scholarly journals Exploring Disruptive Thinking Possibilities in Construction and Engineering

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Sittimont Kanjanabootra
Keyword(s):  
Construction Industry ◽  
Financial Risk ◽  
Evidence Based Practice ◽  
Innovation Adoption ◽  
Frame Of Reference ◽  
Evidence Based ◽  
Innovation Development ◽  
Personal Stories ◽  
Starting Point ◽  
Engineering Projects

Innovation adoption in construction and engineering projects is often claimed to be problematic and slow. Traditional analysis of innovation adoption is grounded in evidence-based practice and financial risk analysis. This has the effect of making innovation development in construction rarely able to disrupt industry. Innovation tends to occur in a drip feed like manner resulting in incremental and slower adoption. This is perceived as a problem for the construction industry. This paper uses the concept of Disruptive Thinking to examine a potential frame of reference for construction practitioners in their work and how they approach innovation adoption. The research uses interviews producing personal stories with professionals working on construction and engineering projects. The research shows that there is some evidence of use of disruptive mindsets by construction and engineering professionals, resulting in disruptive practice in certain sectors, not in the construction industry as a whole. The paper concludes that Disruptive Thinking is a starting point, and vehicle that can lead practitioners to more readily adopt innovation. Disruptive thinking can be a means to adoption when the mindset of evidence-based practice can be infiltrated.

Using a Critical Appraisal Assignment to Infuse Evidence-Based Practice into a Therapeutic Modality Course

2014 ◽  
Vol 9 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Mary Beth Zwart ◽  
Bernadette Olson
Keyword(s):  
Clinical Practice ◽  
Athletic Training ◽  
Critical Appraisal ◽  
Evidence Based Practice ◽  
Clinical Findings ◽  
Therapeutic Modality ◽  
Future Research ◽  
Evidence Based ◽  
Clinical Question ◽  
Starting Point

Context It is the responsibility of athletic training educators, through curriculum and clinical experiences, to engage students towards adopting evidence-based practice (EBP) into their practice. The initial task of implementing EBP into a curriculum or course can seem like a large task for educators and students. As a way to start scaffolding EBP concepts across the curriculum, a modified critical appraisal assignment was developed to teach therapeutic modality concepts. Objective The purpose of this action research project was to demonstrate how a modified critical appraisal assignment can be used to introduce the process and aspects of critical appraisal and begin scaffolding the development of critical appraisal skills over time. The objectives of this study were to evaluate the students' ability to (1) successfully locate relevant research needed to answer clinical questions and (2) successfully appraise the literature according to basic EBP strategy. From a program perspective, the modified critical appraisal assignment was a starting point from which to include EBP principles into didactic coursework. Design Seventeen athletic training students completed 3 modified critical appraisal assignments pertaining to the use of therapeutic modalities. Each paper included 5 sections: (1) clinical question, (2) key clinical findings, (3) clinical applicability based on information from the appraisal and significance of results, (4) article comparison table, and (5) implications for clinical practice, patient education, and future research. The instructor evaluated the assignments blind. Conclusions Students were generally able to complete the critical appraisal assignment; however, students had difficulty locating research that answered the clinical question. Students struggled to relate the key clinical findings of the research articles and implications for clinical practice to the given clinical question. Findings from this study have informed faculty teaching, including introducing EBP skills earlier in the curriculum and inserting assignments that stress various aspects of the critical appraisal process.

Bridging the Divide With SoTL: Connecting Knowledge With Best Practice in Communication Disorders

2017 ◽  
Vol 2 (10) ◽  
pp. 14-24 ◽  
Author(s):  
Jennifer C. Dalton ◽  
Joseph Klein ◽  
Dawn C. Botts
Keyword(s):  
Graduate Students ◽  
Teaching And Learning ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Communication Disorders ◽  
Evidence Based ◽  
Scholarship Of Teaching ◽  
Starting Point

In this article, a model of evidence-based practice is presented that engaged graduate students and instructors from the discipline of communication sciences and disorders (CSD) in evidence-based education through the use of the scholarship of teaching and learning (SoTL). This article can serve as a starting point for other instructors interested in engaging in SoTL in their own CSD classrooms.

Mapping similarities and differences to progress mutual understanding and dialogue: A comparison and contrast of evidence-based practice and person-centered healthcare

2018 ◽  
Vol 6 (3) ◽  
pp. 462
Author(s):  
James Marcum
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Common Ground ◽  
Evidence Based Practice ◽  
Integrated Approach ◽  
Mutual Understanding ◽  
Evidence Based ◽  
Quality Healthcare ◽  
Starting Point ◽  
Similarities And Differences

Evidence-based practice and person-centered healthcare are often seen as opposing approaches to clinical practice. And yet both offer advantages to providing quality healthcare. In this paper, both approaches to clinical practice are analyzed and mapped philosophically by comparing and contrasting their key foundational principles. The goal is to progress the dialogue between them in order to determine whether a common ground exists in which they might be integrated and how best to operationalize, both clinically and pedagogically, an integrated approach. To that end, key principles undergirding them are enumerated and then integrated by shifting the focus from evidence to the person - whether patient or clinician - for the delivery of quality healthcare. In this way, person-centered healthcare provides the optimal starting point for framing evidence-based practice. Next, operationalizing the integrated approach to clinical practice and medical education is addressed. Finally, the root of modern healthcare must be a person’s, whether patient’s or clinician’s, dignity. For the goal of healthcare is to relieve suffering associated with illness, whether that involves curing a disease or not and not adding to the suffering associated with illness.

scholarly journals Overcoming Barriers to Implementation of Evidence-Based Practice Concepts in Athletic Training Education: Perceptions of Select Educators

