Overcoming inadequate documentation

Secondary data users need three types of knowledge to analyze secondary data: knowledge about data, background knowledge necessary to understand and interpret data, and data analysis skills. Part of knowledge about data is provided by the documentation of data. Background knowledge and data analysis skills are internalized as users' absorptive capacity. When documentation and their absorptive capacity are inadequate, users need to seek outside information to use secondary data. In this paper, causes of inadequate documentation were analyzed, why and how secondary users seek outside information were reported. Then based on the findings, implications about how to facilitate secondary data use were discussed.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/78325/1/145046024_ftp.pd

THE ROLE OF SOCIOLOGY TEACHER IN OVERCOMING STUDENTS’ LEARNING DIFFICULTIES AT SMA NEGERI 2 SAMBI RAMPA

The objectives of the study were to determine the role of sociology teachers and the factors that impede overcoming students with learning difficulties at SMA Negeri 2 Sambi Rampas. This study employs a qualitative method. The informants were sociology teachers and students who had learning difficulties. Data for the research was collected through observation, interviews, and documentation. This study employs qualitative analysis techniques that revolve around data collection, data reduction, and drawing conclusions. According to the findings, the role of the sociology teacher in overcoming learners who have learning difficulties was becoming a source of inspiration, providing motivation, facilitating learning, guiding, and managing classrooms that are comfortable for students to learn in. Furthermore, the factors that cause students to experience difficulties in learning are the decreased interest in learning, the influence of online games, the lack of desire or willingness of students to learn and learning facilities that are inadequate and poorly managed

Vulnerability reduction of infrastructure reconstruction projects

Various infrastructure segments of numerous countries have been repeatedly subjected to natural and man-made disasters. The potential reason of damaging infrastructure facilities and their services is resultant disaster risks due to natural or man-made hazards connect with vulnerable infrastructure facilities and vulnerable communities. The simplest way to prevent or mitigate disaster losses is addressing vulnerabilities. The main study based on which this paper was compiled aimed at exploring and investigating the vulnerabilities of infrastructures and communities benefited from infrastructures and possible solutions to overcome them. This paper presents the literature review conducted on vulnerabilities of infrastructures and empirical evidence collated on best possible DRR strategies to overcome such vulnerabilities of infrastructures. The main study was conducted using case study strategy and the expert interviews. This paper is entirely based on the data collated from the expert interviews conducted in Sri Lanka and United Kingdom. The expert interviews discovered various DRR strategies to overcome the vulnerabilities of the infrastructure project

Contextual and interdependent causes of climate change adaptation barriers: Insights from water management institutions in Himachal Pradesh, India

Research on adaptation barriers is increasing as the need for climate change adaptation becomes evident. However, empirical studies regarding the emergence, causes and sustenance of adaptation barriers remain limited. This research identifies key contextual causes of adaptation barriers in water institutions in the mountainous Himalayan state of Himachal Pradesh in northern India. Semi-structured interviews were carried out with representatives from twenty-six key governmental, non-governmental, academic and research institutions in the State with responsibilities spanning domestic water supply, irrigation and hydropower generation, environmental monitoring and research. It identified low knowledge capacity and resources, policy implementation gaps, normative attitudes, and unavailability and inaccessibility of data and information compounded with weak interinstitutional networks as key adaptation barriers. Although these barriers are similar to those reported elsewhere, they have important locally-contextual root causes. For instance, inadequate resources result from fragmented resources allocation due to competing developmental priorities and the desire of the political leadership to please diverse electors, rather than climate scepticism. The identified individual barriers are found to be highly inter-dependent and closely intertwined which enables the identification of leverage points for interventions to maximise barrier removal. For instance, breaking down key barriers hindering accessibility to data and information, which are shaped by systemic bureaucracies and cultural attitudes, will involve attitudinal change through sensitisation to the importance of accurate and accessible data and information and the building trust between different actors, in addition to institutional structural changes through legislation and inter-institutional agreements. Approaching barriers as a system of contextually interconnected cultural, systemic, geographical and political underlying factors enriches the understanding of adaptation enablers, thereby contributing to achieving a better adapted society

Electronic Health Records and Support For Primary Care Teamwork

This study examined primary care practices' experiences using electronic health records (EHRs) as they strive to function as teams in patientcentered medical homes (PCMHs). We identify how EHRs facilitate and pose challenges to teamwork and how practices overcame such challenges. We describe solutions and identify opportunities to improve care processes as well as EHR functionalities and policies, to support teamwork

End of Life Care Practices for Patients Who Die in Intensive Care Units (ICU)

Today, one in five hospital deaths happens in the intensive care unit with the expectation of twice as many by 2030. Increasing, mortality has triggered a growing attention to end-of-life (EOL) care in the ICU. However, the lack of coveted EOL and palliative care skills creates a challenge for ICU nurses. The aim of this study was to assess the current practices of EOL care in the ICU. In this quantitative research, a retrospective chart review method was employed to analyze the collected data from a population 60 EOL patients who died in the ICU of a Southern California hospital. The results highlight the inadequate treatment of EOL discomforts. No patients received palliative care or POLST designation, and only one patient received hospice care. Also, the highest mortality happened within the first 6 days of the hospital stay, indicating the time sensitive nature of ICU admissions. Therefore, early planning of the comfort care for end-of-life patient and better communication with the inter-professional team is recommended

