Mapping Canadian Wheelchair Curling Coaches’ Development: A Landscape Metaphor for a Systems Approach

2020 ◽  
Vol 7 (2) ◽  
pp. 117-126 ◽  
Author(s):  
Tiago Duarte ◽  
Diane M. Culver ◽  
Kyle Paquette

This study addresses the preintervention phase of a larger project aimed at enhancing the learning capability of the Canadian wheelchair curling coaches’ landscape. To understand the learning leverage features and learning barriers of this landscape, a mapping exercise was conducted. The authors interviewed 16 people, using a semistructured interview guide. The thematic analysis and a landscape metaphor resulted in a map illustrating the main features of the landscape and where the learning potential might be. The findings of this study suggest that geographical isolation, the high costs associated with coach training, and the low number of athletes are all barriers to coaches’ learning. Therefore, with the information gleaned from this phase, an intervention for these coaches should be designed to prioritize meaningful learning opportunities, incorporate influential people noted by coaches, and leverage opportunities at training camps and competitions to mitigate the barriers identified. The landscape view allows for a systems approach that considers the potential of involving the different levels of the sport system to best serve the learning needs of coaches. Rather than focus on individual coach learning, research is needed to better understand how the landscape approach can build learning capability within sport organizations.

2013 ◽  
Vol 4 (2) ◽  
pp. 71
Author(s):  
Jenefer Garcez Alexandre ◽  
Mileni Henedi Lemos ◽  
Synthia Ferreira Campos ◽  
Denise Dargelio Levy ◽  
Ivonete Teresinha Schulter Buss Heideman ◽  
...  

Resumo: A obesidade e o sobrepeso são considerados hoje uma epidemia mundial. O objetivo deste estudo foi identificar as crianças e adolescentes com idade entre 9 e 14 anos com potencial alteração no grau de nutrição. Realizou-se um estudo exploratório e descritivo com abordagem quantitativa e qualitativa articulado com a metodologia de Paulo Freire. Foram coletados dados antropométricos e realizadas oito visitas domiciliares, utilizando-se um roteiro de entrevista semiestruturado. Os resultados foram agrupados em três categorias para análise. Conclui-se que a maior parte das crianças e adolescentes não tem hábitos alimentares saudáveis e que praticam atividade física com baixa frequência.Palavras-Chave: Saúde da Família, Educação em Saúde, Obesidade, Promoção da Saúde.Acting of the Education Program for Work-Family Health PET: multidisciplinary assessment of the nutritional status of schoolchildrenAbstract: Obesity and overweight are now considered a global epidemic. The objective of this study was to identify children and adolescents aged 9 to 14 years with a potential alteration in the degree of nutrition. We carried out an exploratory and descriptive quantitative and qualitative approach with the methodology articulated by Paulo Freire. Anthropometric data were collected and made eight home visits using a semistructured interview guide. The results were grouped into three categories for analysis. We conclude that most children and teens do not have healthy eating habits and physical activity practice with low frequency.Keywords: Family Health, Health Education, Obesity, Health Promotion.Actuación del Programa de Educación para el Trabajo- PET Salud de la Familia: Evaluación Multidisciplinar del Estado Nutricional de Escolares.Resumen: El objetivo deste estudio fue identificar los niños y adolescentes con edad entre 9 y 14 años con potencial alteración en el grado de nutrición. Se realizo un estudio exploratorio y discriptivo con abordagen cuantitativa y cualitativa articulado con la metodología de Paulo Freire. Fue colectado dados antropometricos, y después clasificados según el gráfico de la WHO (2007) fuerón realizados ocho visitas domiciliares se utilizando un guión de entrevista semiestruturado. Los resultados fuerón agrupados en tres categorías para análisis. Se percibió que la mayor parte de los niños y adolescentes no tienen hábitos alimentares saludables y que pratican activdades físicas con baja frecuencia. Palabras Clave: Salud en la Familia, Educación en Salud, Obesidad, Promoción de la salud.


BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e033061
Author(s):  
Mark Lown ◽  
Christopher R Wilcox ◽  
Stephanie Hughes ◽  
Miriam Santer ◽  
George Lewith ◽  
...  

