Journal articles on the topic 'Practitioner capability'
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Smith, Sara, and Jan Martin. "Practitioner capability." Higher Education, Skills and Work-based Learning 4, no. 3 (October 20, 2014): 284–300. http://dx.doi.org/10.1108/heswbl-04-2014-0009.
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Purpose – The purpose of this paper is to investigate the role of creative activity and storytelling in assisting development of students’ reflective ability and critical thinking. Design/methodology/approach – Eight biomedical science students undertaking year-long work-based placements took part in this action research study. A coding scheme was designed to assess students’ reflections initially and at each stage of the study. Intervention activities involved students using mood boards, images and storytelling to assist development of creative learning spaces with a thematic approach employed to analyse both personal and collective reflections. Post-intervention evaluation considered possible long-term impact on students’ reflective ability. Findings – Students’ pre-intervention reports showed little reflection focusing mainly on competence demonstration and descriptive situation summaries. During the intervention workshops, all students demonstrated both identification of self as a practitioner and a critically reflective approach. However, this was not maintained long term as initial post-intervention reports tended to revert to a more descriptive style of writing suggesting longer-term support is required. Research limitations/implications – The importance of further research into the long-term usefulness of creative collaborative learning spaces in work-based programmes is suggested. Originality/value – This is the first study investigating the approach to supporting critical reflection during work placement in biomedical scientists. It is suggested that the current competence-based training programme provides limited opportunities for developing and embedding critical reflection. Where opportunities are provided, such as creative learning spaces, students’ critical reflection was greatly enhanced. However, it appears essential that this approach is maintained throughout training as critically reflective skills developed during collaborative learning have limited transferability to subsequent reflective report writing.
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Carryer, Jenny, Glenn Gardner, Sandra Dunn, and Anne Gardner. "The capability of nurse practitioners may be diminished by controlling protocols." Australian Health Review 31, no. 1 (2007): 108. http://dx.doi.org/10.1071/ah070108.
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Nurse practitioners will become a vital component of the health workforce because of the growing need to manage chronic illness, to deliver effective primary health services, and to manage workforce challenges effectively. In addition, the role of nurse practitioner is an excellent example of increased workforce flexibility and changes to occupational boundaries. This paper draws on an Australasian research project which defined the core role of nurse practitioners, and identified capability as the component of their level of practice that makes their service most useful. We argue that any tendency to write specific protocols to define the limits of nurse practitioner practice will reduce the efficacy of their contribution. The distinction we wish to make in this paper is between guidelines aiming to support practice, and protocols which aim to control practice.
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Mandal, Debashish, Robert J. McQueen, Owen Doody, and Ita Richardson. "Role of social media to support person-centered care in small healthcare practices." European Journal for Person Centered Healthcare 5, no. 2 (July 6, 2017): 170. http://dx.doi.org/10.5750/ejpch.v5i2.1258.
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Rationale, aims and objectives: Healthcare practitioners use social media to receive feedback from patients to deliver better person-centered care. The aim of this research was to investigate the ability of social media to support person-centered healthcare in small practices. The objectives of this study were to: (a) diagnose their existing patient care processes; (b) introduce social media to them as an additional channel for communication and feedback with their patients & (c) examine the effectiveness of social media to support delivery of person-centered healthcare.Method: The study used an action research method to train 20 healthcare practitioners in small practices in the use of social media. Data were collected through unstructured interviews and analysis of social media scripts. Thematic analysis of the source data was undertaken, supported by Nvivo software.Results: Practitioners reported that social media assisted and supported delivery of person-centered healthcare if suitable training and implementation processes were used. The introduction of social media increased healthcare practitioners’ socialising and personalising capabilities, which enhanced their capability to empathise with patients. Socialising increased because of improved 2-way communication and trust between practitioner and patient and improved a practitioner’s capability to personalise care for patients. Through building trust and additional communication, practitioners were better able to motivate patients to undertake behavioural changes.Conclusions: Social media use can enhance person-centered care by bridging social, economic and demographic differences between practitioner and patient. Small healthcare practitioners need suitable training in social media to support person-centered healthcare.
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Hannon, Paul D. "Incubation policy and practice: building practitioner and professional capability." Journal of Small Business and Enterprise Development 12, no. 1 (March 2005): 57–75. http://dx.doi.org/10.1108/14626000510579644.
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O’Reilly, D. "Developing the Capable Practitioner: Professional Capability through Higher Education19992Developing the Capable Practitioner: Professional Capability through Higher Education. Kogan Page, , ISBN: ISBN 0 7494 2876 7." Education + Training 41, no. 8 (November 1999): 384–92. http://dx.doi.org/10.1108/et.1999.41.8.384.2.
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Kilgore, Clifford. "Development of a capability-based training programme for an advanced nurse practitioner." Nursing Older People 31, no. 3 (May 23, 2019): 22–27. http://dx.doi.org/10.7748/nop.2019.e1088.
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Lefevre, M. "Becoming Effective Communicators with Children: Developing Practitioner Capability through Social Work Education." British Journal of Social Work 45, no. 1 (July 4, 2013): 204–24. http://dx.doi.org/10.1093/bjsw/bct109.
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Murnane, Sinéad, and Anna Browne. "From experience to knowledge in professional IT management education: exploring the applicability of classroom learning to real-life contexts." Irish Journal of Management 35, no. 2 (December 30, 2016): 165–75. http://dx.doi.org/10.1515/ijm-2016-0012.
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AbstractBy understanding knowledge to be performative – a ‘dynamic and ongoing social accomplishment’, rather than a representation or commodity – we view knowledge, or more accurately ‘knowing’, as a capability that emerges from, is embodied by, and embedded in recurrent social practices. The fluent knowing-in-practice that distinguishes an expert practitioner from a novice is developed through the reflexive interaction of the practitioner with their peers and their real-life work practices . Our key aim in this research was to explore whether it is possible for the abstracted classroom setting to approximate real-life work contexts, thereby enabling the active physical, mental, and emotional engagement of learner/practitioners within their community of practice, which have been demonstrated in the literature to be central to learning. How might training programmes actively engage learners in this way? We explored these questions through focus groups and interviews with participants on a professional IT management training programme and found that real-life contexts can be approximated to an extent, such that learner/ practitioners are enabled to learn from their own and each other’s experience of addressing issues in relation to IT management.
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Stables, A., G. Seal, and S. J. Mercer. "The role of the operating department practitioner on board Role 2 Afloat." Journal of Perioperative Practice 28, no. 11 (October 30, 2018): 300–301. http://dx.doi.org/10.1177/1750458918804790.
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The Role 2 Afloat (R2A) is the Royal Navy (RN)'s Damage Control Resuscitation (DCR), including Damage Control Surgery, capability at sea. There are currently three operating department practitioners (ODP) in the deployed team. This article describes the role of the ODP in this team and the training which is required to fulfil this role.
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Stables, A., G. Seal, and S. J. Mercer. "The role of the operating department practitioner on board Role 2 Afloat." Journal of The Royal Naval Medical Service 103, no. 1 (2017): 30–31. http://dx.doi.org/10.1136/jrnms-103-30.
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AbstractThe Role 2 Afloat (R2A) is the Royal Navy (RN)’s Damage Control Resuscitation (DCR), including Damage Control Surgery, capability at sea. There are currently three operating department practitioners (ODP) in the deployed team. This article describes the role of the ODP in this team and the training which is required to fulfil this role.
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Liao, Mou-Yuan, and WL Pearn. "Modified weighted standard deviation index for adequately interpreting a supplier’s lognormal process capability." Proceedings of the Institution of Mechanical Engineers, Part B: Journal of Engineering Manufacture 233, no. 3 (February 9, 2018): 999–1008. http://dx.doi.org/10.1177/0954405418755820.
