Journal articles on the topic 'Unit: Centre for Academic Development'
To see the other types of publications on this topic, follow the link: Unit: Centre for Academic Development.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Unit: Centre for Academic Development.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Daşdemir, İkramettin, and Kemal Doymuş. "The effect of using animation on primary science and technology course students' academic achivement, retention of knowledge and scientifi c process skills." Pegem Eğitim ve Öğretim Dergisi 2, no. 3 (September 1, 2012): 33–42. http://dx.doi.org/10.14527/c2s3m4.
Full textAbstract:
This study was conducted to determine the effect of the use of the animation on the academic achievements of the students, retention of this achievement, and the development of scientific process skills in the unit of division of cells of the science and technology course of the 8 th grade basic education and to find out the student's views. The sampling of the research was made up of by 37 students studying in a primary school in the city centre in Erzurum who were divided into Experiment Group (EG) (n = 17) and Control Group (CG) (n = 20 ). The study was carried out in 2010-2011 education year. While animation assisted student centred teaching approach was used with the students in the experiment group, student centred teaching approach was used with the students in the control group. As a result of the study, it was found that the use of animation in the basic education 8th grade science and technology course in the unit of division of cells had positive effects on the academic achievements of the students, retention of this achievement, and the development of scientific process skills. Moreover, it was determined that the students in the experiment group expressed positive views about the use of animations.
2
Escaf, Marnie, Petrina McGrath, and Judy Costello. "An Innovative Approach to Goal Setting and Reporting in a Complex Organization." Healthcare Management Forum 22, no. 3 (September 1, 2009): 15–19. http://dx.doi.org/10.1016/s0840-4704(10)60097-x.
Full textAbstract:
Managing multiple priorities and achieving sustainable outcomes is a challenge for leaders across health care organizations. One academic health science centre set about to address this challenge through the development of an innovative annual goal and objectives process that aligned every unit/department around organizational priorities. The results have enabled exceptional outcomes for individuals, teams, patients/families and the organization as a whole.
3
Mundy, Amrit, and Judy Chan. "8. Visualizing Boundaries and Embodying Conflicts: Lessons Learned From a Theatrical Professional Development Program." Collected Essays on Learning and Teaching 6 (June 17, 2013): 41. http://dx.doi.org/10.22329/celt.v6i0.3764.
Full textAbstract:
In the 2011-2012 academic year, the Organizational Development and Learning unit and the Centre for Teaching, Learning and Technology at the University of British Columbia co-developed an interactive theatre project, Conflict Theatre, to engage in discussion around conflict with our audience and to allow us to explore, engage with, and build resilience around workplace conflict in a University staff development context. The objectives of this essay are to narrate our thinking and experiences in developing and performing the interactive theatre sketches, and to share personal reflections from a range of Conflict Theatre participants.
4
McGloin, Colleen, Anne Marshall, and Michael Adams. "Leading the Way: Indigenous knowledge and Collaboration at the Woolyungah Indigenous Centre." Journal of University Teaching and Learning Practice 6, no. 2 (April 1, 2009): 38–53. http://dx.doi.org/10.53761/1.6.2.4.
Full textAbstract:
This paper derives from collaborative research undertaken by staff at the Woolyungah Indigenous Centre, into our own teaching practice. It articulates a particular strand of inquiry emanating from the research: the importance of Indigenous knowledges as this is taught at Woolyungah in the discipline of Indigenous Studies. The paper is a reflection of Woolyungah’s pedagogical aims, and its development as a Unit that seeks to embed other knowledges into the realm of critical inquiry within subjects taught at the Unit. It also reflects student responses to our pedagogy. The writers are Indigenous and non-Indigenous and have collaborated with all teaching staff involved to present this work as a starting point for discussions about the emerging discipline of Indigenous Studies, its rigour as an academic field of inquiry and our commitment as educators to the inclusion of Indigenous knowledges in our programme.
5
Sterner, Thomas, Yonas Alem, Francisco Alpízar, Cyndi Spindell Berck, Carlos Alberto Chavez Rebolledo, Johane Dikgang, Stephen Kirama, et al. "The Environment for Development Initiative: lessons learned in research, academic capacity building and policy intervention to manage resources for sustainable growth." Environment and Development Economics 19, no. 3 (June 2014): 367–91. http://dx.doi.org/10.1017/s1355770x1400014x.
Full textAbstract:
AbstractThis article reviews the history of the Environment for Development (EfD) initiative, its activities in capacity building and policy-oriented research, and case studies at its centres in Chile, China, Costa Rica, Ethiopia, Kenya, South Africa and Tanzania. EfD promotes research-based policies to manage natural resources as engines of development. Since 1991, the Swedish International Development Cooperation Agency (Sida) has provided funding for students from developing countries to earn a PhD at the Environmental Economics Unit (EEU) of the University of Gothenburg. Returning home, these economists face institutional and academic gaps that limit the adoption of research-based policies. In response, the first EfD centre was founded in 2004, and six more followed. Research focuses on agriculture, climate, fisheries, parks, wildlife, forestry, energy and policy design. This has yielded 200 peer-reviewed articles. Successful policy outcomes depend on relationships with policy makers, community involvement in livelihood strategies, strengthened institutional support, interdisciplinary approaches, and dissemination of research results.
6
Lyner‑Cleophas, Marcia, Lizelle Apollis, Ilse Erasmus, Melanie Willems, Latashe Poole, Meagan Minnaar, and Pippa Louw. "Disability Unit Practitioners at Stellenbosch University: Covid‑19 Pandemic Reflections." Journal for Students Affairs in Africa 9, no. 1 (May 31, 2021): 223–34. http://dx.doi.org/10.24085/jsaa.v9i1.1440.
Full textAbstract:
As reflective practitioners working in disability inclusion, we constantly work with shifting realities concerning our students, who are not a homogenous group. The coronavirus pandemic (Covid‑19) was a reality least expected in 2020, yet we used our flexible approach to make the transition as smooth as we possibly could. The Disability Unit (DU) is one of five units located within the Centre for Student Counselling and Development at Stellenbosch University (SU) and falls within the responsibility centre of the Deputy Vice-Chancellor: Teaching and Learning. The DU was founded in 2007 and is 15 years old in 2021. We aim to foster disability inclusion within a transformative framework at SU, with our main focus on students with disabilities. Our wider aim is universal access, which includes working towards the removal of cultural, social, language and disability barriers in the higher education context. We are guided by the Disability Access Policy (2018) of SU. Since the latter part of March 2020, we had to shift to online teaching and learning. This came at a time when we were preparing for the end of the term and student support was being put in place. The onset of Covid‑19 occasioned unanticipated reflections and challenges, which we share in this article. We also reflect on what we have learnt and how we can move forward in a changed academic environment catapulted into a digital world. We do this reflection by following the Gibbs’ reflective cycle (Gibbs, 1988) which offers a way to reflect and learn from experience. The cycle is weaved into the reflections as it follows a process of describing the context of the DU, expressing how the Covid‑19 pandemic was felt by staff and students, evaluating and learning from what was experienced. According to Lyner-Cleophas (2020), online learning has benefits and challenges, especially considering students with disabilities.
7
Melegrito, J., B. Granberg, and K. Hanrahan. "MP26: Development and evaluation of a novel emergency physician fan-out mechanism at an urban centre for use in mass casualty incidents." CJEM 21, S1 (May 2019): S51. http://dx.doi.org/10.1017/cem.2019.161.
Full textAbstract:
Background: Understaffing in mass casualty incidents limits flow in the overwhelmed emergency department, which is further compounded by inefficient use of those same human resources. Process mapping analysis of a “Code Orange” exercise at a tertiary academic hospital exposed the failures of telephone-based emergency physician fan-out protocols to address these issues. As such, a quality improvement and patient safety initiative was undertaken to design, implement, and evaluate a new mass casualty incident fan-out mechanism. Aim Statement: By February 2019, emergency physician fan-out will be accomplished within 1 hour of Code Orange declaration, with a response rate greater than 20%. Measures & Design: Process mapping of a Code Orange simulation highlighted telephone fan-out to be ineffective in mobilizing emergency physicians to provide care in mass casualty incidents: available staff were pulled from their usual duties to help unit clerks unsuccessfully reach off-duty physicians by telephone for hours. Stakeholders subsequently identified automation and computerization as a compelling change idea. A de-novo automated bidirectional text-messaging system was thus developed. Early trials were analyzed for process measures including fan-out speed, unit clerk involvement, and physician response rate, with further large-scale tests planned for early 2019. Evaluation/Results: Only 50% of telephone fan-out was completed after a 2-hour exercise despite 3 staff supplementing the 2 on-shift unit clerks, with a 4% physician response rate. In contrast, data from initial trials of the automated system suggest that full fan-out can be performed within 1 hour of Code Orange declaration and require only 1 unit clerk, with text-messages projected to yield higher physician response rates than telephone calls. Early findings have thus far affirmed stakeholder sentiments that automating fan-out can improve speed, unit clerk efficiency, and physician response rate. Discussion/Impact: Automated text-message systems can expedite fan-out protocol in mass casualty incidents, relieve allied health staff strain, and more reliably recruit emergency physicians. Large-scale trials of the novel system are therefore planned for early 2019, with future expansion of the protocol to other medical personnel under consideration. Thus, automated text-message systems can be implemented in urban centres to improve fan-out efficiency and aid overall emergency department flow in mass casualty incidents.
8
Tan, Kok Hian, Mor Jack Ng, Wan Shi Tey, Hak Koon Tan, and Bernard Chern. "Survey on academic medicine culture, enablers & barriers in a newly formed academic department in Singapore." Journal of Hospital Administration 5, no. 5 (July 7, 2016): 30. http://dx.doi.org/10.5430/jha.v5n5p30.
Full textAbstract:
Objective: A positive culture of academic medicine is important for improving healthcare, research and medical education. This study seeks to assess academic medicine culture, enablers and barriers with a multi-dimensional structured survey, in a newly formed academic department from the perspectives of faculty and staff.Methods: Thirteen dimensions relating to academic medicine culture were identified after focused group discussions. Each dimension contains four relevant questions with answers on a 5-point Likert scale. This web-based questionnaire survey was conducted for senior and junior physicians within SingHealth Duke-NUS Obstetrics & Gynecology (OBGYN) academic department in 2011. This unit was started within the academic medical centre formed by SingHealth, and Duke-NUS which is a medical school jointly established by Duke University and National University of Singapore (NUS). Gaps were identified and addressed with various initiatives. A second survey in 2012 and a third survey in 2013 were conducted to assess the change in culture.Results: In the first survey, the top three favorable dimensions (highest percentage of composite positive response) were: Supervisor and Departmental Support for Academic Medicine (64.0%); Academic Faculty Development (57.9%); and Communications & Feedbacks on Academic Medicine (57.3%). The bottom three dimensions which were areas for improvements were: Academic Clinical Staffing Issue (23.8%); Relating Clinical Service to Research & Education (33.2%); and Academic Teamwork across Institutions (36.3%). In the second survey, there was overall improvement for 12 of the 13 dimensions. In the third survey, there was overall improvement for all the 13 dimensions compared to the first survey.Conclusions: There were positive changes, likely contributed by initiatives within the department to engage staff and to address gaps in various aspects of academic medicine culture.
