are widely recognised as an impediment to achieving the health-related Millennium Development Goals in Pacific Island Countries, with the availability of medical supplies and suitably trained health personnel crucial to ensuring a well-functioning medical supply chain. This paper presents our findings as we seek to answer the research question ‘What factors influence the availability of medical supplies within the health facilities of Papua New Guinea?’ Methods We used a qualitative, triangulated strategy using semi-structured interviews, workplace observation and semi-structured focus groups. The parallel use of the interview tool and workplace observation tool allowed identification of ‘know-do’ gaps between what the interviewee said they did in their work practices, and the actual evidence of these practices. Focus groups provided further opportunities for raising and elaborating issues. Results During 2 weeks of data collection we conducted 17 interviews and 15 observational workplace surveys in 15 facilities. Sixteen health personnel participated in 3 focus groups across 2 provinces and one district. An array of medical supply issues across all levels of the medical supply chain were revealed, including standard operating procedures, facilities, transport, emergency medical kits, the cold chain and record keeping. The influence of health worker training and competency was found to be common across all of these issues. Conclusion The factors influencing the availability of medical supplies in PNG consist of a range of interrelating issues, consisting of both simple and complex problems involving the different levels and cadres of workers within the medical supply chain. Health systems sustainability theory suggests that a coordinated approach which addresses the inter-related nature of these issues, led by the PNG government and supported by suitable development partners, will be required for sustainable health systems change to occur. These changes are necessary for PNG to meet the health-related Millennium Development Goals. PMID:25848545

  7. The Papua New Guinea medical supply system - documenting opportunities and challenges to meet the Millennium Development Goals.

    PubMed

    Brown, Andrew N; Gilbert, Ben

    2014-01-01

    Limited human resources are widely recognised as an impediment to achieving the health-related Millennium Development Goals in Pacific Island Countries, with the availability of medical supplies and suitably trained health personnel crucial to ensuring a well-functioning medical supply chain. This paper presents our findings as we seek to answer the research question 'What factors influence the availability of medical supplies within the health facilities of Papua New Guinea?' We used a qualitative, triangulated strategy using semi-structured interviews, workplace observation and semi-structured focus groups. The parallel use of the interview tool and workplace observation tool allowed identification of 'know-do' gaps between what the interviewee said they did in their work practices, and the actual evidence of these practices. Focus groups provided further opportunities for raising and elaborating issues. During 2 weeks of data collection we conducted 17 interviews and 15 observational workplace surveys in 15 facilities. Sixteen health personnel participated in 3 focus groups across 2 provinces and one district. An array of medical supply issues across all levels of the medical supply chain were revealed, including standard operating procedures, facilities, transport, emergency medical kits, the cold chain and record keeping. The influence of health worker training and competency was found to be common across all of these issues. The factors influencing the availability of medical supplies in PNG consist of a range of interrelating issues, consisting of both simple and complex problems involving the different levels and cadres of workers within the medical supply chain. Health systems sustainability theory suggests that a coordinated approach which addresses the inter-related nature of these issues, led by the PNG government and supported by suitable development partners, will be required for sustainable health systems change to occur. These changes are necessary for PNG to meet the health-related Millennium Development Goals.

  8. Exploration of the impacts of distributed-site Research Experiences for Undergraduates using pre-/post- student interviews

    NASA Astrophysics Data System (ADS)

    Colella, H.; Hubenthal, M.; Brudzinski, M. R.

    2013-12-01

    The benefits for student participants of undergraduate research opportunities have been well documented. However, advancements in information and communications technologies (ICT) and cultural shifts around online education and virtual peer-to-peer interaction have lead to new models in which to structure such experiences. Currently, these ICT-enabled Research Experiences for Undergraduates (REU) programs connect geographically distributed interns in supportive e-learning communities while maintaining a traditional local mentoring arrangement. To document and explore the effects of distributed REU Sites in more depth, six interns from such a program, the Incorporated Research Institution for Seismology (IRIS) REU, were selected at random and asked to be interviewed about the REU experience. The primary targets of the interviews are to understand the mentor/mentee relationships, feeling of support and development and value of near-peer and far-peer relationships throughout their internship in a distributed REU program, and whether they receive the training necessary to gain confidence as a researcher. We also examine the various communication technologies as well as best practices and strategies that can increase intern connectedness. Pre-internship interviews were conducted in-person at the start of the centralized internship orientation week, while post-internship interviews were virtual (e.g. video chat with Skype or Google Hangout). These semi-structured interviews have full audio recordings and subsequent transcriptions. An additional, virtual follow-up interview will be conducted next spring after the interns have an opportunity to attend and present their research at a national conference (e.g., AGU). Interview material will be analyzed through a process of coding, sorting, local integration, and inclusive integration. Results will also be triangulated with pre- and post- survey data both from participants and other survey data from previous years of the IRIS program. Our presentation will highlight the key findings of these analyses. GeoCorps and RESESS will begin to employ this interview style assessment beginning this fall and next year, respectively, which will facilitate detailed comparisons between distributed and non-distributed REU approaches.

  9. Improving math and science education in charter secondary schools through the use of technology

    NASA Astrophysics Data System (ADS)

    Ojose, Bobby

    This study was conducted to examine the promising practices of using technology in teaching math and science in charter schools in California. The study was conducted under the auspices of the Center for Educational Governance (CEG) which hopes to compile the promising practices into an Internet-based compendium to be replicated by others. The research employed an in-depth qualitative case study method. It was conducted in two secondary schools in different school districts in the state of California over a two-month period. The main participants were principals, lead teachers, teachers, and support staff. Interviews, observations, and archival documents were the main data collection tools. Face to face interviews were conducted with the principals, lead teachers of technology, teachers, and a support staff (Network Administrator). Technology lab and professional development activities were observed. Interviews were tape-recorded and transcribed. The study found that one school (MSA) has the promising practice of using technology to enhance the subject matter knowledge of students by using computers to further explore concepts already learned in the regular classroom. The other school (CART) has the promising practice of applying technology to real life situations as a teaching pedagogy. The result of these practices is the positive outcomes in the following areas: Increased student achievement in standardized teat scores, increased motivation, growth in mean GPA, less behavior problems from students, and improved school attendance by students. The implications for policy and practice include: Teachers having the knowledge of the benefits of constructive teaching in the classroom; principals understanding that professional development activities for technology integration will vary in complexities and depends on needs of teachers; policy makers identifying needs and establishing goals; and researchers conducting more qualitative studies to gather evidence to demonstrate the progression of learning in the technology classroom.

  10. Feedback-giving behaviour in performance evaluations during clinical clerkships.

    PubMed

    Bok, Harold G J; Jaarsma, Debbie A D C; Spruijt, Annemarie; Van Beukelen, Peter; Van Der Vleuten, Cees P M; Teunissen, Pim W

    2016-01-01

    Narrative feedback documented in performance evaluations by the teacher, i.e. the clinical supervisor, is generally accepted to be essential for workplace learning. Many studies have examined factors of influence on the usage of mini-clinical evaluation exercise (mini-CEX) instruments and provision of feedback, but little is known about how these factors influence teachers' feedback-giving behaviour. In this study, we investigated teachers' use of mini-CEX in performance evaluations to provide narrative feedback in undergraduate clinical training. We designed an exploratory qualitative study using an interpretive approach. Focusing on the usage of mini-CEX instruments in clinical training, we conducted semi-structured interviews to explore teachers' perceptions. Between February and June 2013, we conducted interviews with 14 clinicians participated as teachers during undergraduate clinical clerkships. Informed by concepts from the literature, we coded interview transcripts and iteratively reduced and displayed data using template analysis. We identified three main themes of interrelated factors that influenced teachers' practice with regard to mini-CEX instruments: teacher-related factors; teacher-student interaction-related factors, and teacher-context interaction-related factors. Four issues (direct observation, relationship between teacher and student, verbal versus written feedback, formative versus summative purposes) that are pertinent to workplace-based performance evaluations were presented to clarify how different factors interact with each other and influence teachers' feedback-giving behaviour. Embedding performance observation in clinical practice and establishing trustworthy teacher-student relationships in more longitudinal clinical clerkships were considered important in creating a learning environment that supports and facilitates the feedback exchange. Teachers' feedback-giving behaviour within the clinical context results from the interaction between personal, interpersonal and contextual factors. Increasing insight into how teachers use mini-CEX instruments in daily practice may offer strategies for creating a professional learning culture in which feedback giving and seeking would be enhanced.

  11. Supported employment specialist strategies to assist clients with severe mental illness and criminal justice issues.

    PubMed

    Whitley, Rob; Kostick, Kristin M; Bush, Philip W

    2009-12-01

    The aim of this study was to document and analyze common strategies used by supported employment specialists to overcome criminal justice issues among clients with severe mental illness. Semistructured qualitative interviews were conducted with a group of 22 supported employment specialists and their supervisors. Interviews were open ended and supplemented by ethnographic observation. Data were examined thematically by content analysis. Assisting clients with past and present criminal histories to find employment was confirmed as one of the hardest self-identified challenges for employment specialists. Three specific strategies commonly used by specialists for this subpopulation are documented and analyzed. These include taking an incremental approach with clients vis-à-vis obtaining work and career advancement, using a strengths-based model that emphasizes the client's strong points, and focusing the job search on "mom and pop" businesses that typically do not conduct background checks or do not have rigid recruitment policies. Enacting these strategies led to some deviation from the individualized placement and support model of supported employment. Participants noted that they felt most challenged when attempting to serve and assist clients with sex offenses. The findings imply that specialists are challenged when dealing with clients with criminal justice issues and use several approaches to overcome these challenges. Current specialist training may be deficient in preparing staff to effectively serve people with criminal justice issues. Further research should assess the efficacy of the approaches outlined in this article to give more guidance to specialists working with clients with criminal justice issues.