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The process capability index has become an efficient tool for measuring a supplier’s process performance. [Formula: see text] is one popularly used index for assessing non-normal process capability when the process violates the normality assumption. Unfortunately, this index cannot accurately reflect the process yield, so it may produce a serious result if the practitioner compares the calculated [Formula: see text] value with the capability requirement to determine whether the process meets that requirement. Hence, this study modifies [Formula: see text] to provide an adequate measure of lognormal process capability. In addition, an estimator of this modified index is also provided. Simulations show that the bias of this estimator is slight, and the coverage probability of capability testing is close to the nominal confidence. This means that our proposed method is adaptable for use.
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Thornley, Clare Victoria, and Catherine Anne Crowley. "Developing the capability to terminate IT projects when they can no longer deliver business value." International Journal of Managing Projects in Business 11, no. 2 (May 8, 2018): 406–31. http://dx.doi.org/10.1108/ijmpb-06-2017-0060.
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Purpose The purpose of this paper is to address the problem of ensuring that the capabilities are in place to identify when a project can no longer deliver value and to take appropriate action to terminate the project. Design/methodology/approach Focus groups with project management practitioners were used to collect in-depth qualitative data. This was then supplemented with a questionnaire, which included both closed questions and the opportunity for free text answers. Findings The problem of getting better at stopping projects is both common and difficult to solve. It has many facets, which include complex people and cultural issues, processes and procedures as well as financial reporting and project governance. In order to improve, therefore, it is useful to address these different facets in a coordinated way using a capability approach with a focus on business value. Research limitations/implications The data from practitioners are retrospective, as their actions were not actually observed by the researchers as they were happening. This means that faulty recollection may influence the results but, it also allows for insights from reflection to be incorporated. Practical implications An organizational capability approach focusing on all three aspects of capability; people, processes and technology, can help organizations get better at stopping projects. Specific recommendations are provided and analyzed in terms of their respective capability focus. Social implications If performance in terminating projects is improved, it has the potential for significant benefits and cost saving for society in terms of improved government services and the ability to halt projects around new policy initiatives when emerging evidence shows they will not work. Originality/value It provides detailed practitioner input on the problem of stopping projects and suggests recommendations for improvement in the context of a structured organizational capability approach with reference to a particular framework, IT-CMF.
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Parthasarathy, Rangarajan, Monica Garfield, Anuradha Rangarajan, and Justin L. Kern. "The Case of Organizational Innovation Capability and Health Information Technology Implementation Success." International Journal of Healthcare Information Systems and Informatics 16, no. 4 (October 2021): 1–27. http://dx.doi.org/10.4018/ijhisi.20211001.oa21.
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Organizational innovation capability is defined as the ability to continuously transform knowledge and ideas into new products, processes and systems for the benefit of an organization and its stakeholders. This study examines the relationship between the innovation capability of healthcare organizations and their ability to successfully implement electronic medical records (EMR), a health information technology (HIT) innovation. Data was collected using a cross-sectional survey and structural equation modeling (SEM) method was used to analyze the data. Results demonstrate that organizational product innovation capability positively affects EMR implementation success. A positive relationship also exists between organizational process innovation capability and EMR implementation success. This study is one of the first to empirically validate the relationship between healthcare organization’s innovation capability and HIT innovation implementation success, in the context of EMRs. Implications of the study for the academic and industry practitioner are discussed.
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S McBrayer, Juliann, Katherine Fallon, Steven Tolman, Daniel W Calhoun, Emily Ballesteros, and Taylor Mathewson. "Examining Educational Leadership Doctoral Students’ Self-Efficacy as Related to Their Role as a Scholarly Practitioner Researcher." International Journal of Doctoral Studies 16 (2021): 487–512. http://dx.doi.org/10.28945/4811.
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Aim/Purpose: This study examined an educational leadership doctoral preparation program to better understand how students’ self-efficacy evolves from the lens of a scholarly practitioner researcher as they progress through specified checkpoints to degree completion. The aim was to identify what factors contributed to building scholarly practitioner researcher skills and what factors hindered the development of doctoral students as they progressed through their educational leadership preparation program. Background: Doctoral programs have the highest attrition of graduate programs, with almost half of the successful students taking six to seven years to complete. Thus, educational leadership doctoral preparation programs must find ways to enhance students’ perceived capability in an effort to facilitate their progress through the program in a timely manner. The researchers believe having high research self-efficacy coupled with evidence-based practices to strengthen scholarly practitioner research skills may be a contributor to effective program progression if viewed from the lens of a scholarly practitioner researcher. Methodology: A mixed-methods study utilizing an ex-post-facto research design based on descriptive statistics coupled with an analysis of qualitative data examined students’ perceived self-efficacy of educational leadership doctoral students in relation to their rate of progression. Contribution: This study provides other doctoral programs a lens into the importance of maintaining students’ high self-efficacy, specifically in the area of scholarly practitioner research to ensure efficient progression through the program to completion in a timely manner. Findings: Educational leadership doctoral students in the specified cohorts reported high self-efficacy at the pre-, mid-, and post-assessment checkpoints in the program during their coursework tier, and findings revealed this high self-efficacy was sustained throughout this progression to the dissertation tier. Four overarching narrative themes influencing students self-efficacy in scholarly practitioner research were identified as Social Support, Academic Challenges, Discipline, Effort, and Motivation, and Personal Challenges. Recommendations for Practitioners: Educational leadership and related doctoral programs should consider using a scholarly practitioner researcher approach. This focus may lead to faster rates of degree completion and better prepared students to solve problems of practice in their practitioner settings. Recommendation for Researchers: While the results are promising in support of evidence-based practices to prepare scholarly practitioner researchers, in turn sustaining or supporting high levels of self-efficacy may prove impactful, thus warranting further research. Impact on Society: Ensuring high levels of self-efficacy may help students to complete their doctoral degree in a timelier manner due to the perception they are capable of program completion and may also, better prepare students to serve as scholarly practitioner researchers in their educational settings. Future Research: Future research should continue longitudinally to examine self-efficacy from the lens of a scholarly practitioner researcher to better understand how this shapes doctoral students’ efforts and capabilities in their doctoral work from admit to program completion. Additionally, future research can quantitively assess a model identifying the relationship between self-efficacy and the four identified themes for the development of doctoral students’ research skills as scholarly practitioners.
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McMenamin, D., J. Baker, and M. Middleton. "The Medical Reception Station: a new primary care capability for 3 Commando Brigade." Journal of The Royal Naval Medical Service 102, no. 1 (June 2016): 4–7. http://dx.doi.org/10.1136/jrnms-102-4.
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Abstract3 Commando Brigade’s delivery of pre-hospital (Role 1) care has until now largely been based around junior doctors delivering trauma-based resuscitation and limited primary care from small self-contained Regimental Aid Posts (RAPs). With the drawdown of large scale operations in Iraq and Afghanistan, and the diversity of potential future military operations, the deficiency of General Practitioner(GP)-led care in the deployed setting has become more evident, and this has driven the requirement for a deployable primary care facility in the form of a Medical Reception Station (MRS). This paper describes the evolution of this project, the realities of deploying a new medical capability for the first time, some of the issues faced, and the potential utility of such a medical facility in future.
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Maheshwari, Shilpa Kabra, and Jaya Yadav. "The role of HR in leadership development." Development and Learning in Organizations: An International Journal 33, no. 5 (September 2, 2019): 20–23. http://dx.doi.org/10.1108/dlo-11-2018-0141.
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Purpose Business environments have become more complex, dynamic, and uncertain in the past few decades. To navigate this complexity, organizations need to enhance their competitiveness, improve performance, and build leadership. Though leadership contributes to strategic advantage, the challenge for human resources (HR) to build the next generation of leaders remains. This has sparked the need for practitioners to understand the role of HR in enhancing leadership capability. Design/methodology/approach Using qualitative analysis and practitioner insights, this paper contributes to the understanding of the role of HR in leadership development. Findings The study proposes the HR PACE model for the role of HR in leadership development. Practical implications This study has potentially significant implications for HR, leadership development scholars, and practitioners while designing and implementing leadership development in organizations. Originality/value While empirical studies on how HR practices of recruitment, performance management, training, and development impact organizations exist, there are rare studies assessing the role of HR in leadership development. This study examines the role of HR in leadership development.
