scholarly journals I-PASS Adherence and Implications for Future Handoff Training

2019 ◽  
Vol 11 (3) ◽  
pp. 301-306 ◽  
Author(s):  
Helen K. Hughes ◽  
Janet R. Serwint ◽  
Jennifer K. O'Toole ◽  
Nancy D. Spector ◽  
Thuy L. Ngo
Keyword(s):  
Patient Safety ◽  
Prior Knowledge ◽  
Primary Method ◽  
Pediatric Residents ◽  
Factors Affecting ◽  
Frequency Of Use ◽  
Patient Complexity ◽  
Resident Handoffs ◽  
Academic Year

ABSTRACT Background A formal handoff process, such as the I-PASS handoff program, can improve communication about patients among residents. Faculty observation of resident handoffs has served as the primary method for documenting adherence to I-PASS, and little is known about residents' use when they are not being observed. Objective We determined how frequently pediatric residents use I-PASS when not being observed. Methods We implemented I-PASS in the 2016–2017 academic year and anonymously surveyed residents (December 2016 and June 2017), asking them how they perceive the effectiveness of I-PASS at enhancing patient safety, their frequency of I-PASS use when not observed, co-residents' frequency of use, and open-ended questions regarding factors affecting use. Results Fifty-one (52%) and 50 (51%) of 99 eligible residents completed the December and June surveys, respectively. All respondents thought I-PASS had some effectiveness in enhancing patient safety. In December, only 6 (12%) residents stated they used I-PASS more than 75% of the time and reported providing a synthesis statement during handoffs more than 75% of the time. The results were similar for both surveys. Commonly cited reasons for not using I-PASS included time (n = 30), prior knowledge of patients (n = 20), and patients with limited complexity (n = 9). Conclusions While most residents thought I-PASS was effective at enhancing patient safety, many reported that they do not use all 5 elements in most of their handoffs when not being observed. Barriers reported included time, familiarity with patients, and limited patient complexity.

Students’ Speaking Skill in English Immersion School

2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Fadil ◽  
Sumardi Sumardi ◽  
Ngadiso Ngadiso
Keyword(s):  
English Teachers ◽  
Program Improvement ◽  
Average Score ◽  
Factors Affecting ◽  
English Immersion ◽  
Speaking Skill ◽  
English Speaking ◽  
Comparative Results ◽  
Academic Year ◽  
Speaking Skills

This research aims to describe: (1) students' English speaking skill in English immersion school; (2) students’ strengths and weaknesses in speaking skill in English immersion school; (3) factors affecting students' speaking skill in English immersion school. The research was designed as a case study, conducted at a school applying English immersion in Bondowoso, East Java, Indonesia in Academic Year 2017-2018. The research used purposive sampling. Data were collecated by interview, questionnairre, observation, and document analysis. The informants were grade 2 students, English teachers, and the school founder. The analysis found that: (1) on the scale of 1-5 (1=very bad, 2=bad, 3=fair, 4=good, 5=very good), students’ English speaking skills were at levels of very good (2.22%), good (6.67%), fair (37.78%), bad (44.44%), and very bad (8.89%); (2) students’ strengths in English speaking skills were related to vocabulary with average score of 2.7, and the weaknesses dealt with fluency with average score of 2.25; (3) factors that were assumed to affect students’ English speaking skills were environment, local accent, vocabulary mastery, English use, preference, and habits. It is recommended that all parties involved in the English immersion program evaluate the running of the program and the content of the program to provide learning outputs through English immersion. Commitment to using English should be strengthened, especially in English Week program. Improvement on English teachers’ is needed by involving them in trainings. Finally, similar research at non-English immersion school is necessary to ensure the comparative results gained from both types of school.

