Mastering The Journey To Continuous Compliance: Process Improvements For Excelling At CCNE Accreditation

The accreditation process of a nursing program requires self-assessment, peer evaluation, and identifying areas of improvement. In 2008, the Commission on Collegiate Nursing Education (CCNE) began offering a 10-year accreditation with a Continuous Improvement Progress Report (CIPR) at the fifth year. This article focuses on an in-depth analysis of a system in which the school of nursing utilized an ad hoc committee to complete the CIPR. Reports generated by the ad hoc committee concluded that need for improvement was warranted related to policy review. An action plan for continuous compliance generated implementation of policy software and the creation of an academic support specialist position. An ad hoc committee completed the CIPR rather than paying faculty overload hours; policy was an exemplar. Faculty development, team performance, and accountability resulted in a plan for continual compliance that can be adopted in other nursing schools to meet CCNE accreditation

Aplicación de auto-corrección continua para practicas de análisis de estructuras

The adaptation to the European Higher Educational area is an opportunity to incorporate on-line methods of education assessment in the field of the "Structural Analysis". This paper promotes the intensive use of MOODLE platform of the Technical University of Madrid, to implement the Information and Communication Technology program in this area. This article summarizes the educational experience achieved during the last courses though the use of a new software tool for continuous self-testing by the students. Individualized test are achieved by randomized variable data for each student. Several benefits for the educational purposes have arisen. Firstly, a considerable speeding of the evaluation process, and more than this, a massive input by the students. Certainly, the use of this tool can be very useful for the learning process and therefore for the improvement of the student’s skills and abilities

Piloting online self-audit of methadone treatment in Irish general practice: results, reflections and educational outcomes

Background: Work based learning underpins the training and CPD of medical practitioners. Medical audit operates on two levels; individual self-assessment and professional/practice development. In Ireland, annual practice improvement audit is an essential requirement for the successful completion of continuous professional development (CPD) as determined by the regulatory body, the Irish Medical Council. All general practice (GP) doctors providing methadone maintenance treatment (MMT) in Ireland have a contractual obligation to partake in a yearly methadone practice audit. The Irish College of General Practitioners (ICGP) as national training provider is tasked to facilitate this annual audit process. The purpose of this audit is to assess the quality of care provided to patients against an agreed set of national standards, enhance learning, and promote practice improvement and reflective practice. The aim was to present an online MTP self-audit and evaluate results from a 12-month pilot among GPs providing MMT in Ireland. Method A mixed method study describing three phases (design and development, pilot/implementation and evaluation) of a new online self –audit tool was conducted. Descriptive and thematic analysis of audit and evaluation data was conducted. Results: Survey Monkey is a suitable software package for the development and hosting of an easy to use online audit for MMT providing doctors. Analysis of the audit results found that the majority of GPs scored 80% or over for the 25 identified essential criteria for MMT provision. The evaluation of the GP audit experience underscores the positive outcomes of the online self-audit in terms of improving practice systems, encouraging reflective practice, enhanced patient care and doctor commitment to continued provision of MMT in addiction clinics and in primary care. Conclusions: Results from this audit demonstrate a high level of compliance with best practise MMT guidelines by Irish GPs providing MMT. The online self-audit process was well received and encouraged reflective practice. The audit process hinged on the individual GP’s ability to review and critically analyse their professional practice, and manage change. This model of audit could be adapted and used to monitor the management of other chronic illnesses in general practice

Towards Digital Twin-enabled DevOps for CPS providing Architecture-Based Service Adaptation & Verification at Runtime