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HARCOURT, S. E., J. FLETCHER, P. LOVERIDGE, A. BAINS, R. MORBEY, A. YEATES, B. McCLOSKEY, et al. "Developing a new syndromic surveillance system for the London 2012 Olympic and Paralympic Games." Epidemiology and Infection 140, no. 12 (August 15, 2012): 2152–56. http://dx.doi.org/10.1017/s0950268812001781.
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SUMMARYSyndromic surveillance is vital for monitoring public health during mass gatherings. The London 2012 Olympic and Paralympic Games represents a major challenge to health protection services and community surveillance. In response to this challenge the Health Protection Agency has developed a new syndromic surveillance system that monitors daily general practitioner out-of-hours and unscheduled care attendances. This new national system will fill a gap identified in the existing general practice-based syndromic surveillance systems by providing surveillance capability of general practice activity during evenings/nights, over weekends and public holidays. The system will complement and supplement the existing tele-health phone line, general practitioner and emergency department syndromic surveillance systems. This new national system will contribute to improving public health reassurance, especially to meet the challenges of the London 2012 Olympic and Paralympic Games.
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Zimmerman, John. "Entrepreneurs On Entrepreneurship: A Research Structure Based On 12 Practitioner Case Studies." Journal of Business Case Studies (JBCS) 5, no. 5 (June 24, 2011): 69. http://dx.doi.org/10.19030/jbcs.v5i5.4723.
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The importance of entrepreneurship for economic growth and social advancement is well established, but most scholars do not agree on a structure for organizing its study. As a result, a great deal of scholarly effort in the field is often criticized as noncumulative, disorganized, and lacking predictive capability. Additionally, connections with important sub domains such as social and sustainable entrepreneurship are not well established. Advancement in the organization of the research domain can potentially lead to improved formulation of research questions, better selection of methodologies employed, and enhancements in the ability of researchers to deal more effectively with the multidisciplinary and process nature of the field. This paper uses qualitative research methodology to analyze data collected from semi structured interviews with practitioner entrepreneurs to advance a structure for future research in the field. A conceptual framework for organizing the research domain of entrepreneurship is developed through analysis of the insights and experiences from 12 case studies of practitioner entrepreneurs, leading to the identification of a proposed structure based upon four categorical dimensions of an entrepreneurship conceptual framework procedural, typological, behavioral, and environmental.
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Barker, Isaac, Adam Steventon, Robert Williamson, and Sarah R. Deeny. "Self-management capability in patients with long-term conditions is associated with reduced healthcare utilisation across a whole health economy: cross-sectional analysis of electronic health records." BMJ Quality & Safety 27, no. 12 (August 23, 2018): 989–99. http://dx.doi.org/10.1136/bmjqs-2017-007635.
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ObjectiveTo quantify the association between patient self-management capability measured using the Patient Activation Measure (PAM) and healthcare utilisation across a whole health economy.Results12 270 PAM questionnaires were returned from 9348 patients. In the adjusted analyses, compared with the least activated group, highly activated patients (level 4) had the lowest rate of contact with a general practitioner (rate ratio: 0.82, 95% CI 0.79 to 0.86), emergency department attendances (rate ratio: 0.68, 95% CI 0.60 to 0.78), emergency hospital admissions (rate ratio: 0.62, 95% CI 0.51 to 0.75) and outpatient attendances (rate ratio: 0.81, 95% CI 0.74 to 0.88). These patients also had the lowest relative rate (compared with the least activated) of ‘did not attends’ at the general practitioner (rate ratio: 0.77, 95% CI 0.68 to 0.87), ‘did not attends’ at hospital outpatient appointments (rate ratio: 0.72, 95% CI 0.61 to 0.86) and self-referred attendance at emergency departments for conditions classified as minor severity (rate ratio: 0.67, 95% CI 0.55 to 0.82), a significantly shorter average length of stay for overnight elective admissions (rate ratio 0.59, 95% CI 0.37 to 0.94),and a lower likelihood of 30- day emergency readmission (rate ratio: 0.68 , 95% CI 0.39 to 1.17), though this did not reach significance.ConclusionsSelf-management capability is associated with lower healthcare utilisation and less wasteful use across primary and secondary care.
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Kosnik, William, Patrick O’Neill, and Zachary Zimmerlin. "Human Systems Integration Risk Management Tool." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 62, no. 1 (September 2018): 325–29. http://dx.doi.org/10.1177/1541931218621075.
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The Human Systems Integration Risk Management Tool (HSI-RMT) is a software-based interactive application designed to track, analyze, and mitigate human performance risk associated with the development of systems. It spans system development from concept formation to sustainment, that is – across the entire system acquisition lifecycle. HSI-RMT combines two previously developed tools: the HSI Capabilities and Requirements Tool (HSI-CART) and the HSI Program Risk Assessment Tool (HSI-PRAT). The former addresses HSI in capability requirements planning and the latter human performance considerations in system acquisition. HSI-RMT overlays a risk management approach onto the two tools in order to help the HSI practitioner identify, analyze, and mitigate human performance risk to program success. Tool content, in the form of best practice questions, was developed by Air Force HSI and industry subject matter experts. HSI-RMT promises to be a useful tool to help HSI practitioners manage human-centric risk across the system lifecycle. A demonstration will be given.
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Helms, Christopher, Jo Crookes, and David Bailey. "Financial viability, benefits and challenges of employing a nurse practitioner in general practice." Australian Health Review 39, no. 2 (2015): 205. http://dx.doi.org/10.1071/ah13231.
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This case study examines the financial viability, benefits and challenges of employing a primary healthcare (PHC) nurse practitioner (NP) in a bulk-billing healthcare cooperative in the Australian Capital Territory. There are few empirical case reports in the Australian literature that demonstrate financial sustainability of this type of healthcare professional in primary healthcare. This case study demonstrates that the costs of employing a PHC-NP in general practice are offset by direct and indirect Medicare billings generated by the PHC-NP, resulting in a cost-neutral healthcare practitioner. The success of this model relies on bidirectional collaborative working relationships amongst general practitioners and NPs. PHC-NPs should have a generalist scope of practice and specialist expertise in order to maximise their utility within the general practice environment. What is known about the topic? NPs represent a growing workforce of highly trained and educated advanced practice nurses that aims to improve access to timely and affordable healthcare for underserviced populations. Recent legislation has allowed for greater exploration of innovative models of care using NPs in Australian primary healthcare. What does this paper add? This case study provides practical information on the financial and logistical implications of employing an NP in a bulk-billing general practice. It demonstrates the broad capability of this workforce in Australian primary healthcare, and gives an overview of the facilitators and barriers to their use in private practice. What are the implications for practitioners? Employment of a PHC NP in general practice requires careful consideration of the direct and indirect benefits associated with the complimentary care they offer. NP access to the Medicare Benefits Schedule is severely restricted, which impairs their ability to achieve a full scope of practice and may contribute to increased health system costs and inefficiencies. There are opportunities for integration and facilitation of this emerging role in general practice with existing nursing workforce. Further research into this evolving area would be of benefit.
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Smith, Sara, Raji Ganesan, and Jan Martin. "Flipping The Practice Based Pathology Laboratory—Can It Support Development Of Practitioner Capability For Trainee Pathologists in Gynaecological Cytopathology?" Journal of Cancer Education 32, no. 3 (May 7, 2016): 662–68. http://dx.doi.org/10.1007/s13187-016-1044-z.
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Smith, Sara. "Integrated work-based placements – shifting the paradigm." Higher Education, Skills and Work-Based Learning 8, no. 2 (May 14, 2018): 134–50. http://dx.doi.org/10.1108/heswbl-09-2017-0059.