  12. Prioritizing and Funding Nepal's Multisector Nutrition Plan.

    PubMed

    Pomeroy-Stevens, Amanda; Shrestha, Madhukar B; Biradavolu, Monica; Hachhethu, Kusum; Houston, Robin; Sharma, Indu; Wun, Jolene

    2016-12-01

    Nepal has a long tradition of designing good multisectoral nutrition policy. However, success of policy implementation has varied. More evidence on how to successfully carry out multisector nutrition policy is needed. We tracked the influence of Nepal's multisectoral nutrition plan (MSNP) on the process of priority setting and budgeting from 2014 to 2016. This study used a mixed-method longitudinal design to track qualitative and budgetary changes related to MSNP processes nationally as well as in 3 districts. Qualitative changes in each study area were assessed through interviews, observation, news content, and meeting notes. Changes in allocations and expenditures were calculated based on budget documents, work plans, and validation interviews. Improved understanding of the MSNP was documented nationally and in study districts but not in VDCs. Human resources, ownership, bottom-up planning, coordination, advocacy, and sustainable structures all emerged as important factors within the enabling environment. Evidence suggests the MSNP influenced improvements in the last 3 factors. We also found notable increases in activities and financing for nutrition-allocations increased steadily between FY 2013-2014 and FY 2015-2016, and 28% of total nutrition allocations in the final year came from new or expanded MSNP-affiliated activities. Data from 3 districts highlight challenges linking local planning and budgeting to central-level structures. The MSNP appears to have strengthened the nutrition system in Nepal and increased priority and funding for nutrition. Next steps include strengthening linkages to the districts and below. Other countries can learn from the MSNP's success in increasing investment for nutrition. © The Author(s) 2016.

  13. Ethnomedicinal plants of the Bauri tribal community of Moulvibazar District, Bangladesh

    PubMed Central

    Das, Protiva Rani; Islam, Md. Tabibul; Mostafa, Mohd. Nabil; Rahmatullah, Mohammed

    2013-01-01

    Context: Bangladesh reportedly has more than 100 tribal communities; however, documentation of their medicinal practices is markedly absent. Aim: The aim of the present study was to conduct an ethnomedicinal survey among the little known Bauri tribe of Bangladesh, whose tribal medicinal practices are yet to be documented. Settings and Design: The survey was carried out among the Bauri tribal community of Purbo Tila village in Moulvibazar District. The community is believed to be the only Bauri community in the country and had four tribal healers who continue their traditional medicinal practices. Materials and Methods: Interviews of the healers were carried out with the help of a semi-structured questionnaire and the guided field-walk method where the healers took the interviewers on guided field-walks through areas from where they collected their medicinal plants. Here they identified the plants and described their uses. Results: The Bauri healers were observed to use 40 different plant species and one bird species for treatment of ailments such as fever, respiratory tract disorders, pain, gastrointestinal disorders, eye problems like cataract and conjunctivitis, jaundice, abscess, cardiovascular disorders, urinary problems, paralysis, dog bite, snake bite, helminthiasis, lesions on the tongue or lips and piles. Leaves were the major plant part used and constituted 38.3% of total uses followed by fruits at 14.9%. Conclusions: A review of the relevant scientific literature showed that a number of medicinal plants used by the Bauri healers possess pharmacological activities, which were in line with the traditional uses, thus validating their use by the Bauri tribe. PMID:24501442

  14. Methodological issues in a before-after study design to evaluate the Liverpool Care Pathway for the Dying Patient in hospital.

    PubMed

    Costantini, Massimo; Di Leo, Silvia; Beccaro, Monica

    2011-12-01

    In 2006, as the first step of a 3-year research programme to assess the Liverpool Care Pathway for the Dying Patient (LCP) in hospital, the original LCP documentation was translated and piloted in four Italian hospital wards in Genoa. The primary aim was to evaluate the feasibility of LCP implementation in the Italian context. The secondary aim of the study was to evaluate the effectiveness of the LCP with an uncontrolled before-after design. The aim of the study was to discuss and critically evaluate the methodological issues in designing and interpreting the results of the before-after study design. All cancer deaths which occurred in four hospital wards (three general medicine and one respiratory disease) 4 months before and 4 months after LCP implementation (2 months for the respiratory disease ward) were registered. Caregivers were interviewed after the patient's death using the Toolkit After-Death Bereaved Family Member Interview. A total of 111 cancer deaths were identified (63 before and 48 after) and 79 caregivers (71.2%) were interviewed (46 before and 33 after). The analyses on number and characteristics of the patients, interviewed caregivers, compliance and modality of assessment showed significant differences before and after. A remarkable internal correlation coefficient for all of the Toolkit scales within the four hospital wards was observed. This analysis confirms the high risk of selection and information bias inherent the uncontrolled before- after study design. The high internal correlation strongly suggests that clustering should be taken into account in this kind of study.

  15. The multiple meanings associated with the football tailgating ritual

    Treesearch

    Deborah Kerstetter; Mary Stansfield; Phileshia Dombroski; So Young Bae; Lindsay Usher; Matthew McKinney

    2012-01-01

    The purpose of this study was to document the meanings that individuals associate with the football tailgating experience. Data were collected via photo-elicitation and follow-up interviews with 30 adults.

  16. Initiating an ergonomic analysis. A process for jobs with highly variable tasks.

    PubMed

    Conrad, K M; Lavender, S A; Reichelt, P A; Meyer, F T

    2000-09-01

    Occupational health nurses play a vital role in addressing ergonomic problems in the workplace. Describing and documenting exposure to ergonomic risk factors is a relatively straightforward process in jobs in which the work is repetitive. In other types of work, the analysis becomes much more challenging because tasks may be repeated infrequently, or at irregular time intervals, or under different environmental and temporal conditions, thereby making it difficult to observe a "representative" sample of the work performed. This article describes a process used to identify highly variable job tasks for ergonomic analyses. The identification of tasks for ergonomic analysis was a two step process involving interviews and a survey of firefighters and paramedics from a consortium of 14 suburban fire departments. The interviews were used to generate a list of frequently performed, physically strenuous job tasks and to capture clear descriptions of those tasks and associated roles. The goals of the survey were to confirm the interview findings across the entire target population and to quantify the frequency and degree of strenuousness of each task. In turn, the quantitative results from the survey were used to prioritize job tasks for simulation. Although this process was used to study firefighters and paramedics, the approach is likely to be suitable for many other types of occupations in which the tasks are highly variable in content and irregular in frequency.

  17. Cigarette sales to women and children in urban Thailand.

    PubMed

    Jirojwong, Sansnee

    2003-03-01

    This descriptive study aimed to document cigarette retailers' knowledge and behaviors about the minimum legal age of cigarette buyers, and their estimates of the proportion of children and women among cigarette buyers. The study was conducted among 70 shop attendants in Hat Yai and Chon Buri cities. A semi-structured interview method was used to collect data using open-ended and close-ended questions. Qualitative data gained from observation and in-depth interviews among six shop owners provided information to support data collected from semi-structured interviews. Cigarettes are sold in small family-run food and household item shops. Although cigarette sales provide limited profits, they were described as essential to attract customers. Twenty-four percent sold only Thai cigarettes, 4% sold only imported cigarettes and 72% sold both. Almost one-third said they did not know the minimum legal age and more than half sold cigarettes to persons younger than 18 years. Single Thai cigarettes were sold to poor customers and to children. A small proportion (13%) said that 50% of their cigarette customers were women. It is possible that women and children were buying for adult males. Although cigarette sales to children younger than 18 years have been prohibited in Thailand for almost ten years, this information was only acknowledged by a small proportion of the shopkeepers. More research is needed on smoking prevalence and the reasons for initiating of smoking in women and children.

  18. Local perceptions, RUSLEFAC mapping, and field results: the sediment budget of cocagne river, new brunswick, Canada.

    PubMed

    Fortin, Guillaume; LeBlanc, Mélanie; Schiavone, Sophie; Chouinard, Omer; Utzschneider, Anouk

    2015-01-01

    Erosion and sedimentation in water courses represent a major and costly problem everywhere on the planet. Perception of local actors of the state of the river can be a useful source of information to document the river's changes. The main objective of this study consists of understanding how multiple data sources can be used for identifying the most sensitive areas subject to erosion and sedimentation in a watershed. To achieve our objective we combined three complementary methods: conducting interviews, estimating the most sensitive soil loss areas using the Revised Universal Soil Loss Equation for Application in Canada (RUSLEFAC) and taking measurements of environmental variables (turbidity, deposition rate, particle size, water quality, rainfall). The information gathered from the interviews allowed us to determine which areas were the most affected (e.g., either erosion or deposition). However, we observed that there were some differences between the areas identified by the participants and those obtained from the RUSLEFAC and in situ measurements. Among these differences, participants identified sites which were the results of misuse or bad practices (e.g., ATV). By contrast sensitive sites for erosion, as identified using RUSLEFAC, are instead areas of steep slopes, located near the river without forest cover. The in situ measurements were very helpful in establishing background values for turbidity but also for comparing quantitative information (e.g., particle size) with what was reported in the interviews.

