Palliative and End-of-Life Care: Precepts and Ethics for the Orthopaedic Population

Since the emergence of reports such as the National Consensus Project for Quality Palliative Care (2013) and the National Association of Orthopaedic Nurses Palliative Care Consensus Document (2005), there continues to be a growing recognition of the multiple adverse effects of serious illness and chronic conditions, as well as the potential benefits of receiving palliative or end-of-life care. As modern technology expands its ability to support life, ethical dilemmas may be encountered in the provision of palliative or end-of-life care. Through integration of the precepts of palliative care and consideration of the relevant ethical principles, orthopaedic nurses may best meet their patients\u27 comprehensive needs at an exceedingly difficult time

What Value Does Service Learning Have on Introductory Engineering Students\u27 Motivation and ABET Program Outcomes?

A quasi-experimental study was conducted to investigate the effectiveness of using a service learning (SL) method on influencing introductory engineering students\u27 motivation and ABET program outcomes, compared to the effectiveness of using a conventional, non-service-learning (NSL) method. The sample used in the study was 214 students enrolled in an Introduction to Engineering course at a medium-size university in the northwestern region of the U.S. during the fall semester of 2009 and the spring semester of 2010. Sixty-nine students completed SL projects while 145 students completed NSL projects. Both SL and NSL projects were team-based. Using the ARCS model as a framework, students’ motivation was measured on attention (interest), relevance, confidence in engineering knowledge, confidence in collaborative learning, and satisfaction. Students\u27 self-assessed engineering abilities were measured on the a through k ABET program outcomes. Results showed that the SL method was significantly more effective than the NSL method in terms of positively influencing students’ interests, recognition of relevance, and satisfaction in learning and their self-assessed engineering abilities in three out of 11 ABET program outcomes, c, e, and k. Interpretation of the results, application of the results to the course redesign, and recommendations for other engineering educators are provided

An Online Educational Program Improves Pediatric Oncology Nurses’ Knowledge, Attitudes, and Spiritual Care Competence

This study evaluated the potential impact of an online spiritual care educational program on pediatric nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. It was hypothesized that the intervention would increase nurses’ positive attitudes toward and knowledge of spiritual care and increase nurses’ level of perceived spiritual care competence. A positive correlation was expected between change in nurses’ perceived attitudes toward and knowledge of spiritual care and change in nurses’ perceived spiritual care competence. A prospective, longitudinal design was employed, and analyses included one-way repeated-measures analysis of variance, linear regression, and partial correlation. Statistically significant differences were found in nurses’ attitudes toward and knowledge of spiritual care and nurses’ perceived spiritual care competence. There was a positive relationship between change scores in nurses’ attitudes toward and knowledge of spiritual care and nurses’ spiritual care competence. Online spiritual care educational programs may exert a lasting impact on nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. Additional studies are required to evaluate the direct effects of educational interventions patient outcomes

The Party’s Over: Sustaining Support Programs When the Funding is Done

In the lifecycle of an engineering education grant, the phase where best practices are sustained and disseminated is perhaps the most crucial stage for maximizing impact. Yet this transition phase often receives the least attention as project team enthusiasm can wane, while funding tapers off, and faculty priorities are pulled in other directions. There are numerous obstacles associated with sustaining program changes, even those perceived as very valuable. Typical challenges are: What happens when the funding runs out? What grant-developed programs should be sustained by the university? Does the institution need to internally allocate resources in an annual budget large enough to replace the grant? Ultimately, sustaining successful programmatic improvements is about “change management” in an institution. In this paper, we will review the literature relating to institutional change in engineering education. We will build on current curriculum change models, in the context of a major engineering education grant at Boise State University that included a variety of curricular enhancements, academic support, and outreach efforts. Over the past two years, the project team focused considerable effort on institutionalizing the most successful programs, and met with mixed results. While many programs will continue and benefit students long-term, other programs, even ones with stellar success and solid assessment, have not been entirely adopted for a number of reasons that we will examine. We will review the role assessment played in the process of program transfer (from the grant to the university) and lessons learned about building alliances with other campus partners to achieve university-level buy-in, well before the last stage of the grant. Finally, we will discuss two factors that are not identified in institutional change literature, but that contributed significantly to the successful transition of our programs—the importance of taking a research based approach, and flexibility in time and resource allocation

Teaching Inquiry-Based STEM in the Elementary Grades Using Manipulatives: A SySTEMic Solution Report

Young learners come to school holding myriad conceptions about how the world works, particularly in the areas of science, technology, engineering, and mathematics, or STEM.1-3 Further, young students\u27 conceptions are commonly based on fragmented knowledge or naïve perspectives that contribute to the importance of early exposure to and practice with scrutinizing situations scientifically.1,3 An important part of helping children gain the skills necessary to approach situations scientifically involves preparing them to conduct scientific inquiry.3 The development of critical thinking skills and scientific approaches to problem solving should begin early in education.4 However, lack of elementary teacher comfort and familiarity with inquiry may be a significant barrier hindering early learner experience with and development of inquiry skills.5 Additionally, although engineering topics are particularly well suited for teaching inquiry, most teachers, like the general public, are not well versed in engineering. Therefore, teachers are excellent candidates for participation in professional development that enhances their knowledge and comfort with teaching inquiry-based STEM curriculum and engineering content in particular