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Purpose The role of higher education institutions in enhancing capability development of the healthcare professionals workforce has resulted in work-based learning becoming an essential component of awards linked to professional registration. The purpose of this paper is to explore how key stakeholders (academics, workplace tutors and students) on a programme leading to registration as a Biomedical Scientist (BMS) position themselves in their role and the subsequent impact of this upon delivery of pre-registration training and the development of professional capability. Design/methodology/approach Constructivist grounded theory methodology and a mixed-methods approach were drawn upon for the study. Findings Findings expose the challenges of a positivist focus and assumptions around workplace learning and professional development presenting a barrier to developing professional capability. In addressing this barrier, two strategies of “doing the portfolio” and “gaining BMS currency” are adopted. The registration portfolio has become an objective reductionist measure of learning, reflecting the positivist typology of practice in this profession. Practical implications To ensure that students are supported to develop not only technical skills but also professional capability there is a need for a paradigm shift from a positivist episteme to one that embraces both the positivist and socio-cultural paradigms, viewing them as complimentary and parallel. Originality/value The study provides a novel insight into how stakeholders interact with the pressures of internal and external influences and the impact this has upon behaviours and strategies adopted. The theoretical understanding proposed has a range of implications for practice and for the development of practitioner capability through pre-registration training and beyond.
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Williams, Zachary, Michael S. Garver, and Robert Glenn Richey Jr. "Security capability and logistics service provider selection: an adaptive choice study." International Journal of Physical Distribution & Logistics Management 49, no. 4 (June 13, 2019): 330–55. http://dx.doi.org/10.1108/ijpdlm-04-2018-0173.
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Purpose The influence of security practices is increasingly common in the supply chain management and logistics literature. However, an under-researched area exists within the logistics service provider (LSP) selection process. The purpose of this paper is to introduce a security capability into the LSP selection process. Specifically, this research seeks to understand partner willingness to compensate and collaborate with service providers that possess a security capability. Design/methodology/approach Adaptive choice modeling is adopted to assess the influence of a security capability in the LSP selection process. This study represents the first use of this method in supply chain management and logistics research. Cluster analysis is also performed to uncover specific buyer segments along with traditional regression-based significance testing and counting analysis. Findings The findings indicate that security can have an important influence on the LSP selection process. In particular, the findings note a willingness to pay for a security capability in LSP selection. Applying segmentation techniques to the findings, three LSP buying segments are determined, each placing different importance and value on LSP capabilities. Practical implications This research notes an ongoing provider deficiency in security offerings. Partner firms sometimes maintain a cost focus, but others show a willingness to pay higher prices for access to partners with a security capability. Key practitioner findings include the need to include security with other traditional selection variables. The study walks the researcher and manager through the development of segments based on LSP capabilities. Originality/value This manuscript investigates logistic service provider selection. The authors detail an advanced form of conjoint analysis, adaptive conjoint modeling, for first time consideration. Additionally, this is the first study to integrate security into the LSP selection process. This is also the first study to identify a willingness to pay for a security capability.
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Thompson, Juliana, Sue Tiplady, Phil Hodgson, and Carole Proud. "Scoping the application of primary care advanced clinical practice roles in England." International Journal of Health Governance 25, no. 3 (May 27, 2020): 245–58. http://dx.doi.org/10.1108/ijhg-03-2020-0015.
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PurposeThis study aims to scope the profile and application of an advanced clinical practitioner (ACP) roles in primary care in the North of England and how these roles meet the requirements of Health Education England's (HEE’s) ACP workforce capability framework.Design/methodology/approachA two-stage design was used. Stage 1 analysed health and social care workforce intelligence reports to inform scoping of numbers of ACPs working in primary care. Stage 2 used two surveys. Survey 1 targeted ACP leads and collected strategic-level data about ACP application. Survey 2 targeted staff who perceived themselves to be working as ACPs. Survey 2 was in three parts. Part 1 collected demographic data. Part 2 required participants to record their perceived competence against each of the HEE ACP framework capability criteria. Part 3 required respondents to identify facilitators and barriers to ACP practice.FindingsDespite the introduction of HEE's ACP capability framework, there is inconsistency and confusion about the ACP role. The results indicated a need for standardisation of role definition and educational and practice requirements. The results also suggested that some ACPs are not working to their full potential, while some staff who are employed as “gap-fillers” to provide routine clinical services perceive themselves as ACPs despite not working at the ACP level.Originality/valueAlthough previous research has explored the application of ACP practice in primary care, few studies have considered ACP application in the light of the introduction of workforce capability frameworks aimed at standardising ACP practice.
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Moyo, Mpatisi, Boaz Shulruf, Jennifer Weller, and Felicity Goodyear-Smith. "Effect of medical students’ values on their clinical decision-making." Journal of Primary Health Care 11, no. 1 (2019): 64. http://dx.doi.org/10.1071/hc18055.
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ABSTRACT INTRODUCTION Personal and professional values of health-care practitioners influence their clinical decisions. AIM To investigate how medical students’ values influence their clinical decisions. METHODS Values of 117 medical students were measured using an instrument we developed, the Healthcare Practitioner Values Scale. Factors that students consider in clinical decision-making were identified in four clinical scenarios using qualitative coding. Differences in values between students who considered given factors in decision-making and students who did not consider the same factors were analysed. Random effects models were used to investigate which differences were explained by variation in the clinical scenarios and factors considered in decision-making. RESULTS Six factors that students consider in clinical decision-making were identified and grouped into three categories: patient-centred (patient perspective, family and social circumstances); clinical (patient safety, symptoms and treatment efficacy); and situational factors (health-care practitioner self-awareness and service cost). Students who prioritised spirituality placed more emphasis on patient-centred factors, and less emphasis on clinical factors in different scenarios; students who prioritised critical thinking placed less emphasis on patient-centred factors; and students who prioritised capability, professionalism and safety values placed more emphasis on situational factors. Total proportion of variance in value differences explained by factors and clinical scenarios was 25.2% for spirituality and 56.2% for critical thinking. DISCUSSION Students who prioritise different values consider different factors in their clinical decisions. Spirituality and critical thinking values are more likely to influence students’ decision-making approaches than other values. Improving students’ awareness of how their own values influence their decisions can help them improve their clinical decision-making.
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Desai, Darshan, Subrat Sahu, and Piyush Kumar Sinha. "Role of Dynamic Capability and Information Technology in Customer Relationship Management: A Study of Indian Companies." Vikalpa: The Journal for Decision Makers 32, no. 4 (October 2007): 45–62. http://dx.doi.org/10.1177/0256090920070404.
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There is a growing body of academic and practitioner literature on Customer Relationship Management (CRM), most of the research in this field being conducted in the Western context. In the emerging countries of Asia, the difference is not only about the level of technology adoption and infrastructure, but also about the way decisions are made the and technology is used to form relations, and the deeply-rooted values of employees and customers who drive the competitive performance of CRM. These contextual peculiarities of CRM have got important implications for the sources of competitive performance in the process of CRM. It has been well accepted that CRM is a strategic initiative. But, surprisingly, the CRM literature is largely silent on the issue of competitive reaction in dynamic markets of emerging Asian economies. In such markets, the domain of CRM is characterized by lots of changes. Managers cannot rely on only static firm's resources that they have assembled to take CRM decisions and drive competitive advantage. Drawing from the theoretical argument in strategic management, i.e., dynamic capability approach, this study identifies sources of competitive performance for the process of CRM in dynamic capability. It is an organization's ability to continuously improve, innovate, and reconfigure resources to match the evolving environmental needs. Information technology (IT) competence has been considered as an important moderator of the relationship between dynamic capability and competitive performance. The study articulates the drivers of dynamic capability for CRM. Further, the study investigates the main effects, as well as the interaction effects of IT and dynamic capability on competitive performance of the CRM process. A questionnaire survey has been conducted, and data collected from a sample of 334 cross-functional executives of 29 organizations from Indian banking, telecom, and retail industry. Some of the important findings of the study are as follows: In the emerging markets of Asia, dynamic capability played a crucial role in gaining competitive CRM performance across all three industries. In the highly dynamic and competitive Indian telecom industry, the dynamic capability played the most important role. Important drivers of dynamic capability also include social networking capability with the other capabilities related to integration and market orientation. Contrary to the findings of the few studies in the Western context, CRM technology had positive effects on competitive CRM performance; it also enhanced the dynamic capability- competitive CRM performance relationships. In the absence of appropriate dynamic capabilities in the CRM process, the use of CRM technology might do more harm than good.