  19. The Medical Necessity for Medicinal Cannabis: Prospective, Observational Study Evaluating the Treatment in Cancer Patients on Supportive or Palliative Care

    PubMed Central

    Bar-Sela, Gil; Vorobeichik, Marina; Drawsheh, Saher; Omer, Anat; Goldberg, Victoria; Muller, Ella

    2013-01-01

    Background. Cancer patients using cannabis report better influence from the plant extract than from synthetic products. However, almost all the research conducted to date has been performed with synthetic products. We followed patients with a medicinal cannabis license to evaluate the advantages and side effects of using cannabis by cancer patients. Methods. The study included two interviews based on questionnaires regarding symptoms and side effects, the first held on the day the license was issued and the second 6–8 weeks later. Cancer symptoms and cannabis side effects were documented on scales from 0 to 4 following the CTCAE. The distress thermometer was used also. Results. Of the 211 patients who had a first interview, only 131 had the second interview, 25 of whom stopped treatment after less than a week. All cancer or anticancer treatment-related symptoms showed significant improvement (P < 0.001). No significant side effects except for memory lessening in patients with prolonged cannabis use (P = 0.002) were noted. Conclusion. The positive effects of cannabis on various cancer-related symptoms are tempered by reliance on self-reporting for many of the variables. Although studies with a control group are missing, the improvement in symptoms should push the use of cannabis in palliative treatment of oncology patients. PMID:23956774

  20. The use of a science experiment curriculum with mothers and their preschool children in an Even Start literacy setting: A case study

    NASA Astrophysics Data System (ADS)

    Cadou, Judith Ann

    The purpose of this study was to explore systematically the use of a science experiment curriculum in an Even Start program setting through an in-depth description of the verbal and nonverbal interaction of preschool children and their mothers engaged in constructing knowledge through active science experiment exploration, representative notation, and related informational text experiences. It also sought to document the mothers' perceptions of science exploration as a facilitator for their children's literacy and their awareness of ways to support such growth. Two in-depth studies were presented to profile, in detail, the process of mother and child meaning making within the structure of a science explorations context. An additional eight mother-child dyads participated for purposes of adding breadth to the study. Behaviors were documented through (a) videotape transcriptions of the mother-child interaction in this science inquiry context, (b) observation, (c) field notes, and (d) open-ended interviews with the mothers. Data were analyzed using the constant comparative method. The findings of this naturalistic study suggest the use of a linked mother-child dyad learning and literacy development process using prediction, experimentation, observation, and reflection, combined with related meaning-making verbal interaction, documentation, and reading, facilitated the child's knowledge acquisition, learning interests, and learning methodologies. Specifically, (a) the initiating setup for prediction placed the child at the center of her or his own inquiry and initiated verbal communication; (b) mother and child used the scientific thinking routine of predict, act on objects and observe, discover, evaluate, and make decisions, to be documented in second-level notation, as a mental organizer and scaffolding for inquiry and communication between them; (c) the children showed development in conceptual understanding within the context of active science exploration and across science units; (d) the children used the representative drawing and labeling of the experiment experience for extended experimentation and meaning making, thus using second-level notation for functional purposes; (e) the children showed increased initiative with expository text related to the experiment experiences; and (f) the mothers voiced perception of their children's and their own learning and a sense of efficacy in facilitating their children's learning.

  1. An ergonomic approach to reorganize parking inspection agents' work productivity, health and safety in São Paulo, Brazil.

    PubMed

    Gonçalves, R M A; Lancman, S; Trudel, L; Jardim, T A; Sznelwar, L I; Santos, M C; Freeman, Andrew

    2010-01-01

    The Traffic Engineering Company of the City of São Paulo (Brazil) observed a decrease in productivity, and an increase in sick leave, accidents and psychological distress among their parking inspection agents. To document this situation, qualitative research was undertaken to obtain an in-depth comprehension of work activity. Workers, managers and health and safety professionals contributed to the documentation of the problem and to the proposal of possible solutions. Ergonomic work analysis focusing on real work activity, as well as interviews with individual or groups of stakeholders, were conducted. This research revealed that political-economic factors gradually contributed to: 1) an increasing work load; 2) growing fatigue throughout the day, increasing the workers' vulnerability to incidents and accidents and their tendency to react inappropriately to violence experienced on the street; and 3) excessive individual responsibility to manage dangerous situations. Recommendations to ameliorate the situation are proposed. These suggestions are discussed in terms of feasibility given the impact of macro social factors upon micro work activity, and the associated potential expansion of the ergonomist's role.

  2. MODIS information, data and control system (MIDACS) operations concepts

    NASA Technical Reports Server (NTRS)

    Han, D.; Salomonson, V.; Ormsby, J.; Ardanuy, P.; Mckay, A.; Hoyt, D.; Jaffin, S.; Vallette, B.; Sharts, B.; Folta, D.

    1988-01-01

    The MODIS Information, Data, and Control System (MIDACS) Operations Concepts Document provides a basis for the mutual understanding between the users and the designers of the MIDACS, including the requirements, operating environment, external interfaces, and development plan. In defining the concepts and scope of the system, how the MIDACS will operate as an element of the Earth Observing System (EOS) within the EosDIS environment is described. This version follows an earlier release of a preliminary draft version. The individual operations concepts for planning and scheduling, control and monitoring, data acquisition and processing, calibration and validation, data archive and distribution, and user access do not yet fully represent the requirements of the data system needed to achieve the scientific objectives of the MODIS instruments and science teams. The teams are not yet formed; however, it is possible to develop the operations concepts based on the present concept of EosDIS, the level 1 and level 2 Functional Requirements Documents, and through interviews and meetings with key members of the scientific community. The operations concepts were exercised through the application of representative scenarios.

  3. [Ecological affinity and current distribution of primates (Cebidae) in Campeche, Mexico].

    PubMed

    Navarro Fernández, Eloísa; Pozo de la Tijera, Carmen; Escobedo Cabrera, Enrique

    2003-06-01

    We carried out surveys realized field work from March to September 2000 to get the current distribution of Cebids in the state of Campeche, Mexico. Based on interviews and direct observations. We defined the distribution of Ateles geoffroyi yucatanensis and Alouatta pigra and we documented the first time localities where Allouata palliata is found in the state. We made distributional maps of each species using vegetation overlays from Inventario Nacional Forestal (Inv For) and each point documented during fieldwork. We presented the distribution of species according to confiability of the verified or expected data. Using the attributes table of Inv For, we calculated the areas of distribution which were 22,735 km2 for Alouatta sp. and 18,501 km2 for A. g. yucatanensis. We also presented the area occupied by each species according to vegetation types and the relative proportion of these vegetation types in the state. We confirmed the ability of Alouatta sp. to survive in disturbed environments produced by habitat fragmentation, and the affinity of A. g. yucatanesis to well preserved habitats.

  4. The context of employment discrimination: interpreting the findings of a field experiment.

    PubMed

    Midtbøen, Arnfinn H

    2015-03-01

    Although field experiments have documented the contemporary relevance of discrimination in employment, theories developed to explain the dynamics of differential treatment cannot account for differences across organizational and institutional contexts. In this article, I address this shortcoming by presenting the main empirical findings from a multi-method research project, in which a field experiment of ethnic discrimination in the Norwegian labour market was complemented with forty-two in-depth interviews with employers who were observed in the first stage of the study. While the experimental data support earlier findings in documenting that ethnic discrimination indeed takes place, the qualitative material suggests that theorizing in the field experiment literature have been too concerned with individual and intra-psychic explanations. Discriminatory outcomes in employment processes seems to be more dependent on contextual factors such as the number of applications received, whether requirements are specified, and the degree to which recruitment procedures are formalized. I argue that different contexts of employment provide different opportunity structures for discrimination, a finding with important theoretical and methodological implications. © London School of Economics and Political Science 2014.

  5. Ethnomedical Knowledge of Plants Used for the Treatment of Tuberculosis in Johor, Malaysia

    PubMed Central

    Sabran, Siti Fatimah; Mohamed, Maryati; Abu Bakar, Mohd Fadzelly

    2016-01-01

    This study documented ethnomedical knowledge of plants used for the treatment of tuberculosis (TB) and its related symptoms as practiced by the Jakun community of Kampung Peta, situated in Endau Rompin Johor National Park, Johor, Malaysia. Eight key informants were selected by snowball sampling technique and data about medicinal plants were collected by semistructured interviews, participatory observations, and focus group. Qualitative analysis was undertaken using thematic analysis. There were 23 species of plants (22 genera, 20 families) documented and herbarium specimens were deposited at the UTHM Herbarium. Dipterocarpus sublamellatus was recorded for the first time with ethnomedical uses while other species were previously reported. The qualitative approach employed in this study demonstrates the emic perspective in terms of perceptions on traditional herbal medicine, transfer of knowledge, significant taboos related with medicinal plants, and their conservation efforts. Local and biomedical terminology in treatment of TB showed substantial correspondence. The outcomes obtained in the study are worth being further investigated for conservation strategies and are worthy of verifying their ethnomedical claims scientifically. PMID:26881002

  6. Risks to Early Childhood Health and Development in the Postconflict Transition of Northern Uganda

    PubMed Central

    McElroy, Theresa A.; Atim, Stella; Larson, Charles P.; Armstrong, Robert W.

    2012-01-01

    Research from numerous fields of science has documented the critical importance of nurturing environments in shaping young children's future health and development. We studied the environments of early childhood (birth to 3 years) during postconflict, postdisplacement transition in northern Uganda. The aim was to better understand perceived needs and risks in order to recommend targeted policy and interventions. Methods. Applied ethnography (interview, focus group discussion, case study, observational methods, document review) in 3 sites over 1 year. Results. Transition was a prolonged and deeply challenging phase for families. Young children were exposed to a myriad of risk factors. Participants recognized risks as potential barriers to positive long-term life outcomes for children and society but circumstances generally rendered them unable to make substantive changes. Conclusions. Support structures were inadequate to protect the health and development of children during the transitional period placing infants and young children at risk. Specific policy and practice guidelines are required that focus on protecting hard-to-reach, vulnerable, children during what can be prolonged and extremely difficult periods of transition. PMID:22518183

  7. Development of critical attitude in fundamentals of professional care discipline: a case study.

    PubMed

    Waterkemper, Roberta; do Prado, Marta Lenise; Medina, Jose Luis Moya; Reibnitz, Kenya Schmidt

    2014-04-01

    This is a qualitative case study to identify the contributions of a critical pedagogical technique in developing critical attitudes of graduating nursing students in Brazil. Fourteen students participated in this study. Data were collected from March to August 2010 using triangulation of non-participant observation, interview and document analysis. The collected data were transcribed to Word documents, which were subsequently imported into ATLAS.ti, version 6.2, for organisation and qualitative data analysis. The analysis was based on the work of Minayo (2010). The following three thematic analysis units were constructed: feeling free - seeking the liberty to learn to admire, admiring by curiosity and reflecting about the admired object. The results of the thematic categories reveal that the students understand that they are free to have an active role in their education, and the teacher facilitates this process; thus, the students have a raison d'ètre, or reason for being, free. Feeling free, the student can exercise their curiosity when facing the given situations and topics, which challenges them to make decisions based on their awareness of the world. © 2013.