9
Rakhade, R. D. "Selection of 3D Printer for Innovation Centre of Academic Institution Based on AHP and TOPSIS Methods." International Journal for Research in Applied Science and Engineering Technology 9, no. 12 (December 31, 2021): 1872–80. http://dx.doi.org/10.22214/ijraset.2021.39638.
Full textAbstract:
Abstract: This paper describes a computer-based tool for the selection of 3D printer for educational propose by using Multi Attribute Decision Making (MADM) strategies particularly Analytic Hierarchy Process (AHP) and Technique for Order Preference by Similarity to Ideal Solution (TOPSIS). In education, 3D printing technologies facilitate improved learning, skills development, and increased student and teacher engagement with the subject matter. Furthermore, 3D printing sparks greater creativity and collaboration in solving problems, to settle on a best option for teaching learning process tasks into account. MADM methods are interpretative processes which are well suited in choice of different 3D printers. This work suggests AHP and TOPSIS to judge 3D printer alternatives for choice of method, based on the AHP and TOPSIS methodology, ranks available techniques by a score resulting from the composition of priorities at different levels, each considering homogeneous and independent evaluation criteria. In this work proposes a comprehensive list of key factors that have a significant influence on 3D printer selection. In this work type of material used for printing considered as common for all printers such as ABS (Acrylonitrile Butadiene Styrene), PLA (Polylactic Acid), PET or Polyethylene terephthalate etc. A total of 09 sub-criteria have been identified and grouped under three main criteria, namely, (i) Physical Characteristics (ii) Economic consideration, (iii) Operational Requirements. These entire criteria area unit extracted from on-line literature and skilled opinion. Result of study shows that 3D Printer one (ET4 PRO 3IDEA model) was designated because the best suited for Innovation Centre Academic Institution. Keywords: 3D printer, MADM method, AHP method, TOPSIS method, Innovation Centre, Academic Institution
10
Boehm, Leanne M., Matthew F. Mart, Mary S. Dietrich, Brittany Work, William T. Wilson, Geraldine Walker, and Susan E. Piras. "Effects of social influence and implementation climate and leadership on nurse-led early mobility behaviours in critical care." BMJ Open Quality 11, no. 2 (June 2022): e001885. http://dx.doi.org/10.1136/bmjoq-2022-001885.
Full textAbstract:
IntroductionEarly mobility (EM), initiating and advancing physical activity in the earliest days of critical illness, has been described as the most difficult component of the ABCDEF bundle to implement and coordinate. Successful implementation of EM in clinical practice requires multiple targeted implementation strategies.ObjectiveDescribe the associations of nurses’ EM attitudes, subjective norms, perceived behavioural control, intention, and implementation climate and leadership with self-reported and documented EM behaviour in the intensive care unit (ICU).DesignThis was a two-site, descriptive, cross-sectional study to explore nurses’ perception of the factors influencing EM adherence.SettingThree ICUs (medical, surgical and cardiovascular) in an academic medical centre and two ICUs (medical/surgical and cardiovascular) in a regional medical centre in middle Tennessee.PatientsCritically ill adults.InterventionsNone.Main outcome measuresA 34-item investigator-developed survey, Implementation Leadership Scale, and Implementation Climate Scale were administered to ICU nurses. Survey development was informed by a Theory of Planned Behavior based elicitation study and implementation science frameworks.ResultsThe academic medical centre had markedly lower EM documentation. We found no difference in nurses’ EM attitudinal beliefs, social influence, facilitators, and barriers at both sites. Nurses perceived moderate social influence to perform EM similarly across sites and considerable control over their ability to perform EM. We did note site differences for implementation climate and leadership and objective EM adherence with the regional community medical centre demonstrating statistically significant relationships of implementation climate and leadership with self-report and documented EM behaviours.ConclusionsWe identified contextual differences in implementation climate and leadership influence when comparing nurse EM behaviours. Streamlined documentation, leadership advocacy for interprofessional coordination and manpower support, and multicomponent context-based implementation strategies could contribute to better EM adherence.
11
Misund, Ole A., Dag W. Aksnes, Hanne H. Christiansen, and Thor B. Arlov. "A Norwegian pillar in Svalbard: the development of the University Centre in Svalbard (UNIS)." Polar Record 53, no. 3 (March 7, 2017): 233–44. http://dx.doi.org/10.1017/s0032247417000018.
Full textAbstract:
ABSTRACTThe University Centre in Svalbard (UNIS) is a unique institution with a history that is closely related to Norwegian policy regarding Svalbard, and to clever development of a highly specialised Arctic university institution by all the Norwegian universities. In practical terms, Norwegian sovereignty on the archipelago as confirmed by the Treaty of Svalbard of 1920 and regulated by the Svalbard Law of 1925, is maintained by the presence of Norwegian civil authorities and communities. Today, the “capital” Longyearbyen with its 2100 inhabitants is a modern hub for industry, education, research, logistics and tourism. Founded in 1993, UNIS has become a main contributor to this community, generating some 20% of the total economic activity. A prime motivation for establishing UNIS was to provide a supplement and alternative to the unprofitable, heavily subsidized coal mining industry, by using the location for research based education. In 2015, the mining company Store Norske Spitsbergen Kullkompani (SNSK) met with deep crisis again and significantly downscaled its coal production and work force. Thus, UNIS may play an even more important role as a cornerstone of the local community in the future. This paper discusses the establishment and development of UNIS, its organisation, capacity, and academic production in terms of student graduation and its scientific output, just as its future potential for growth is evaluated. Finally, we discuss the increasingly important role of science and education in Norwegian Svalbard policy.
12
Lim, Czer Anthoney Enriquez, Julie Oh, Erick Eiting, Catherine Coughlin, Yvette Calderon, and Barbara Barnett. "Development of a combined paediatric emergency department and observation unit." BMJ Open Quality 9, no. 1 (January 2020): e000688. http://dx.doi.org/10.1136/bmjoq-2019-000688.
Full textAbstract:
BackgroundRecent trends towards more cost-efficient and patient-centred treatment are converging to provide opportunities to improve the care of children. Observation units are hospital areas dedicated to the ongoing evaluation and management of patients for a brief period of time for well-defined conditions. We describe the implementation of a paediatric observation unit (POU) adjacent to a paediatric emergency department (PED) in an urban, academic, community hospital.MethodsStaffing models were designed to provide paediatric services to patients in both the PED and POU. Admission criteria, workflow and transfer guidelines were developed. Quality improvement initiatives were undertaken and evaluated. Unit throughput, patient outcomes and patient satisfaction data were collected and analysed.ResultsOver a 2-year period, there were 24 038 patient visits to the PED. Of these, 1215 (5.1%) patients required admission. Seven hundred and seventy-seven (64.0%) of these children were admitted to the POU. One hundred and nineteen (15.3%) of these patients were subsequently converted to inpatient hospitalisation. The average length of stay (LOS) was 25.7 hours in 2017 and 26.5 hours in 2018. Ten patients returned to the PED within 72 hours of discharge from the POU and four were readmitted. Patient satisfaction scores regarding ‘likelihood to recommend’ improved from the 36th to the 92nd percentile rank over a 1-year period. Close monitoring of patient outcomes allowed for the adjustment of admission guidelines, increased unit census and optimised utilisation.ConclusionA combined PED-POU has been successful at our institution in meeting benchmark goals set for LOS and conversion rates. In addition, quality improvement interventions increased patient census and improved patient satisfaction scores while reducing the inpatient burden on the referring children’s hospital.
13
Doktor, Stephanie DeLane, Dorothe Bach, Sophia Abbot, and Jacob Hardin. "At the threshold: A case study of a partnership between a student organization and an educational development center." International Journal for Students as Partners 3, no. 1 (May 7, 2019): 150–59. http://dx.doi.org/10.15173/ijsap.v3i1.3511.
Full textAbstract:
This article offers a case study about the collaboration between a student-led organization and an academic development unit dedicated to improving teaching and learning at [Institution 2]. We describe the genesis of our collaboration, how we nurtured and developed it over time into a substantive program, and what we learned in the process. While most existing case studies focus on partnerships between students and faculty, we turn the lens inward and investigate the challenges involved in enacting an “ethic of reciprocity” (Cook-Sather and Felten, 2017) in a partnership between an academic development center and a student organization. Using the analytical framework of threshold concepts, we explore the rocky navigating of issues of trust, vulnerability, role confusion, the notion of expertise, and pre-existing power inequalities to move towards a more collaborative and equitable partnership.
14
Stewart, Michael G., Edward J. Hillman, Donald T. Donovan, and Sarper H. Tanli. "The Effects of a Practice Guideline on Endoscopic Sinus Surgery at an Academic Center." American Journal of Rhinology 11, no. 2 (March 1997): 161–66. http://dx.doi.org/10.2500/105065897782537232.
Full textAbstract:
Practice guidelines (PG) (or clinical pathways) are increasingly important tools for standardizing health care delivery, improving efficiency, monitoring quality, and controlling costs. Health services researchers divide the delivery of health care into three stages: structure, process, and outcome. PGs are a technique to standardize the process of health care delivery, which may result in improved clinical outcomes or may maintain clinical outcomes while increasing process efficiency and decreasing costs. We describe the development and implementation of a PG for endoscopic sinus surgery at an academic center, and report preliminary results on the effects of the PG on the health care process. The PG was developed using a multidisciplinary combination of consensus-building and evidence-based techniques. Initially, participation in the PG was voluntary and at the attending physician's discretion. One year after implementation of the PG, 41 patients had been enrolled by members of the medical school's full-time faculty. Process and short-term outcome variables on those patients were compared to a random sample of 50 patients treated by the same physicians, but not using the PG. There was no evidence of selection bias into the PG based on demographics, severity of sinusitis, or the presence of comorbid factors. There were no differences in time spent in the operating room, postanesthesia care unit, or day surgery observation unit, between patients using the PG and not using the PG. However, patients not using the PG had a significantly higher rate of unplanned admission. Patients using the PG had significantly lower median hospital costs and charges than did patients not using the PG. In addition, median hospital costs and charges decreased steadily for all patients (not just those using the PG), simultaneous with the development and implementation of the PG. There were no differences in short-term clinical outcomes between PG and non-PG patients. In summary, the development and implementation of a PG for endoscopic sinus surgery resulted in lower hospital costs and charges while maintaining acceptable short-term clinical outcomes. PGs have important implications for improving the efficiency of the health care process.