Dialogue in the Margins

This article demonstrates how, through our conversations about holding dialogues in the margins of student papers, we realized that there can sometimes be an advantage to moving students into the margins, where their marginalia constitute a productive and active dialogue about their own thinking

A SySTEMic Solution: Elementary Teacher Preparation in STEM Expertise and Engineering Awareness

Research shows that most K-5 teachers are typically required to complete only minimal coursework in science and mathematics, which constrains their knowledge, efficacy, and confidence for teaching STEM (Science, Technology, Engineering and Math) content. Additionally, elementary teachers, like much of the general public, have limited comprehension about the relationship between STEM concepts and engineering fields and the kind of work and societal contributions made by engineers. Yet, elementary school is a critical time in which students develop foundational understanding of STEM concepts, career options, and inquiry learning. To address students\u27 STEM needs and limited teacher preparation, the Idaho SySTEMic Solution research project was implemented by the College of Education and College of Engineering at Boise State University, in partnership with the Meridian Joint School District and educational products and services company PCS Edventures! Funded by the U.S. Department of Education, the Idaho SySTEMic Solution is a STEM education initiative designed to advance achievement and confidence among elementary-age learners and their teachers. Phase I of the Idaho SySTEMic Solution, which is the subject of this report, focuses on teachers, with the goal of increasing their STEM content knowledge, instructional practices, awareness of engineering, and overall confidence for teaching STEM concepts. Phase I began with a three-day summer institute for 39 elementary teachers at seven schools representing socioeconomic diversity in the largest school district in Idaho. To measure the results of the workshop, several data collection methods were utilized, for pre- and post-intervention assessment. Repeated measures analyses revealed significant teacher increase in confidence to teach STEM curriculum (p \u3c .01), positive increase in engineering attitudes (p \u3c .01) and increase in STEM teaching efficacy (p \u3c .01) over the course of the threeday workshop. We attribute these changes to the content and context of the workshop instruction

Successes of an Engineering Residential College Program within an Emerging Residential Culture

Boise State University is in the process of transforming from a historically commuter campus into a metropolitan research university which includes a growing residential culture (currently 8% of students live in residence halls). First time, full time freshmen age 18 or younger have increased from 61% of the incoming class in 2000 to 72% of the incoming class in 2008. To support our growing residential culture, University Housing, in cooperation with six academic colleges, began the Residential College (RC) program in 2004. Key among the five current RC communities is the College of Engineering. The Engineering Residential College (ERC) admits first and second year students with declared majors in one of our six undergraduate programs (civil engineering, computer science, construction management, electrical engineering, materials science and engineering, and mechanical engineering) and undeclared engineering. The 2007- 2008 academic year was the first during which an engineering faculty member lived in residence, the Faculty-in-Residence (FiR), with the 26 members of the ERC. The physical structure of the ERC supported collaborative work and study with student community members. Daily interaction of student ERC community members with the FiR and structured activities outside the classroom facilitated learning that enhanced engineering academics. In this paper, we discuss the qualitative life skills and quantitative academic successes of this living-learning community facilitated by a live-in engineering faculty member during the past three semesters and make recommendations for improving the overall ERC experience

Fathers' coping strategies and family environment when college freshmen leave home

The purposes of this study were (a) to study the family environment, as perceived by the father before and after the college freshman leaves home; (b) to explore the extent to which fathers employ coping strategies as they make the transition into a new family phase; (c) to assess whether exposure to a parent orientation program explains changes in family environment and coping strategies; and (d) to assess whether the sex of the child entering college explains changes in family environment and coping strategies. Questionnaires were mailed to a systematically random sample of fathers of entering freshmen intending to live in the residence halls of The University of North Carolina at Greensboro in the Fall of 1986. The final sample who volunteered to participate consisted of 143 white fathers who were mailed posttest questionnaires 6 to 8 weeks after their child left home. Independent variables were sex of child, distance from UNCG, size of community, birth order of child entering UNCG, father's educational level, and attendance at Step Ahead—a parent orientation program. Dependent variables were difference scores (posttest-pretest) on six subscales of the Family Environment Scale (FES) and the total score on the Family Coping Strategies Scale (F-COPES). Statistical procedures used were t tests and multiple regression

Listening and Negotiation

Negotiation is an important skill for faculty at all stages of their career, but one that research suggests is often uncomfortable for women faculty to employ. This paper focuses on the topic of negotiation, with an emphasis on providing practical ideas and strategies relevant to academic professionals at both entry-level and mid-career who find that they need to negotiate a career opportunity. The paper will review negotiation basics, as well as discuss what can be negotiated, how one might proceed to discuss these, and how listening is critical to negotiation. By viewing negotiation as a wise agreement 1 that seeks to meet the needs of both parties to the extent possible, this paper presents several common cases or scenarios that illustrate the importance of understanding the elements involved both from the faculty member’s perspective as well as from the perspective of their department head, dean or provost