  8. Shuttle-Mir, CD-ROM Supplement

    NASA Technical Reports Server (NTRS)

    Morgan, Clay; Launius, Roger (Technical Monitor)

    2001-01-01

    This CD-ROM is a companion to an illustrated history book with the same title. This multi-media, searchable CD includes the full text and images in the book, as well as additional material. Interviews, photographs, and biographies of the U.S. Astronauts, cosmonauts, and team members for the Shuttle-Mir Program are available. STS Mission Summaries for each mission involved can be viewed, including launch and landing details, crew lists, and mission highlights. Photographs and videos from each mission are included, as well as diagrams of different spacecraft, and computer-generated animations of the Mir deorbit, collision, and flyaround. Additional documents include mission status reports, published documents, news releases, personal letters, and oral histories. The experiments carried out on Mir are described, highlighting combustion and fluid physics research, life in microgravity, and research of the development of the solar system. The focus on improving space technology and planning for the International Space Station is explained. The main features of the book itself include: (1) Training and Operations; (2) Long Duration Psychology; (3) Bilingual Blues; and (4) Earth Observations.

  9. Community Governance and Vocational Education

    NASA Astrophysics Data System (ADS)

    Martasari, R.; Haryanti, R. H.; Susiloadi, P.

    2018-02-01

    Vocational education is required to create a design of education and training that is friendly and feasible for disabled people. The state has a responsibility for it, but with all the limitations, the state can not always be present. This article aims to analyze the capacity of community governance in passing vocational education for people with disabilities in Ponorogo, Indonesia. Articles are the results of research for approximately two years by using data collection techniques through interviews, documentation and observation. Source Triangulation with analysis technique using interactive model is used for data validation. The results show that there are two large capacities owned by Organisasi Sosial Rumah Kasih Sayang as community governance in conducting vocational education for the disabled person namely community credibility and community vigilance.

  10. Implementation of Industrial Work Practice management at vocational high school

    NASA Astrophysics Data System (ADS)

    Widodo, Joko; Samsudi, Sunyoto

    2017-03-01

    The purpose of this study was to develop a management model of entrepreneurship-based Industrial Work Practice (Prakerin) at Vocational High School. This research was planned for three years under Research and Development design. The respondents were public and private Vocational High Schools in Semarang, Salatiga and District of Demak, Central Java, Indonesia. Data were collected through interviews, questionnaires, observation, and documentation. The data were analyzed qualitatively and quantitatively. Preliminary study shows that the implementation of Industrial Work Practice at Vocational High School, which has been carried out, was only to prepare the graduates to become an employee of the industry instead of entrepreneur. Further study is needed to develop a management model of entrepreneurship-based Industrial Work Practice at Vocational High School.

  11. Coteaching in physical education: a strategy for inclusive practice.

    PubMed

    Grenier, Michelle A

    2011-04-01

    Qualitative research methods were used to explore the factors that informed general and adapted physical education teachers' coteaching practices within an inclusive high school physical education program. Two physical education teachers and one adapted physical education teacher were observed over a 16-week period. Interviews, field notes, and documents were collected and a constant comparative approach was used in the analysis that adopted a social model framework. Primary themes included community as the cornerstone for student learning, core values of trust and respect, and creating a natural support structure. Coteaching practices existed because of the shared values of teaching, learning, and the belief that all students should be included. Recommendations include shifting orientations within professional preparation programs to account for the social model of disability.

  12. "Every soul shall taste death." Attitudes and beliefs of Moroccan muslim women living in Antwerp (Belgium) toward dying, death, and the afterlife.

    PubMed

    Ahaddour, Chaïma; Broeckaert, Bert; Van den Branden, Stef

    2018-02-26

    This study aims to elicit the beliefs and attitudes of middle-aged and elderly Moroccan Muslim women toward dying, death, and the afterlife; to identify whether differences are observable between middle-aged and elderly participants and to document how the actual attitudes of our participants relate to normative Islamic literature. Interviews were conducted with middle-aged and elderly Moroccan women living in Belgium (n = 30) and with experts in the field (n = 15). This study reveals that the belief in an omnipotent and omniscient God and in an afterlife strongly marks the attitudes of first- and second-generation Muslims in Belgium toward life and death.

  13. Health information systems in the Islamic Republic of Iran: a case study in Kerman Province.

    PubMed

    Zolala, F

    2011-09-01

    Health information systems provide information for decision-making at all levels, from planning and management to evaluation of health services. Registration of vital events is the most basic level of any health information system. This case study used in-depth interviews, observations and examination of documents to explore the system of births and deaths registration in Kerman province. The findings were evaluated under 3 headings: data input, data processing and data usage. A range of problems were identified concerning legal requirements, staffing, data checking and publication of data. Different approaches are suggested to strengthen the system, such as introducing regulations to oblige different data sources to provide data and allocating sufficient resources, including human resources, and an improved technology infrastructure.

  14. Adjusting a biochemistry course for physical education majors: A case study.

    PubMed

    da Costa, Caetano; Torres, Bayardo B

    2004-03-01

    The purpose of this study was to investigate and analyze the events responsible for curricular characteristics that lead to positive outcomes in university teaching using a biochemistry course taught to physical education students as a model. The research was carried out as a case study, supported by questionnaires, classroom observation, document analysis, and interviews. The overall analyses of obtained data were validated by means of triangulation protocols, which proved the following reasons for the course achievements: 1) teaching staff deeply committed to the course; 2) contents adaptation to students' careers; 3) gradual adjustment of the teaching strategies and evaluation tools; 4) valorization of formative evaluation; and 5) providing a suitable affective milieu. Copyright © 2004 International Union of Biochemistry and Molecular Biology, Inc.

  15. Context of care for Jordanian women.

    PubMed

    Miller, June E; Petro-Nustas, Wasileh

    2002-07-01

    The purpose of this research study was to document, describe, and analyze diverse and universal care patterns for Jordanian women. The authors used a qualitative design of observation-participation and interview data collected from 15 women in two cities and three villages in Jordan over a 4-month period. Methods used incorporated Leininger's theory of culture care diversity and universality as well as the ethnonursing research method. Themes discovered from the data include (a) culture of caring connectedness, (b) caring for family honor: the agony and the ecstasy, (c) Islam as feminist thought, (d) political care as intertwined with tribal and religious influences, and (e) reviving Rufaida: return to community care. Findings are being used for collaborative curriculum design for new community health nursing roles focusing on women's health.

  16. [Teaching, research, and extension service: botanist Honório da Costa Monteiro Filho].

    PubMed

    Bovini, Massimo G; Peixoto, Ariane Luna

    2012-12-01

    The article revisits the work of Honório da Costa Monteiro Filho, highlighting his contribution to the study of economic botany and the taxonomy of Brazilian Malvaceae. Many of his seventy articles, are still cited. Yet little is known about his important role in educating agronomists involved with Brazilian flora and the creation of the Botanical Society of Brazil. These topics are discussed in the article, along with his work on a project to reform the teaching of agronomy in Brazil. The entire works of Monteiro Filho, archival documents, his correspondence with other scientists, and his observations on plant labels in herbaria were researched; interviews were also conducted with people with ties to him.

  17. Enhancing witness memory with techniques derived from hypnotic investigative interviewing: focused meditation, eye-closure, and context reinstatement.

    PubMed

    Wagstaff, Graham F; Wheatcroft, Jacqueline M; Caddick, Andrea M; Kirby, Lara J; Lamont, Elizabeth

    2011-04-01

    Due to several well-documented problems, hypnosis as a forensic interviewing tool has been largely replaced by the cognitive interview; however, the latter is problematic in time and complexity. This article builds on previous research showing that some procedures used in traditional hypnotic forensic interviewing might still be useful in developing alternative procedures for use in investigative interviewing. Two experiments are described that include a focused meditation with eye-closure technique with similarities to conventional hypnotic induction but without the label of hypnosis. In the first, focused meditation was comparable to a context reinstatement, or revivification, technique in facilitating memory in children aged 6 to 7 without increasing errors or inflating confidence. In the second, when used in combination with context reinstatement, focused meditation was resistant to the effects of misleading information in adults. Implications are discussed.

  18. Situation awareness and documentation of changes that affect patient outcomes in progress notes.

    PubMed

    Tower, Marion; Chaboyer, Wendy

    2014-05-01

    To report on registered nurses' situation awareness as a precursor to decision-making when recording changes in patients' conditions. Progress notes are important to communicate patients' progress and detail changes in patients' conditions. However, documentation is often poorly completed. There is little work that examines nurses' decision-making during documentation. This study focused on describing situation awareness as a precursor to decision-making during documentation. This study used Endsley's (Situation Awareness Analysis and Measurement, 2000, Lawrence Erlbaum Associates, NJ) work on situation awareness to guide and conceptualise information. The study was situated in a naturalistic paradigm to provide an interpretation of nurses' decision-making. Think-aloud research methods and semi-structured interviews were employed to illuminate decision-making processes. Audio recordings and interview texts were individually examined for evidence of cues, informed by Endsley's (Situation Awareness Analysis and Measurement, 2000, Lawrence Erlbaum Associates, NJ) descriptions of situation awareness. As patients' conditions changed, nurses used complex mental models and pattern-matching of information, drawing on all 3 levels of situation awareness during documentation. Level 1 situation awareness provided context, level 2 situation awareness signified a change in condition and its significance for the patient, and level 3 situation awareness was evident when nurses thought aloud about what this information indicated. Three themes associated with changes in patients' conditions emerged: deterioration in condition, not responding to prescribed treatments as expected and issues related to professional practice that impacted on patients' conditions. Nurses used a complex mental model for decision-making, drawing on 3 levels of situation awareness. Hamm's cognitive continuum theory, when related to situation awareness, is a useful decision-making theory to provide a platform on which to draw together components of situation awareness and provide a framework on which to base decision-making regarding documentation. Understanding how RNs employ situation awareness and providing a framework for decision-making during documentation may assist effective documentation about changes in patients' conditions. © 2013 John Wiley & Sons Ltd.