15
Siddappa, Ashajyothi M., Frances L. Prekker, and Tina M. Slusher. "Improving Effectiveness of Phototherapy in an Academic Center: A Quality Improvement Project." Global Pediatric Health 7 (January 2020): 2333794X2096927. http://dx.doi.org/10.1177/2333794x20969275.
Full textAbstract:
Neonatal hyperbilirubinemia is a common cause of delayed discharge and readmissions in our institution. As previously published, the irradiance our phototherapy (PT) units provided was below the irradiance recommended by the AAP for intensive phototherapy (>30 µW/cm2/nm). We measured irradiance delivered by our PT units (Drager 4000) using a standardized footprint grid. By varying number of blue and white fluorescent PT lights, height of PT unit above the neonate and type of bed used (open bassinet versus isolette), we determined the optimal PT arrangement needed to deliver intensive PT (30 µW/cm2/nm). We then developed a standardized, multidisciplinary protocol specifying light arrangement and distance required needed to achieve the desired irradiance level. We were able to show improved irradiance following above changes. Onsite measurement of irradiance provided by local phototherapy units and development of a multidisciplinary, standardized protocol are necessary to assure delivery of recommended levels PT for neonates with hyperbilirubinemia.
16
Rawlinson, Traci, Todd Bartholet, and Heidi Tonne. "Training staff in a virtual unit." Journal of Clinical Oncology 36, no. 30_suppl (October 20, 2018): 119. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.119.
Full textAbstract:
119 Background: Nebraska Medicine, a 600 bed academic medical center, had 24 inpatient oncology beds. In order to grow the oncology population, planning for the Fred and Pamela Buffett Cancer Center began. The new center would include 108 inpatient beds on four units: acute, specialty, progressive, and intensive levels of care. A year in advance, plans were initiated to onboard newly hired nurses of various clinical backgrounds with the goal of creating a competent, cohesive health care team. Despite challenges of a nursing shortage in a competitive market and construction of the facility underway, the oncology leadership team developed innovative ways to orient the large number of new staff. Collaboration with existing inpatient units throughout the organization was instrumental in achieving this goal. Methods: The oncology leadership team developed a process to deploy nursing staff into a variety of inpatient units throughout the organization. A partnership was established involving inpatient managers and hospital educators to track progress and learning needs of each individual during the orientation process. Key components were consistent communication between the leadership teams, and ensuring exposure to the relevant oncology patients, procedures and providers. To provide additional support, an existing Oncology Nurse Fellowship program was adapted and utilized to educate on the holistic care of oncology patients. Day in the life scenarios were developed to expose staff to the new space. Lead Nurses for each inpatient unit received additional development training. Team building exercises and staff meetings contributed to creating positive working relationships. Results: A year later 73 nurses and 48 patient care technicians (PCT), along with the inter-professional team, were prepared to competently and holistically care for patients upon opening of the cancer center. Collaboration with 14 units, including the hospital float pool, yielded impressive results. 84 nurses participated in the Oncology Nurse Fellowship program and 62 PCT’s attended Oncology 101, a specific training for PCTs. Conclusions: Through collaboration and innovation, it is possible to orient clinical staff to create a competent, cohesive team before a physical nursing unit exists.
17
Dusing, Stacey C., Catherine M. Van Drew, and Shaaron E. Brown. "Instituting Parent Education Practices in the Neonatal Intensive Care Unit: An Administrative Case Report of Practice Evaluation and Statewide Action." Physical Therapy 92, no. 7 (March 30, 2012): 967–75. http://dx.doi.org/10.2522/ptj.20110360.
Full textAbstract:
Background and Purpose Infants born preterm are at high risk of developmental disabilities and benefit from early developmental intervention programs. Physical therapists with neonatal expertise are ideally suited to educate parents about ways to support their infant's development in the first months of life. However, administrative policies are needed to support the therapist in providing adequate parent education in the neonatal intensive care unit (NICU). This administrative case report describes the process used by a team of neonatal therapists to evaluate clinical practice, determine the need for change, and develop and implement a new parent education program in the NICU. Case Description Physical therapy parent education practices were evaluated in an academic medical center with a 36-bed, level-3 NICU. Physical therapists with neonatal expertise covered multiple units within the hospital each day. A series of focus groups, a small descriptive study, and staff discussion were used to evaluate parent education practices in this academic medical center. A new parent education program was developed based on data collected and literature to improve clinical care. Outcomes The new parent education model was implemented over the course of several months using overlapping initiatives. Administrative support for the change was developed through collaboration, open communication, and presentation of clinical data. In addition, this hospital-based program contributed to the development of a statewide initiative to educate parents of preterm infants about the importance of supporting development in the first months of life. Discussion A collaborative and data-driven approach to evaluating parent education practices supported the development of a new parent education practice while acknowledging the need to meet staff productivity standards and provide excellent care throughout the hospital.
18
Hill, John D., Sammuel V. Anderegg, and Rick J. Couldry. "Development of a Pharmacy Technician–Driven Program to Improve Vaccination Rates at an Academic Medical Center." Hospital Pharmacy 52, no. 9 (July 30, 2017): 617–22. http://dx.doi.org/10.1177/0018578717722788.
Full textAbstract:
Background: Influenza and pneumococcal disease contribute substantially to the burden of preventable disease in the United States. Despite quality measures tied to immunization rates, health systems have struggled to achieve these targets in the inpatient setting. Pharmacy departments have had success through implementation of pharmacist standing order programs (SOP); however, these initiatives are labor-intensive and have not resulted in 100% immunization rates. Objective: The objective of this study was to evaluate a pilot utilizing pharmacy technician interventions, in combination with a nursing SOP, to improve vaccination rates of hospitalized patients for influenza and pneumococcal disease. Methods: A process was developed for pharmacy technicians to identify patients who were not previously screened or immunized during the weekend days on the Cardiovascular Progressive Care unit at the University of Kansas Health-System. Targeted pharmacy technician interventions consisted of phone call reminders and face-to-face discussions with nursing staff. The primary study outcome was the change in immunization compliance rates between the control and intervention groups. Results: Influenza vaccine rates showed a statistically significant increase from 72.2% (52 of 72) of patients during the control group to 92.9% (65 of 70, P = .001) of patients during the intervention group. A pneumococcal vaccination rate of 81.3% (61 of 75) was observed in the control group, compared with 84.3% (59 of 70) of patients in the intervention group ( P = .638). Conclusion: An improvement in inpatient influenza immunization rates can be achieved through targeted follow-up performed by pharmacy technicians, in combination with a nursing-driven SOP.
19
Janes, Nadine. "Unlocking the doors: introducing practice development to Canadian healthcare." International Practice Development Journal 4, no. 1 (May 12, 2014): 1–4. http://dx.doi.org/10.19043/ipdj.41.001.
Full textAbstract:
From my early days as a nursing assistant in complex continuing care, I recognised that all was not well in healthcare. I was particularly troubled with practices that I perceived to be antithetical to ‘caring’ and I struggled to facilitate change within my very limited circle of influence. I remember well the day I asked for the key to open the balcony doors on the unit so I could take patients out for a breath of fresh air. Being told by the registered nurse that ‘those doors haven’t been opened in 15 years and that isn’t going to change’, was what I now appreciate as the start of my practice development journey. Although I have had the privilege of observing and contributing to more quality healthcare practices in my subsequent roles as a registered nurse, advanced practice nurse and, most recently, Director of Interprofessional Practice, I am also keen to know how far we have yet to go in bringing that ‘fresh air’ I sought decades ago to our patients through more person centred means. I think our lack of progress can be attributed in part to evolving technologies in healthcare that pull our attention away from the human-to-human exchange that has the most impact on patients’ experience of care. Practice development holds the promise of keeping us focused on our caring practices, in balance with the seductive lure of high tech solutions, to address gaps in our quality care. Canada is not alone in its need of healthcare improvement; media and scholarly literature across the globe abound with examples of poor quality care and calls to action across healthcare sectors, settings and specialties. Canada is, however, distinct because of the absence of practice development as a systematically adopted methodology for meeting quality improvement priorities at provincial, national or even local levels. This is despite how embedded practice development has become at local and national levels in both practice and academic settings beyond North America, with examples including the Older Persons Services National Practice Development Programme in the Republic of Ireland, the New South Wales-based Essentials of Care programme in Australia and the England Centre for Practice Development hosted by Canterbury Christ Church University. These success stories, as well as the breadth of related theoretical and empirical literature that has evolved over the past 20 years, have not influenced Canadian healthcare practices much beyond the level of individual academics and practitioners – a relatively small group of converts.
20
Beidatsch, Cedric, and Susan Broomhall. "Is this the past? The place of role-play exercises in undergraduate history teaching." Journal of University Teaching and Learning Practice 7, no. 1 (January 1, 2010): 76–96. http://dx.doi.org/10.53761/1.7.1.6.
Full textAbstract:
Increasingly, academic teachers are exploring the learning opportunities offered by student-centred participatory classroom and web-supported exercises. Role-play and gaming activities have been highlighted as fora which provide development of a range of personal and social skill sets in students, as well as understanding of subject content. This paper reports on research exploring how such exercises in an undergraduate history unit can be used to deliver core historical content and generic skills, and to develop students’ knowledge of the professional historian’s craft and historiographical practice.
21
Laraswatie, Harisa, Tjahjono Kuntjoro, and Sutopo Patria Jati. "Kebutuhan Perawat Puskesmas Berbasis Analisis Beban Kerja." Jurnal Manajemen Kesehatan Indonesia 4, no. 2 (August 1, 2016): 118–22. http://dx.doi.org/10.14710/jmki.4.2.2016.118-122.
