6,792 research outputs found
TeamSTEPPS and Organizational Culture
Patient safety issues remain despite several strategies developed for their deterrence. While many safety initiatives bring about improvement, they are repeatedly unsustainable and short-lived. The index hospital’s goal was to build an organizational culture within a groundwork that improves teamwork and continuing healthcare team engagement. Teamwork influences the efficiency of patient care, patient safety, and clinical outcomes, as it has been identified as an approach for enhancing collaboration, decreasing medical errors, and building a culture of safety in healthcare. The facility implemented Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), an evidence-based framework which was used for team training to produce valuable and needed changes, facilitating modification of organizational culture, increasing patient safety compliance, or solving particular issues. This study aimed to identify the correlation between TeamSTEPPS enactment and improved organizational culture in the ambulatory care nursing department of a New York City public hospital
An exploration of the attitudes and beliefs of teacher trainers and teacher trainees concerning the use of the L1 in the EFL classroom
One important conflict within English language teaching methodology is concerning the use or exclusion of learners’ first languages (L1) when learning English. Perspectives on the topic range from those in favour of complete avoidance of the L1 in the EFL classroom, constantly striving for an exclusively L2 classroom to those who believe in the value and learning benefit of allowing and, to some extent, encouraging the use of all manner of languages available to the learner. This thesis conducted interviews and surveys in order to provide an in-depth exploration of the attitudes and beliefs of teacher trainers and teacher trainees in North Rhine Westphalia concerning the use of the L1, as well as other potential languages, in the English language classroom. Although the two groups of participants held many similar attitudes and beliefs concerning L1 use, some significant and interesting differences were found. Teacher trainees showed themselves to be more open concerning the use of the L1 than their more experienced counterparts. It remains, however, unclear what exactly the reason for these differences is. A further aspect which became apparent is how the pressures of language choice and of exclusive L2 instruction in the EFL classroom during observed and examination lessons is felt by teacher trainees. This is potentially adding to the overall burden of the teacher training period in NRW. The thesis concludes that an increase in evidence-based teacher education, concerning not only the aspect of L1 use in the EFL classroom but also many other aspects of language teaching could be prudent in the continued development of well-informed best-practice approaches. This thesis holds the standpoint that complete eradication of the L1 in the EFL classroom is counterproductive to successful language learning. Judicious use of the L1 and the development of a more plurilingusitic attitude to language learning, enabling learners to make use of any available linguistic resources, can offer both learners and teachers helpful scaffolding which can facilitate the successful learning of further languages
Investigating self-perception of emotion in individuals with non-epileptic seizures (NES)
Emotional processing difficulties are hypothesised to be involved in the aetiology and maintenance of non-epileptic seizures (NES). This thesis aimed to explore the relationship between aspects of emotional processing: interoception, alexithymia and executive functioning, in people with NES in comparison with healthy controls and to understand how people with NES experience their symptoms, live with their condition, and perceive the role of life events in relation to their seizures.
Study 1 reviewed the evidence for a relationship between interoception and other key emotional factors in studies which employed heartbeat perception tasks to measure interoception. Study quality was found to be generally poor, with no consistent evidence for significant findings between interoception and emotional factors, including alexithymia, depression, and anxiety.
Study 2 was a cross-sectional, online, study to investigate an interactional model of emotion processing, exploring relationships between interoceptive sensibility, alexithymia, and executive functioning (attentional bias) in NES participants and healthy controls. Measures included the Body Perception Questionnaire (BPQ-VSF), the Toronto Alexithymia Scale-20 (TAS-20) and the emotional Stroop task (eStroop). The NES group, compared to controls, reported higher BPQ-VSF and TAS-20 scores. There were no significant correlations between any of the measures of interest in either the NES or control group. There was no evidence to support the proposed model.
Study 3 was a qualitative study using Interpretative Phenomenological Analysis to explore: how individuals with NES respond emotionally to recent life events; and how these events impact on seizures. Six themes were developed from the analysis which described how NES affected many aspects of people’s lives. Four models captured the different ways in which people perceived the relationship between life stressors, their emotional responses, and their seizures: event->emotional response-> seizure; event-> emotional response -x-> no seizure; no event ->emotional reaction/experience -> seizure; and no event -x->no emotional response->seizure
Examining the Link between Personality Traits, Cognitive Performance, and Consecutive Interpreting
Interpreting is a highly complex activity that not only demands proficient linguistic expertise, but also non-linguistic abilities such as non-linguistic cognitive
performance (Macnamara, 2012; Riesbeck et al., 1978; Wang, 2004). In addition to this, individual differences in personality may also play a potential role in the interpreter's ability to perform their job (Barrick & Mount, 1991; Rothmann & Coetzer, 2003). The current study sought to examine whether there is a relationship between personality traits, cognitive ability, and consecutive interpreting. The
five-factor model of personality (Costa & McCrae, 1988) was used to examine the personality of participants with its five categories of personality type (Openness to Experience; Conscientiousness; Extraversion; Agreeableness; and Neuroticism), and five cognitive ability tasks (Working Memory; Attentional Control; Multi-tasking; Speed of Information Processing; and Psychological Endurance) were chosen to examine their potential relationship with interpreting ability.
