Making Sense of Clinical Examination of the Adult Patient: A Hands on Guide

Curriculum reform that has an effect on the everyday practices in schools always entails translation of new ideas into new educational practices. This takes place primarily through shared sense making. However, our understanding of the different ways in which shared sense making is carried out is still scarce. In Finland, the district level plays an important intermediary role in orchestrating curriculum development work at the municipalities and in translating and mediating reform into school-level development work. The study explores different shared sense-making strategies employed by 12 district-level curriculum reform steering groups around Finland, including participants from 54 municipalities. Three hands-on strategies of shared sense making including comparison, standardisation and transformation were identified. The results indicated that different hands-on strategies have different functions in the process of making sense of the reform objectives. To a certain extent, the strategies can be viewed as hierarchical. Overall, results suggest that district-level actors aim to foster shared sense making; however, a more intentional use of strategies is needed.

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Abstract 133: Electrical Insulating Gloves for Safe Hands-on Defibrillation Do Not Compromise the Quality of Chest Compressions

Circulation ◽

10.1161/circ.130.suppl_2.133 ◽

2014 ◽

Vol 130 (suppl_2) ◽

Author(s):

Jakob E Thomsen ◽

Martin Harpsø ◽

Graham W Petley ◽

Svend Vittinghus ◽

Charles D Deakin ◽

...

Keyword(s):

Clinical Examination ◽

Chest Compression ◽

Electrical Insulation ◽

Compression Rate ◽

Chest Compressions ◽

Compression Depth ◽

Resuscitation Guidelines ◽

Hands On ◽

Class 1

Introduction: We have recently shown that Class 1 electrical insulating gloves are safe for hands-on defibrillation. Continuous chest compressions during defibrillation reduce the peri-shock pauses and increase the subsequent chance of successful defibrillation. In this study we have investigated the effect of these electrical insulation gloves on the quality of chest compressions, compared with normal clinical examination gloves. Methods: Emergency medical technicians trained in 2010 resuscitation guidelines delivered uninterrupted chest compressions for 6 min on a manikin, whilst wearing Class 1 electrical insulating gloves or clinical examination gloves. The order of gloves was randomized and each session of chest compressions was separated by at least 30 min to avoid fatigue. Data were collected from the manikin. Compression depth and compression rate were compared. Results: Data from 35 participants are shown in Figure 1. There was no statistically significant difference between Class 1 electrical insulating gloves in chest compression depth (median±range: 45 (28-61) vs 43 (28-61) p=0.69) and chest compression rate (113 (67-150) vs 113(72-145), p=0.87) when compared to clinical examination cloves. Conclusion: These preliminary data suggest that the use of Class 1 electrical insulation gloves does not reduce the quality of chest compressions during simulated CPR compared to clinical examination gloves.

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Making Sense of the ECG – A Hands-on Guide:Making Sense of the ECG – A Hands-on Guide: Andrew R Houghton Third David Gray Hodder Arnold 304pp £17.99 9780340946886 0340946881

Nursing Standard ◽

10.7748/ns.23.6.31.s36 ◽

2008 ◽

Vol 23 (6) ◽

pp. 31-31

Author(s):

Rachael Rowe

Keyword(s):

Making Sense ◽

Hands On

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Making Sense of the ECG – A Hands-on Guide: Third editionMaking Sense of the ECG – A Hands-on Guide: Third edition

Nursing Standard ◽

10.7748/ns2008.10.23.6.31.b824 ◽

2008 ◽

Vol 23 (6) ◽

pp. 31-31

Author(s):

Rachael Rowe

Keyword(s):

Making Sense ◽

Hands On

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Making Sense of Medical Ethics: A hands-on guide

10.1201/b13228 ◽

2006 ◽

Author(s):

Alan G Johnson ◽

Paul R. V. Johnson

Keyword(s):

Medical Ethics ◽

Making Sense ◽

Hands On

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Making Sense of Local Climate Projections

Eos ◽

10.1029/2019eo136493 ◽

2019 ◽

Vol 100 ◽

Author(s):

Derek Rosendahl ◽

Renee McPherson ◽

Adrienne Wootten ◽

Esther Mullens ◽

Jessica Blackband ◽

...

Keyword(s):

Real World ◽

Climate Model ◽

Decision Makers ◽

Climate Projections ◽

Local Climate ◽

Making Sense ◽

Hands On ◽

Collaboration With Scientists

Hands-on training, collaboration with scientists, and practice using real-world challenges give planners and decision-makers confidence to work with climate model information.

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Making Sense of Medical Statistics

10.1017/9781108973663 ◽

2021 ◽

Author(s):

Munier Hossain

Keyword(s):

Statistical Tests ◽

Bayes Theorem ◽

Multimedia Content ◽

Medical Statistics ◽

Statistical Software ◽

Making Sense ◽

Relative Risks ◽

Hands On ◽

Questions And Answers ◽

The Difference

Do you want to know what a parametric test is and when not to perform one? Do you get confused between odds ratios and relative risks? Want to understand the difference between sensitivity and specificity? Would like to find out what the fuss is about Bayes' theorem? Then this book is for you! Physicians need to understand the principles behind medical statistics. They don't need to learn the formula. The software knows it already! This book explains the fundamental concepts of medical statistics so that the learner will become confident in performing the most commonly used statistical tests. Each chapter is rich in anecdotes, illustrations, questions, and answers. Not enough? There is more material online with links to free statistical software, webpages, multimedia content, a practice dataset to get hands-on with data analysis, and a Single Best Answer questionnaire for the exam.

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