Clinical Faculty Perceptions of Using a Skills Checklist in Teaching Pn Students Bedside Physical Assessments

Abstract An area of student learning where assessment and support is most important is in the teaching of physical assessment to practical nursing (PN) students. Faculty teaches techniques of body system assessments and then evaluates student learning. First year practical nursing (PN) students at a Midwest community college were reported to be deficient in performing bedside physical assessments by clinical nursing faculty and hospital staff. It was proposed that the use of a bedside physical assessment checklist would assist faculty in teaching physical assessment and improve student outcomes. This qualitative phenomenological study involved a purposive sample of seven nursing faculty who taught a one day physical assessment class and who assessed students in the clinical area. The nurse researcher developed a comprehensive bedside physical assessment checklist and oriented the faculty to the use of the checklist. After using the checklist to teach and evaluate students, the faculty was interviewed about their perceptions of the tool. The interviews were taped, transcribed, and coded for themes using constant comparative analysis. Two major categories emerged from the data on faculty perceptions of the physical assessment checklist. The categories included Checklist Structure and Use and Checklist Changes. Themes included: Diverse Views of the Checklists, Need for Further Student Instruction, Needed Structural Changes, and Alternative Uses of the Checklist. Faculty perceived that the physical assessment checklist was a valuable tool to evaluate students in the clinical area. Key terms: Qualitative, student learning, student evaluations, clinical skills, physical assessments, checklist

Alien Registration- Daniels, Helen S. (Lewiston, Androscoggin County)

https://digitalmaine.com/alien_docs/29495/thumbnail.jp

Exploring the Use of Genomic and Routinely Collected Data: Narrative Literature Review and Interview Study

Background: Advancing the use of genomic data with routinely collected health data holds great promise for health care andresearch. Increasing the use of these data is a high priority to understand and address the causes of disease.Objective: This study aims to provide an outline of the use of genomic data alongside routinely collected data in health researchto date. As this field prepares to move forward, it is important to take stock of the current state of play in order to highlight newavenues for development, identify challenges, and ensure that adequate data governance models are in place for safe and sociallyacceptable progress.Methods: We conducted a literature review to draw information from past studies that have used genomic and routinely collecteddata and conducted interviews with individuals who use these data for health research. We collected data on the following: therationale of using genomic data in conjunction with routinely collected data, types of genomic and routinely collected data used,data sources, project approvals, governance and access models, and challenges encountered.Results: The main purpose of using genomic and routinely collected data was to conduct genome-wide and phenome-wideassociation studies. Routine data sources included electronic health records, disease and death registries, health insurance systems,and deprivation indices. The types of genomic data included polygenic risk scores, single nucleotide polymorphisms, and measuresof genetic activity, and biobanks generally provided these data. Although the literature search showed that biobanks released datato researchers, the case studies revealed a growing tendency for use within a data safe haven. Challenges of working with thesedata revolved around data collection, data storage, technical, and data privacy issues.Conclusions: Using genomic and routinely collected data holds great promise for progressing health research. Several challengesare involved, particularly in terms of privacy. Overcoming these barriers will ensure that the use of these data to progress healthresearch can be exploited to its full potential

Advancing cross-centre research networks: learning from experience, looking to the future

Introduction Many jurisdictions have programmes for the large-scale reuse of health and administrative data that would benefit from greater cross-centre working. The Advancing Cross centre Research Networks (ACoRN) project considered barriers and drivers for joint working and information sharing using the UK Farr Institute as a case study, and applicable widely. Objectives and Approach ACoRN collected information from researchers, analysts, academics and the public to gauge the acceptability of sharing data across institutions and jurisdictions. It considered international researcher experiences and evidence from a variety of cross centre projects to reveal barriers and potential solutions to joint working. It reviewed the legal and regulatory provisions that surround data sharing and cross-centre working, including issues of information governance to provide the context and backdrop. The emerging issues were grouped into five themes and used to propose a set of recommendations. Results The five themes identified were: organisational structures and legal entities; people and culture; information governance; technology and infrastructure; and finance and strategic planning. Recommendations within these included: standardised terms and conditions including agreements and contractual templates; performance indicators for frequency of dataset sharing; communities of practice and virtual teams to develop cooperation; standardised policies and procedures to underpin data sharing; an accredited quality seal for organisations sharing data; a dashboard for data availability and sharing; and adequate resource to move towards greater uniformity and to drive data sharing initiatives. Conclusion/Implications The challenges posed by cross-centre information sharing are considerable but the public benefits associated with the greater use of health and administrative data are inestimable, particularly as novel and emerging data become increasingly available. The proposed recommendations will assist in achieving the benefits of cross-centre working

Safety and productivity in the long distance trucking industry

Media attention to truck safety in recent years has highlighted the lack of scientific evidence on the real causes of heavy vehicle crashes. The paper examines the hypothesis that the underlying causes of unsafe on-road behaviour are inherently linked to the structure of economic reward in the long distance road transport industry. A strong relationship between economic reward and onroad performance was demonstrated in this empirical study. Elements of on-road behaviour include fatigue arising from working and driving hours, work routines, night time driving and stimulant use, and imposition of schedules and speeding. The study's main finding is that economic reward, through freight rates and income uncertainty, has a major influence on on-road behaviour. Competitive practices in the industry should be changed: regular competitive contracts may be a preferred form of load allocation. The study found an element of unsafe driver behaviour which is influenced significantly by the conditions and structure of economic reward in the industry

ECONOMIC REWARD AND ON-ROAD PERFORMANCE OF LONG DISTANCE TRUCKING: AN ECONOMETRIC ASSESSMENT

This paper reports the results of an econometric analysis of the influences on economic reward and on-road behaviour of long distance truck drivers in Australia. Drawing on a 1990 survey of a sample of 800 truck drivers selected from owner drivers and employee drivers, we identify the important role that rates of pay and the payment method have on the propensity to speed. The richness of the data enables us to evaluate the endogenous linkage between speeding, the taking of pills, and the self-imposition of schedules, as well as identify industry practices which have desirable and undesirable impacts on the performance of drivers. The empirical findings corroborate anecdotal evidence on the issues which need action in the interests of minimising the negative externalities of an essentially efficient and safe industry

Review Protocol: Actions to help East Anglia’s coastal communities:Parnterships for East Coast Communities peer-reviewed and grey literature review protocols

The Partnerships for East Coast Communities consortium is reviewing evidence on actions to help East Anglia’s coastal communities in three areas: 1. Opportunities for good work; 2. The green economy; 3. Protecting and renewing the East Anglian coast’s cultural and environmental heritage. We have no preconception of what these actions might be, and examples can cut across two or more areas. Of particular interest are studies that evaluate the effects of actions on health and wellbeing in coastal communities. This document contains the protocols for peer-reviewed and grey literature review