scholarly journals Hospital leadership for quality:Theory and practice:II. Quality performance evaluation

1997 ◽  
Vol 20 (1) ◽  
pp. 108 ◽  
Author(s):  
Ian W Saunders ◽  
Arthur P Preston ◽  
John Rice
Keyword(s):  
Strong Influence ◽  
Quality Performance ◽  
Leadership Attributes ◽  
Professional Groups ◽  
Hospital Leadership ◽  
Use Of Data ◽  
Provision Of Services ◽  
Overall Evaluation ◽  
Supplier Partnerships ◽  
Excellent Leadership

Hospitals need excellent leadership to be efficient in the use of scarce stakeholderresources and to be effective in the competitive provision of services to multiplecustomers. This paper is the second report on a study conducted with the cooperationof the executive team at a large government-funded hospital in Brisbane, Australia.The overall study focused on linking the leadership concepts and attributes of themembers of the executive with an overall evaluation of quality practice in the hospital.The first paper reported the leadership results. This paper reports the quality practiceand its links with leadership. The study revealed use of data, understanding ofprocesses and the formation of supplier partnerships as the areas of hospital activitymost limiting the ability to improve. Little impact of leadership attributes was found,contrary to studies conducted elsewhere. This may be due to the strong influence ofdifferent professional groups within the hospital, since domains of leadership influencelargely coincided with these groups.

scholarly journals Comparing Dutch and British high performing managers

2015 ◽  
Vol 22 (3) ◽  
pp. 349-366
Author(s):  
André A. De Waal ◽  
Beatrice I.J.M. Van der Heijden ◽  
Christopher Selvarajah ◽  
Denny Meyer
Keyword(s):  
Strong Influence ◽  
Cross Cultural ◽  
National Cultures ◽  
High Performing ◽  
Managerial Success ◽  
Cultural Framework ◽  
Organizational Demands ◽  
Personal Qualities ◽  
Similarities And Differences ◽  
Excellent Leadership

AbstractNational cultures have a strong influence on the performance of organizations and should be taken into account when studying the traits of high performing managers. At the same time, many studies that focus upon the attributes of successful managers show that there are attributes that are similar for managers across countries. This article reports on the development of empirically validated profiles of Dutch and British high performing managers. Based on a sample of 808 Dutch and 286 British managers and using the cross-cultural framework of Excellent Leadership by Selvarajah et al., the profiles of excellent Dutch and British managers was derived. The profiles of Dutch and British high performing managers can be described by a four-dimensional factor structure consisting of Managerial behaviours, Environmental influences, Personal qualities and Organizational demands. Based on these validated profiles, the similarities and differences in attributes for managerial success between Dutch and British high performing managers can be identified.

Effect of strain on ADF-STEM high-resolution images

1991 ◽  
Vol 49 ◽  
pp. 666-667
Author(s):  
M. Kelly ◽  
D.M. Bird
Keyword(s):  
High Resolution ◽  
Strong Influence ◽  
Intensity Variation ◽  
Dark Field ◽  
Atomic Resolution ◽  
Strain Fields ◽  
High Resolution Image ◽  
Annular Dark Field ◽  
High Resolution Images ◽  
Interesting Alternative

It is well known that strain fields can have a strong influence on the details of HREM images. This, for example, can cause problems in the analysis of edge-on interfaces between lattice mismatched materials. An interesting alternative to conventional HREM imaging has recently been advanced by Pennycook and co-workers where the intensity variation in the annular dark field (ADF) detector is monitored as a STEM probe is scanned across the specimen. It is believed that the observed atomic-resolution contrast is correlated with the intensity of the STEM probe at the atomic sites and the way in which this varies as the probe moves from cell to cell. As well as providing a directly interpretable high-resolution image, there are reasons for believing that ADF-STEM images may be less suseptible to strain than conventional HREM. This is because HREM images arise from the interference of several diffracted beams, each of which is governed by all the excited Bloch waves in the crystal.

Grain separation enhanced magnetic coercivity in Pt/Co multilayers.

