School counselor assignment in secondary schools: Replication and extension

Before school counselors can carry out the duties and responsibilities outlined as part of a comprehensive school counseling program, they must know which students they are responsible for helping. The topic of assigning students to school counselors has only recently been seen in the educational research arena in a study by Akos, Schuldt, and Walendin (2009). The current study attempts to replicate and extend the findings of Akos, Schuldt, and Walendin by addressing the questions of how secondary school counselors are assigned and what are their perceptions of their assignment. In addition, the study attempts to determine whether a particular type of school counselor assignment is more effective in enhancing student achievement in a large school district. A review of literature relevant to this study includes: the history of school counseling; the role of the school counselor; student achievement as defined by NCLB (2001); school counselor interventions in the areas of standardized-test scores, attendance, and graduation rates; and school counselor assignment. The study was conducted in two parts. Part one of the study was conducted using a survey questionnaire--School Counselor Assignment Questionnaire, SCAQ (Akos, Schuldt, and Walendin, 2009). A total of 213 secondary school counselors from Clark County School District participated in the survey. The results found that the breakdown of school counselor assignment used in participating secondary schools was similar to that found by Akos, Schuldt, and Walendin (2009) with a majority of middle schools using a grade level looping method and a majority of high schools using an alphabetical method. Also evident in the findings of this study was that school counselors using methods of school counselor assignment in which they keep the same students from year to year, had more positive perceptions of their method than those who were using a mixed method. Part two of the study is an analysis of student achievement data from schools using different school counselor assignment methods. Results of this analysis show no significant difference between school counselor assignment and the student achievement variables--percentage of students who meet or exceed standards on the standards-based reading test, percentage of students who meet or exceed standards on the standards-based math test, and student daily average attendance. At the middle school level there was a difference related to method of assignment in the student achievement variables, but extended analysis suggested this was an artifact of extraneous variables. Although the findings of this study do not identify a relationship between school counselor assignment and the three NCLB variables representing student achievement, it does further the findings of the original study by showing statistically significant differences in counselor perceptions of several aspects of their school counselor assignment method. These findings appear to warrant consideration when discussing school counselor assignment with school counseling students, when school counseling departments are developing their comprehensive guidance program, or when working to create better guidelines for determining school counselor assignment

An Interprofessional Approach to Teaching Evidence-based Practice

Purpose: The purpose of this mixed methods study was to identify students’ engagement and implementation of EBP competencies after exposure to EBP content in an interprofessional online research course. In this research, a diverse, convenience sample of nursing, respiratory care, and social work students were selected. The results aim to assist educators in preparing the next generation for their first professional role in providing care using the best evidence. The research questions that guided the study were: (1) What are the levels of practice, attitude, knowledge and skill regarding EBP among the sample? (2) What are the barriers and facilitators to acquiring EBP competency? (3) What are the differences in EBP attitudes, knowledge, and skills between the diverse disciplines in the sample? Methods: This descriptive mixed methods study employed a cross sectional design that allowed comparisons of programs and the different levels within the program. Quantitative data was collected using the S-EBPQ survey, allowing participants’ the opportunity to self-report on the practice, attitude, and knowledge/skills. Qualitative data was collected through two focus groups of approximately six to ten students from the three programs. Results: Data showed that students within the three selected disciplines had a positive attitude towards EBP. Theme analysis supported this view as participants noted EBP impacts patient safety and quality care. Barriers identified included, “lack of resources, use of research language interchangeably with EBP, quick exposure to EBP and confusion among EBP practices in the clinical setting.” Participants had an awareness of EBP and recognized the value of EBP. However, there may be ways to improve the implementation of EBP throughout the learning process while students are in undergraduate studies. Conclusion: Using an interprofessional online research course to introduce students to EBP was successful. Providing an interprofessional approach to teaching EBP will provide support the implementation of EBP competencies. Further development of additional interprofessional EBP courses or activities should be considered. This study found that if interprofessional care teams’ work together and use the EBP process in their courses it will improve student perceived value of EBP

Cocoa and health: a decade of research

It has been over 10 years since the first mention in a medical journal about cocoa and chocolate as potential sources of antioxidants for health. During this time, cocoa has been found to improve antioxidant status, reduce inflammation and correlate with reduced heart disease risk; with these results, and its popularity, it has received wide coverage in the press. However, after 10 years of research, what is known about the potential health benefits of cocoa and what are the important next steps in understanding this decadent source of antioxidants

The roles of family members, health care workers, and others in decision-making processes about genetic testing among individuals at risk for Huntington disease

Purpose: To understand how individuals at risk for Huntington disease view the roles of others, e.g., family members and health care workers, in decision making about genetic testing. Methods: Twenty-one individuals (eight mutation-positive, four mutation-negative, and nine not tested) were interviewed for approximately 2 hours each. Results: Interviewees illuminated several key aspects of the roles of family members and health care workers (in genetics and other fields) in decision making about testing that have been underexplored. Family members often felt strongly about whether an individual should get tested. Health care workers provided information and assistance with decision making and mental health referrals that were often helpful. Yet health care workers varied in knowledge and sensitivity regarding testing issues, and the quality of counseling and testing experiences can range widely. At times, health care workers without specialized knowledge of Huntington disease offered opinions of whether to test. Input from families and health care workers could also conflict with each other and with an individual's own preferences. Larger institutional and geographic contexts shaped decisions as well. Conclusion: Decision-making theories applied to Huntington disease testing have frequently drawn on psychological models, yet the current data highlight the importance of social contexts and relationships in testing decisions. This report, the first to our knowledge to explore individuals' perceptions of social factors (particularly family and health care worker involvement) in Huntington disease testing decisions, has critical implications for practice, education, research, and policy

How do increasing background concentrations of tropospheric ozone affect peatland plant growth and carbon gas exchange?