The effectiveness of scenario-based learning to develop patient safety behavior in first year nursing students

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Derya Uzelli Yilmaz ◽  
Esra Akin Palandoken ◽  
Burcu Ceylan ◽  
Ayşe Akbiyik
Keyword(s):  
Patient Safety ◽  
Nursing Students ◽  
Intramuscular Injection ◽  
Skills Training ◽  
First Year ◽  
Safety Skills ◽  
Safety Behavior ◽  
Significant Difference ◽  
Academic Year ◽  
Nursing Course

AbstractThe aim of this study was to examine the effect of scenario-based learning (SBL) compared to traditional demonstration method on the development of patient safety behavior in first year nursing students. During the 2016–2017 academic year, the Fundamentals of Nursing course curriculum contained the teaching of demonstration method (n=168). In the academic year 2017–2018 was performed with SBL method in the same context (n=183). Objective Structured Clinical Examination (OSCE) that assesses the same three skills was implemented in both academic terms to provide standardization so that students could evaluated in terms of patient safety competency. It was found that students’ performance of some of the steps assessed were not consistently between the demonstration and SBL methods across the three skills. There was a statistically significant difference between demonstration method and SBL method for students’ performing the skill steps related to patient safety in intramuscular injection (p<0.05) Our results suggest that the integration of SBL into the nursing skills training may be used as a method of teaching in order to the development of patient safety skills.

scholarly journals Assessing the Impact of Multi-Morbidity and Related Constructs on Patient Reported Safety in Primary Care: Generalized Structural Equation Modelling of Observational Data

2021 ◽  
Vol 10 (8) ◽  
pp. 1782
Author(s):  
Ignacio Ricci-Cabello ◽  
Aina María Yañez-Juan ◽  
Maria A. Fiol-deRoque ◽  
Alfonso Leiva ◽  
Joan Llobera Canaves ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Cross Sectional ◽  
Morbidity Burden ◽  
Patient Reported ◽  
Patient Complexity ◽  
Complex Relationships ◽  
The Impact

We aimed to examine the complex relationships between patient safety processes and outcomes and multimorbidity using a comprehensive set of constructs: multimorbidity, polypharmacy, discordant comorbidity (diseases not sharing either pathogenesis nor management), morbidity burden and patient complexity. We used cross-sectional data from 4782 patients in 69 primary care centres in Spain. We constructed generalized structural equation models to examine the associations between multimorbidity constructs and patient-reported patient safety (PREOS-PC questionnaire). These associations were modelled through direct and indirect (mediated by increased interactions with healthcare) pathways. For women, a consistent association between higher levels of the multimorbidity constructs and lower levels of patient safety was observed via either pathway. The findings for men replicated these observations for polypharmacy, morbidity burden and patient complexity via indirect pathways. However, direct pathways showed unexpected associations between higher levels of multimorbidity and better safety. The consistent association between multimorbidity constructs and worse patient safety among women makes it advisable to target this group for the development of interventions, with particular attention to the role of comorbidity discordance. Further research, particularly qualitative research, is needed for clarifying the complex associations among men.

Factors affecting pediatric residents' intentions to screen for high risk behaviors

1995 ◽  
Vol 17 (2) ◽  
pp. 106-112 ◽  
Author(s):  
Amy B. Middleman ◽  
Helen J. Binns ◽  
Robert H. Durant
Keyword(s):  
High Risk ◽  
Risk Behaviors ◽  
High Risk Behaviors ◽  
Pediatric Residents ◽  
Factors Affecting

scholarly journals Web Design Curriculum and Syllabus Based on Web Design Practice and Students' Prior Knowledge

10.28945/2961 ◽  
2006 ◽  
Author(s):  
Tanja Krunic ◽  
Ljiljana Ruzic-Dimitrijevic ◽  
Branka Petrovic ◽  
Robert Farkas
Keyword(s):  
Prior Knowledge ◽  
Role Models ◽  
Web Design ◽  
Study Group ◽  
Design Practice ◽  
Privacy And Security ◽  
The World ◽  
Set Up ◽  
Novi Sad ◽  
Academic Year

The Advanced Technical School from Novi Sad set up a completely new study group for web design in 2004. The paper explains its organization and gives course descriptions. When it was established, there were not many similar groups in the world exclusively dealing with web design, whose programs could serve as role models, hence the curriculum and syllabus had to be based on our own experience. They cover inevitable web issues like usability, user-oriented web design, accessibility, privacy and security, which are briefly discussed in the paper. The purpose of the research referring to web accessibility and privacy presented in one of the sections was to help create the two documents. The students' prior knowledge was also an important parameter in their writing. The curriculum and syllabus have been updated recently, and the improved version given herein will be in use from the next academic year.