To fulfill this goal, an empirical study was conducted, collecting data from 80 participants in total (40 with consecutive interpreting backgrounds in the experimental group and 40 without interpreting foundations as a control group). Data was collected using online questionnaires and a set of cognitive tasks. The three online questionnaires, the Big Five (Goldberg, 1992), Attentional Control Scale (Derryberry & Reed, 2002) and Psychological Endurance Scale (Hamby et al., 2015) were used to examine participants’ personality, Attentional Control and Psychological Endurance respectively, whilst the objective cognitive tasks were designed to measure participant Working Memory, Multi-tasking ability and Speed of Information Processing using the Listening Span Test (Liu et al., 2004), Digits Symbol Substitution Test (Kaufman & Lichtenberger, 2006; Wechsler, 1939) and Linguistic Dual Task (Stachowiak, 2015; Meyer & Kieras, 1997) respectively.
The main findings of the current results were: firstly, a significant difference was found in cognitive abilities between experimental and control group in the areas of
Working Memory, Attentional Control, Multi-tasking and Psychological Endurance. Secondly, several personality traits correlated with scores on some cognitive abilities.
For example, Openness to Experience positively correlated with Attentional Control and Psychological Endurance; Conscientiousness positively correlated with Working Memory, Attentional Control and Psychological Endurance; Extraversion positively correlated with Attentional Control and Psychological Endurance; whilst Neuroticism negatively correlated with Attentional Control and Psychological Endurance. Thirdly, several personality traits (Openness to Experience, Conscientiousness and Extraversion) appear to be significantly related more to the experimental group than
the control group. Finally, mediation analysis appears to show that interpreting training has a mediating effect on the relationship between certain types of personality traits and cognitive abilities. In some cases, interpreting training and personality traits appear to exert an interacting effect and have a combining influence on some cognitive abilities. These findings can hopefully provide a
foundation for future study and be applied in practice to help interpreting training projects and cognitive ability improvement
Challenges and perspectives of hate speech research
This book is the result of a conference that could not take place. It is a collection of 26 texts that address and discuss the latest developments in international hate speech research from a wide range of disciplinary perspectives. This includes case studies from Brazil, Lebanon, Poland, Nigeria, and India, theoretical introductions to the concepts of hate speech, dangerous speech, incivility, toxicity, extreme speech, and dark participation, as well as reflections on methodological challenges such as scraping, annotation, datafication, implicity, explainability, and machine learning. As such, it provides a much-needed forum for cross-national and cross-disciplinary conversations in what is currently a very vibrant field of research
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Exploring the developmental trajectory of dual harm exhibited by young adult men in prison
Rates of self-harm and interpersonal violence are high in UK prisons, although there is a smaller subset of people (around 11% of the prison population) who engage in both harmful behaviours (termed dual harm herein). As a group, adults who dual harm cause disproportionate instability in prisons. They perpetrate high rates of fire-setting, disorder and property damage in prison and engage in a greater variety of self-harm methods, including lethal methods. However, despite research exploring dual harm among adolescents and young adults in the community, no research has explored dual harm by young adults (age 18-21) in prison. Due to this, both a qualitative (e.g., how they make sense of their behaviours) and quantitative (e.g., the prevalence of dual harm and the population’s distinct characteristics) understanding of dual harm by this population is lacking. This thesis uses an exploratory sequential mixed method design to address this and explore the developmental trajectory of dual harm exhibited by young adult men in prison.
The first empirical study (n = 5) qualitatively explored the life stories of young adult men in prison with a history of dual harm. This considered participants’ life trajectories and how they made sense of their self-harm and violence. The second study (n = 10,202) ascertained the prevalence of dual harm by young adult men in prison using routinely collected prison data. Using this data, the study also explored whether relationships between demographic, developmental, criminological and clinical variables differed across young adult men who engage in dual harm, sole self-harm, sole violence and those who do not engage in either harmful behaviour in prison. Lastly, the third study (n = 10,201) identified which variables from the previous study successfully distinguished young adult men who dual harm in prison from those who engage in sole self-harm, sole violence and those who do not engage in either harmful behaviour in prison.
The findings for this thesis emphasised several key areas in the developmental pathway of dual harm among this population. First, narratives of dual harm were embedded in broader stories of adverse childhood experiences, protection and emotion regulation. Moreover, as a group, young adults who dual harmed in prison were younger when in contact with the police and admitted to prison, spent longer in custody as a young adult, and had fewer qualifications, compared to other population groups. In the final chapter, a theoretical framework is proposed to explain the trajectory of dual harm among young adult men in prison. Practical and methodological implications of the thesis are discussed, along with limitations and suggested directions for future research
Screening people with diabetes for atrial fibrillation
Thesis by alternative route comprising four independent yet related studies exploring the relationship between diabetes and atrial fibrillation and whether screening people with diabetes for this common heart rhythm disorder, would be valuable. A systematic review critiques the utility, effectiveness and feasibility of the AliveCor screening application, demonstrating this as a valid and effective tool for this purpose. A screening study then demonstrates a higher prevalence of atrial fibrillation in people with diabetes, also showing statistical significance that increasing age, is a predictor for developing atrial fibrillation in this population. Another study then considers the quality of life study in people with atrial fibrillation and then people with atrial fibrillation and diabetes, showing the quality of life to be poorer in the majority of assessed domains, when both conditions coexist. Lastly, a qualitative interview study considers the views and experiences of people screened in the earlier study, demonstrating variable understanding around atrial fibrillation and views around how, when and who to screen
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