In this study we have demonstrated that plants originating from upland peat bogs are sensitive to increasing background concentrations of ozone. Peatland mesocosms from an upland peat bog in North Wales, UK were exposed to eight levels of elevated background ozone in solardomes for 4 months from May to August, with 24 h mean ozone concentrations ranging from 16 to 94 ppb and cumulative AOT024hr ranging from 45.98 ppm h to 259.63 ppm h. Our results show that plant senescence increased with increasing exposure to ozone, although there was no significant effect of increasing ozone on plant biomass. Assessments of carbon dioxide and methane fluxes from the mesocosms suggests that there was no change in carbon dioxide fluxes over the 4 month exposure period but that methane fluxes increased as cumulative ozone exposure increased to a maximum AOT 024hr of approximately 120 ppm h and then decreased as cumulative ozone exposure increased further

Pre-notification letter type and response rate to a postal survey among women who have recently given birth

Background: Surveys are commonly used in health research to assess patient satisfaction with hospital care. Achieving an adequate response rate, in the face of declining trends over time, threatens the quality and reliability of survey results. This paper reports on a postal satisfaction survey conducted with women who had recently given birth, and explores the effect of two strategies on response rates. Methods: A sample of 2048 Australian women who had recently given birth were invited to participate in a postal survey about their recent experiences with maternity care. The study design included two different strategies intended to increase response rates: a randomised controlled trial testing two types of pre-notification letter (with or without the option of opting out of the survey), and a request for consent to link survey data with existing routinely collected health data (omitting the latter data items from the survey reduced survey length and participant burden). Results: The survey had an overall response rate of 46%. Women receiving the pre-notification letter with the option of opting out of the survey were more likely to actively decline to participate than women receiving the letter without this option, although the overall numbers of women were small (27 versus 12). Letter type was not significantly associated with the return of a completed survey. Among women who completed the survey, 97% gave consent to link their survey data with existing health data. Conclusions: Seeking consent for record linkage was highly acceptable to women who completed the survey, and represents an important strategy to add to the arsenal for designing and implementing effective surveys. In addition to aspects of survey design, future research should explore how to more effectively influence personal constructs that contribute to the decision to participate in surveys.NHMR

Decision‐Making About Reproductive Choices Among Individuals At‐Risk for Huntington's Disease

We explored how individuals at‐risk for HD who have or have not been tested make reproductive decisions and what factors are involved. We interviewed 21 individuals (8 with and 4 without the mutation, and 9 un‐tested) in‐depth for 2 hours each. At‐risk individuals faced a difficult series of dilemmas of whether to: get pregnant and deliver, have fetal testing, have pre‐implantation genetic diagnosis, adopt, or have no children. These individuals weighed competing desires and concerns: their own desires vs. those of spouses vs. broader moral concerns (e.g., to end the disease; and/or follow dictates against abortion) vs. perceptions of the interests of current or future offspring. Quandaries arose of how much and to whom to feel responsible. Some changed their perspectives over time (e.g., first “gambling,” then being more cautious). These data have critical implications for genetic counselors and other health care workers and future research, particularly as more genetic tests become available

Disclosures of Huntington disease risk within families: Patterns of decision‐making and implications

Patterns of disclosure of Huntington disease risk and genetic test results among family members are important, but have been underexplored. We interviewed 21 individuals in‐depth—eight mutation‐positive for HD, four mutation‐negative, and nine not tested—for 2 hr each. Within families, critical questions arose of what, when, and to whom to disclose, and what to do post‐disclosure. Interviewees wrestled with dilemmas of what to tell (e.g., suspicions vs. confirmed symptoms; initiation vs. completion of testing; partial vs. indirect information), how to disclose (e.g., planning in advance vs. “blurting out” information in arguments), and whether and how to tell extended family members. Questions arose of when to tell (i.e., to avoid disclosing “too early” or “too late”). Similarities and differences emerged related to types of relationships (e.g., parents telling offspring vs. offspring telling parents vs. siblings telling each other). Individuals often disclosed because of perceived duty to foster the health of their family members, enabling these others to pursue appropriate medical evaluation, if desired. Yet tensions arose because the information could burden these members, who also have rights to remain “in denial” if they wish and not discuss the topic or pursue testing. Post‐disclosure, dilemmas emerged of whether and how much to encourage family members to pursue testing. These data shed important light on critical issues that have received little, if any, attention concerning what, how, and when disclosure occurs, and have key implications for at‐risk individuals, genetic counselors, and other health care workers (HCWs), and for future research. At‐risk individuals would benefit from considering these issues in advance. HCWs need to realize that these decisions are multi‐faceted. Future research can explore whether, when, how, and how often HCWs raise these issues with individuals

ANSI/ASHRAE/IESNA Standard 90.1-2010 Preliminary Qualitative Determination

A preliminary qualitative analysis of all addenda to American National Standards Institute (ANSI)/American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE)/Illuminating Engineering Society of North America (IESNA) Standard 90.1-2007 (Standard 90.1-2007 or 2007 edition) that were included in ANSI/ASHRAE/IESNA Standard 90.1-2010 (Standard 90.1-2010 or 2010 edition) was conducted. All 109 addenda processed by ASHRAE in the creation of Standard 90.1-2010 from Standard 90.1-2007 were evaluated by DOE for their impact on energy efficiency. DOE preliminarily determined whether that addenda would have a positive, neutral, or negative impact on overall building efficiency