THE EFFECTS OF DIRECT INSTRUCTION AND SELF-MANAGEMENT (DS) ON THE ORGANIZATIONAL SKILLS OF ELEMENTARY STUDENTS WITH ORGANIZATIONAL IMPAIRMENT

The purpose of this study was to evaluate the effectiveness of an instructional package consisting of direct instruction and self-management on the organizational skills of 4 elementary students with organizational impairments. Direct instruction provides opportunities for organizationally impaired students to have organizational skills explained, taught, modeled, and practiced. Self-management helps students to control their learning and behavior. A multiple baseline design across participants was used to evaluate the effectiveness of the intervention. Two participants with Learning Disabilities (one male and one female) and two participants with Attention Deficit Hyperactivity Disorder (one male and one female), ages 7-11, enrolled in an private elementary religious school, participated in 4, contiguous, weeks of scripted lessons on the following: bringing materials to lessons, organizing a notebook, organizing a desk, and putting it all together (a review of selected lessons from the previous three weeks). The occurrences of combined organizational skills (e.g., bringing materials to lessons, organizing a notebook, and organizing a desk) increased as a function of the intervention for all participants. A probe was conducted two weeks after the completion of the study that indicated that the organizational skills obtained by the participants were maintained

A Narrative Study of Nurses' Interactions When Using Health Information Technology

abstract: Nurses are using health information technology during patient care activities in acute care at an unprecedented rate. Previous literature has presented nurses' response to technology obstacles as a work-around, a negative behavior. Using a narrative inquiry in one hospital unit, this dissertation examines nurses' interactions when they encounter technology obstacles from a complexity science perspective. In this alternative view, outcomes are understood to emerge from tensions in the environment through nonlinear and self-organizing interactions. Innovation is a process of changing interaction patterns to bring about transformation in practices or products that have the potential to contribute to social wellbeing, such as better care. Innovation was found when nurses responded to health information technology obstacles with self-organizing interactions, sensitivity to initial conditions, multidirectionality, and their actions were influenced by a plethora of sets of rules. Nurses self-organized with co-workers to find a better way to deliver care to patients when using technology. Nurses rarely told others outside their work-group of the obstacles that occurred in their everyday interactions, including hospital-wide process improvement committees. Managers were infrequently consulted when nurses encountered technology obstacles, and often nurses did not find solutions to their obstacles when they contacted the Help Desk. Opportunities exist to facilitate interactions among nurses and other members of the organization to realize better use of health information technology that improves quality and safety while decreasing cost in the patient experience.Dissertation/ThesisPh.D. Nursing and Healthcare Innovation 201

Gaps for God?

Wetensch. publicati

Contract Servicing From An Organizing Model: Don\u27t Bureaucratize, Organize!

[Excerpt] It was about four o\u27clock in the afternoon. I looked again at the phone messages in front of me. Negotiations were to begin the following week, and copies of contract proposals covered my desk. I looked at the walls for relief. There was a picket sign from the 1987 Red Cross nurses strike, a photo of a hundred women from the AFL-CIO Summer Institute, and a poster of a young woman, fist in the air, tearing the boards off a vacant house where our community group had moved in a homeless family. Just yesterday I had taped up a snapshot of health care workers from Los Angeles area unions jointly picketing a hospital. These are some of the pictures I value from my work as a labor representative and organizer. Yet here I sat, feeling like the worst of bureaucrats, trying to figure out how to avoid some of the very people I represent

A study of the understanding of knowledge and learning of a cohort of mature age students

In 2005 the authors began a longitudinal research project to explore the factors that influence student success in the Master of Engineering Practice program which was offered for the first time in Semester 2, 2004. This distance education program enables experienced Engineering Technologists to use their workplace learning to gain a qualification at the Professional Engineer level. This research was initiated because the admission of some students into the program is based on the recognition of their prior workplace learning. Cantwell and Scevak (2004) highlighted the problems that students may encounter when they gain entry to a university on this basis. To explore this issue four previously validated questionnaires were used to gather data on: student approaches to learning, their epistemological beliefs, learning style preferences, and strategic flexibility. This paper reports on a preliminary analysis of the data gathered from the students who enrolled in the program during the period 2005-2009. In the longer term, when the sample size has grown and more students have graduated, the data will be analysed to explore the relationship between the measured factors and success at university