  19. Teacher Interviews, Student Interviews, and Classroom Observations in Combinatorics: Four Analyses

    ERIC Educational Resources Information Center

    Caddle, Mary C.

    2012-01-01

    This research consists of teacher interviews, student interviews, and classroom observations, all based around the mathematical content area of combinatorics. Combinatorics is a part of discrete mathematics concerning the ordering and grouping of distinct elements. The data are used in four separate analyses. The first provides evidence that…

  20. Developing an Assessment, Monitoring, and Evaluation Framework for U.S. Department of Defense Security Cooperation

    DTIC Science & Technology

    2016-09-01

    be conducted midstream, at the end of an activity program or LOE, or ex post facto . Not all security cooperation endeavors require evaluation...noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only...iv Developing an AME Framework for DoD Security Cooperation approach, the study team analyzed documents, interviewed subject- matter experts

  1. Reasons sought for repeat drinking and driving

    DOT National Transportation Integrated Search

    1996-06-01

    This document summarizes the results of a study about why some individuals repeatedly drive while under the influence or intoxicated, even after being convicted of DWI and after experiencing sanctions. Qualified interviewers asked repeat offenders di...

  2. Determine Reasons for Repeat Drinking and Driving

    DOT National Transportation Integrated Search

    1996-05-01

    This document summarizes the results of a study about why some individuals repeatedly drive while under the influence or intoxicated, even after being convicted of DWI and after experiencing sanctions. Qualified interviewers (trained counselors and p...

  3. Determine reasons for repeat drinking and driving

    DOT National Transportation Integrated Search

    1996-05-01

    This document summarizes the results of a study about why some individuals repeatedly drive while under the influence or intoxicated, even after being convicted of DWI and after experiencing sanctions. Qualified interviewers (trained counselors and p...

  4. Louisiana ITS business plan.

    DOT National Transportation Integrated Search

    2000-03-01

    Seven Key ITS Application Goals emerged from the document review, key contact interviews and input from attendees at ITS committee meetings. They were to use the ITS applications to improve the overall safety of the transportation network, to improve...

  5. Statewide pedestrian and bicycle planning handbook

    DOT National Transportation Integrated Search

    2014-09-01

    This handbook is designed to help State departments of transportation (DOTs) develop or update State pedestrian and bicycle plans. Based on research including interviews with nine State DOTs and critical evaluations of documents from 15 States, this ...

  6. Children's Drama in Mexico: An Interview with Socorro Merlin.

    ERIC Educational Resources Information Center

    Ritch, Pamela

    1985-01-01

    Dr. Merlin (director of the Rodolfo Usigli Center for Research, Information and Documentation at Bellas Artes, Mexico City) talks about professional children's theatre, creative drama in education, and the child as artist. (PD)

  7. What Not to Do during a Presidential Interview

    ERIC Educational Resources Information Center

    Pulliams, Preston

    2016-01-01

    As a presidential search consultant, Preston Pulliams has had the opportunity to observe and participate in many presidential search interviews and the meetings where hiring decisions are made. He has observed how some interview candidates simply knocked themselves out of contention by employing one or more of five poor interview strategies. In…

  8. The Triangulation Interview Form: A Possible Criterion for Field-Based Objectives.

    ERIC Educational Resources Information Center

    Licata, Joseph W.; Norman, Reuben L.

    1979-01-01

    To test the general reliability and validity of the Triangulation Interview Form (TIF), 52 observers viewed a videotape simulation of an interview situation. Agreement among observers for each of 16 TIF questions ranged from 85 to 98 percent. Observers significantly discriminated between eight behaviors judged complete and eight behaviors judged…

  9. A focused ethnography of a Child and Adolescent Mental Health Service: factors relevant to the implementation of a depression trial.

    PubMed

    Kitchen, C E W; Lewis, S; Tiffin, P A; Welsh, P R; Howey, L; Ekers, D

    2017-05-25

    Prior to commencing a randomised controlled trial, we conducted a focused ethnography to ensure that the trial was well suited to the proposed setting. A six-month observation of a Child and Adolescent Mental Health Service site in the North-East of England was undertaken to observe the site procedures, staff culture and patient care pathways. During this period, documentary data were collected and interviews were conducted with key informants to provide insight into staff perceptions of the proposed trial. The data were coded using thematic analysis and the resulting themes were verified by a second coder. Seventeen documents were collected, 158 h of observation and six formal staff interviews were undertaken. Four themes emerged from the data; non-clinically orientated variation in practice, diagnosis, capacity and staff economy. Non-clinically orientated variation in practice occurred when staff decisions were based upon resource availability rather than on clinical judgement. Diagnosis demonstrated differing staff confidence in making diagnoses and in the treatment of patients who had received a diagnosis. Capacity consisted of the time to attend training and the psychological capacity to consider or incorporate learning into practice. Staff economy was characterised by staff changes and shortages. There was significant interaction between the themes, with staff economy emerging as a central barrier to research. The results directly informed adaptations to the trial protocol. An ethnographic approach has provided important insights into the individual, practical and organisational boundaries into which a trial would need to be implemented.

  10. [Adolescents as research subjects and free informed consent: knowledge and opinion of researchers and adolescents].

    PubMed

    Guariglia, Fabiana; Bento, Silvana Ferreira; Hardy, Ellen

    2006-01-01

    This article presents the results of a study that evaluated the knowledge and opinions of researchers and adolescents that served as their research subjects on the legal norms that regulate the participation of the latter as research subjects, the capacity of adolescents to make autonomous decisions regarding participation, and the adolescent experience after agreeing to take part in a study. This was a qualitative study with a convenience sample, the size of which was defined by the criteria of informational redundancy. Interviews were conducted with three researchers who had used adolescents as research subjects and nine of these subjects. This number of interviews was sufficient to reach informational redundancy. Data was collected through recorded semi-structured interviews, with open questions. All the researchers were familiar with some legal document related to the participation of adolescents as subjects of research. On the other hand, the adolescents were surprised because they were not aware of the existence of such documents. However, they considered them necessary for their own protection. In general, researchers and adolescents believe that adolescents have the capacity to decide autonomously to participate as research subjects. The adolescents affirmed that they had decided to volunteer conscientiously.

  11. Recommendations for a Chicago River traffic plan

    DOT National Transportation Integrated Search

    2004-01-01

    This report documents recent efforts to examine the vessel traffic conditions on the Chicago River and to develop recommendations to the City of Chicago, Department of Transportation for establishing a River Management Plan. Interviews were held with...

  12. 75 FR 28664 - Government-Owned Inventions, Available for Licensing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-21

    ...; telephone (650) 604-5104; fax (650) 604-2767. NASA Case No. ARC-14653-1: Air Traffic Management Evaluation...: Content Analysis to Detect High Stress in Oral Interviews and Text Documents. Dated: May 17, 2010. Richard...

  13. Current Issues in the Design and Information Content of Instrument Approach Charts

    DOT National Transportation Integrated Search

    1995-03-01

    This report documents an analysis and interview effort conducted to identify common operational errors made using : current Instrument Approach Plates (IAP), Standard Terminal Arrival Route (STAR) charts. Standard Instrument Departure : (SID) charts,...

  14. An Exploratory Survey of Information Requirements for Instrument Approach Charts

    DOT National Transportation Integrated Search

    1995-03-01

    This report documents a user centered survey and interview effort conducted to analyze the information content of : current Instrument Approach Plates (IAP). In the pilot opinion survey of approach chart information requirements, : respondents indica...

  15. Internal NASA Study: NASAs Protoflight Research Initiative

    NASA Technical Reports Server (NTRS)

    Coan, Mary R.; Hirshorn, Steven R.; Moreland, Robert

    2015-01-01

    The NASA Protoflight Research Initiative is an internal NASA study conducted within the Office of the Chief Engineer to better understand the use of Protoflight within NASA. Extensive literature reviews and interviews with key NASA members with experience in both robotic and human spaceflight missions has resulted in three main conclusions and two observations. The first conclusion is that NASA's Protoflight method is not considered to be "prescriptive." The current policies and guidance allows each Program/Project to tailor the Protoflight approach to better meet their needs, goals and objectives. Second, Risk Management plays a key role in implementation of the Protoflight approach. Any deviations from full qualification will be based on the level of acceptable risk with guidance found in NPR 8705.4. Finally, over the past decade (2004 - 2014) only 6% of NASA's Protoflight missions and 6% of NASA's Full qualification missions experienced a publicly disclosed mission failure. In other words, the data indicates that the Protoflight approach, in and of it itself, does not increase the mission risk of in-flight failure. The first observation is that it would be beneficial to document the decision making process on the implementation and use of Protoflight. The second observation is that If a Project/Program chooses to use the Protoflight approach with relevant heritage, it is extremely important that the Program/Project Manager ensures that the current project's requirements falls within the heritage design, component, instrument and/or subsystem's requirements for both the planned and operational use, and that the documentation of the relevant heritage is comprehensive, sufficient and the decision well documented. To further benefit/inform this study, a recommendation to perform a deep dive into 30 missions with accessible data on their testing/verification methodology and decision process to research the differences between Protoflight and Full Qualification missions' Design Requirements and Verification & Validation (V&V) (without any impact or special request directly to the project).