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Benmoussa, Chihab. "Enabling Knowledge Mobilisation Through Mobile Technologies: A Value-Based-Method." Journal of Information & Knowledge Management 12, no. 03 (August 25, 2013): 1350025. http://dx.doi.org/10.1142/s0219649213500251.
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Recently it has been observed a proliferation of knowledge management (KM) projects in many organisations. This phenomenon was driven by the increasing popularity of the knowledge-based view of the firm; which regards knowledge as a key competitive resource. However studies showed that a large proportion of KM initiatives fail. As a result a number of actors in both academia and the practitioner world are calling for a new approach of KM. One promising approach is knowledge mobilisation (KMob). This paper suggested a new method for building a KMob capability using mobile information and communication technologies (M-ICT). The proposed method is grounded on the Work System Approach and the so-called Braudel Rule for new technologies innovation.
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Velmurugan, G., R. Shubasini, N. SaravanaBhavan, and V. Selvam. "A Study on Service Quality of a Health Care Organization." International Journal of Online and Biomedical Engineering (iJOE) 15, no. 10 (June 27, 2019): 91. http://dx.doi.org/10.3991/ijoe.v15i10.10906.
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<p class="0abstract">The perception which the Healthcare sector has about his functioning is completely different from the other sectors. The view of the quality of services provided by healthcare is concerned about the patient satisfaction about the service provided to them rather than then assessing the kind of service provided to the patient. The end –users view on quality deals with accepted impact when they choose on Medical practitioners. The clients are more interested in knowing the capability of medical practitioners to provide remedy for their illness in an affordable cost. The patients wish to select the hospital has prominent effect on the views on Quality. Patients complete gratification and faithfulness about private healthcare provider plays a significant role in understanding the quality of the service. Additionally, client’s inability to measure the clinical standards where each hospital possesses different professional conditions and services like medical specialist knowledge, General physician potential to find out the disease. The Quality of the serviceable aspects are easily judged by the clients when compared to the professional aspects as claimed by experimental studies. Quality is seen and defined as assessment technique in which there is a comparison between his/her requirements and his/her views on service provided by customer. There is numerous advantages in evaluating Quality in Medical sector. It creates awareness among the customer to take prior decision in choosing healthcare provider and medical practitioner. Evaluating the quality also useful for Hospitals.</p>
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Watson, Carlie, Nikki Carthy, and Sue Becker. "Helpless helpers: primary care therapist self-efficacy working with intimate partner violence and ageing women." Quality in Ageing and Older Adults 18, no. 4 (December 11, 2017): 222–34. http://dx.doi.org/10.1108/qaoa-05-2017-0013.
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Purpose The purpose of this paper is to explore primary care psychological therapists’ experiences of working with mid-life and older women presenting with intimate partner violence (IPV) and develop a theoretical framework using a grounded theory approach to identify the experiences of those practitioners working with this phenomenon. Design/methodology/approach Interviews with 17 practitioners were conducted. The data analysis was informed by a grounded theory approach, which requires three states of data coding: open, axial and selective. Data codes were thematically sorted into causal, contextual, strategic, intervening, interactional and consequential conditions. Findings A core state of therapist helplessness was uncovered. The framework demonstrates that psychological therapists can doubt their ability to work meaningfully with women over 45 years of age experiencing IPV. To avoid the core state of helplessness, therapists use strategies such as avoiding asking questions about partner violence, making assumptions of how patients interpret their own experiences, addressing symptoms rather than the root cause and going above and beyond in attempts to rescue patients. The consequence of therapists’ helplessness often results in burnout. Research limitations/implications The framework identifies barriers in working effectively with IPV and women in the mid-to older-aged populations. Originality/value This study is the first to suggest a framework that is grounded in practitioner experience with capability to transfer to a range of professionals working with mid-to older-aged women such as forensic, medical and specialist psychologists.
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Dixon, Thom. "The grey zone of cyber-biological security." International Affairs 97, no. 3 (May 2021): 685–702. http://dx.doi.org/10.1093/ia/iiab041.
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Abstract The convergence of the life sciences with the information and computing sciences is beginning to generate novel security vulnerabilities. As scientific and technological advances occur, new security vulnerabilities are discovered and new methods for exploiting those vulnerabilities are developed. Novel cyber-biological capabilities are likely to enable technologically sophisticated states to develop new methods of grey zone warfare. This article provides context to this multidisciplinary area of research by reviewing the emerging field of cyberbiosecurity for its relevance to developments in grey zone warfare. This article then analyses two long-term trends that have influenced the development of contemporary cyber-biological capabilities. These two trends are advances in novel uses of biology and advances in computing, automation and biodesign. The capability to exploit vulnerabilities unique to the links between cyber and biological systems differs significantly from previous security concerns noted for biotechnology and the life sciences. Scholars and practitioners of international relations will need to develop an understanding of engineering biology and the bioeconomy in order to forecast methods of grey zone manoeuvre that rely on cyber-biological capabilities. This article offers an entry point for the scholar and practitioner so that they may bring their own disciplinary lens to the issue of grey zone ambiguity and cyberbiosecurity.
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Perez, Juan, and Jacquie Kidd. "Viewpoint: Peer support workers: an untapped resource in primary mental health care." Journal of Primary Health Care 7, no. 1 (2015): 84. http://dx.doi.org/10.1071/hc15084.
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The treatment of moderate to severe mental illness in a primary health care setting is an area under development and can be contentious. The capacity, capability, resourcing and willingness of staff and organisations all feature in the discussions among specialist services and primary health care providers about the opportunities and barriers associated with primary mental health care. This paper presents the peer support worker as an untapped resource that has the potential to support the patient, primary health care staff, and general practitioner in the care of people who fall outside the current understanding of 'mild' mental health problems, but who would nonetheless benefit from receiving their care in a primary health care setting. KEYWORDS: General practice; mental health; mental health services, community; primary health care
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Mostafiz, Md Imtiaz, Murali Sambasivan, and See Kwong Goh. "Psychometric evaluation of dynamic managerial capability scale in the context of early internationalizing firms from an emerging economy." Asia-Pacific Journal of Business Administration 11, no. 4 (October 7, 2019): 371–86. http://dx.doi.org/10.1108/apjba-06-2019-0140.
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Purpose The purpose of this paper is to perform a psychometric evaluation of dynamic managerial capability (DMC) scale in the context of early internationalizing firms from an emerging economy. Drawing on DMC theory, this study validates the measurement scales to operationalize DMC of entrepreneurs as managerial human capital (MHC), managerial social capital (MSC) and managerial cognition (MC). Design/methodology/approach Sample firms were drawn from the apparel industry in Bangladesh, an emerging economy. Data were collected from entrepreneurs in two waves through a questionnaire-based survey. In total, 185 firms responded during the first wave and 223 firms responded during the second wave. The first wave of data was used to conduct exploratory factor analysis (EFA) to uncover the underlying dimensions of DMC and the data from the second wave were used to test the validity of the DMC scale through confirmatory factor analysis (CFA). Findings EFA suggested a three-dimension scale which was supported by CFA. The findings of the study demonstrate that DMC is a valid and reliable scale to capture the individual-level capability of entrepreneurs. Originality/value DMC is rooted in three underlying attributes as MHC, MSC and MC. It is advisable to the practitioner and researcher to operationalize DMC as a second-order construct in future studies.
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Mildawani, Irina, and Shahed Khan. "The Role of Landscape Architecture Profession In Two Different Contexts: A Comparative Review of the Practitioners in Responding To Climate Change Adaptation." Indonesian Journal of Planning and Development 1, no. 1 (September 24, 2014): 43. http://dx.doi.org/10.14710/ijpd.1.1.43-50.