scholarly journals STUDY OF MOTIVATION TYPES OF ENGLISH-MAJORING STUDENTS AND DEMOTIVATING FACTORS - IN THE CONTEXT OF NATIONAL UNIVERSITY OF MONGOLIA, ERDENET SCHOOL

2020 ◽  
pp. 083
Author(s):  
Solongo Shagdarsuren ◽  
Ulambayar Batchuluun ◽  
Daniel Lindbergh Lang
Keyword(s):  
Foreign Language ◽  
English Learning ◽  
Factors Affecting ◽  
Credit Hours ◽  
Teachers And Students ◽  
National University ◽  
English Learning Motivation ◽  
The University ◽  
Academic Year ◽  
Learning English

A decline in number of credit hours of English courses for English-majoring students at National University of Mongolia is forcing teachers and students to focus on how to learn English more effectively and what factors would affect that process within credit hours allowed at the university. However, the English teaching class hours in Mongolian secondary schools have been increasing for the last few years, due to the interest in learning English as a foreign language, and resulting in a growth in the demand for English teachers. This study has a goal to investigate into motivation of English-majoring students towards learning English and the factors affecting them to be demotivated. Twenty students studying English as a major at National University of Mongolia, Erdenet School completed the research questionnaire  which intended to discover English learning motivation through 12 items and attended focus group interview with 5 questions to find internal and external demotivating factors in 2019-2020 academic year. The students had instrumental orientation and demonstrated a strong desire to learn English. Furthermore, they were demotivated by their teachers’ and classmates’ attitudes and living conditions. The researchers suggested some recommendations based on the study findings. 

scholarly journals The Influence of the Firm’s Career-Website on Job-Seekers’ Intentions to the Firm

2015 ◽  
Vol 5 (3) ◽  
pp. 111
Author(s):  
Robert W. Stone ◽  
Lori Baker-Eveleth ◽  
Daniel Eveleth
Keyword(s):  
Social Media ◽  
Positive Influence ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Primary Method ◽  
Job Seekers ◽  
Related Factors ◽  
Factors Affecting ◽  
Subsequent Behavior ◽  
Significant Positive Influence

Currently organizations rely on its websites to engage and inform job-seekers, and as the primary method for job-seekers to submit applications for screening (Thompson, Braddy & Wuensch, 2008). Therefore a website must be able to influence job-seekers to react positively to perform behaviors such as submitting an application, returning to the site, recommending the company or site to others, and to engage the organization by transitioning to the organization’s social-media sites. Whether or not a job-seeker performs these behaviors is largely a function of the experience with the website. Understanding the website-related factors affecting a job-seeker’s intentions and subsequent behavior is, therefore, critical to the firm. The sample consisted of 199 usable responses and the results show website aesthetics, content and ease of use influence respondents’ intentions, indirectly, through perceived usefulness of the site. Social norms toward the firm have a significant, positive influence on respondents’ intentions.

scholarly journals How discourse context shapes the lexicon

Diachronica ◽  
2012 ◽  
Vol 29 (2) ◽  
pp. 139-161 ◽  
Author(s):  
Esther L. Brown ◽  
William D. Raymond
Keyword(s):  
Spanish Text ◽  
Factors Affecting ◽  
Modern Distribution ◽  
Contextual Variation ◽  
Frequency Of Use ◽  
Internal Sources ◽  
Context Shapes ◽  
Phonological Change ◽  
Lexical Phonology ◽  
Stress Patterns

Using a corpus of Medieval Spanish text, we examine factors affecting the Modern Standard Spanish outcome of the initial /f/ in Latin FV‑ words. Regression analyses reveal that the frequency of a word’s use in extralexical phonetic reducing environments and lexical stress patterns significantly predict the modern distribution of f‑ ([f]) and h‑ (Ø) in the Spanish lexicon of FV‑ words. Quantification of extralexical phonetic context of use has not previously been incorporated in studies of diachronic phonology. We find no effect of word frequency, lexical phonology, word class, or word transmission history. The results suggest that rather than frequency of use, it is more specifically a word’s likelihood of use in contexts favoring reduction that promotes phonological change. The failure to find a significant effect of transmission history highlights the relative importance of language internal sources of change. Results are consistent with usage-based approaches; contextual variation creates differential articulatory pressures among words, yielding variable pronunciations that, when registered in memory, promote diachronic change.

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