  16. Small Business: Action Needed to Determine Whether DOD’s Comprehensive Subcontracting Plan Test Program Should Be Made Permanent

    DTIC Science & Technology

    2015-11-01

    collected. We determined that the methodologies were valid and the data were reliable for our purposes. In addition, we interviewed DOD officials and...of contracts and cost of labor involved in preparing program documentation, to arrive at the estimates for savings. To validate the data used in the...studies to be reasonable, and the data were sufficiently reliable for our purposes. We interviewed officials from DOD and 5 of the 12 Test Program

  17. Treatment of Battlefield Detainees in the War on Terrorism

    DTIC Science & Technology

    2003-09-17

    Security Advisor (Jan. 28, 2002), available at http://hrw.org/press/2002/01/us012802-ltr.htm. 8See Civil and Political Rights, Including the Question...June 1999 (citing interview with DoD law of war expert Hayes Parks, who advocates a purely de facto standard, without regard to political factors...117Military Prosecutor v. Kassem , 47 I.L.R. 470 (1971) (excerpts reprinted in DOCUMENTS ON PRISONERS OF WAR, document no. 160 (U.S. Naval War

  18. Introduction to herpetology: A workshop for use in special needs education

    NASA Astrophysics Data System (ADS)

    Feldman, Frederick

    1999-09-01

    This research investigates the question: What are the attitudinal and behavioral responses to herpetofauna among adolescent males and females, who are placed in a program for students in need of extra emotional and motivational support, in a public high school? A workshop was presented to adolescents, with material from the field of herpetology, in order to observe and document their behavioral and attitudinal responses. Then, in follow-up interviews, questions were asked which deepened the researcher's understanding of their attitudinal response, their level of curiosity and learning, and their participation level in other classes as compared with this workshop. It is well documented that young people are fascinated by herpetofauna and other animals. Generally, the use of "animals in the classroom" type curricula is conducted for the purpose of teaching conservation, animal studies, or responsibility to other living things (all very important). The goal of this study was to use herpetofauna as the basic content for a workshop to observe special education students' interest level, curiosity, and academic involvement in general. Findings showed that the population had an interest in reptiles and amphibians, responded positively to the researcher's teaching style, and liked the special education program at the high school. The workshop was a one-time, 2-hour event. The results of this study denote a need for further investigation regarding the use of herpetology in special education settings.

  19. Content validity--establishing and reporting the evidence in newly developed patient-reported outcomes (PRO) instruments for medical product evaluation: ISPOR PRO good research practices task force report: part 1--eliciting concepts for a new PRO instrument.

    PubMed

    Patrick, Donald L; Burke, Laurie B; Gwaltney, Chad J; Leidy, Nancy Kline; Martin, Mona L; Molsen, Elizabeth; Ring, Lena

    2011-12-01

    The importance of content validity in developing patient reported outcomes (PRO) instruments is stressed by both the US Food and Drug Administration and the European Medicines Agency. Content validity is the extent to which an instrument measures the important aspects of concepts that developers or users purport it to assess. A PRO instrument measures the concepts most significant and relevant to a patient's condition and its treatment. For PRO instruments, items and domains as reflected in the scores of an instrument should be important to the target population and comprehensive with respect to patient concerns. Documentation of target population input in item generation, as well as evaluation of patient understanding through cognitive interviewing, can provide the evidence for content validity. Developing content for, and assessing respondent understanding of, newly developed PRO instruments for medical product evaluation will be discussed in this two-part ISPOR PRO Good Research Practices Task Force Report. Topics include the methods for generating items, documenting item development, coding of qualitative data from item generation, cognitive interviewing, and tracking item development through the various stages of research and preparing this tracking for submission to regulatory agencies. Part 1 covers elicitation of key concepts using qualitative focus groups and/or interviews to inform content and structure of a new PRO instrument. Part 2 covers the instrument development process, the assessment of patient understanding of the draft instrument using cognitive interviews and steps for instrument revision. The two parts are meant to be read together. They are intended to offer suggestions for good practices in planning, executing, and documenting qualitative studies that are used to support the content validity of PRO instruments to be used in medical product evaluation. Copyright © 2011 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  20. Reliability and validity of the symptoms of major depressive illness.

    PubMed

    Mazure, C; Nelson, J C; Price, L H

    1986-05-01

    In two consecutive studies, we examined the interrater reliability and then the concurrent validity of interview ratings for individual symptoms of major depressive illness. The concurrent validity of symptoms was determined by assessing the degree to which symptoms observed or reported during an interview were observed in daily behavior. Results indicated that most signs and symptoms of major depression and melancholia can be reliably rated by clinicians during a semistructured interview. Ratings of observable symptoms (signs) assessed during the interview were valid indicators of dysfunction observed in daily behavior. Several but not all ratings based on patient report of symptoms were at variance with observation. These discordant patient-reported symptoms may have value as subjective reports but were not accurate descriptions of observed dysfunction.

  1. Guidelines for conducting bulletproof workplace investigations: part I--preparation and interviewing issues.

    PubMed

    Mitchell, Michael S; Koen, Clifford M

    2012-01-01

    Conducting proper and thorough investigations is one of the most important and most difficult responsibilities for today's health care manager in terms of avoiding or successfully defending lawsuits. This article provides guidance for managers on how to use proper interview and investigative techniques while avoiding a violation of employees' rights to privacy. Suggestions are provided on how to protect confidential information obtained by the investigation. Interview questions that may be asked during the investigation are provided. By asking appropriate questions and documenting all aspects of the investigative process, employers can provide useful information to their legal counsel and be on the winning side if the situation results in litigation.

  2. Interview with Philippe Ory of the EPFL (Ecole Polytechnique Federale de Lausanne) Career Centre. Interviewed by Debora Keller.

    PubMed

    Ory, Philippe

    2008-06-01

    EPFL's Career Centre was created in 2007 with the mission to be a bridge between EPFL's young graduates and industry, in order to facilitate the transition to active scientific life. Through courses, workshops and personalised advice, they help graduates to set up their application documents (CV, motivation letter), prepare for job interviews and manage their careers. The Centre also offers its services to companies by organising on-campus recruitment days, actively searching for fitting profiles or posting or mailing job adverts to the EPFL graduate community. The Career Centre's goal is to be the platform for the EPFL graduates to build their careers.

  3. Educating anesthesia residents to obtain and document informed consent for epidural labor analgesia: does simulation play a role?

    PubMed

    Antoniou, A; Marmai, K; Qasem, F; Cherry, R; Jones, P M; Singh, S

    2018-05-01

    Informed consent is required before placing an epidural. At our hospital, teaching of residents about this is done informally at the bedside. This study aimed to assess the ability of anesthesia residents to acquire and retain knowledge required when seeking informed consent for epidural labor analgesia. It assessed how well this knowledge was translated to clinical ability, by assessing the verbal consent process during an interaction with a standardized patient. Twenty anesthesia residents were randomized to a 'didactic group' or a 'simulation group'. Each resident was presented with a written scenario and asked to document the informed consent process, as they normally would do (pre-test). The didactic group then had a presentation about informed consent, while the simulation group members interviewed a simulated patient, the scenarios focusing on different aspects of consent. All residents then read a scenario and documented their informed consent process (post-test). Six weeks later all residents interviewed a standardized patient in labor and documented the consent from this interaction (six-week test). There was no significant difference in the baseline performance of the two groups. Both groups showed significant improvement in their written consent documentation at the immediate time point, the improvement in the didactic group being greater. The didactic group performed better at both the immediate time point and the six-week time point. In this small study, a didactic teaching method proved better than simulation-based teaching in helping residents to gain knowledge needed to obtain informed consent for epidural labor analgesia. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Boundary-spanning actors in complex adaptive governance systems: The case of multisectoral nutrition.

    PubMed

    Pelletier, David; Gervais, Suzanne; Hafeez-Ur-Rehman, Hajra; Sanou, Dia; Tumwine, Jackson

    2018-01-01

    A growing literature highlights complexity of policy implementation and governance in global health and argues that the processes and outcomes of policies could be improved by explicitly taking this complexity into account. Yet there is a paucity of studies exploring how this can be achieved in everyday practice. This study documents the strategies, tactics, and challenges of boundary-spanning actors working in 4 Sub-Saharan Africa countries who supported the implementation of multisectoral nutrition as part of the African Nutrition Security Partnership in Burkina Faso, Mali, Ethiopia, and Uganda. Three action researchers were posted to these countries during the final 2 years of the project to help the government and its partners implement multisectoral nutrition and document the lessons. Prospective data were collected through participant observation, end-line semistructured interviews, and document analysis. All 4 countries made significant progress despite a wide range of challenges at the individual, organizational, and system levels. The boundary-spanning actors and their collaborators deployed a wide range of strategies but faced significant challenges in playing these unconventional roles. The study concludes that, under the right conditions, intentional boundary spanning can be a feasible and acceptable practice within a multisectoral, complex adaptive system in low- and middle-income countries. © 2017 The Authors. The International Journal of Health Planning and Management Published by John Wiley & Sons Ltd.

