An Innovative Methodology for Assessing Student Learning Outcome Achievement

University-associated training facilities for Marriage and Family Therapy/Marriage, Family, and Child Counseling (MFT/MFCC) programs serve several purposes; however, of paramount importance is meeting the academic needs of counselor trainees. Student learning outcomes for counselor trainees aim to address social justice issues, such as primary language and financial impoverishment of clients. This article presents a pilot study that examined an innovative methodology for assessing student learning outcomes at an MFT/MFCC program’s training clinic

Differences in Physical Activity Participation between University Employees With and Without a Worksite Health Promotion Program

The purpose of this study was to assess differences in physical activity (PA) among university employees with and without a formal health promotion program. Three state university campuses without health promotion programs and four campuses with a program participated in this study. PA participation was assessed via survey to all campus employees. PA was compared for those with (n=426) and without a program (n=371). The results indicated that there was no significant difference (p>.05) in the amount of vigorous PA days per week between those with (M=1.87 ± 2.29) and without a program (M=1.6 ± 1.87).There was no significant difference (p>.05) in the amount of moderate PA days per week between those with (M= 2.18 ± 2.43) and without a program (M= 1.88 ± 2.03). There were significant differences (p<.05) for walking days per week, with the employees with a program having the highest number of days (M= 4.06 ± 3.57) compared to those without a program (M= 3.38 ± 2.28). Overall, findings indicate that presence of a health promotion program was only associated with more walking days per week. Therefore, programs must strive to increase moderate intensity PA participation, perhaps through more innovative means, in order to improve the health of their employees

Innovation in Teacher Preparation: - Using Performance Expectations and Annotated Video to Facilitate Reflection.

CalStateTEACH (CST) is a California State University statewide, online, site-supported teacher preparation program that prepares candidates primarily for teaching in elementary school. Teacher candidates engage in academic work online and participate in field experiences at a local school each term. The program promotes innovation, technology integration, and reflection (Mishra, Koehler, & Henrikson, 2011) via the Observation Event (OE) in the clinical practice component of the program. Data collected over three terms in the program is used to monitor candidate progress. The OE is a lesson planning interface that was developed to give teacher candidates greater control over the classroom observation process by determining the lesson focus and pedagogical proficiency levels based on California Teaching Performance Expectations (TPE) (California Commission for Teacher Credentialing [CCTC], 2013). The 13 TPEs are skills a teacher candidate needs to develop by the end of a teachertraining program. These are grouped within the broad range of categories in the Standards for the Teaching Profession: Making Subject Matter Comprehensible to Learners, Assessing Student Learning, Engaging and Supporting Students in Learning, Planning Instruction and Designing Learning Experiences for Students, and Creating and Maintaining Effective Environments forStudent Learning (CCTC, 2009). See Figure 1. Candidates begin preparing for the OE by completing a lesson plan and choosing two or three TPEs indicating which aspects of teaching they intend to demonstrate, providing a rationale for that expectation. The elements of the electronic lesson plan include a preconference self-evaluation rationale for proficiency level performance and a reflective video feedback loop for teacher candidates. In the preconference self-evaluation, candidates rank their pedagogical proficiency levels for the TPEs by selecting exploring, applying, proficient, or exemplary, and providing a rationale for the ranking. Faculty mentors provide feedback to the candidate on the lesson plan prior to observing the lesson. &nbsp

Implantação do Protocolo de Manejo de Sepse no Pronto Atendimento do Hospital Universitário Regional dos Campos Gerais