ObjectivesThere has been increased interest in screening for atrial fibrillation (AF) with commissioned pilot schemes, ongoing large clinical trials and the emergence of inexpensive consumer single-lead ECG devices that can be used to detect AF. This qualitative study aimed to explore patients’ views and understanding of AF and AF screening to determine acceptability and inform future recommendations.SettingA single primary care practice in Hampshire, UK.Participants15 participants (11 female) were interviewed from primary care who had taken part in an AF screening trial. A semistructured interview guide was used flexibly to enable the interviewer to explore any relevant topics raised by the participants. Interviews were recorded, transcribed verbatim and analysed using inductive thematic analysis.ResultsParticipants generally had an incomplete understanding of AF and conflated it with other heart problems or with raised blood pressure. With regards to potential drawbacks from screening, some participants considered anxiety and the cost of implementation, but none acknowledged potential harms associated with screening such as side effects of anticoagulation treatment or the risk of further investigations. The screening was generally well accepted, and participants were generally in favour of engaging with prolonged screening.ConclusionsOur study highlights that there may be poor understanding (of both the nature of AF and potential negatives of screening) among patients who have been screened for AF. Further work is required to determine if resources including decision aids can address this important knowledge gap and improve clinical informed consent for AF screening.Trial registration numberISRCTN 17495003.


2009 ◽  
Vol 33 (9) ◽  
pp. 347-349 ◽  
Author(s):  
Sanju George ◽  
Neel Halder

SummaryThe Psychiatric Bulletin offers the post of a trainee editor on its Editorial Board, open to all trainees in psychiatry. In this paper we (the immediate past and current Trainee Editor) describe the roles and responsibilities, learning opportunities and our own experiences from our time as Trainee Editor of the Bulletin. We hope we will give readers some understanding of the immense learning potential and academic exposure that this post offers, and encourage trainees to consider whether it is of interest to them.


LEKSIKA ◽  
2020 ◽  
Vol 14 (2) ◽  
pp. 67
Author(s):  
F Fatimah ◽  
Irma Shinta Dewi ◽  
Sri Purwantini

This research  is aimed to find out the target and learning needs of Nautical students at PIP Semarang and designing the appropriate material for Nautical students at PIP Semarang. This is a Research and Development project. The steps of doing this research are (1) need analysis (2) make syllabus (3) designing materials (4) expert consultation (5) try out material (6) evaluation. The subject of this research is the third-semester students of Nautical department at PIP Semarang. The instruments used are questionnaires for need analysis, interview guide and observation sheets. The data were analyzed by using descriptive quantitative and qualitative. The results of the research recommend three  units namely (1) Initial Call (2) Message Marker and (3) On Board Communication Phrases which are developed with communicative approach. The research gives contribution to the teaching and learning English at Nautical Department of Politeknik Ilmu Pelayaran Semarang.


Author(s):  
Karen Lee Banks

Online graduate students ages 25 and older have unique challenges toward achieving their academic goals as compared to younger learners, as they often already have families, careers, and other demands on their time. Pursuing advanced degrees is typically related to gaining a competitive edge or to completely changing careers. Learning barriers often include the lack of accommodations for these learners' unique needs and educational preferences. The purpose of this modified Delphi study was to identify these nontraditional online graduate learners' perceived barriers to their learning, along with relevant strategies to decrease those barriers. Sharing this study's results should facilitate these learners' success and increase retention in their respective universities as more non-traditional learners graduate. The study data obtained from the participants included these learners' personal accounts of their own learning needs and preferences, their perceived learning barriers, their anticipated real-world application for their education, and their expectations for program completion.


Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 95 ◽  
Author(s):  
Maryam Jetha ◽  
Ali Walji ◽  
Paul Gregory ◽  
Dalya Abdulla ◽  
Zubin Austin

Globally, concerns have been expressed regarding the impact of regulation of pharmacy technicians. After more than a decade of experience with technician regulation in Ontario, Canada, uptake of the full scope of practice for technicians has been sporadic at best. The objective of this study was to examine barriers and facilitators to intraprofessional collaboration between pharmacists and pharmacy technicians for the purpose of identifying possible curricular or educational interventions to enhance workplace integration. A qualitative, interview-based study of 24 pharmacists, technicians, educators, pharmacy managers, and owners was undertaken using a semi-structured interview guide. Key findings of this research include: (i) Confirmation of suboptimal utilization of regulated technicians in practice; (ii) identification of crucial knowledge and skills gaps for both pharmacists and technicians; and (iii) proposals for undergraduate education and training, and continuing professional development learning opportunities to address these gaps. In order to achieve the promise and potential of regulation of pharmacy technicians, system-wide change management—beginning with education—will be required and will benefit from multiple stakeholder engagement and involvement.