  5. Understanding the emergence of the tobacco industry's use of the term tobacco harm reduction in order to inform public health policy

    PubMed Central

    Peeters, Silvy; Gilmore, Anna B

    2015-01-01

    Objectives To explore the history of transnational tobacco companies’ use of the term, approach to and perceived benefits of ‘harm reduction’. Methods Analysis of internal tobacco industry documents, contemporary tobacco industry literature and 6 semistructured interviews. Results The 2001 Institute of Medicine report on tobacco harm reduction appears to have been pivotal in shaping industry discourse. Documents suggest British American Tobacco and Philip Morris International adopted the term ‘harm reduction’ from Institute of Medicine, then proceeded to heavily emphasise the term in their corporate messaging. Documents and interviews suggest harm reduction offered the tobacco industry two main benefits: an opportunity to (re-) establish dialogue with and access to policy makers, scientists and public health groups and to secure reputational benefits via an emerging corporate social responsibility agenda. Conclusions Transnational tobacco companies’ harm reduction discourse should be seen as opportunistic tactical adaptation to policy change rather than a genuine commitment to harm reduction. Care should be taken that this does not undermine gains hitherto secured in efforts to reduce the ability of the tobacco industry to inappropriately influence policy. PMID:24457543

  6. Assessment of Caspian Seal By-Catch in an Illegal Fishery Using an Interview-Based Approach.

    PubMed

    Dmitrieva, Lilia; Kondakov, Andrey A; Oleynikov, Eugeny; Kydyrmanov, Aidyn; Karamendin, Kobey; Kasimbekov, Yesbol; Baimukanov, Mirgaliy; Wilson, Susan; Goodman, Simon J

    2013-01-01

    The Caspian seal (Pusa caspica) has declined by more than 90% since 1900 and is listed as endangered by IUCN. We made the first quantitative assessment of Caspian seal by-catch mortality in fisheries in the north Caspian Sea by conducting semi-structured interviews in fishing communities along the coasts of Russia (Kalmykia, Dagestan), Kazakhstan and Turkmenistan. We recorded a documented minimum by-catch of 1,215 seals in the survey sample, for the 2008-2009 fishing season, 93% of which occurred in illegal sturgeon fisheries. Due to the illegal nature of the fishery, accurately quantifying total fishing effort is problematic and the survey sample could reflect less than 10% of poaching activity in the north Caspian Sea. Therefore total annual by-catch may be significantly greater than the minimum documented by the survey. The presence of high by-catch rates was supported independently by evidence of net entanglement from seal carcasses, during a mass stranding on the Kazakh coast in May 2009, where 30 of 312 carcasses were entangled in large mesh sturgeon net remnants. The documented minimum by-catch may account for 5 to 19% of annual pup production. Sturgeon poaching therefore not only represents a serious threat to Caspian sturgeon populations, but may also be having broader impacts on the Caspian Sea ecosystem by contributing to a decline in one of the ecosystem's key predators. This study demonstrates the utility of interview-based approaches in providing rapid assessments of by-catch in illegal small-scale fisheries, which are not amenable to study by other methods.

  7. Chlamydia screening in England: a qualitative study of the narrative behind the policy

    PubMed Central

    2012-01-01

    Background The rationale for the English National Chlamydia Screening Programme (NCSP) has been questioned. There has been little analysis, however, of what drove the NCSP’s establishment and how it was implemented. Such analysis will help inform the future development of the NCSP. This study used a qualitative, theory-driven approach to evaluate the rationale for the NCSP’s establishment and implementation. Methods Semi-structured interviews with 14 experts in chlamydia screening were undertaken. The interview data were analysed with policy documents and commentaries from peer-reviewed journals (published 1996–2010) using the Framework approach. Results Two themes drove the NCSP’s establishment and implementation. The first, chlamydia control, was prominently referenced in documents and interviews. The second theme concerned the potential for chlamydia screening to advance wider improvements in sexual health. In particular, screening was expected to promote sexual health services in primary care and encourage discussion of sexual health with young people. While this theme was only indirectly referenced in policy documents, it was cited by interviewees as a strong influence on implementation in the early years. However, by full rollout of the Programme, a focus on screening volume may have limited the NCSP’s capacity to improve broader aspects of sexual health. Conclusions A combination of explicit and implicit drivers underpinned the Programme’s establishment. This combination may explain why there was widespread support for its introduction and why implementation of the NCSP was inconsistent. The potential to improve young people’s sexual health more comprehensively should be made explicit in future planning of the NCSP. PMID:22545922

  8. Assessment of Caspian Seal By-Catch in an Illegal Fishery Using an Interview-Based Approach

    PubMed Central

    Dmitrieva, Lilia; Kondakov, Andrey A.; Oleynikov, Eugeny; Kydyrmanov, Aidyn; Karamendin, Kobey; Kasimbekov, Yesbol; Baimukanov, Mirgaliy; Wilson, Susan; Goodman, Simon J.

    2013-01-01

    The Caspian seal (Pusa caspica) has declined by more than 90% since 1900 and is listed as endangered by IUCN. We made the first quantitative assessment of Caspian seal by-catch mortality in fisheries in the north Caspian Sea by conducting semi-structured interviews in fishing communities along the coasts of Russia (Kalmykia, Dagestan), Kazakhstan and Turkmenistan. We recorded a documented minimum by-catch of 1,215 seals in the survey sample, for the 2008–2009 fishing season, 93% of which occurred in illegal sturgeon fisheries. Due to the illegal nature of the fishery, accurately quantifying total fishing effort is problematic and the survey sample could reflect less than 10% of poaching activity in the north Caspian Sea. Therefore total annual by-catch may be significantly greater than the minimum documented by the survey. The presence of high by-catch rates was supported independently by evidence of net entanglement from seal carcasses, during a mass stranding on the Kazakh coast in May 2009, where 30 of 312 carcasses were entangled in large mesh sturgeon net remnants. The documented minimum by-catch may account for 5 to 19% of annual pup production. Sturgeon poaching therefore not only represents a serious threat to Caspian sturgeon populations, but may also be having broader impacts on the Caspian Sea ecosystem by contributing to a decline in one of the ecosystem’s key predators. This study demonstrates the utility of interview-based approaches in providing rapid assessments of by-catch in illegal small-scale fisheries, which are not amenable to study by other methods. PMID:23840590

  9. Use of the Physician Orders for Life-Sustaining Treatment program for patients being discharged from the hospital to the nursing facility.

    PubMed

    Hickman, Susan E; Nelson, Christine A; Smith-Howell, Esther; Hammes, Bernard J

    2014-01-01

    The Physician Orders for Life-Sustaining Treatment (POLST) documents patient preferences as medical orders that transfer across settings with patients. The objectives were to pilot test methods and gather preliminary data about POLST including (1) use at time of hospital discharge, (2) transfers across settings, and (3) consistency with prior decisions. Descriptive with chart abstraction and interviews. Participants were hospitalized patients discharged to a nursing facility and/or their surrogates in La Crosse County, Wisconsin. POLST forms were abstracted from hospital records for 151 patients. Hospital and nursing facility chart data were abstracted and interviews were conducted with an additional 39 patients/surrogates. Overall, 176 patients had valid POLST forms at the time of discharge from the hospital, and many (38.6%; 68/176) only documented code status. When the whole POLST was completed, orders were more often marked as based on a discussion with the patient and/or surrogate than when the form was used just for code status (95.1% versus 13.8%, p<.001). In the follow-up and interview sample, a majority (90.6%; 29/32) of POLST forms written in the hospital were unchanged up to three weeks after nursing facility admission. Most (71.9%; 23/32) appeared consistent with patient or surrogate recall of prior treatment decisions. POLST forms generated in the hospital do transfer with patients across settings, but are often used only to document code status. POLST orders appeared largely consistent with prior treatment decisions. Further research is needed to assess the quality of POLST decisions.

  10. 'What is not written does not exist': the importance of proper documentation of medication use history.

    PubMed

    Silvestre, Carina Carvalho; Santos, Lincoln Marques Cavalcante; de Oliveira-Filho, Alfredo Dias; de Lyra, Divaldo Pereira

    2017-10-01

    Medications are perceived as health risk factors, because they might cause damage if used improperly. In this context, an adequate assessment of medication use history should be encouraged, especially in transitions of care to avoid unintended medication discrepancies (UMDs). In a case-controlled study, we investigated potential risk factors for UMDs at hospital admission and found that 150 (42%) of the 358 patients evaluated had one or more UMDs. We were surprised to find that there was no record of a patient and/or relative interview on previous use of medication in 117 medical charts of adult patients (44.8%). Similarly, in the medical charts of 52 (53.6%) paediatric patients, there was no record of parents and/or relatives interviews about prior use of medications. One hundred thirty-seven medical charts of adult patients (52.4%) and seventy-two medical charts of paediatric patients (74.2%) had no record about medication allergies and intolerances. In other words, there was a lack of basic documentation regarding the patient's medication use history. As patients move between settings in care, there is insufficient tracking of verbal and written information related to medication changes, which results in a progressive and cumulative loss of information, as evidenced by problems associated with clinical transfers and medication orders. Proper documentation of medication information during transfer is a key step in the procedure; hence, it should be rightly performed. It remains unclear whether interviews, and other investigations about medication use history have been performed but have not been recorded as health-care data. Therefore, it is crucial to the improvement of medication use safety that documentation of all drug-related information-even if not directly related to the actual event-become routine practice in health-care organizations, since 'what is not written does not exist'.

  11. Protocol for a nationwide survey of primary health care in China: the China PEACE (Patient-centered Evaluative Assessment of Cardiac Events) MPP (Million Persons Project) Primary Health Care Survey

    PubMed Central

    Su, Meng; Zhang, Qiuli; Lu, Jiapeng; Li, Xi; Tian, Na; Wang, Yun; Yip, Winnie; Cheng, Kar Keung; Mensah, George A; Horwitz, Ralph I; Mossialos, Elias; Krumholz, Harlan M; Jiang, Lixin

    2017-01-01

    Introduction China has pioneered advances in primary health care (PHC) and public health for a large and diverse population. To date, the current state of PHC in China has not been subjected to systematic assessments. Understanding variations in primary care services could generate opportunities for improving the structure and function of PHC. Methods and analysis This paper describes a nationwide PHC study (PEACE MPP Primary Health Care Survey) conducted across 31 provinces in China. The study leverages an ongoing research project, the China Patient-centered Evaluative Assessment of Cardiac Events (PEACE) Million Persons Project (MPP). It employs an observational design with document acquisition and abstraction and in-person interviews. The study will collect data and original documents on the structure and financing of PHC institutions and the adequacy of the essential medicines programme; the education, training and retention of the PHC workforce; the quality of care; and patient satisfaction with care. The study will provide a comprehensive assessment of current PHC services and help determine gaps in access and quality of care. All study instruments and documents will be deposited in the Document Bank as an open-access source for other researchers. Ethics and dissemination The central ethics committee at the China National Centre for Cardiovascular Disease (NCCD) approved the study. Written informed consent has been obtained from all patients. Findings will be disseminated in future peer reviewed papers, and will inform strategies aimed at improving the PHC in China. Trial registration number NCT02953926 PMID:28851781

  12. The threat at home: Confronting the toxic legacy of the US military

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Shulman, S.