Industrial Product-Service Systems (IPSS) denote a service-oriented (SO) way of providing access to CPS capabilities. The design of such systems bears high risk due to uncertainty in requirements related to service function and behavior, operation environments, and evolving customer needs. Such risks and uncertainties are well known in the IT sector, where DevOps principles ensure continuous system improvement through reliable and frequent delivery processes. A modular and SO system architecture complements these processes to facilitate IT system adaptation and evolution. This work proposes a method to use and extend the Digital Twins (DTs) of IPSS assets for enabling the continuous optimization of CPS service delivery and the latter's adaptation to changing needs and environments. This reduces uncertainty during design and operations by assuring IPSS integrity and availability, especially for design and service adaptations at CPS runtime. The method builds on transferring IT DevOps principles to DT-enabled CPS IPSS. The chosen design approach integrates, reuses, and aligns the DT processing and communication resources with DevOps requirements derived from literature. We use these requirements to propose a DT-enabled self-adaptive CPS model, which guides the realization of DT-enabled DevOps in CPS IPSS. We further propose detailed design models for operation-critical DTs that integrate CPS closed-loop control and architecture-based CPS adaptation. This integrated approach enables the implementation of A/B testing as a use case and central concept to enable CPS IPSS service adaptation and reconfiguration. The self-adaptive CPS model and DT design concept have been validated in an evaluation environment for operation-critical CPS IPSS. The demonstrator achieved sub-millisecond cycle times during service A/B testing at runtime without causing CPS operation interferences and downtime.Comment: Final published version appearing in 17th Symposium on Software Engineering for Adaptive and Self-Managing Systems (SEAMS 2022

Report from GI-Dagstuhl Seminar 16394: Software Performance Engineering in the DevOps World

This report documents the program and the outcomes of GI-Dagstuhl Seminar 16394 "Software Performance Engineering in the DevOps World". The seminar addressed the problem of performance-aware DevOps. Both, DevOps and performance engineering have been growing trends over the past one to two years, in no small part due to the rise in importance of identifying performance anomalies in the operations (Ops) of cloud and big data systems and feeding these back to the development (Dev). However, so far, the research community has treated software engineering, performance engineering, and cloud computing mostly as individual research areas. We aimed to identify cross-community collaboration, and to set the path for long-lasting collaborations towards performance-aware DevOps. The main goal of the seminar was to bring together young researchers (PhD students in a later stage of their PhD, as well as PostDocs or Junior Professors) in the areas of (i) software engineering, (ii) performance engineering, and (iii) cloud computing and big data to present their current research projects, to exchange experience and expertise, to discuss research challenges, and to develop ideas for future collaborations

Findings from a pilot randomised trial of an asthma internet self-management intervention (RAISIN)

<b>Objective </b>To evaluate the feasibility of a phase 3 randomised controlled trial (RCT) of a website (Living Well with Asthma) to support self-management.<p></p> <b>Design and setting</b> Phase 2, parallel group, RCT, participants recruited from 20 general practices across Glasgow, UK. Randomisation through automated voice response, after baseline data collection, to website access for minimum 12 weeks or usual care.<p></p> <b>Participants </b>Adults (age≥16 years) with physician diagnosed, symptomatic asthma (Asthma Control Questionnaire (ACQ) score ≥1). People with unstable asthma or other lung disease were excluded.<p></p> <b>Intervention</b> Living Well with Asthma’ is a desktop/ laptop compatible interactive website designed with input from asthma/ behaviour change specialists, and adults with asthma. It aims to support optimal medication management, promote use of action plans, encourage attendance at asthma reviews and increase physical activity.<p></p> <b>Outcome measures</b> Primary outcomes were recruitment/retention, website use, ACQ and mini- Asthma Quality of Life Questionnaire (AQLQ). Secondary outcomes included patient activation, prescribing, adherence, spirometry, lung inflammation and health service contacts after 12 weeks. Blinding postrandomisation was not possible.<p></p> <b>Results </b>Recruitment target met. 51 participants randomised (25 intervention group). Age range 16–78 years; 75% female; 28% from most deprived quintile. 45/51 (88%; 20 intervention group) followed up. 19 (76% of the intervention group) used the website, for a mean of 18 min (range 0–49). 17 went beyond the 2 ‘core’ modules. Median number of logins was 1 (IQR 1–2, range 0–7). No significant difference in the prespecified primary efficacy measures of ACQ scores (−0.36; 95% CI −0.96 to 0.23; p=0.225), and mini-AQLQ scores (0.38; −0.13 to 0.89; p=0.136). No adverse events.<p></p> <b>Conclusions</b> Recruitment and retention confirmed feasibility; trends to improved outcomes suggest use of Living Well with Asthma may improve self-management in adults with asthma and merits further development followed by investigation in a phase 3 trial