The client-oriented model of cultural competence in healthcare organizations

The paper aims to propose a new model of cultural competence in health organizations based on the paradigm of client orientation. Starting from a literature review, this study takes inspiration from dimensions that characterize the cultural competence of health organizations, and re-articulates them in more detail by applying a client orientation view. The resulting framework is articulated into six dimensions (formal references; procedures and practices; cultural competences of human resources; cultural orientation toward client; partnership with community; and self-assessment) that define the ability of a health organization to achieve its mission, acknowledging, understanding, and valorizing cultural differences of internal clients (staff) and external clients (consumers). This study makes an effort to address the paucity of studies linking approaches to managing cultural diversity in health organizations with cultural competence within the framework of client orientation

Penilaian Mata Pelajaran Bahasa Inggris

The learning process of English subject is designed in line with the way English is used in society in everyday life. Teaching learning activity and assessment are integrated process. It means that assessment executed while learning activity is going on. Based on the investigation on school curriculum it is that learning activity and assessment were designed as separate components and in formal way. The task of assessment does not depict the real word. Besides, teachers’ ability in designing assessment is various that will influence quality of output. Based on this situation it is needed to develop a model of assessment on English subject that could be used as a reference for teacher and stakeholders when developing school curriculum. Language is a tool for communication orally and written. Communication competence or discourse competence is a competence to communicate orally and written as well in certain communication event. Communicative competence needs a set of competencies i.e. actional competence, linguistic competence, discourse competence, sociocultural competence, and strategic competence. These competencies could not be separated and support each other which are realized through four language skills, i.e. listening, speaking, reading, and writing.Teachers are encourage to teach language using the four language skills in an integrated manner. ABSTRAK Proses pembelajaran bahasa Inggris dikemas untuk mengembangkan kemampuan peserta didik menggunakan bahasa Inggris dalam kehidupan sehari-hari. Kegiatan pembelajaran dan penilaian merupakan proses terpadu, artinya penilaian dilakukan ketika kegiatan pembelajaran berlangsung. Berdasarkan kajian pada dokumen Kurikulum Tingkat Satuan Pendidikan (KTSP), bahwa pada umumnya kegiatan penilaian mata pelajaran Bahasa Inggris dirancang sebagai komponen lepas dari kegiatan pembelajaran dan terkesan formal. Di samping itu, kemampuan guru merancang tugas-tugas penilaian juga beragam yang berdampak pada kualitas hasil belajar peserta didik. Memperhatikan kondisi ini, dipandang perlu untuk mengembangkan model penilaian mata pelajaran Bahasa Inggris yang dapat dijadikan acuan bagi guru untuk mengembangkan kurikulum sekolah. Bahasa merupakan alat untuk berkomunikasi secara lisan dan tulis. Kompetensi berkomunikasi merupakan kemampuan seseorang untuk berkomunikasi baik secara lisan maupun tertulis dalam berkomunikasi. Untuk dapat berkomunikasi diperlukan seperangkat kompetensi lainnya: tindak bahasa, kebahasaan, pembentuk wacana, sosio kultural, dan strategi. Kompetensi-kompetensi tersebut merupakan satu kesatuan yang tidak dapat dipisahkan dan saling mendukung yang diwujudkan dalam keterampilan berbahasa, yaitu mendengarkan, berbicara, membaca, dan menuli

Using item response theory to explore the psychometric properties of extended matching questions examination in undergraduate medical education

BACKGROUND: As assessment has been shown to direct learning, it is critical that the examinations developed to test clinical competence in medical undergraduates are valid and reliable. The use of extended matching questions (EMQ) has been advocated to overcome some of the criticisms of using multiple-choice questions to test factual and applied knowledge. METHODS: We analysed the results from the Extended Matching Questions Examination taken by 4th year undergraduate medical students in the academic year 2001 to 2002. Rasch analysis was used to examine whether the set of questions used in the examination mapped on to a unidimensional scale, the degree of difficulty of questions within and between the various medical and surgical specialties and the pattern of responses within individual questions to assess the impact of the distractor options. RESULTS: Analysis of a subset of items and of the full examination demonstrated internal construct validity and the absence of bias on the majority of questions. Three main patterns of response selection were identified. CONCLUSION: Modern psychometric methods based upon the work of Rasch provide a useful approach to the calibration and analysis of EMQ undergraduate medical assessments. The approach allows for a formal test of the unidimensionality of the questions and thus the validity of the summed score. Given the metric calibration which follows fit to the model, it also allows for the establishment of items banks to facilitate continuity and equity in exam standards