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<p class="Abstract">In the context of rising concerns about global warming and sustainable development this paper examines the challenges of landscape architecture (LA) in developing and developed countries in handling climate change adaptation. The paper aims to find how the LA institutes define their professionals’ roles in dealing with society and environment. It seeks to focus on the professionals’ involvement in climate change adaptation programs in Indonesia and Australia. The paper seeks to determine how contextual factors such as institutional roles and types of prevalent governance systems shape the development of landscape architecture discipline and its professional capability with respect to other related built environment professions (architecture and planning). The websites of the ISLA (Indonesian Society of Landscape Architects) and the AILA (Australian Institutes of Landscape Architects) are examined and analysed from the perspective of professional principles of the International Federation of Landscape Architects (IFLA). The aim is to determine the LA practitioners’ awareness and approaches in handling climate change challenges in various roles and capabilities. It has found that the professional institute in Australia has been involved in the educational program to equip their practitioner members to have a basic knowledge and further application of climate change adaptation in their design and planning projects; whereas in Indonesia the practitioners are actively involved in community capacity building to increase people’s awareness and participation in mitigating the climate change at local as well as regional levels. Findings from the study seek to establish the universality of the LA profession and its relevance in both developed and developing countries.</p>
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Bilotta, Federico F., Samantha M. Werner, Sergio D. Bergese, and Giovanni Rosa. "Impact and Implementation of Simulation-Based Training for Safety." Scientific World Journal 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/652956.
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Patient safety is an issue of imminent concern in the high-risk field of medicine, and systematic changes that alter the way medical professionals approach patient care are needed. Simulation-based training (SBT) is an exemplary solution for addressing the dynamic medical environment of today. Grounded in methodologies developed by the aviation industry, SBT exceeds traditional didactic and apprenticeship models in terms of speed of learning, amount of information retained, and capability for deliberate practice. SBT remains an option in many medical schools and continuing medical education curriculums (CMEs), though its use in training has been shown to improve clinical practice. Future simulation-based anesthesiology training research needs to develop methods for measuring both the degree to which training translates into increased practitioner competency and the effect of training on safety improvements for patients.
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Scheff, Scott, Ferne Friedman-Berg, Jay Shively, and Andrew Carter. "Human Factors Challenges in Urban Air Mobility." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 64, no. 1 (December 2020): 179–82. http://dx.doi.org/10.1177/1071181320641044.
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For several generations there has been the vision of the flying car, a way to leave the road behind and fly through the skies from one point to another above the urban landscape. Finally, we appear to be on the cusp of true urban air mobility (UAM). Companies such as Uber Elevate, Amazon Delivery Drones, Hyundai Motor Company, and KittyHawk are looking to change the way we transport not just ourselves, but packages too. With this UAM capability however, comes multiple challenges for the human factors practitioner. Topics covered in this panel discussion will include the various challenges associated with safely operating UAM platforms in the airspace, requirement considerations, workload factors, and machine vs. human automation needs. This diverse panel includes renowned UAM and unmanned systems experts representing Government and Industry.
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Briggs, Hannah, Stephen Clarke, and Nigel Rees. "Mental health assessment and triage in an ambulance clinical contact centre." Journal of Paramedic Practice 13, no. 5 (May 2, 2021): 196–203. http://dx.doi.org/10.12968/jpar.2021.13.5.196.
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Background: With increasing numbers of emergency calls to ambulance services, exploration of the triage and management of mental health calls is valuable, given their volume and duration. Studies have explored these calls from patient and practitioner perspectives, but few have considered the perspective of the practitioners assessing patients over the phone in terms of clinical capability. Aim: This study aimed to explore the thoughts, feelings and educational requirements of paramedics and nurses working on emergency medical services clinical desks, focusing on mental health-related calls and the triage tools used. Methods: A service evaluation was conducted. A questionnaire was developed and distributed to 41 staff on clinical desks at the Welsh Ambulance Service Trust's (WAST) clinical contact centres in June 2019. Quantitative data was analysed using descriptive statistics and qualitative data by thematic analysis. Findings: Out of the 41 employees, 26 (63%) responded. Low levels of confidence were reported in managing mental health calls, along with inadequate detail in the mental health elements of their triage algorithm and deficiencies in referral pathways. Conclusion: Given the volume and complexity of mental health calls to ambulance services, more attention should be paid to the education and training of clinical desk professionals and the decision support tools available in WAST and other ambulance services. Further research is required with a larger sample size over multiple ambulance services.
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Geramian, Arash, Arash Shahin, Sara Bandarrigian, and Yaser Shojaie. "Proposing a two-criterion quality loss function using critical process capability indices." Benchmarking: An International Journal 24, no. 2 (March 6, 2017): 384–402. http://dx.doi.org/10.1108/bij-11-2015-0106.
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Purpose Average quadratic quality loss function (QQLF) measures quality of a given process using mean shift from its target value and variance. While it has a target parameter for the mean, it lacks a target for the variance revisable for counting any progress of the process across different quality levels, above/below the standard level; thus, it appears too general. Hence, in this research, it was initially supposed that all processes are located at two possible quality spaces, above/below the standard level. The purpose of this paper is to propose a two-criterion QQLF, in which each criterion is specifically proper to one of the quality spaces. Design/methodology/approach Since 1.33 is a literarily standard or satisfactory value for two most important process capability indices Cp and Cpk, its upper/lower spaces are assumed as high-/low-quality spaces. Then the indices are integrated into traditional QQLF, of type nominal the best (NTB), to develop a two-criterion QQLF, in which each criterion is more suitable for each quality space. These two criteria have also been innovatively embedded in the plan-do-check-act (PDCA) cycle to help continuous improvement. Finally, the proposed function has been examined in comparison with the traditional one in Feiz Hospital in the province of Isfahan, Iran. Findings Results indicate that the internal process of the studied case is placed on the lower quality space. So the first criterion of revised QQLF gives a more relevant evaluation for that process, compared with the traditional function. Moreover, this study has embedded both proposed criteria in the PDCA cycle as well. Research limitations/implications Formulating the two-criterion QQLF only for observations of normal and symmetric distributions, and offering it solely for NTB characteristics are limitations of this study. Practical implications Two more relevant quality loss criteria have been formulated for each process (service or manufacturing). However, in order to show the comprehensiveness of the proposed method even in service institutes, emergency function of Feiz Hospital has been examined. Originality/value The traditional loss function of type NTB merely and implicitly targets zero defect for variance. In fact, it calculates quality loss of all processes placed on different quality spaces using a same measure. This study, however, provides a practitioner with opportunity of targeting excellent or satisfactory targets.
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Davis, Siobhan I., J. S. Biswas, and S. White. "Infection Prevention and Control Lead Link Practitioner: a new deployed role piloted on Exercise SAIF SAREEA 3." BMJ Military Health 166, no. 6 (December 2020): 411–13. http://dx.doi.org/10.1136/bmjmilitary-2020-001703.
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Disease non-battle injury has plagued British expeditionary forces through the ages. While in recent years significant mortality has reduced, it has had a large impact on operational effectiveness, at times leading to closure of major medical treatment facilities (MTFs).Infection Prevention and Control (IPC) benefits from a subject matter expert and champion to ensure it remains at the front of people’s minds and to be on hand to manage acute and dynamic situations. To mitigate the lack of an IPC Nursing Officer, we piloted a deployed military IPC Lead Link Practitioner (IPC-LL) for the first time on a large-scale overseas exercise (SAIF SAREEA 3). An experienced generalist nurse deploying as the IPC-LL (after specific training) provided pre-deployment IPC education and preparation, deployed IPC advice, undertook mandatory audits and monitored IPC compliance throughout the MTFs on the exercise. Data from 22 IPC audits conducted on the exercise showed that the presence of the IPC-LL improved IPC compliance and standards overall in the MTF where based, compared with others. In addition, a gastroenteritis outbreak occurred and was successfully managed with significant input from the IPC-LL. The IPC-LL was also able to add value by pre-empting potential IPC problems from occurring.There is a small pool of deployable Infection Prevention and Control Nursing Officers, so this new IPC-LL role could help to fill the capability gap. The IPC-LL could be the dedicated person focusing on IPC elements, reducing the IPC risk within the deployed field hospital setting where deployed experts are not available.