Full textAbstract:
A nurse’s necessity at a health centre viewed from workload analysis is required to identify a nurse’s necessities adjusted with service standards and real condition at a health centre. This requirement is in accordance with the change of an outpatient health centre status to be an inpatient health centre in which infrastructure and human resource need to be improved. This was a qualitative study using case study approach started from data collection, FGD, NGT, work sampling, to indepth interview with stakeholders who had experiences in calculating an employee’s necessities based on ABK and nurse representative. Furthermore, data were analysed using a form to calculate an employee’s necessities obtained from BKN. The results of calculation of a nurse’s necessities showed that number of nurses required for an inpatient unit were nine persons consisted of five skilled nurses and four expert nurses. This number was equal to nine beds that were required (1:1). On the other hand, number of nurses required for an outpatient unit including BP, UKM, and Pustu were 26 persons (16 skilled nurses and 10 expert nurses) or 1 nurse served 1,458 people or 456 families. Rembang 2 Health Centre needs to fulfil a nurse’s necessities by considering innovation of nursing services to reduce burden of human resource. A nursing committee needs to be formed by District Health Office as an institution that is responsible to supervise functional positions. Standards of nursing diagnosis and an information system of nursing care services need to be determined in order to describe an autonomy level of individual, family, group, and community in District of Rembang in terms of self-care. In addition, academics need to conduct further research regarding workload of other functional positions in health in order to achieve goals of national health development.
22
González, Luis Roberto Vega, and Crescencio García Segundo. "Building Productive Collaborations: Creation of A Technological Research and Development Unit (UIDT) of the ICAT in the General Hospital of Mexico." Business and Management Studies 5, no. 1 (March 26, 2019): 76. http://dx.doi.org/10.11114/bms.v5i1.4177.
Full textAbstract:
Nearly seven years after the signing of the Collaboration Agreement for the establishment of a Research and Technological Development Unit (UIDT, from Spanish) of the Applied Sciences and Technology Institute (ICAT, from Spanish), previously Applied Sciences and Technological Development Center (ICAT, from Spanish) of the National Autonomous University of Mexico (UNAM, from Spanish) within the General Hospital of Mexico “Eduardo Liceaga” (HGMEL, from Spanish), in this article we propose that there have been diverse human and organizational factors that allowed a smooth and nice birth of the institution and it seems there are good medium term consolidation perspectives. In a first exploration the UIDT has favored the processes of interchange of information and interdisciplinary communication between physicians and specialists of the health sector with the UNAM’s physicists and engineers to reach agreements for the development of R&D trans-disciplinary projects with high social impact potential. Through the results that are observed up to now, we note that the joint work between the parties has led to the development of different projects whose protocols have been approved by the corresponding medical, ethical and academic committees. Besides the conventional academic results there are emerging some specific technological results in the fields of medical devices, computer programs and a pair of technological transfers very promising in terms of the wide number of patients that will use them, as the cranial prostheses case or a hepatic pre-diagnostics auxiliary software method. This paper reviews various relevant organizational aspects resulting from the establishment of the UIDT and the lessons learned during the process.
23
Ferreira, Heidi Jancer, David Kirk, and Alexandre Janotta Drigo. "Qualitative analysis of the health promotion work in a Academia da Saúde programme's unit." Revista Brasileira de Atividade Física & Saúde 25 (November 21, 2020): 1–9. http://dx.doi.org/10.12820/rbafs.25e0128.
Full textAbstract:
The Academia da Saúde programme has been considered an important health promotion strategy in the scope of primary health care in Brazil. However, there is little evidence on what and how professional practices have been developed as a means to enact health promotion processes in the programme. The study´s purpose was to analyse the health promotion work in a Academia da Saúde programme´s unit from Lajeado city, Brazil. The study employed a qualitative approach and grounded theory research method. Participants included a female Health and Physical Education professional (aged 32y), a female health centre coordinator (aged 41y) and eight users (2 men, 6 women, aged 30-69y). Data were collected through condensed fieldwork, involving interviews and non-participant observation of group sessions. Using salutonegesis theory, qualitative analysis generated key findings on the elements of the health promotion work, namely: holistic care, use of diversification into cognitive, psychosocial and physical activities, development of skills and capacities that served as health resources, and the occurrence of resistance and challenges in the programme. Furthermore, the findings offered practical examples of possibilities to enact health promotion process, which represents a significant contribution to knowledge on health work. The study may support both future interventions and professional education, indicating alternative pathways for practitioners and undergraduate students to widen the scope of health promotion actions beyond the biophysical dimension.
24
Adam, Elisabeth Hannah, Victoria Haas, Simone Lindau, Kai Zacharowski, and Bertram Scheller. "Cholinesterase alterations in delirium after cardiosurgery: a German monocentric prospective study." BMJ Open 10, no. 1 (January 2020): e031212. http://dx.doi.org/10.1136/bmjopen-2019-031212.
Full textAbstract:
ObjectivesPostoperative delirium (POD) is a common complication after elective cardiac surgery. Recent evidence indicates that a disruption in the normal activity of the cholinergic system may be associated with delirium.DesignProspective observational study.SettingSingle-centre at a European academic hospital.Primary and secondary outcome measuresIn our study the enzyme activities of acetylcholinesterase (AChE) and butyrylcholinesterase (BChE) were determined preoperatively as well as on the first and second postoperative day. The confusion assessment method for the intensive care unit was used to screen patients for the presence of POD.ResultsA total of 114 patients were included in the study. POD was associated with a decrease in BChE activity on postoperative day 1 (p=0.03). In addition, patients who developed POD, had significantly lower preoperative AChE activity than patients without POD (p<0.01). Multivariate analysis identified a preoperatively decreased AChE activity (OR 3.1; 95% CI 1.14 to 8.46), anticholinergic treatment (OR 5.09; 95% CI 1.51 to 17.23), elevated European System for Cardiac Operative Risk Evaluation (OR 3.68; 95% CI 1.04 to 12.99) and age (OR 3.02; 95% CI 1.06 to 8.62) to be independently associated with the development of POD.ConclusionsWe conclude that a reduction in the acetylcholine hydrolysing enzyme activity in patients undergoing cardiac surgery may correlate with the development of POD.
25
Heinrich, Lynley S., Sheri Tokumaru, Nina M. Clark, John Garofalo, Jamie L. Paek, and Shellee A. Grim. "Development and Implementation of a Piperacillin-Tazobactam Extended Infusion Guideline." Journal of Pharmacy Practice 24, no. 6 (June 10, 2011): 571–76. http://dx.doi.org/10.1177/0897190011406984.
Full textAbstract:
Administration of β-lactam antibiotics by extended infusion optimizes the pharmacodynamic properties and bactericidal activity of these agents resulting in a potential improvement in patient outcomes and reduction in drug expenditure. Consequently, a pharmacist-led piperacillin-tazobactam extended 4-hour infusion guideline was implemented hospital-wide at a 500-bed academic medical center. Each piperacillin-tazobactam infusion was prospectively monitored for 5 weeks to ensure accurate administration and identify barriers to guideline adherence. Overall, a total of 103 patients received 1215 doses of piperacillin-tazobactam by extended infusions. In all, 98% of the doses were administered at the correct extended infusion rate and 94% of the doses were given at the scheduled time. There were a total of 20 missed doses and 53 delayed doses, accounting for 2% and 4% of the total administered doses, respectively. The primary barrier to adherence was the patient not being on the unit at the time of the scheduled dose followed by the piperacillin-tazobactam dose not being available on the floor. While insufficient power prevented meaningful evaluation of clinical outcomes, we anticipate a conservative annual estimated cost savings of $108 529. Key elements contributing to our success included consistent pharmacy leadership, multidisciplinary involvement, thorough inservicing to health care professionals, hospital-wide implementation, and extensive quality assurance monitoring.
26
Harse, Kay M., and Terri P. Wolf. "Leveraging the strengths of an academic health system to improve community cancer care." Journal of Clinical Oncology 31, no. 31_suppl (November 1, 2013): 218. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.218.
Full textAbstract:
218 Background: To improve community cancer care quality, UC Davis Health System formed the UC Davis Cancer Care Network (CCN) to partner with select cancer centers in California to offer leading-edge care close to home. Hospital-based community cancer centers become affiliates of the UC Davis CCN through an evaluation process led by UC Davis. By synergizing the strengths of an academic health system and community-based oncology care, the network formalizes the commitment to collaboration with community providers. Methods: This quality model relies on a central university-based team interacting with affiliate sites to support them in their local missions. Affiliates progress through three phases of development of their cancer program. Each phase adds layers of quality to the organization. CCN staff members coordinate the phases: 1) Review and Develop Operations—site specific structures needed to be a comprehensive community cancer center; 2) Make Connections—within the network and the local community; 3) Become Self-Directed—identifying own needs and direction. The partnership attributes include: joint marketing, system synergies, certification assistance, coordinated service line development, dedicated personnel resources, on-site educational opportunities, and quality oversight. Results: Performance measurement includes: local market share, ACOS accreditation, adherence to national quality and patient satisfaction standards, assessment of community health needs and benefits, and enhancement of local capabilities (inpatient oncology unit, radiation, pathology, radiology, and surgical oncology services). Conclusions: This model demonstrates the benefit of partnering the strengths of an academic health system and community cancer programs to provide quality care.
27
Schultz, Carl H., Kristi L. Koenig, and Wajdan Alassaf. "Preparing an Academic Medical Center to Manage Patients Infected With Ebola: Experiences of a University Hospital." Disaster Medicine and Public Health Preparedness 9, no. 5 (September 25, 2015): 558–67. http://dx.doi.org/10.1017/dmp.2015.111.
Full textAbstract:
AbstractAs Ebola has spread beyond West Africa, the challenges confronting health care systems with no experience in managing such patients are enormous. Not only is Ebola a significant threat to a population’s health, it can infect the medical personnel trying to treat it. As such, it represents a major challenge to those in public health, emergency medical services (EMS), and acute care hospitals. Our academic medical center volunteered to become an Ebola Treatment Center as part of the US effort to manage the threat. We developed detailed policies and procedures for Ebola patient management at our university hospital. Both the EMS system and county public health made significant contributions during the development process. This article shares information about this process and the outcomes to inform other institutions facing similar challenges of preparing for an emerging threat with limited resources. The discussion includes information about management of (1) patients who arrive by ambulance with prior notification, (2) spontaneous walk-in patients, and (3) patients with confirmed Ebola who are interfacility transfers. Hospital management includes information about Ebola screening procedures, personal protective equipment selection and personnel training, erection of a tent outside the main facility, establishing an Ebola treatment unit inside the facility, and infectious waste and equipment management. Finally, several health policy considerations are presented. (Disaster Med Public Health Preparedness. 2015;9:558–567)
28
Dunn‑Coetzee, Munita, Elmien Sinclair, Marcia Lyner-Cleophas, Jaco Brink, Marquard Timmey, and Charl Davids. "Adaptation of Student Support Services Considering Covid‑19: Adjustments, Impact, and Future Implications." Journal for Students Affairs in Africa 9, no. 1 (May 31, 2021): 157–66. http://dx.doi.org/10.24085/jsaa.v9i1.1435.