2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Olivier Potvin ◽  
Catherine Vallée ◽  
Nadine Larivière

Introduction. Personality disorders are common mental health disorders, with an estimated lifetime prevalence of 4 to 15%. People living with personality disorders are extensively seeking mental health services, yet few papers focus on their unique occupational needs or effective rehabilitation interventions that may alleviate the occupational issues they face. Occupational therapists are encouraged to support engagement in socially valued occupations, while preventing engagement in damaging ones, despite a lack of evidence on the meaning and the lived experiences of people. Objectives. This paper describes the meaning attributed by people living with personality disorders to their main occupations and the underlying needs they strive to fulfill through occupational engagement, whether or not these occupations are sanctioned. Methods. This exploratory study rests on a descriptive interpretative methodology. The participants were ten men and women, aged between 18 and 35 years old and living with a Cluster B personality disorder. A semistructured interview guide allowed participants to build narratives on occupations that are important to them and discuss how these occupations shape their identity. A thematic content analysis fostered the development of a coding structure that reflected a first-account perspective. Results. The narratives provided by the participants depict a variety of meaningful occupations, many of which are socially disapproved. Many of these occupations serve as a coping strategy to deal with distressing situations, to connect with others who share similar life experiences, or to reestablish a fragile sense of control. Other occupations are socially disapproved due to the overinvestment of the participants’ commitment. While participants described how this overinvestment allowed them to control destructive impulses, significant others perceived it as counterproductive and unnecessary. Participants perceived self-care occupations as painful and tedious chores or meaningless occupations. Engaging in productive occupations allowed some participants to gain recognition or to identify their competencies, but also confirmed their differences, creating some form of alienation or marginalisation. Conclusion. This exploratory study invites clinicians and researchers to develop a more responsive understanding of occupational engagement for this population. The results highlight the importance of situating occupations in their context, while endorsing a first-account perspective, to better understand the forces that shape occupational engagement. Ultimately, occupational therapists should critically appraise their assumptions around healthy and unsanctioned occupations, in order to respond with sensitivity to the needs and experience of their clients, without perpetuating the marginalisation and discrimination they face.


2016 ◽  
Vol 12 (12) ◽  
pp. e1006-e1015 ◽  
Author(s):  
Minnie Bluhm ◽  
Cathleen M. Connell ◽  
Raymond G. De Vries ◽  
Nancy K. Janz ◽  
Kathleen E. Bickel ◽  
...  

Purpose: The value of chemotherapy for patients with cancer in the last weeks of life warrants examination. Late chemotherapy may not improve survival or quality of life but typically precludes hospice enrollment and may result in additional symptoms, increased use of other aggressive treatments, and worsening quality of life. Few studies have explored oncologists’ rationales for administering chemotherapy near death. This study examines the self-reported factors that influence oncologists’ decisions about late chemotherapy. Methods: In-depth individual interviews were conducted with 17 oncologists through a semistructured interview guide. Interviews were audio recorded and transcribed verbatim. Transcripts were coded and analyzed using conventional content analysis, a qualitative method that allows the detection and analysis of patterns in the data. Results: Clinical factors take priority in determining late chemotherapy decisions when clear treatment choices exist. When clinical factors are ambiguous, emotion becomes a highly salient influence. Oncologists view late chemotherapy to be patient driven and use it to palliate emotional distress and maintain patient hope even when physical benefit is unexpected. Oncologists experience unique and difficult challenges when caring for dying patients, including emotionally draining communication, overwhelming responsibility for life/death, limitations of oncology to heal, and prognostic uncertainty. These challenges are also eased by offering late chemotherapy. Conclusion: The findings reveal a nuanced understanding of why oncologists find it difficult to refuse chemotherapy treatment for patients near death. Optimal end-of-life treatment decisions require supportive interventions and system change, both of which must take into account the challenges oncologists face.


2019 ◽  
Vol 6 (3) ◽  
pp. 296-306 ◽  
Author(s):  
Diane M. Culver ◽  
Penny Werthner ◽  
Pierre Trudel

The Canadian National Coaching Certification Program (NCCP) redesigned its coaching education programmes to utilise a learner-centred, problem-based approach. The purpose of this paper is to document the design, delivery, and subjective assessment of this large-scale coach education programme through the perspectives of the different actors, with a special focus on the coach developers (CDs) as an essential and important group within the coach education system. A constructivist view of learning, supported by the work of Jennifer Moon on the impact of short courses and workshops, guided this work. Part 1 of the results provides an overview of the studies conducted on the revised NCCP. Part 2 examines the perspectives of 26 CDs concerning their training and experiences delivering the redesigned NCCP. Conclusions include the importance of considering the cognitive structures of the CDs and coach learners; issues related to covering the module content versus addressing coaches’ learning needs; ensuring adequate time for questions and reflection to enable deep learning; specific training for CDs to support post-workshop learning; and the importance of taking a systems approach to coach development that considers all the actors involved in a national programme being delivered at the provincial/territorial or sport organisational level.


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