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Bourke, Christopher John, Henrietta Marrie, and Adrian Marrie. "Transforming institutional racism at an Australian hospital." Australian Health Review 43, no. 6 (2019): 611. http://dx.doi.org/10.1071/ah18062.
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Objectives The aims of this study were to: (1) examine institutional racism’s role in creating health outcome discrepancies for Aboriginal and Torres Strait Islander peoples; and (2) assess the management of institutional racism in an Australian hospital and health service (HHS). Methods A literature review informed consideration of institutional racism and the health outcome disparities it produces. Publicly available information, provided by an Australian HHS, was used to assess change in an Australian HHS in five key areas of institutional racism: inclusion in governance, policy implementation, service delivery, employment and financial accountability. These findings were compared with a 2014 case study. Results The literature concurs that outcome disparity is a defining characteristic of institutional racism, but there is contention about processes. Transformative change was detected in the areas of governance, service delivery and employment at an Australian HHS, but there was no change in financial accountability or policy implementation. Conclusions The health outcomes of some racial groups can be damaged by institutional racism. An external assessment tool can help hospitals and health services to change. What is known about the topic? Institutional racism theory is still developing. An external assessment tool to measure, monitor and report on institutional racism has been developed in Australia. What does this paper add? This study on institutional racism has useful propositions for healthcare organisations experiencing disparities in outcomes between racial groups. What are the implications for practitioners? The deleterious effects of institutional racism occur regardless of practitioner capability. The role for practitioners in ameliorating institutional racism is to recognise the key indicator of poorer health outcomes, and to then seek change within their hospital or healthcare organisation.
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Бадалян, Араик, Araik Badalyan, Александр Чернавский, Aleksandr Chernavskiy, Иван Петров, and Ivan Petrov. "CLINICAL AND PSYCHOLOGICAL FRAMEWORK OF LIFE QUALITY FORMATION IN COURSE OF BIOLOGICAL BONE RELIEF RECONSTITUTION BY MEANS OF TITANIUM SILK." Actual problems in dentistry 14, no. 3 (October 23, 2018): 56–63. http://dx.doi.org/10.18481/2077-7566-2018-14-3-56-63.
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Life quality is an integral part of an individual’s psychophysiological functioning in society. Its features include one’s individual health, psychological status, level of independence, social intercourse, personal beliefs formed by society and environment, as well as the individual’s capability to function in public settings in accordance with their status and to derive satisfaction from life. Subject. When rendering high-technology dental services, dental practitioners conducting a clinical examination of a patient most commonly do not consider the patient’s psychological readiness for long-term stomatological treatment and neglect their psychological constitution. Relevance. The relevance of this research stems from immaturity of medical and psychological issues of diagnosing a patient’s life quality level and correcting emotional reactions patients tend to have in the process of receiving complex dental care. The necessity of this research arose as well from clinical needs of dental practitioners. Objective. The research objective is to study life quality parameters and a patient’s attitude to dental treatment in the context of complex surgical interference. Methodology. The study employed methods of observation, questionnaire survey, and introspection of a number of the patient’s mental and psychophysiological functions during complex stomatological interference. Results. Our research showed that medical staff directly interacting with patients should have soft skills, anticipate potential risks resulting in patients’ life quality reduction, analyze such risks in a certain way, and have the opportunity and methods to solve arising questions to mutual benefit. Conclusions. For the purpose of forming life quality criteria in a patient, a dental practitioner should use not only specialized medical skills and technologies, but also skills of communicating and overcoming negative views on occurring situations in the process of conducting extensive, complex dental interference.
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Despotou, George, Jill Evans, William Nash, Alexandra Eavis, Tim Robbins, and Theodoros N. Arvanitis. "Evaluation of patient perception towards dynamic health data sharing using blockchain based digital consent with the Dovetail digital consent application: A cross sectional exploratory study." DIGITAL HEALTH 6 (January 2020): 205520762092494. http://dx.doi.org/10.1177/2055207620924949.
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Background New patient-centric integrated care models are enabled by the capability to exchange the patient’s data amongst stakeholders, who each specialise in different aspects of the patient’s care. This requires a robust, trusted and flexible mechanism for patients to offer consent to share their data. Furthermore, new IT technologies make it easier to give patients more control over their data, including the right to revoke consent. These characteristics challenge the traditional paper-based, single-organisation-led consent process. The Dovetail digital consent application uses a mobile application and blockchain based infrastructure to offer this capability, as part of a pilot allowing patients to have their data shared amongst digital tools, empowering patients to manage their condition within an integrated care setting. Objective To evaluate patient perceptions towards existing consent processes, and the Dovetail blockchain based digital consent application as a means to manage data sharing in the context of diabetes care. Method Patients with diabetes at a General Practitioner practice were recruited. Data were collected using focus groups and questionnaires. Thematic analysis of the focus group transcripts and descriptive statistics of the questionnaires was performed. Results There was a lack of understanding of existing consent processes in place, and many patients did not have any recollection of having previously given consent. The digital consent application received favourable feedback, with patients recognising the value of the capability offered by the application. Patients overwhelmingly favoured the digital consent application over existing practice. Conclusions Digital consent was received favourably, with patients recognising that it addresses the main limitations of the current process. Feedback on potential improvements was received. Future work includes confirmation of results in a broader demographic sample and across multiple conditions.
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Zhang, Xiaojing. "In-Service LTE Program for Chinese Private Institute English Teachers." Journal of Contemporary Educational Research 5, no. 8 (August 30, 2021): 80–90. http://dx.doi.org/10.26689/jcer.v5i8.2437.
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This paper describes a half-year in-service Language Teacher Education (LTE) program, targeting the trainee teachers who work in Chinese private English institutes. This is to better prepare them at the outset of their career. Primarily intending to build the trainee teachers’ professionalism and raise their awareness, an overall illustration of adopted training courses and choice of activities are introduced in this paper. Focusing on integrating instructional knowledge from ESL and English language teaching, the LTE program schedule will allow majority of readers to implement during their daily teaching and research activities. Principles underpinning this program design are illustrated one by one. A course like this may not foster all teachers to become professionals at once, but to be a reflective practitioner can be a reachable goal, as accumulation of professional expertise is based on teachers’ capability of understanding how to reflect on teaching.
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Hutton, A. G. "The emerging role of large eddy simulation in industrial practice: challenges and opportunities." Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences 367, no. 1899 (July 28, 2009): 2819–26. http://dx.doi.org/10.1098/rsta.2009.0077.
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That class of methods for treating turbulence gathered under the banner of large eddy simulation is poised to enter mainstream engineering practice. There is a growing body of evidence that such methods offer a significant stretch in industrial capability over solely Reynolds-averaged Navier–Stokes (RANS)-based modelling. A key enabling development will be the adaptation of innovative processor architectures, resulting from the huge investment in the gaming industry, to engineering analysis. This promises to reduce the computational burden to practicable levels. However, there are many lessons to be learned from the history of the past three decades. These lessons should be analysed in order to inform, if not modulate, the unfolding of this next cycle in the development of industrial modelling capability. This provides the theme for this paper, which is written very much from the standpoint of the informed practitioner rather than the innovator; someone with a strong motivation to improve significantly the competence with which industrial turbulent flows are treated. It is asserted that the reliable deployment of the methodology in the industrial context will prove to be a knowledge-based discipline, as was the case with RANS-based modelling, if not more so. The community at large should collectively make great efforts to put in place that knowledge base from which best practice advice can be derived at the very start of this cycle of advancement and continue to enrich it as the cycle progresses.