Full textAbstract:
The global pandemic caused by Covid‑19 has impacted every facet of our lives and challenged service delivery to students within Higher Education Institutions (HEIs). The Centre for Student Counselling and Development (CSCD) at Stellenbosch University (SU), South Africa, is situated within the Division of Student Affairs (DSAf) and the centre’s reflective practitioners had to respond to the challenge of altering services to ensure continuous support to the SU community. The CSCD aims to provide the SU community with psychological, developmental and support services, with the focus on critical engagement, advocacy, personal growth, and optimising graduate potential. The CSCD has been functioning virtually since mid-March 2020. Each of the Centre’s five units had to respond to both the challenges and opportunities to adhere to social distancing and to accommodate students who did not have access to online devices. All support sessions – whether it be academic, social justice, career, social work, psychotherapy, crisis management, with individuals or with groups – had to be done virtually or via telephone. This depended on a student’s choice and practical reality in terms of space, privacy, and connectivity. This article aims to firstly share the risks and opportunities of rapidly shifting to an online supportive environment, as well as how each unit within the centre had to adjust its functioning to ensure minimum impact on student relationships and interactions. It secondly aims to portray the implications the rapid shift had on the centre’s practitioners and the lessons learned during the process. Sharing these lessons might empower other HEIs in Africa too. Lastly, considering the imperative shift to online functioning caused by the Covid‑19 pandemic, this article concludes with a discussion on the implications for the future functioning of the CSCD.
29
Çıkılı, Yahya, and Hilmi Ünal. "Opinions of Teachers Working in Special Education Schools on the Individualized Education Program Team." International Journal of Special Education (IJSE) 37, no. 2 (December 6, 2022): 106–17. http://dx.doi.org/10.52291/ijse.2022.37.44.
Full textAbstract:
The aim of this study is to determine the views of teachers working in special education schools on the functioning of the Individualized Education Program Development Unit. The study group of the research consists of 15 volunteer teachers working in special education schools affiliated with the Ministry of National Education in the city center of Konya in the 2020-2021 academic year. These special education schools are schools for three disability groups: mental, hearing, and visual impairments. Schools with individuals with intellectual disabilities are of two types moderate, severe, and mild. A descriptive survey model was used to collect data in order to determine teachers' opinions. The data of the research were collected through semi-structured interviews. In addition, a demographic information form was prepared in order to obtain general information about the teachers. According to the results of the research, it was seen that Individualized Education Program Development Units were not established in schools, and when they were created, they did not function for their purpose.
30
Mercuro, Nicholas J., Thomas P. Lodise, Rachel M. Kenney, Berta Rezik, Raghavendra C. Vemulapalli, Mariam J. Costandi, and Susan L. Davis. "Impact of unit-specific metrics and prescribing tools on a family medicine ward." Infection Control & Hospital Epidemiology 41, no. 11 (July 1, 2020): 1272–78. http://dx.doi.org/10.1017/ice.2020.288.
Full textAbstract:
AbstractObjective:Prescribing metrics, cost, and surrogate markers are often used to describe the value of antimicrobial stewardship (AMS) programs. However, process measures are only indirectly related to clinical outcomes and may not represent the total effect of an intervention. We determined the global impact of a multifaceted AMS initiative for hospitalized adults with common infections.Design:Single center, quasi-experimental study.Methods:Hospitalized adults with urinary, skin, and respiratory tract infections discharged from family medicine and internal medicine wards before (January 2017–June 2017) and after (January 2018–June 2018) an AMS initiative on a family medicine ward were included. A series of AMS-focused initiatives comprised the development and dissemination of: handheld prescribing tools, AMS positive feedback cases, and academic modules. We compared the effect on an ordinal end point consisting of clinical resolution, adverse drug events, and antimicrobial optimization between the preintervention and postintervention periods.Results:In total, 256 subjects were included before and after an AMS intervention. Excessive durations of therapy were reduced from 40.3% to 22% (P < .001). Patients without an optimized antimicrobial course were more likely to experience clinical failure (OR, 2.35; 95% CI, 1.17–4.72). The likelihood of a better global outcome was greater in the family medicine intervention arm (62.0%, 95% CI, 59.6–67.1) than in the preintervention family medicine arm.Conclusion:Collaborative, targeted feedback with prescribing metrics, AMS cases, and education improved global outcomes for hospitalized adults on a family medicine ward.
31
Lottenberg, Richard, Robert Krywicki, Gurinder Doad, Witemba Kabange, Monisola Modupe, Gregory Steele, Zerettia K. McGriff, et al. "Implementation of a Community Hospital-Based Fast Track Pathway for the Treatment of Acute Pain Episodes in Adults with Sickle Cell Disease." Blood 124, no. 21 (December 6, 2014): 4854. http://dx.doi.org/10.1182/blood.v124.21.4854.4854.
Full textAbstract:
Abstract Background: A growing number of adult patients with sickle cell disease (SCD) receive care in a community setting and often lack access to physicians with sickle cell expertise. To address this healthcare disparity we are testing a co-management medical home model with Hematology/Oncology (H/O) and Family Medicine (FM) physicians to facilitate evidence-based acute and chronic care. An Emergency Department (ED) Observation Unit based pathway for treatment of sickle cell pain developed at an academic medical center with a Comprehensive Sickle Cell Center (CSCC) has been adopted and modified to fit the needs of a community multi-specialty hospital with an unopposed FM residency program. The hospital serves a large sickle cell population in a predominantly rural setting with the closest CSCC 180 miles away. Methods: Pathway development was facilitated by having a formal meeting for the community hospital physicians and staff at the academic medical center and sickle cell experts providing ongoing on site consultation at the community hospital. Protocols for the community hospital were produced with input from physicians, nurses, advanced practice providers, and support services at multiple meetings. Adult patients with SCD presenting to the ED with pain are triaged at Emergency Severity Index Level 2 for evaluation by the ED physician. The ED protocol uses specific criteria to identify patients with uncomplicated pain. Patients presenting with abnormal vital signs (other than mild tachycardia), fever, pregnancy, or apparent other sickle cell-related complications are excluded. Patients qualifying for the pathway are directly admitted to the SCD unit (a hospital room with 4 infusion chairs on the H/O floor exclusively designated for care of sickle cell patients). Following intake evaluation by the nurse, a clinician is notified to evaluate the patient and provide orders for intravenous fluids and opioid patient controlled analgesia (PCA) which is administered according to hospital guidelines. PCA by the subcutaneous route is used if intravenous access is not readily available. A CBC is obtained whereas other laboratory testing and imaging studies are ordered based on clinical indications. H/O physicians and nurse practitioners cover the unit weekdays 8:00am-5:00pm and FM residents cover nights and weekends with back up by the on call H/O physician. Patients can be treated in the SCD unit up to 23 hours. For patients discharged home a follow up phone call by an H/O nurse will be placed within 3 days and an outpatient clinic appointment is scheduled to be within 7 days. Monthly quality assurance meetings are attended by H/O, FM, and ED physicians as well as nursing, pharmacy and administrative staff from the ED and H/O inpatient service to review process issues and patient outcomes. Consultation is provided by academic physicians with sickle cell expertise (H/O and ED) who attend each meeting in person or by conference call. Results: From March 5-June 30, 2014, 67 patients accounted for 271 visits to the SCD unit. The mean time in the unit was 13.6 hours. The mean pain score on admission was 8.7/10 and reduced to 4.9 upon discharge. PCA drug, pump setting, and dosage are recorded to be used for future visits. Over the 4 months 91.1% of the patients were discharged home from the unit. Six patients accounted for 31% (84) of the visits with only 4 hospital admissions. Conclusions: A fast track pathway for the treatment of acute sickle cell pain coordinated between ED, H/O, and FM physicians has been implemented at a community hospital using an Observation Unit based treatment program. During the entire initial experience the majority of patients have been discharged home with adequate pain relief. In the future the impact of the program will be evaluated including effect on frequency of hospitalizations, outpatient follow up, patient satisfaction, and cost effectiveness. The pathway can be adapted to other community hospital settings where sickle cell expertise is not locally available. Disclosures Kutlar: NIH/NIMHD: Research Funding.
32
Subramain, Maran, Jackline M. Wangui-Verry, Kimberly J. Sprenger, Charity Ball, Janette L. Goins, Patrick B. Barlow, and Alejandro P. Comellas. "519 The Research Unit Network (RUN) as a Learning Research System." Journal of Clinical and Translational Science 6, s1 (April 2022): 107. http://dx.doi.org/10.1017/cts.2022.313.
Full textAbstract:
OBJECTIVES/GOALS: CTRUs support clinical research. RUN is a Learning Research System that is created to enhance CTSA and non-CTSA research units capacity through implementing, assessing, and disseminating discoveries in methods, approaches, education, and training in clinical and translational science. METHODS/STUDY POPULATION: The RUN association began in July 2018 with eight universities. The association has grown to 44 hospitals, research, and academic institutions (including 36 CTSA institutions). A RUN Discussion Forum has been approved by the National Center for Advancing Science (NCATS) and utilized by RUN. The Discussion Forums are created with the goal of advancing CTSA Program objectives in high priority areas of clinical and translational science. RUN actively engages members through in depth scheduled monthly meeting discussions with various relevant topics regarding the development and evaluation of clinical trials metrics, benchmarks, and scholarly publication and presentation activities. RESULTS/ANTICIPATED RESULTS: Topics covered in RUN monthly meetings include research units general budget guidelines, staff recruitment and retainment strategies, EPIC use in scheduling CRU research visits, and PPE for investigational drugs in context of USP800 requirements. RUN members vary in geographic location, type of clinical research (outpatient vs inpatient), resources, and research subject volume. They are engaged in online discussion and learning opportunities to improve translational science practices. A recent article titled “Impact of COVID-19 on Clinical Research Units (CRUs)” in JCTS is an example of best practices learned by RUN members and shared with the broader research community. DISCUSSION/SIGNIFICANCE: RUN as a Learning Research System enhances clinical and translational research unit capacity and efficiency, encouraging collaboration to contribute with improving public health. This network is aligned with the CTSAs mission of developing innovative solutions to improve translational science.
33
McAndrew, Natalie S., and Joshua B. Hardin. "Giving nurses a voice during ethical conflict in the Intensive Care Unit." Nursing Ethics 27, no. 8 (July 14, 2020): 1631–44. http://dx.doi.org/10.1177/0969733020934148.