2011 ◽  
Vol 46 (5) ◽  
pp. 514-522 ◽  
Author(s):  
Sarah Manspeaker ◽  
Bonnie Van Lunen
Keyword(s):  
Decision Making ◽  
Athletic Training ◽  
Evidence Based Practice ◽  
Athletic Training Education ◽  
Evidence Based ◽  
Clinical Practices ◽  
Education Programs ◽  
Entry Level ◽  
Starting Point ◽  
Barriers To Implementation

Context: The need to include evidence-based practice (EBP) concepts in entry-level athletic training education is evident as the profession transitions toward using evidence to inform clinical decision making. Objective: To evaluate athletic training educators' experience with implementation of EBP concepts in Commission on Accreditation of Athletic Training Education (CAATE)-accredited entry-level athletic training education programs in reference to educational barriers and strategies for overcoming these barriers. Design: Qualitative interviews of emergent design with grounded theory. Setting: Undergraduate CAATE-accredited athletic training education programs. Patients or Other Participants: Eleven educators (3 men, 8 women). The average number of years teaching was 14.73 ± 7.06. Data Collection and Analysis: Interviews were conducted to evaluate perceived barriers and strategies for overcoming these barriers to implementation of evidence-based concepts in the curriculum. Interviews were explored qualitatively through open and axial coding. Established themes and categories were triangulated and member checked to determine trustworthiness. Results: Educators identified 3 categories of need for EBP instruction: respect for the athletic training profession, use of EBP as part of the decision-making toolbox, and third-party reimbursement. Barriers to incorporating EBP concepts included time, role strain, knowledge, and the gap between clinical and educational practices. Suggested strategies for surmounting barriers included identifying a starting point for inclusion and approaching inclusion from a faculty perspective. Conclusions: Educators must transition toward instruction of EBP, regardless of barriers present in their academic programs, in order to maintain progress with other health professions' clinical practices and educational standards. Because today's students are tomorrow's clinicians, we need to include EBP concepts in entry-level education to promote critical thinking, inspire potential research interest, and further develop the available body of knowledge in our growing clinical practice.

scholarly journals Design of the EBE-ST Questionnaire among Nursing Students: Multicenter Study from Eight Universities in Spain

2021 ◽  
Vol 18 (11) ◽  
pp. 6145
Author(s):  
Ana Rosa Alconero-Camarero ◽  
Carmen Sarabia-Cobo ◽  
Montserrat Antonín-Martin ◽  
Alicia Borras-Santos ◽  
Montserrat Edo-Gual ◽  
...  
Keyword(s):  
Nursing Students ◽  
Evidence Based Practice ◽  
National Level ◽  
Reliability And Validity ◽  
Psychometric Validation ◽  
Evidence Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Starting Point ◽  
Evidence Based Nursing

Background: Twenty years after the degree in nursing was introduced in Spain, the subject of evidence-based nursing is still unstructured and unestablished in most faculties. Moreover, there are hardly any rigorous studies at a national level that evaluate the current state of this competence in our faculties. Understanding the starting point is essential for the curricular design to ensure that evidence-based practice is implemented among future professionals. Aim: To design and validate an evidence-based nursing competency questionnaire for fourth-year nursing students. Methods: A specific questionnaire was developed and validated (EBE-ST). A cross-sectional survey design with psychometric validation of an instrument. Participants were 304 senior year nursing students from eight universities in Spain (2020). Results: The EBE-ST questionnaire is composed of 33 items that determine eight factors. It presents adequate reliability and validity (alpha = 0.882), measuring knowledge, attitudes and the practical application of evidence-based practice. Conclusions: We have created an instrument with good psychometric properties to measure evidence-based practice competence among senior nursing students. The heterogeneity of knowledge regarding evidence-based nursing in our country suggests that further reflection is warranted on the incorporation of this topic during undergraduate training. We have designed and validated an evidence-based nursing competency questionnaire specific to nursing students.

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

Current Issues: Evidence-Based Practice for the Real World: Thoughts on Clinical Education in Communication Disorders

2010 ◽  
Vol 20 (3) ◽  
pp. 100-105 ◽  
Author(s):  
Anne K. Bothe
Keyword(s):  
Clinical Education ◽  
Real World ◽  
Evidence Based Practice ◽  
Communication Disorders ◽  
University Faculty ◽  
Evidence Based ◽  
Speech Language Pathology ◽  
Basic Principles ◽  
The Real ◽  
Language Pathology

This article presents some streamlined and intentionally oversimplified ideas about educating future communication disorders professionals to use some of the most basic principles of evidence-based practice. Working from a popular five-step approach, modifications are suggested that may make the ideas more accessible, and therefore more useful, for university faculty, other supervisors, and future professionals in speech-language pathology, audiology, and related fields.

Training Methods With Clinicians and Students—A Personal Story and Change: Narrative Therapy for Stuttering

2008 ◽  
Vol 18 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Margaret Leahy
Keyword(s):  
Narrative Therapy ◽  
Evidence Based Practice ◽  
Theoretical Background ◽  
Evidence Based ◽  
Training Methods ◽  
Sense Of Control ◽  
Case Description ◽  
General Outline ◽  
Personal Story ◽  
Fluency Disorders

Abstract Educating students and informing clinicians regarding developments in therapy approaches and in evidence-based practice are important elements of the responsibility of specialist academic posts in universities. In this article, the development of narrative therapy and its theoretical background are outlined (preceded by a general outline of how the topic of fluency disorders is introduced to students at an Irish university). An example of implementing narrative therapy with a 12-year-old boy is presented. The brief case description demonstrates how narrative therapy facilitated this 12-year-old make sense of his dysfluency and his phonological disorder, leading to his improved understanding and management of the problems, fostering a sense of control that led ultimately to their resolution.

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