Sexuality and the Aging Adult: The Attitude and Practice of Physicians and Nurse Practitioners

Background: As the population ages, many quality of life issues will generate discussion. One such issue is sexuality of the aging adult. While there is substantial documentation related to the physiology and desires of the aging adult, little is known about medical practitioners\u27 beliefs and practices regarding sexuality. Method: A 14 question survey with a comment section was developed and mailed to 269 physicians and nurse practitioners in Santa Clara County, California. The responses were evaluated using descriptive statistics. The comments received were grouped related to intent or topic. Results: There was no discernible difference between the beliefs and practices of physicians and nurse practitioners. The responses to the questions that concerned beliefs were very homogenous indicating that practitioners believe sexuality is important across the life span and that the natural and physiological changes that occur do cause concern for aging patients. In addition, there was agreement related to treatment options for sexual dysfunction. While most indicated there are adequate treatment options for men, few felt there were for women. The number of practitioners that indicated they include questions related to sexuality as a part of the initial history and physical were substantially more than was described in the literature. Conclusions: This study confirms that practitioners regard sexuality as an important aspect of an aging adult\u27s life. More research is needed about treatment options for women, as well as additional investigation regarding the number of practitioners who actually inquire about sexual concerns during the initial intake of the aged adult

Barriers to ISO 9001 Implementation in Moroccan Organizations: Empirical Study

Purpose: The purpose of this paper is to explore obstacles to ISO 9001 quality management system implementation in Moroccan firms. Design/methodology/approach: A questionnaire survey has been conducted among a heterogeneous sample of 200 organizations, operating in different sectors in Morocco, yielding a response rate of 57.5%. The authors have studied barriers to quality initiatives in general and obstacles to QMS implementation in particular through an extensive literature review. Questions related to profiles of respondents, reasons of seeking certification, external consultancy and barriers to ISO 9001 implementation experienced by surveyed organizations. For the purpose of this study, authors considered three categories of quality inhibiting factors: organizational, technical and costs related barriers. Findings: Results indicate that surveyed companies sought ISO 9001 certification mainly for marketing reasons and experienced many difficulties during the implementation process. Barriers reported by respondents were mostly organizational. Resistance to change headed the list according to participants’ opinion. Also, findings highlighted the prominence of bureaucracy and poor interdependence between departments in organizations. Lack of communication, poor top management commitment and insufficient trainings were also ascertained to be obstacles to QMS implementation in Morocco. Originality/value: Earlier studies were led by different researchers in different countries about barriers to quality initiatives in general and to ISO 9001 implementation in particular. Few of those studies were conducted in Arab speaking countries but no research has been carried in Morocco. This study on obstacles to QMS implementation in Morocco will help in completing the jigsaw of difficulties faced by organizations worldwide when preparing to ISO 9001 certification. Research limitations/implications: This research is limited by the geographic context of the study Morocco, although results can be extrapolated to Arab speaking countries in general. Practical implications: The findings of this paper provide Moroccan managers with a practical understanding of the factors that are likely to obstruct ISO 9001 QMS implementation. Managers should overcome these barriers to achieve a successful implementation and higher QMS performance.Peer Reviewe

The inhibiting factors that principal investigators experience in leading publicly funded research

Securing public funding to conduct research and leading it by being a principal investigator (PI) is seen as significant career development step. Such a role brings professional prestige but also new responsibilities beyond research leadership to research management. If public funding brings financial and infrastructure support, little is understood about the inhibiting factors that publicly funded PIs face given the research autonomy offered by publicly funded research. Our study finds that there are three key PI inhibiting factors (1) political and environmental, (2) institutional and (3) project based. Traditional knowledge, skills and technical know-how of publicly funded PIs are insufficient to deal with the increasing managerial demands and expectations i.e. growing external bureaucracy of public funding agencies. Public funding is no longer the 'freest form of support' as suggested by Chubin and Hackett (Peerless science: peer review and US science policy. Suny Press, New York, 1990) and the inhibiting factors experienced by publicly funded PIs limits their research autonomy. We also argue that PIs have little influence in overcoming these inhibiting factors despite their central role in conducting publicly funded research

Going-Concern Opinions: Broadening the Expectations Gap

A rash of high-profile bankruptcies has led to a search for answers. Many hold auditors responsible for not detecting the potential for bankruptcy during the most recent audit. The Weiss Report, a study of several dozen bankrupt companies submitted to the U.S. Senate during its deliberations on the Sarbanes-Oxley Act, found a broad and massive failure on the part of auditors to raise yellow flags that indicate potential bankruptcy. The authors examined Weiss\u27 methodology and found that, applied to a broader group of companies, Weiss\u27 criteria would have incorrectly predicted bankruptcy for nearly half of the non-bankrupt companies studied. This failure to accurately predict undermines the credibility of the subsequently enacted legislation