1993 ◽  
Vol 51 ◽  
pp. 1038-1039 ◽  
Author(s):  
G.A. Bertero ◽  
R. Sinclair
Keyword(s):  
Remanent Magnetization ◽  
Strong Influence ◽  
Uniaxial Anisotropy ◽  
Magnetic Coupling ◽  
Recording Media ◽  
Magnetic Media ◽  
Signal To Noise ◽  
Out Of Plane ◽  
Longitudinal Recording ◽  
The Relationship

Pt/Co multilayers displaying perpendicular (out-of-plane) magnetic anisotropy and 100% perpendicular remanent magnetization are strong candidates as magnetic media for the next generation of magneto-optic recording devices. The magnetic coercivity, Hc, and uniaxial anisotropy energy, Ku, are two important materials parameters, among others, in the quest to achieving higher recording densities with acceptable signal to noise ratios (SNR). The relationship between Ku and Hc in these films is not a simple one since features such as grain boundaries, for example, can have a strong influence on Hc but affect Ku only in a secondary manner. In this regard grain boundary separation provides a way to minimize the grain-to-grain magnetic coupling which is known to result in larger coercivities and improved SNR as has been discussed extensively in the literature for conventional longitudinal recording media.We present here results from the deposition of two Pt/Co/Tb multilayers (A and B) which show significant differences in their coercive fields.

American Speech-Language Pathologists' Training and Legislative Knowledge When Working With Immigrant and Refugee Populations: A Qualitative Study

2019 ◽  
Vol 4 (5) ◽  
pp. 1148-1161
Author(s):  
Camilo Maldonado ◽  
Alejandro Ashe ◽  
Kerri Bubar ◽  
Jessica Chapman
Keyword(s):  
Qualitative Study ◽  
Service Provision ◽  
Limited English Proficiency ◽  
Linguistic Diversity ◽  
Speech Language Pathologists ◽  
Federal Mandates ◽  
Refugee Families ◽  
Provision Of Services ◽  
English Speaking ◽  
Immigrant And Refugee

Background American educational legislation suggests culturally competent speech and language services should be provided in a child's native language, but the number of multilingual speech-language pathologists (SLPs) is negligible. Consequently, many monolingual English-speaking practitioners are being tasked with providing services to these populations. This requires that SLPs are educated about cultural and linguistic diversity as well as the legislation that concerns service provision to non-English or limited English proficiency speakers. Purpose This qualitative study explored the experiences of monolingual, American, English-speaking SLPs and clinical fellows who have worked with immigrant and refugee families within a preschool context. It investigated what training SLPs received to serve this population and what knowledge these SLPs possessed with regard to federal legislation governing the provision of services to culturally and linguistically diverse (CLD) communities. Method Ten American clinicians with experience treating CLD children of refugee and immigrant families in the context of preschool service provision participated in the study. Semistructured interviews were utilized to better understand the type of training clinicians received prior to and during their service delivery for CLD populations. Additionally, questions were asked to explore the degree to which practitioners understood federal mandates for ethical and effective service provision. The data collected from these interviews were coded and analyzed using the principles of grounded theory. Findings The results of this study revealed that there was a general sense of unpreparedness when working with CLD clients. This lack of training also attributed to a deficiency of knowledge surrounding legislation governing service provision to CLD populations.

Practical Resources for Provision of Services to Culturally and Linguistically Diverse Users of AAC

2015 ◽  
Vol 22 (1) ◽  
pp. 25-39
Author(s):  
Elena Dukhovny ◽  
E. Betsy Kelly
Keyword(s):  
Best Practices ◽  
Augmentative And Alternative Communication ◽  
Linguistically Diverse ◽  
Intervention Strategies ◽  
Culturally And Linguistically Diverse ◽  
Limited Resources ◽  
Flexible Systems ◽  
Alternative Communication ◽  
Practical Applications ◽  
Provision Of Services

According to the 2010 U.S. Census, over 20% of Americans speak a language other than English in the home, with Spanish, Chinese, and French being the languages most commonly spoken, aside from English. However, few augmentative and alternative communication (AAC) systems offer multilingual support for individuals with limited functional speech. There has been much discussion in the AAC community about best practices in AAC system design and intervention strategies, but limited resources exist to help us provide robust, flexible systems for users who speak languages other than English. We must provide services that take into consideration the unique needs of culturally and linguistically diverse users of AAC and help them reach their full communication potential. This article outlines basic guidelines for best practices in AAC design and selection, and presents practical applications of these best practices to multilingual/multicultural clients.