Full textAbstract:
Background: Ethical conflict and subsequent nurse moral distress and burnout are common in the intensive care unit (ICU). There is a gap in our understanding of nurses’ perceptions of how organizational resources support them in addressing ethical conflict in the intensive care unit. Research question/objectives/methods: The aim of this qualitative, descriptive study was to explore how nurses experience ethical conflict and use organizational resources to support them as they address ethical conflict in their practice. Participants and research context: Responses to two open-ended questions were collected from critical care nurses working in five intensive care units at a large, academic medical center in the Midwestern region of the United States. Ethical considerations: This study was approved by the Institutional Review Board at the organization where the study took place. Findings: Three main interwoven themes emerged: nurses perceive (1) intensive care unit culture, practices, and organizational priorities contribute to patient suffering; (2) nurses are marginalized during ethical conflict in the intensive care unit; and (3) organizational resources have the potential to reduce nurse moral distress. Nurses identified ethics education, interprofessional dialogue, and greater involvement of nurses as important strategies to improve the management of ethical conflict. Discussion: Ethical conflict related to healthcare system challenges is intrinsic in the daily practice of critical care nurses. Nurses want to be engaged in discussions about their perspectives on ethical conflict and play an active role in addressing ethical conflict in their practice. Organizational resources that support nurses are vital to the resolution of ethical conflict. Conclusion: These findings can inform the development of interventions that aim to proactively and comprehensively address ethical conflict in the intensive care unit to reduce nurse moral distress and improve the delivery of patient and family care.
34
Trevitt, Chris, Aliya Steed, Lynn Du Moulin, and Tony Foley. "Leading entrepreneurial e-learning development in legal education." Learning Organization 24, no. 5 (July 10, 2017): 298–311. http://dx.doi.org/10.1108/tlo-03-2017-0027.
Full textAbstract:
Purpose The study aims to review the entrepreneurial and educational innovations in technology-enabled distance education in practical legal education (PLE) accomplished by a unit “on the periphery” of a strong research-led university. It also aims to examine the learning organisation (LO) attributes associated with this initiative. Design/methodology/approach This is a longitudinal case study based on interviews and reflective analysis, and reviewed using three “models” drawn from the literature: breaking the “iron triangle” (containing costs; widening access; enhancing quality); a tailored version of distance education appropriate for research-intensive universities; a strategy for successful adoption of disruptive technologies in higher education. Findings Entrepreneurialism yielded growth (PLE student numbers went from 150 to 2,000 in 15 years) and diversification (two new programmes established). The PLE programme advanced in two “waves”: the first centred on widening access and the second, on enhancing quality. Costs were contained. Both the presence and absence of LO attributes are identified at three different organisational levels. Research limitations/implications Challenges to academic identity may act to inhibit educational change, especially in research-strong settings. Practical/implications Business logic, and the creation and institutionalisation of educational development support – an “internal networking” group, were keys to success. “Organisational learning” in complex institutional environments such as universities involves understandably lengthy timescales (e.g. decades or more). Practical/implications Technology-enabled disruption in higher education appears relentless. While institutional and individual performance metrics favour research, proven cases of “how to do things differently” in education may well not get exploited, thus opening the market to alternative providers. Originality/value This is the only empirical example of a tailored version of distance education appropriate for research-intensive universities that we know about.
35
Toader, Tudorel, Marieta Safta, Cristina Titirișcă, and Bogdan Firtescu. "Effects of Digitalisation on Higher Education in a Sustainable Development Framework—Online Learning Challenges during the COVID-19 Pandemic." Sustainability 13, no. 11 (June 5, 2021): 6444. http://dx.doi.org/10.3390/su13116444.
Full textAbstract:
Throughout the planet, the medical challenges posed by the pandemic caused by the SARS-Cov-2/COVID-19 coronavirus have overlapped, inter alia, with the necessity to continue the academic process on every level. Romania was no exception. With the new vaccines against COVID-19, the hope of resuming face-to-face activity, considered as ‘normal’ before 2020, has emerged. In these circumstances, not at all far-fetched, certain questions have arisen, such as: should and must the online university education be completely removed? Should this form of education be continued? If so, to what extent? We have used econometric methods related to ARDL (auto regressive distributed lag models) such as pooled mean group (PMG) and mean group (MG) and used different tests for unit roots for the stationarity check of the series implied. The results show the positive effect of digitalisation on tertiary education and also the positive impact of the latter on sustainable development, as a base for future stimulation in public policies. The present study also aims to harness the university experience of these times, from some of the main Romanian university centres; the method used was a quantitative and qualitative research based on a questionnaire, which was answered by a number of 258 university teachers and 1569 students from prestigious public and private universities. The results of this analysis allowed us to conclude that most of the participants in the university educational process have adapted to the online activity, and the latter ‘saved’ the academic years 2019–2020 and, respectively, 2020–2021. The present study is useful for tertiary education institution and policymakers in terms of formulating strategies and policy recommendations to support teachers and students during any future pandemics.
36
Weatherwax, Kevin, Ray Hutchinson, George Mashour, and Misty Gravelin. "2276 Development of the expanded access oversight committee at Michigan Medicine." Journal of Clinical and Translational Science 2, S1 (June 2018): 81. http://dx.doi.org/10.1017/cts.2018.281.
Full textAbstract:
OBJECTIVES/SPECIFIC AIMS: Expanded Access is an avenue for patients with no available treatment options to access investigational drugs and devices for clinical therapy. This process requires physicians treating these patients to submit requests to the FDA and the local IRB, processes which are typically unfamiliar to clinicians. METHODS/STUDY POPULATION: With the goal of reducing burden and ensuring access to investigational products, Michigan Medicine established the Expanded Access Oversight Committee in January 2015. This committee brought together key stakeholders to develop appropriate policy and infrastructure to support these requests. RESULTS/ANTICIPATED RESULTS: Outcomes from this committee have resulted in a uniform process with a single point of entry for interested physicians and patients. With standardized policy implemented across the institution, a revised IRB application has been developed that is more tailored to Expanded Access and an informed consent document has been developed specific to the clinical use of investigational therapies. To ensure timely execution of these agreements, the contracts office has streamlined the process for negotiating Expanded Access agreements with manufacturing companies. Further development has begun with the Michigan Clinical Research Unit to provide space for clinical visits in Expanded Access cases, allowing for initiation of outpatient therapy. These changes have allowed Michigan Medicine to support triple the number of Expanded Access requests, including more than 45 Expanded Access requests in fiscal year 2018. DISCUSSION/SIGNIFICANCE OF IMPACT: Institutional support for Expanded Access requests within a large academic medical center is feasible and can increase access to investigational therapies bfor patients.
37
O’Brien, Cara, Benjamin A. Goldstein, Yueqi Shen, Matthew Phelan, Curtis Lambert, Armando D. Bedoya, and Rebecca C. Steorts. "Development, Implementation, and Evaluation of an In-Hospital Optimized Early Warning Score for Patient Deterioration." MDM Policy & Practice 5, no. 1 (January 2020): 238146831989966. http://dx.doi.org/10.1177/2381468319899663.
Full textAbstract:
Background. Identification of patients at risk of deteriorating during their hospitalization is an important concern. However, many off-shelf scores have poor in-center performance. In this article, we report our experience developing, implementing, and evaluating an in-hospital score for deterioration. Methods. We abstracted 3 years of data (2014–2016) and identified patients on medical wards that died or were transferred to the intensive care unit. We developed a time-varying risk model and then implemented the model over a 10-week period to assess prospective predictive performance. We compared performance to our currently used tool, National Early Warning Score. In order to aid clinical decision making, we transformed the quantitative score into a three-level clinical decision support tool. Results. The developed risk score had an average area under the curve of 0.814 (95% confidence interval = 0.79–0.83) versus 0.740 (95% confidence interval = 0.72–0.76) for the National Early Warning Score. We found the proposed score was able to respond to acute clinical changes in patients’ clinical status. Upon implementing the score, we were able to achieve the desired positive predictive value but needed to retune the thresholds to get the desired sensitivity. Discussion. This work illustrates the potential for academic medical centers to build, refine, and implement risk models that are targeted to their patient population and work flow.
38
Nordness, Matthew J., Ashly C. Westrick, Heidi Chen, and Mark A. Clay. "Identification of Low Cardiac Output Syndrome at the Bedside: A Pediatric Cardiac Intensive Care Unit Survey." Critical Care Nurse 39, no. 2 (April 1, 2019): e1-e7. http://dx.doi.org/10.4037/ccn2019794.
Full textAbstract:
BACKGROUND Low cardiac output syndrome is a transient constellation of signs and symptoms that indicate the heart’s inability to supply sufficient oxygen to tissues and end-organs to meet metabolic demand. Because the term lacks a standard clinical definition, the bedside diagnosis of this syndrome can be difficult. OBJECTIVE To evaluate concordance among pediatric cardiac intensive care unit nurses in their identification of low cardiac output syndrome in pediatric patients after cardiac surgery. METHODS An anonymous survey was distributed to 69 pediatric cardiac intensive care unit nurses. The survey described 10 randomly selected patients aged 6 months or younger who had undergone corrective or palliative cardiac surgery at a freestanding children’s hospital in a tertiary academic center. For each patient, data were presented corresponding to 5 time points (0, 6, 12, 18, and 24 hours postoperatively). The respondent was asked to indicate whether the patient had low cardiac output syndrome (yes or no) at each time point on the basis of the data presented. RESULTS The response rate was 46% (32 of 69 nurses). The overall Fleiss k value was 0.30, indicating fair agreement among raters. When the results were analyzed by years of experience, agreement remained only slight to fair. CONCLUSIONS Regardless of years of experience, nurses have difficulty agreeing on the presence of low cardiac output syndrome. Further research is needed to determine whether the development of objective guidelines could improve recognition and facilitate communication between the pediatric cardiac intensive care unit nurse and the medical team.
39
Nikonova, N. A., Y. B. Pavlova, K. K. Danilina, K. R. Salimova, and E. Y. Davydova. "Building Academic Reading Skills in Children with ASD Using the Author’s Method “Speaking Skills”." Autism and Developmental Disorders 20, no. 4 (2022): 26–38. http://dx.doi.org/10.17759/autdd.2022200403.