A European research agenda for lifelong learning

It is a generally accepted truth that without a proper educational system no country will prosper, nor will its inhabitants. With the arrival of the post-industrial society, in Europe and elsewhere, it has become increasingly clear that people should continue learning over their entire life-spans lest they or their society suffer the dire consequences. But what does this future lifelong learning society exactly look like? And how then should education prepare for it? What should people learn and how should they do so? How can we afford to pay for all this, what are the socio-economic constraints of the move towards a lifelong-learning society? And, of course, what role can and should the educational establishment of schools and universities play? This are questions that demand serious research efforts, which is what this paper argues for

Mathematics teachers' positions and practices in discourses of assessment

Mathematics teachers ’ positions and practices in discourses of assessmen

A knowledge based system for construction health and safety competence assessment

Organisational and individual Health and Safety (H&S) competence is an essential element to the successful completion of a construction project in a safe way and without hazards to the health of all workforce. Under the Construction (Design and Management) (CDM) Regulations 2007, the client should take reasonable steps to ensure that the appointed duty-holders and engaged people are H&S competent to design, build or co-ordinate the project. Although the CDM Regulations 2007 and its Approved Code of Practice (ACoP) have established ‘Core Criteria’ to guide the client to assess duty-holders’ H&S competence in the outset of a project, it is still difficult for most inexperienced clients to discharge the duty of making the key decisions in H&S competence assessment. In order to help the client implement H&S competence assessment, it is important to develop a tool that can effectively and efficiently support the client to make reasonable decisions in the selection of H&S competent duty-holders. According to the findings of the case study of existing formal H&S competence assessment schemes undertaken as part of this work, H&S competence assessment was characterised as a subjective, qualitative and non-linear regulation-compliance checking process. In addition, the case study helped identify the latent shortcomings in the ‘Core Critiera’ and the operational drawbacks in current practice of implementing H&S competence assessment. Based on a review of Information Technology (I.T.) and Artificial Intelligence (A.I.) applications in construction, Knowledge-Based System (KBS) is identified as being a suitable tool to support decision-making in H&S competence assessment, mainly due to its appropriateness to solve regulation-compliance checking problems and support subjective and qualitative decision-making process. Following a decision-making framework for H&S competence assessment, a KBS decision-support model was developed, applying three mechanisms to support the reasonable decision-making for H&S competence assessment. In order to develop an appropriate and practical KBS for H&S competence assessment, a textual knowledge base was developed, specifying the minimum satisfaction standards and a rating indicator system for ‘Core Criteria’. As a result, an online KBS was developed using Java Server Pages (JSP) technology and MySQL. The online KBS applied the textual knowledge base to support the screen, rating, ranking and reporting decision-supporting mechanisms. Simultaneously, the case inquiry and expert inquiry facilities were also included in the KBS for effective decision-making. Finally, construction experts and practitioners in H&S management evaluated the validity and usability of the KBS through a questionnaire survey. The prototype KBS was borne out to be an effective and efficient decision-support tool for H&S competence assessment and have the potential to be applied in practice.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

A Review of Work Based Learning in Higher Education

The idea of work based learning in higher education might sound like a contradiction in terms. Work based learning is surely in the the workplace. The senses in which it might also, under certain conditions, be in higher education are explored in this review. There are increasing arrangements whereby people can obtain academic recognition for learning which has taken place outside of educational institutions. In addition to traditional forms of professional education and sandwich courses, one can add a host of relationships between employers and higher education institutions which involve quite fundamental questioning of the roles and responsibilities of each in the continuing education and training of adults. Such developments can be related to broader themes concerning the organisation of knowledge in society, the changing nature of work and career, the learning society and the implications they hold for individual workers, their employers and educational providers. The Department for Education and Employment sponsored the study to produce a substantial literature review of progress and issues raised in the field of work based learning in higher education. The first part of the book provides a contextual and conceptual backdrop against which more practical aspects of work based learning are then considered in part two. The final part considers strategic issues of implementation for higher education institutions, employers and individuals, before turning to more wide ranging issues of policy

An evaluation of pedagogically informed parameterised questions for self assessment

Self-assessment is a crucial component of learning. Learners can learn by asking themselves questions and attempting to answer them. However, creating effective questions is time-consuming because it may require considerable resources and the skill of critical thinking. Questions need careful construction to accurately represent the intended learning outcome and the subject matter involved. There are very few systems currently available which generate questions automatically, and these are confined to specific domains. This paper presents a system for automatically generating questions from a competency framework, based on a sound pedagogical and technological approach. This makes it possible to guide learners in developing questions for themselves, and to provide authoring templates which speed the creation of new questions for self-assessment. This novel design and implementation involves an ontological database that represents the intended learning outcome to be assessed across a number of dimensions, including level of cognitive ability and subject matter. The system generates a list of all the questions that are possible from a given learning outcome, which may then be used to test for understanding, and so could determine the degree to which learners actually acquire the desired knowledge. The way in which the system has been designed and evaluated is discussed, along with its educational benefits