Dysphagia Services in Schools: Applying Special Education Requirements to a Health Service

2009 ◽  
Vol 18 (3) ◽  
pp. 86-90 ◽  
Author(s):  
Lissa Power-deFur
Keyword(s):  
Special Education ◽  
Health Service ◽  
Due Process ◽  
Due Process Hearings ◽  
Related Services ◽  
Eligibility Determination ◽  
Legal Provisions ◽  
Provision Of Services ◽  
Related Service ◽  
Specially Designed Instruction

Abstract School speech-language pathologists and districts frequently need guidance regarding how the legal provisions of special education affect the needs of children with dysphagia. This article reviews key principles of special education that guide eligibility determination and provision of services to all children. In the eligibility process, the school team would determine if the child's disability has an adverse effect on his/her education program and if the child needed special education (specially designed instruction) and related services. Dysphagia services would be considered a related service, a health service needed for the child to benefit from specially designed instruction. The article concludes with recommendations for practice that stem from a review of due process hearings and court cases for children with disabilities that include swallowing.

Facing a Patient Who Seeks Help After a Suicide Attempt

Crisis ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 110-122 ◽  
Author(s):  
Inês Areal Rothes ◽  
Margarida Rangel Henriques ◽  
Joana Barreiros Leal ◽  
Marina Serra Lemos
Keyword(s):  
Health Professionals ◽  
Suicide Attempts ◽  
Self Report ◽  
Suicidal Patient ◽  
Emotional Difficulties ◽  
Specific Training ◽  
Patient Suicide ◽  
Professional Groups ◽  
Professional Characteristics ◽  
Suicidal Patients

Background: Although intervention with suicidal patients is one of the hardest tasks in clinical practice, little is known about health professionals’ perceptions about the difficulties of working with suicidal patients. Aims: The aims of this study were to: (1) describe the difficulties of professionals facing a suicidal patient; (2) analyze the differences in difficulties according to the sociodemographic and professional characteristics of the health professionals; and (3) identify the health professionals’ perceived skills and thoughts on the need for training in suicide. Method: A self-report questionnaire developed for this purpose was filled out by 196 health professionals. Exploratory principal components analyses were used. Results: Four factors were found: technical difficulties; emotional difficulties; relational and communicational difficulties; and family-approaching and logistic difficulties. Differences were found between professionals who had or did not have training in suicide, between professional groups, and between the number of patient suicide attempts. Sixty percent of the participants reported a personal need for training and 85% thought it was fundamental to implement training plans targeted at health professionals. Conclusion: Specific training is fundamental. Experiential and active methodologies should be used and technical, relational, and emotional questions must be included in the training syllabus.

Modification of MnS inclusion by tellurium in 38MnVS6 micro-alloyed steel

2020 ◽  
Vol 117 (6) ◽  
pp. 615
Author(s):  
Ping Shen ◽  
Lei Zhou ◽  
Qiankun Yang ◽  
Zhiqi Zeng ◽  
Kenan Ai ◽  
...  
Keyword(s):  
Fatigue Life ◽  
Aspect Ratio ◽  
Strong Influence ◽  
Experimental Results ◽  
Alloyed Steel ◽  
Equivalent Diameter ◽  
Small Aspect Ratio ◽  
Steel Quality ◽  
Eds Analysis ◽  
Micro Alloyed Steel

In 38MnVS6 steel, the morphology of sulfide inclusion has a strong influence on the fatigue life and machinability of the steel. In most cases, the MnS inclusions show strip morphology after rolling, which significantly affects the steel quality. Usually, the MnS inclusion with a spherical morphology is the best morphology for the steel quality. In the present work, tellurium was applied to 38MnVS6 micro-alloyed steel to control the MnS inclusion. Trace tellurium was added into 38MnVS6 steel and the effect of Te on the morphology, composition, size and distribution of MnS inclusions were investigated. Experimental results show that with the increase of Te content, the equivalent diameter and the aspect ratio of inclusion decrease strikingly, and the number of inclusions with small aspect ratio increases. The inclusions are dissociated and spherized. The SEM-EDS analysis indicates that the trace Te mainly dissolves in MnS inclusion. Once the MnS is saturated with Te, MnTe starts to generate and wraps MnS. The critical Te/S value for the formation of MnTe in the 38MnV6 steel is determined to be approximately 0.075. With the increase of Te/S ratio, the aspect ratio of MnS inclusion decreases and gradually reaches a constant level. The Te/S value in the 38MnVS6 steel corresponding to the change of aspect ratio from decreasing to constant ranges from 0.096 to 0.255. This is most likely to be caused by the saturation of Te in the MnS inclusion. After adding Te in the steel, rod-like MnS inclusion is modified to small inclusion and the smaller the MnS inclusion, the lower the aspect ratio.

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