    1992-01-01

    The author, using personal impressions, information from goverment and watchdog agency documents, and interviews with military officers, local elected officials, and residents, produces a comprehensive account of the U.S. military's toxic waste stream.

  13. 28 CFR 9.5 - Criteria governing administrative and judicial remission and mitigation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... their interest in the property after the time of the violation underlying the forfeiture, the question... provide information or documents and to submit to interviews, as requested, may result in a denial of the...

  14. 28 CFR 9.5 - Criteria governing administrative and judicial remission and mitigation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... their interest in the property after the time of the violation underlying the forfeiture, the question... provide information or documents and to submit to interviews, as requested, may result in a denial of the...

  15. Application of oral history to contemporary history of medicine in Korea: with a focus on medical scientists.

    PubMed

    Kim, Ock-Joo

    2013-08-01

    The oral history helps researchers to fill the gap in historical documents in research on the contemporary history of medicine in Korea. More and more studies in history of contemporary medicine in Korea have come out using oral history of doctors and patients. Based upon the author's research on development of neurosurgery in late 20th century Korea, this paper discusses how to apply oral history to contemporary history of medicine, focusing on oral history of doctors in Korea. In this paper the author describes how to do and use oral history of key doctors and medical scientists in the contemporary history of medicine in Korea. The oral history can be a powerful tool to complement the written documents as following. First, from their interview, doctors and medical scientists often provide valuable information which historians cannot get from documents and written sources. As intelligent interviewees, they not only understand the purpose of research but also help actively the historianresearcher- interviewer. Second, the oral history facilitates further searches and often it leads to more findings of informants, and written and image material. More often than not, doctors and medical scientists do their own research on the topic and provide the historian with valuable historical source material from their laboratories, bedsides, family and friends. Third, interviews with medical scientists and oral material produced by doctors and medical scientists helped the researcher to understand and interpret the papers and written documents. Fourth, the subjective stories told by the medical scientists provide perspectives and historical source as narrative truth. Before a historian attempts to use the oral material as complementary historial evidence, he or she needs to cross-check the validity and of objectivity of the oral material. Oral material is produced through bidirectional intersubjective interaction between the interviewer and interviewee, and critical reflection over the relationship between the two is crucial. Especially the researcher should keep an eye on the possible bias and strive for the objectivity of the oral material with discernment and reflection, when she or he found the interviewees of doctors and medical scientists closely connected together and tied together in a web of relationship with a common interest or agenda.

  16. Medicinal plants used by women in Mecca: urban, Muslim and gendered knowledge.

    PubMed

    Alqethami, Afnan; Hawkins, Julie A; Teixidor-Toneu, Irene

    2017-11-17

    This study explores medicinal plant knowledge and use among Muslim women in the city of Mecca, Saudi Arabia. Ethnobotanical research in the region has focused on rural populations and male herbal healers in cities, and based on these few studies, it is suggested that medicinal plant knowledge may be eroding. Here, we document lay, female knowledge of medicinal plants in an urban centre, interpreting findings in the light of the growing field of urban ethnobotany and gendered knowledge and in an Islamic context. Free-listing, structured and semi-structured interviews were used to document the extent of medicinal plant knowledge among 32 Meccan women. Vernacular names, modes of preparation and application, intended therapeutic use and emic toxicological remarks were recorded. Women were asked where they learnt about medicinal plants and if and when they preferred using medicinal plants over biomedical resources. Prior informed consent was always obtained. We compared the list of medicinal plants used by these Meccan women with medicinal plants previously documented in published literature. One hundred eighteen vernacular names were collected, corresponding to approximately 110 plants, including one algae. Of these, 95 were identified at the species level and 39 (41%) had not been previously cited in Saudi Arabian medicinal plant literature. Almost one half of the plants cited are food and flavouring plants. Meccan women interviewed learn about medicinal plants from their social network, mass media and written sources, and combine biomedical and medicinal plant health care. However, younger women more often prefer biomedical resources and learn from written sources and mass media. The fairly small number of interviews conducted in this study was sufficient to reveal the singular body of medicinal plant knowledge held by women in Mecca and applied to treat common ailments. Plant availability in local shops and markets and inclusion in religious texts seem to shape the botanical diversity used by the Meccan women interviewed, and the use of foods and spices medicinally could be a global feature of urban ethnobotany. Ethnobotanical knowledge among women in Islamic communities may be changing due to access to mass media and biomedicine. We recognise the lack of documentation of the diversity of medicinal plant knowledge in the Arabian Peninsula and an opportunity to better understand gendered urban and rural knowledge.

  17. Learning Strategies Used by High School Students Learning English as a Second Language

    DTIC Science & Technology

    1985-02-01

    Discussion 34 REFERENCES 39 APPENDICES Z1 A Teachers Interview Guide 43 B Student Interview Guide 55 C Classroom Observation Guide 67 ix LIST OF TABLES...and teacher interviews were performed individually. There were only 3.7 strategies per classroom observation . Because roughly equal amounts of time...FOR SPEAKING AND UNDERSTANDING ENGLISH Classroom Observation Guide The purpose of this observation guide is to describe an approach for cot- lecting

  18. Seeds used for Bodhi beads in China

    PubMed Central

    2014-01-01

    Background Bodhi beads are a Buddhist prayer item made from seeds. Bodhi beads have a large and emerging market in China, and demand for the beads has particularly increased in Buddhism regions, especially Tibet. Many people have started to focus on and collect Bodhi beads and to develop a Bodhi bead culture. But no research has examined the source plants of Bodhi beads. Therefore, ethnobotanical surveys were conducted in six provinces of China to investigate and document Bodhi bead plants. Reasons for the development of Bodhi bead culture were also discussed. Methods Six provinces of China were selected for market surveys. Information was collected using semi-structured interviews, key informant interviews, and participatory observation with traders, tourists, and local residents. Barkhor Street in Lhasa was focused on during market surveys because it is one of the most popular streets in China. Results Forty-seven species (including 2 varieties) in 19 families and 39 genera represented 52 types of Bodhi beads that were collected. The most popular Bodhi bead plants have a long history and religious significance. Most Bodhi bead plants can be used as medicine or food, and their seeds or fruits are the main elements in these uses. ‘Bodhi seeds’ have been historically used in other countries for making ornaments, especially seeds of the legume family. Many factors helped form Bodhi bead culture in China, but its foundation was in Indian Buddhist culture. Conclusions As one of the earliest adornment materials, seeds played an important role for human production and life. Complex sources of Bodhi beads have different cultural and historical significance. People bought and collected Bodhi beads to reflect their love and admiration for the plants. Thus, the documentation of Bodhi bead plants can serve as a basis for future investigation of Bodhi bead culture and modern Buddhist culture. PMID:24479788

  19. Seeds used for Bodhi beads in China.

    PubMed

    Li, Feifei; Li, Jianqin; Liu, Bo; Zhuo, Jingxian; Long, Chunlin

    2014-01-30

    Bodhi beads are a Buddhist prayer item made from seeds. Bodhi beads have a large and emerging market in China, and demand for the beads has particularly increased in Buddhism regions, especially Tibet. Many people have started to focus on and collect Bodhi beads and to develop a Bodhi bead culture. But no research has examined the source plants of Bodhi beads. Therefore, ethnobotanical surveys were conducted in six provinces of China to investigate and document Bodhi bead plants. Reasons for the development of Bodhi bead culture were also discussed. Six provinces of China were selected for market surveys. Information was collected using semi-structured interviews, key informant interviews, and participatory observation with traders, tourists, and local residents. Barkhor Street in Lhasa was focused on during market surveys because it is one of the most popular streets in China. Forty-seven species (including 2 varieties) in 19 families and 39 genera represented 52 types of Bodhi beads that were collected. The most popular Bodhi bead plants have a long history and religious significance. Most Bodhi bead plants can be used as medicine or food, and their seeds or fruits are the main elements in these uses. 'Bodhi seeds' have been historically used in other countries for making ornaments, especially seeds of the legume family. Many factors helped form Bodhi bead culture in China, but its foundation was in Indian Buddhist culture. As one of the earliest adornment materials, seeds played an important role for human production and life. Complex sources of Bodhi beads have different cultural and historical significance. People bought and collected Bodhi beads to reflect their love and admiration for the plants. Thus, the documentation of Bodhi bead plants can serve as a basis for future investigation of Bodhi bead culture and modern Buddhist culture.

  20. Preparing healthcare students who participate in interprofessional education for interprofessional collaboration: A constructivist grounded theory study protocol.

    PubMed

    Bianchi, Monica; Bagnasco, Annamaria; Aleo, Giuseppe; Catania, Gianluca; Zanini, Milko Patrick; Timmins, Fiona; Carnevale, Franco; Sasso, Loredana

    2018-05-01

    This article presents a qualitative research protocol to explore and understand the interprofessional collaboration (IPC) preparation process implemented by clinical tutors and students of different professions involved in interprofessional education (IPE). Many studies have shown that IPE initiatives improve students' understanding of the roles and responsibilities of other professionals. This improves students' attitudes towards other professions, facilitating mutual respect, and IPC. However, there is limited information about how students are prepared to work collaboratively within interprofessional teams. This is a constructivist grounded theory (GT) study, which will involve data collection through in-depth semi-structured interviews (to 9-15 students and 6-9 clinical tutors), participant observations, and the analysis of documentation. After analysing, coding, integrating, and comparing the data if necessary, a second round of interviews could be conducted to explore any particularly interesting aspects or clarify any issues. This will then be followed by focused and theoretical coding. Qualitative data analysis will be conducted with the support of NVivo 10 software (Victoria, Australia). A better conceptual understanding will help to understand if IPE experiences have contributed to the acquisition of competencies considered important for IPC, and if they have facilitated the development of teamwork attitudes.

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