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Urban, Boris. "Evaluation of social enterprise outcomes and self-efficacy." International Journal of Social Economics 42, no. 2 (February 9, 2015): 163–78. http://dx.doi.org/10.1108/ijse-03-2013-0071.
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Purpose – Understanding of social values is emerging, particularly as the phrases “social impact” and “social value” and the measurement thereof, are ubiquitous in both practitioner and academic discourse today. These terms are particularly relevant to those involved in social initiatives that are required at some stage to demonstrate to stakeholders, investors, funders, or simply themselves that they have the capability to deliver. The purpose of this paper is to link the evaluation of social enterprise outcomes to individual efficacy beliefs. Design/methodology/approach – The study is survey based (165 respondents) and conducted in two major cities in South Africa, where social entrepreneurship (SE) has unequivocal application. Social outcomes and self-efficacy are operationalized and measured along multi-dimensional scales. After checking the instruments for validity and reliability, correlational and multiple regression analyses are performed to determine the predicted relationship between the specified variables. Findings – Empirical findings reveal that evaluation of social enterprise outcomes is associated with higher levels of self-efficacy. Significant results support the propositions that perceptions of capability are positively related to implementing a social vision, sustainability, social networking, innovativeness and financial returns. Research limitations/implications – The main implications of this study are that measuring SE efficacy in advance of funding may indicate probability of venture success. Originality/value – The study is one of the first to provide a much needed account of the evaluation of social enterprises in relation to self-efficacy in an emerging market context.
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Khair, Kate, Mahmoud Abu-Riash, Ana Claudia Acerbi, Marlene Beijlevelt, Georgina Floros, Kuixing Li, Ljiljana Rakić, Bongi Mbele, Robyn Shoemark, and Jim Munn. "Haemophilia nursing practice: A global survey of roles and responsibilities." Journal of Haemophilia Practice 3, no. 2 (July 1, 2016): 29–33. http://dx.doi.org/10.17225/jhp00078.
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Abstract Haemophilia nursing roles continue to develop alongside nursing as a profession. There are now nurses who practice autonomously, much like a medical practitioner, and many who have extended their roles to deliver direct patient care, education and research. There has been little, if any, comparison with haemophilia nurse roles internationally, nor of the impact of these roles on patient reported outcomes. This paper reports the results of an international survey, of 297 haemophilia nurses from 22 countries, describing current day practice and care. Many nurses work above and beyond their funded hours to improve care through research and evidence-based practice. While some are able to attend international meetings to report and discover this evidence, many due to financial constraints, are not. Others reported difficulty with communicating in English, which limited congress attendance. With on-line learning capability, sharing of best practice is now possible, and this approach should be a platform developed in coming years to further enhance haemophilia nursing practice and ultimately patient care.
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Lorusso, Roberto, Glenn Whitman, Milan Milojevic, Giuseppe Raffa, David M. McMullan, Udo Boeken, Jonathan Haft, Christian A. Bermudez, Ashish S. Shah, and David A. D’Alessandro. "2020 EACTS/ELSO/STS/AATS expert consensus on post-cardiotomy extracorporeal life support in adult patients." European Journal of Cardio-Thoracic Surgery 59, no. 1 (October 7, 2020): 12–53. http://dx.doi.org/10.1093/ejcts/ezaa283.
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Abstract Post-cardiotomy extracorporeal life support (PC-ECLS) in adult patients has been used only rarely but recent data have shown a remarkable increase in its use, almost certainly due to improved technology, ease of management, growing familiarity with its capability and decreased costs. Trends in worldwide in-hospital survival, however, rather than improving, have shown a decline in some experiences, likely due to increased use in more complex, critically ill patients rather than to suboptimal management. Nevertheless, PC-ECLS is proving to be a valuable resource for temporary cardiocirculatory and respiratory support in patients who would otherwise most likely die. Because a comprehensive review of PC-ECLS might be of use for the practitioner, and possibly improve patient management in this setting, the authors have attempted to create a concise, comprehensive and relevant analysis of all aspects related to PC-ECLS, with a particular emphasis on indications, technique, management and avoidance of complications, appraisal of new approaches and ethics, education and training.
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Scott, Philip J., Rachel Dunscombe, David Evans, Mome Mukherjee, and Jeremy C. Wyatt. "Learning health systems need to bridge the ‘two cultures’ of clinical informatics and data science." BMJ Health & Care Informatics 25, no. 2 (April 2018): 126–31. http://dx.doi.org/10.14236/jhi.v25i2.1062.
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BackgroundUK health research policy and plans for population health management are predicated upon transformative knowledge discovery from operational ‘Big Data’. Learning health systems require not only data, but feedback loops of knowledge into changed practice. This depends on knowledge management and application, which in turn depends upon effective system design and implementation. Biomedical informatics is the interdisciplinary field at the intersection of health science, social science and information science and technology that spans this entire scope.IssuesIn the UK, the separate worlds of health data science (bioinformatics, ‘Big Data’) and effective healthcare system design and implementation (clinical informatics, ‘Digital Health’) have operated as ‘two cultures’. Much National Health Service and social care data is of very poor quality. Substantial research funding is wasted on ‘data cleansing’ or by producing very weak evidence. There is not yet a sufficiently powerful professional community or evidence base of best practice to influence the practitioner community or the digital health industry.RecommendationThe UK needs increased clinical informatics research and education capacity and capability at much greater scale and ambition to be able to meet policy expectations, address the fundamental gaps in the discipline’s evidence base and mitigate the absence of regulation. Independent evaluation of digital health interventions should be the norm, not the exception.ConclusionsPolicy makers and research funders need to acknowledge the existing gap between the ‘two cultures’ and recognise that the full social and economic benefits of digital health and data science can only be realised by accepting the interdisciplinary nature of biomedical informatics and supporting a significant expansion of clinical informatics capacity and capability.
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Monteiro, Erasmo Leite, and Rita S. Pitangueira Maciel. "Maturity Models Architecture: A large systematic mapping." iSys - Brazilian Journal of Information Systems 13, no. 2 (April 5, 2020): 110–40. http://dx.doi.org/10.5753/isys.2020.761.
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Maturity models are widespread in research and in particular, IT practitioner communities. However, theoretically sound, methodologically rigorous and empirically validated maturity models are quite rare. This systematic mapping paper focuses on the challenges faced during the development of maturity models. More specifically, it explores the literature on maturity models and standard guidelines to develop maturity models, the challenges identified and solutions proposed. Our systematic mapping revealed over six hundred articles on maturity models. Extant literature reveals that researchers have primarily focused on developing new maturity models pertaining to domain-specific problems and/or new enterprise technologies. We find rampant re-use of the design structure of widely adopted models such as Nolan’s Stage of Growth Model, Crosby’s Grid, and Capability Maturity Model (CMM). We also identify three dominant views of maturity models and provide guidelines for various approaches to constructing maturity models with a standard vocabulary. We finally propose using process theories and configurational approaches to address the main theoretical criticisms with regard to maturity models and conclude with some recommendations for maturity model developers.
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Harvey, John W. "The feline blood film: 2. Leukocyte and platelet morphology." Journal of Feline Medicine and Surgery 19, no. 7 (June 8, 2017): 747–57. http://dx.doi.org/10.1177/1098612x17706471.
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Practical relevance: Many veterinary practices have invested in quality automated hematology instruments for use in-house. However, regardless of their specific choice of analyzer, there are important hematology findings that can only be determined by microscopic examination of stained blood films. For this reason, and also for the purpose of quality control for the analyzer, a quick blood film review should be performed alongside every automated complete blood count. Even those practices that submit their blood samples to outside diagnostic laboratories for evaluation, still require the capability to examine stained blood films in emergency situations. Series outline: This is the second of a two-part article series that aims to familiarize the practitioner with normal findings on feline blood films, with a particular focus on unique features in the cat, as well as to assist with interpretation of common abnormalities. Part 2 focuses on the morphology of feline leukocytes and platelets in health and disease. Evidence base: The information and guidance offered is based on the published literature and the author’s own extensive clinical pathology research.