Background and Objectives: A sepsis is a challenge for public health, and the protocols are fundamental for management. The aim of this study was to evaluate the implementation of a care protocol for the management of sepsis and to characterize the patients submitted to clinical evaluation. Method: Descriptive cross-sectional study performed at the Emergency Service (EC) of the Campos Gerais Regional University Hospital. The protocol was elaborated from the literature, focusing on adult patients with criteria of systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis and septic shock, being described by flowchart. They were part of the study of the patients attended in the EC between july and september of 2016 submitted to the protocol (n=50), being collected by electronic medical records and analyzed descriptively. Results: For the implementation of the protocol, the training was carried out by the EC staff, for acceptance and alignment of knowledge regarding the conceptual, technical and logistical aspects. The protocol consists of 3 steps: initial approach to the patient with sepsis; package 3/6 hours - hemodynamic optimization and optional package - optimization of central venous oxygen saturation/ central venous pressure. Patients submitted to the protocol were mean of 66 years (SD=±13.71), most of them were 56% women, presented hypotension (96%), creatinine elevation (76%) and leukocytosis (70%) among SIRS, achievement immediate exams (100%), initiation antibiotic therapy (74%) and death (72%). Conclusion: an implementation of the protocol subsidized the precocious identification of patients, qualification of care, operational experience and as characteristics of patients consistent with severe sepsis.Justificación y Objetivo: La sepsis es un desafío para la salud pública, siendo los protocolos fundamentales para su manejo. Se objetivó evaluar la implantación de un protocolo asistencial de manejo de sepsis y caracterizar a los pacientes sometidos a evaluación clínica. Método: Estudio descriptivo, transversal realizado en la unidad de Pronto Atención (PA) del Hospital Universitario Regional de los Campos Generales. El protocolo fue elaborado a partir de la literatura, con foco en los pacientes adultos con criterios de síndrome de la respuesta inflamatoria sistémica (SIRS), sepsis, sepsis grave y shock séptico, siendo descrito por medio de diagrama de flujo. Se realizaron parte del estudio los pacientes atendidos en el PA entre julio a septiembre de 2016 sometidos al protocolo (n=50), siendo los datos recogidos por medio de los prontuarios electrónicos y analizados descriptivamente. Resultados: Para implantación del protocolo se realizaron capacitaciones del equipo actuante en el PA, para la aceptación y alineamiento de conocimientos como los aspectos conceptuales, técnicos y logísticos. El protocolo se compone de 3 etapas: abordaje inicial al paciente con sepsis; paquete 3/6 horas - optimización hemodinámica y paquete opcional - optimización de Saturación venosa central de oxígeno / presión venosa central. Los pacientes sometidos al protocolo tenían una edad media de 66 años (dp=± 13,71), la mayoría eran 56% mujeres, presentaron hipotensión (96%), elevación de la creatinina (76%) y leucocitosis (70%) entre las SIRS, realización inmediata de exámenes (100%), inicio de la antibioticoterapia (74%) y óbito (72%). Conclusión: la implantación del protocolo subsidió la identificación precoz de los pacientes, calificación del cuidado, ganancia operativa y las características de los pacientes concordantes con cuadros graves de sepsis.Justificativa e Objetivo: A sepse é um desafio para a saúde pública, sendo os protocolos fundamentais para seu manejo. Objetivou-se avaliar a implantação de um protocolo assistencial de manejo de sepse e caracterizar os pacientes submetidos a avaliação clínica. Método: Estudo descritivo, do tipo transversal realizado na unidade de Pronto Atendimento (PA) do Hospital Universitário Regional dos Campos Gerais. O protocolo foi elaborado a partir da literatura, com foco nos pacientes adultos com critérios de síndrome da resposta inflamatória sistêmica (SIRS), sepse, sepse grave e choque séptico, sendo descrito por meio de fluxograma. Fizeram parte do estudo os pacientes atendidos no PA entre julho a setembro de 2016 submetidos ao protocolo (n=50), sendo os dados coletados por meio dos prontuários eletrônicos e analisados descritivamente. Resultados: Para implantação do protocolo realizou-se capacitações da equipe atuante no PA, para aceitação e alinhamento de conhecimentos quanto os aspectos conceituais, técnicos e logísticos. O protocolo é composto por 3 etapas: abordagem inicial ao paciente com sepse; pacote 3/6 horas – otimização hemodinâmica e pacote opcional -otimização de Saturação venosa central de oxigênio/ pressão venosa central. Os pacientes submetidos ao protocolo tinham idade média de 66 anos (dp=±13,71), a maioria era 56% mulheres, apresentaram hipotensão (96%), elevação da creatinina (76%) e leucocitose (70%) entre as SIRS, realização imediata de exames (100%), início da antibioticoterapia (74%) e óbito (72%). Conclusão: a implantação do protocolo subsidiou a identificação precoce dos pacientes, qualificação do cuidado, ganho operacional e as características dos pacientes condizentes com quadros graves de sepse

Effectiveness of Teacher Education Programs: A Descriptive Aggregation of Supervisor Ratings of Teachers Trained by The Renaissance Group (TRG) and the Teacher Education Council of State Colleges and Universities (TECSCU) Institutions

This study aggregated supervisor’s ratings of teachers trained at The Renaissance Group (TRG) and the Teacher Education Council of State Colleges and Universities (TECSCU) institutions. Fourteen studies conducted by 12 universities or states were gathered, and 12 that met inclusion criteria were included in this analysis. The total number of survey items in all studies (N = 374) was coded into 13 variables. Frequencies of the percentages of ratings falling into below average, average, and above average for those variables were tabled. Supervisors consistently gave teachers very high ratings

Sepsis Management Protocol Implantation at the Emergency Department of the Campos Gerais Regional University Hospital

Background and Objectives: A sepsis is a challenge for public health, and the protocols are fundamental for management. The aim of this study was to evaluate the implementation of a care protocol for the management of sepsis and to characterize the patients submitted to clinical evaluation. Method: Descriptive cross-sectional study performed at the Emergency Service (EC) of the Campos Gerais Regional University Hospital. The protocol was elaborated from the literature, focusing on adult patients with criteria of systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis and septic shock, being described by flowchart. They were part of the study of the patients attended in the EC between july and september of 2016 submitted to the protocol (n=50), being collected by electronic medical records and analyzed descriptively. Results: For the implementation of the protocol, the training was carried out by the EC staff, for acceptance and alignment of knowledge regarding the conceptual, technical and logistical aspects. The protocol consists of 3 steps: initial approach to the patient with sepsis; package 3/6 hours - hemodynamic optimization and optional package - optimization of central venous oxygen saturation/ central venous pressure. Patients submitted to the protocol were mean of 66 years (SD=±13.71), most of them were 56% women, presented hypotension (96%), creatinine elevation (76%) and leukocytosis (70%) among SIRS, achievement immediate exams (100%), initiation antibiotic therapy (74%) and death (72%). Conclusion: an implementation of the protocol subsidized the precocious identification of patients, qualification of care, operational experience and as characteristics of patients consistent with severe sepsis