Full textAbstract:
<p style="text-align: justify;">Speech deficits in autism spectrum disorders (ASD) can be observed at child’s early development in the form of a deficit in understanding addressed speech, abnormal prelinguistic development, and deficits in the communicative sphere. These factors further prevent children with ASD from successful building reading skills. With all the variety of reading difficulties in children with ASD, reading comprehension problems are the most common. At the same time, it has been repeatedly shown that the deficit in reading comprehension is based on the deficit of oral speech, and the volume of the vocabulary and the level of mastering the syntactic norms of the language play a big role. The colleagues of the Federal Resource Center for the Organization of Comprehensive Support to Children with ASD (FRC MSUPE) developed the author’s method called «Speaking Skills». It is aimed at developing reading skills in children with ASD. The method is intended for teaching preschoolers and younger schoolchildren in groups. The article describes the method implementation step by step, give the scheme of a typical lesson, as well as the criteria for assessing skills necessary for mastering the reading. We provide examples of original didactic materials that allow the child to “read” the sentence, knowing the minimum number of letters. It increases the child’s interest and motivation for classes. The technique of relying on one letter, which is a lexically significant unit, creates an attitude to reading as a process of extracting meaning, which increases learning effectiveness. It also describes how to adapt the program to the special educational needs of children with ASD: organization of educational environment; adaptation and the way of introducing the materials; coping with leading developmental challenges. The design of the planned pilot study of the effectiveness of the presented methodology is described. Thus, using the method “Speaking Skills” allow not only to more successfully master reading skills, but also to fill in the deficiencies in the communicative and social sphere.</p>
40
Herman, Herman. "THE NEEDS OF COLLABORATION IN OPERATING AN OPEN AND DISTANCE LEARNING INSTITUTION: UT CASE." Jurnal Pendidikan 14, no. 1 (September 4, 2013): 31–37. http://dx.doi.org/10.33830/jp.v14i1.352.2013.
Full textAbstract:
This article discusses the importance of building collaboration among agencies in managing student support service for the distance student in Universitas Terbuka/UT (Indonesia Open University/IOU). As a mass-scale university with the number of students more than 600 thousand scattered in 37 provinces in Indonesia and overseas, heterogeneous socio-cultural background, offering more than 200 study program, and semester test held simultaneously, UT should be able to recruit thousands of tutors, invigilator, and executive personnel to conduct academic activities in those region. UT should manage course development team (curriculum developers, modules developers, content experts, media specialists, and art designers, linguists, and also graphics developers). UT should also provide classrooms for academic activities, lab and computer to facilitate student support service. This condition implies that the availability of human resources and infrastructure, including a computer lab connected to the internet in each unit of study is a necessity. Therefore, in order to improve the quality of distance learning and to accelerate change of learning style from traditional-based to e-learning-based, collaboration between UT with local agencies is a must to ensure the availability of human resources and e-learning facilities.
Artikel ini membahas tentang peranan kolaborasi antar lembaga dalam upaya meningkatkan kualitas pelayanan bagi mahasiswa peserta program pendidikan jarak jauh di Universitas Terbuka (UT). Model perkuliahan sistem jarak jauh mengharuskan pesertanya mempraktekkan belajar mandiri, menggunakan modul sebagai bahan belajar utama, dan memanfaatkan ICT sebagai media dalam proses pembelajaran. Bahan ajar dalam bentuk cetak dan non-cetak dikembangkan oleh tim pengembang yang meliputi pengembang kurikulum, pengembang modul, ahli materi, ahli media, ahli bahasa, dan ahli grafik. Bantuan belajar disediakan dalam bentuk tutorial secara tatap muka dan online bagi mahasiswa di setiap unit belajar di dalam dan luar negeri. Sebagai sebuah perguruan tinggi berskala massal dengan jumlah mahasiswa lebih dari 600 ribu, mahasiswanya tersebar di 37 propinsi di Indonesia dan luar negeri, menawarkan lebih dari 100 program studi, serta ujian semester dilaksanakan secara serentak, maka UT harus mampu merekrut ribuan tenaga akademik (tutor), pengawas ujian, dan tenaga pelaksana ujian semester di setiap wilayah unit belajar. Untuk melaksanakan ujian semester dan memberikan layanan bantuan belajar, UT juga harus mampu menyediakan pusat unit belajar di daerah (regional center), ribuan ruang ujian, ruang untuk tutorial serta fasilitas lab computer. Karena itu, kolaborasi antara UT dengan instansi pemerintah dan non-pemerintah di daerah harus dilakukan untuk menjamin kelangsungan kegiatan akademik di daerah. Demikian pula, ketersediaan SDM berbasis ICT yang berkualitas dan infrastruktur termasuk lab komputer yang terkoneksi dengan internet di setiap unit belajar harus menjadi prioritas demi terciptanya pembelajaran berbasis e-learning bagi mahasiswa UT di daerah.
41
Ayres, Sara, and Mary Fran Tracy. "Recovery Model Implementation for a Medical/Geriatric Psychiatric Unit to Decrease Restraint and Seclusion Episodes: A Quality Improvement Project." Journal of the American Psychiatric Nurses Association 27, no. 5 (September 2021): 355–60. http://dx.doi.org/10.1177/10783903211048449.
Full textAbstract:
Introduction: In inpatient behavioral health units, a long-standing behavioral management controversy has been whether to physically restrain or seclude patients. The rate of restraint use at the institution underperformed compared with the national average, which led to the project implementation. Aims: This quality improvement project’s objective was to decrease restraint and seclusion use, improve quality of care, and decrease cost through implementation of recovery model principles. Method: Implementation started in October 2019 on a 14-bed inpatient medical/geriatric psychiatric unit with 38 psychiatric RNs at a large academic medical center. The project was a pre–post implementation design with interventions consisting of staff education, RN language observation, and orientation toolkit development. Changes in staff knowledge were measured by Recovery Knowledge Inventory surveys at baseline, 1 week posteducation, and 4 months posteducation. Restraint and seclusion use data were analyzed 3 months preimplementation and 3 months postimplementation. Results: Staff knowledge of the recovery model increased from baseline to 1 week postimplementation in all four survey domains (range = 6% to 9% improvement). While improvements were maintained in two survey domains, two domains of staff knowledge showed slight declines (1% to 2% decline in scores) 4 months postintervention. Restraint use decreased 73.1% and seclusion use decreased 16.3% from pre to postintervention. Conclusion: Implementation of recovery model principles can decrease restraint and seclusion episodes, which increases quality and decreases cost to the organization.
42
Lee, Jennifer Jooyoung, Jerri C. Price, Jennifer Gewandter, Bethea A. Kleykamp, Katherine V. Biagas, Maryam Y. Naim, Denham Ward, Robert H. Dworkin, and Lena S. Sun. "Design and reporting characteristics of clinical trials investigating sedation practices in the paediatric intensive care unit: a scoping review by SCEPTER (Sedation Consortium on Endpoints and Procedures for Treatment, Education and Research)." BMJ Open 11, no. 10 (October 2021): e053519. http://dx.doi.org/10.1136/bmjopen-2021-053519.
Full textAbstract:
ObjectivesTo conduct a scoping review of sedation clinical trials in the paediatric intensive care setting and summarise key methodological elements.DesignScoping review.Data sourcesPubMed, Embase, Cumulative Index to Nursing and Allied Health Literature and grey references including ClinicalTrials.gov from database inception to 3 August 2021.Study selectionAll human trials in the English language related to sedation in paediatric critically ill patients were included. After title and abstract screening, full-text review was performed. 29 trials were eligible for final analysis.Data extractionA coding manual was developed and pretested. Trial characteristics were double extracted.ResultsThe majority of trials were single centre (22/29, 75.9%), parallel group superiority (17/29, 58.6%), double-blinded (18/29, 62.1%) and conducted in an academic setting (29/29, 100.0%). Trial enrolment (≥90% planned sample size) was achieved in 65.5% of trials (19/29), and retention (≥90% enrolled subjects) in 72.4% of trials (21/29). Protocol violations were reported in nine trials (31.0%). The most commonly studied cohorts were mechanically ventilated patients (28/29, 96.6%) and postsurgical patients (11/29, 37.9%) with inclusion criteria for age ranging from 0±0.5 to 15.0±7.3 years (median±IQR). The median age of enrolled patients was 1.7 years (IQR=4.4 years). Patients excluded from trials were those with neurological impairment (21/29, 72.4%), complex disease (20/29, 69.0%) or receipt of neuromuscular blockade (10/29, 34.5%). Trials evaluated drugs/protocols for sedation management (20/29, 69.0%), weaning (3/29, 10.3%), daily interruption (3/29, 10.3%) or protocolisation (3/29, 10.3%). Primary outcome measures were heterogeneous, as were assessment instruments and follow-up durations.ConclusionsThere is substantial heterogeneity in methodological approach in clinical trials evaluating sedation in critically ill paediatric patients. These results provide a basis for the design of future clinical trials to improve the quality of trial data and aid in the development of sedation-related clinical guidelines.
43
Peacock, Susi, and Chris DePlacido. "Supporting Staff Transitions into Online Learning: A Networking Approach." Journal of Perspectives in Applied Academic Practice 6, no. 2 (September 5, 2018): 67–75. http://dx.doi.org/10.14297/jpaap.v6i2.336.
Full textAbstract:
As online programmes in higher education continue to grow in number, the literature identifies emerging areas of concern. Whilst appreciating the flexibility and accessibility of online learning, learners often experience challenges in balancing their professional and personal lives whilst studying. In addition, such students have complained that their online educational experiences may be irrelevant and inappropriate, with tutors having limited presence or interest.
Online learners’ experiences are contingent upon the skills and characteristics of the tutors, who face the challenges of changing and developing practices, such as taking a more student-centred approach in order to provide opportunities that foster deep learning. Current, familiar practices may no longer be appropriate. There is a need to support tutors as they develop and expand their practices, facilitating familiarity and confidence with the opportunities afforded by a range of technologies. Research indicates that communities of practice as a form of staff development may assist tutors in this transition.
This paper shares the early experiences of a recently formed Network for online tutors at Queen Margaret University, Edinburgh, Scotland. This community of practice was based upon an adapted Community of Inquiry Framework (Peacock & Cowan, 2016). The Network, endorsed by management, was launched in 2017, with two co-leads, one from an educational development unit and one from the School of Health Science. Sub groups, all led by members of the Network, were subsequently developed to look at specific aspects of online delivery and development within the University.
The purpose of the Network and the successes achieved in the first academic year are outlined. The challenges arising in the early stages of implementing the Network are reported, and proposals for progress in the next academic year are discussed. Finally, suggestions are offered to those embarking on a similar endeavour.
44
Flannery, Alexander H., Melissa L. Thompson Bastin, Ashley Montgomery-Yates, Corrine Hook, Evan Cassity, Phillip M. Eaton, and Peter E. Morris. "Multidisciplinary Prerounding Meeting as a Continuous Quality Improvement Tool: Leveraging to Reduce Continuous Benzodiazepine Use at an Academic Medical Center." Journal of Intensive Care Medicine 34, no. 9 (April 22, 2018): 707–13. http://dx.doi.org/10.1177/0885066618769015.
Full textAbstract:
Background: Evidence-based medicine often has many barriers to overcome prior to implementation in practice, hence the importance of continuous quality improvement. We report on a brief (≤10 minutes) multidisciplinary meeting prior to rounds to establish a dashboard for continuous quality improvement and studied the success of this meeting on a particular area of focus: continuous infusion benzodiazepine minimization. Methods: This was a prospective observational study of patients admitted to the medical intensive care unit (MICU) of a large academic medical center over a 4-month period. A morning multidisciplinary prerounding meeting was implemented to report on metrics required to establish a dashboard for MICU care for the previous 24 hours. Fellows and nurse practitioners on respective teams reported on key quality metrics and other important data related to patient census. Continuous benzodiazepines were tracked daily as the number of patients per team who had orders for a continuous benzodiazepine infusion. The aim of this report is to describe the development of the morning multidisciplinary prerounding meeting and its impact on continuous benzodiazepine use, along with associated clinical outcomes. Results: The median number of patients prescribed a continuous benzodiazepine daily decreased over this time period and demonstrated a sustained reduction at 1 year. Furthermore, sedation scores improved, corresponding to a reduction in median duration of mechanical ventilation. The effectiveness of this intervention was mapped post hoc to conceptual models used in implementation science. Conclusions: A brief multidisciplinary meeting to review select data points prior to morning rounds establishes mechanisms for continuous quality improvement and may serve as a mediating factor for successful implementation when initiating and monitoring practice change in the ICU.
45
Syam, Febrizal Alfarasy. "PERANCANGAN RENCANA STRATEGIS TEKNOLOGI INFORMASI DI PUSAT TEKNOLOGI INFORMASI DAN PANGKALAN DATA UIN SUSKA RIAU." INTECOMS: Journal of Information Technology and Computer Science 1, no. 2 (July 31, 2018): 183–97. http://dx.doi.org/10.31539/intecoms.v1i2.297.
Full textAbstract:
To support the vision of UIN Suska Riau, so established the Technical Implementation Unit field of computer and information systems UIN Suska Riau called Computer Center (PUSKOM). However, in 2013, Computer Center (PUSKOM) UIN Suska Riau renamed the Center of Information Technology and Database (PTIPD). Center for Information Technology and Data Base (PTIPD) UIN Suska Riau is a part that manages the use of information technology in environment UIN Suska Riau. PTIPD provide internet network with current bandwidth capacity of 200 Mbps. PTIPD also conduct training in information technology for students and faculty and to develop information systems and applications as needed academic community UIN Suska Riau. Development of information systems that are not systematically planned will lead the organization does not have the priority scale development projects / IT and impressed patchy. This way will impact on the productivity of the organization. Center for Information Technology and Database (PTIPD) requires strategic planning of IS / IT should be appropriate, because if the IS / IT is not appropriate either target or goal, then the IS / IT will not be a competitive advantage for the Center for Information Technology and Database (PTIPD ) UIN Suska Riau. Form of Strategic Planning Information System that discussed in this study is to use a methodology Ward and Peppard, with the input of the internal business environment analysis and environmental analysis of the internal IS / IT. The results of this analysis define the design strategy plan IS / IT for the Center for Information Technology and Data Base (PTIPD) UIN Suska Riau.
Keywords : PTIPD, Strategic IS / IT, Strategic Planning SI / IT, Ward and Peppard
46
Beloliptseva, Olena. "Prospects in the Formation of Gender Culture for Social Specialists in Non-Formal Adult Education." Bulletin of Luhansk Taras Shevchenko National University 2, no. 1 (339) (2021): 26–35. http://dx.doi.org/10.12958/2227-2844-2021-1(339)-2-26-35.
Full textAbstract:
The article reveals experience of non-formal gender education of social employees in terms of introduction a gender – sensitive approach. We analyzed scientific works in relation to the concept of gender culture, gave the author’s definition for the concept “gender culture for social specialist” as special realization’s system of professional skills which appear through the complex of formed appropriate intellectual, value – based, motivational and behavioral characteristics. They are based on gender theory knowledge, development of mental needs, learned values and rules of sexual – role behavior in line with the gender parity and democracy. The experience of introduction an innovative pilot partnership project Gender Open University was revealed. We analyzed the experience of the Gender Educational center, which is the academic structural research unit that provides scientific and practical assistance to social workers, social pedagogues, schoolteachers and students of higher educational institutions on the introduction of ideas gender equality in professional activities. It was determined that functioning such organization gives us wide opportunities for educational professionals who work in different social areas.
47
Shenoy, Erica S., Virginia M. Pierce, Mohamad R. A. Sater, Febriana K. Pangestu, Ian C. Herriott, Melis N. Anahtar, Juliet T. Bramante, et al. "Community-acquired in name only: A cluster of carbapenem-resistant Acinetobacter baumannii in a burn intensive care unit and beyond." Infection Control & Hospital Epidemiology 41, no. 5 (February 28, 2020): 531–38. http://dx.doi.org/10.1017/ice.2020.15.
Full textAbstract:
AbstractObjective:To describe an investigation into 5 clinical cases of carbapenem-resistant Acinetobacter baumannii (CRAB).Design:Epidemiological investigation supplemented by whole-genome sequencing (WGS) of clinical and environmental isolates.Setting:A tertiary-care academic health center in Boston, Massachusetts.Patients or participants:Individuals identified with CRAB clinical infections.Methods:A detailed review of patient demographic and clinical data was conducted. Clinical isolates underwent phenotypic antimicrobial susceptibility testing and WGS. Infection control practices were evaluated, and CRAB isolates obtained through environmental sampling were assessed by WGS. Genomic relatedness was measured by single-nucleotide polymorphism (SNP) analysis.Results:Four clinical cases spanning 4 months were linked to a single index case; isolates differed by 1–7 SNPs and belonged to a single cluster. The index patient and 3 case patients were admitted to the same room prior to their development of CRAB infection, and 2 case patients were admitted to the same room within 48 hours of admission. A fourth case patient was admitted to a different unit. Environmental sampling identified highly contaminated areas, and WGS of 5 environmental isolates revealed that they were highly related to the clinical cluster.Conclusions:We report a cluster of highly resistant Acinetobacter baumannii that occurred in a burn ICU over 5 months and then spread to a separate ICU. Two case patients developed infections classified as community acquired under standard epidemiological definitions, but WGS revealed clonality, highlighting the risk of burn patients for early-onset nosocomial infections. An extensive investigation identified the role of environmental reservoirs.
48
Burnet, Frank. "More scientists and less surrogates." Journal of Science Communication 09, no. 02 (June 21, 2010): C04. http://dx.doi.org/10.22323/2.09020304.
Full textAbstract:
Frank Burnet, now an independent consultant, was the director of the unit of Science Communication at the University of the West of England, and his work and research experience has mainly focused on the communication relation between science and society. In addition, Frank contributed to the development of the project “Meet the Gene Machine”, a discussion format concerning topical science issues. The positive aspect of participation games is the increase in the participants’ awareness of important issues, provided that the game experience is followed by structured discussion. In this case a fundamental role is played not only by the mediator, but also by the scientist. The presence of an expert, and not so much of a communicator, is crucial if you really want to create a contact between scientific world and civil society. An unsolved issue is what the ideal place for effective formal discussion on scientific topics among adults would be: indeed, science centres appear to be heavily associated with the academic establishment on the one hand, and with children entertainment places on the other. Furthermore, real channels for connection and communication exchange with decision makers are still lacking.
49
Savage, Debbie, Gareth Loudon, and Ingrid Murphy. "Impact and the Research Environment." Journal of Research Management and Administration 1, no. 1 (September 1, 2021): 16–35. http://dx.doi.org/10.18552/jorma.v1i1.708.
Full textAbstract:
How to successfully create impact from academic research is the focus of much debate. Discussions often centres on the role of discipline, researcher skills and behaviour, or institutional systems to capture impact evidence, but little consideration is given to the relationship between research impact and the research environment.
Focussing on the Impact Case Studies submitted to Unit of Assessment 34: Art & Design: History, Practice and Theory, this research used Content and Narrative Analysis to review a sample of the most and least successful Impact submissions as ranked by Times Higher Education. The aim was to identify the characteristics of high-scoring Impact Case Studies to inform strategies for supporting the generation of research impact, but what emerged was evidence of a nuanced relationship between research environment and research impact.
For Research and Management Practitioners, these findings highlight a need to extend beyond the development of training, advice and databases and respond directly to the core purpose and ethos of research impact. This can be achieved through the cultivation of an open, flexible and dynamic research environment capable of responding to institutional and researcher needs in order to allow impact to flourish.
50
Allen, Angier, Samson Mataraso, Anna Siefkas, Hoyt Burdick, Gregory Braden, R. Phillip Dellinger, Andrea McCoy, et al. "A Racially Unbiased, Machine Learning Approach to Prediction of Mortality: Algorithm Development Study." JMIR Public Health and Surveillance 6, no. 4 (October 22, 2020): e22400. http://dx.doi.org/10.2196/22400.
Full textAbstract:
Background Racial disparities in health care are well documented in the United States. As machine learning methods become more common in health care settings, it is important to ensure that these methods do not contribute to racial disparities through biased predictions or differential accuracy across racial groups. Objective The goal of the research was to assess a machine learning algorithm intentionally developed to minimize bias in in-hospital mortality predictions between white and nonwhite patient groups. Methods Bias was minimized through preprocessing of algorithm training data. We performed a retrospective analysis of electronic health record data from patients admitted to the intensive care unit (ICU) at a large academic health center between 2001 and 2012, drawing data from the Medical Information Mart for Intensive Care–III database. Patients were included if they had at least 10 hours of available measurements after ICU admission, had at least one of every measurement used for model prediction, and had recorded race/ethnicity data. Bias was assessed through the equal opportunity difference. Model performance in terms of bias and accuracy was compared with the Modified Early Warning Score (MEWS), the Simplified Acute Physiology Score II (SAPS II), and the Acute Physiologic Assessment and Chronic Health Evaluation (APACHE). Results The machine learning algorithm was found to be more accurate than all comparators, with a higher sensitivity, specificity, and area under the receiver operating characteristic. The machine learning algorithm was found to be unbiased (equal opportunity difference 0.016, P=.20). APACHE was also found to be unbiased (equal opportunity difference 0.019, P=.11), while SAPS II and MEWS were found to have significant bias (equal opportunity difference 0.038, P=.006 and equal opportunity difference 0.074, P<.001, respectively). Conclusions This study indicates there may be significant racial bias in commonly used severity scoring systems and that machine learning algorithms may reduce bias while improving on the accuracy of these methods.