5,855 research outputs found
The effects of an afterschool STEM program on students’ motivation and engagement
Background: One significant factor in facilitating students’ career intentions and persistence in STEM (science, technology, engineering, and mathematics) fields is targeting their interests and motivation before eighth grade. To reach students at this critical stage, a design-based afterschool STEM program, titled Studio STEM, was implemented to foster motivation and engagement in STEM topics and activities. The purpose of this study is twofold: (a) to investigate how Studio STEM affected students’ beliefs about science and whether these beliefs differed from their peers who did not participate in the program, and (b) to examine a case study of one Studio STEM implementation to investigate elements of the curriculum that motivated students to engage in the program.
Results: After completing two Studio STEM programs, participants’ ratings of their values for science and science competence were higher than those of non participants. In addition, the Studio STEM participants’ motivational beliefs about science and intentions to pursue a college degree were more resilient over time than their peers. We also found that students could be motivated in a voluntary afterschool program (Studio STEM) in which they grappled with STEM concepts and activities, and could verbalize specific program elements that motivated them.
Conclusions: Through this study, we found that students could be motivated in Studio STEM and that the experience had a positive impact on their perceptions about science as a field. Importantly, Studio STEM appeared to halt the decline in these students’ motivational beliefs about science that typically occurs during the middle school years, indicating that after school programs can be one way to help students maintain their motivation in science. Studying the program features that the students found motivating may help educators to make connections between research and theory, and their classroom instruction to motivate their students.ECU Open Access Publishing Support Fun
User Testing to Improve Retrieval and Comprehension of Information in Guidelines to Improve Medicines Safety
Objective: The aim of the study was to investigate the effectiveness of user testing for improving healthcare professionals’ retrieval and comprehension of information in medicines guidelines.
Methods: The United Kingdom’s Injectable Medicines Guide was selected as a case study. This gives guidance to nurses on preparing and administering intravenous medicines on hospital wards, in line with standard UK practice. Three rounds of user testing were completed with 10 hospital nurses per round, using the Injectable Medicines Guide for voriconazole and aminophylline. Participants used the guidelines to answer 17 questions related to the administration of these medicines. Answers were scored for “finding” and “understanding” the required information. Semistructured interviews explored participants’ opinions of guideline content, design, and wording, with responses analyzed thematically. The guidelines were revised between rounds.
Results: In round 1, 8 of 17 questions were answered correctly by all participants. Participants had difficulty with dose, dilution, administration rate, and adverse effects questions. Revisions included new subsections and increased calculation support. In round 2, 14 of 17 questions were answered correctly by all participants. Difficulty persisted with dose and administration rate questions and further revisions made. In round 3, 15 of 17 questions were answered correctly by all participants. Across all rounds, participants considered appropriate subheadings and information order as important for fast location of information. Specific, detailed, and practical instructions were perceived as important to improve understandability and usefulness.
Conclusions: Key information in medicines guidelines may not be found and/or understood by healthcare professionals. User testing increased information retrieval and comprehension and could have an important role in improving the safety of medicines use
Probabilistic design of a molybdenum-base alloy using a neural network
An artificial intelligence tool is exploited to discover and characterize a new molybdenum-base alloy that is the most likely to simultaneously satisfy targets of cost, phase stability, precipitate content, yield stress, and hardness. Experimental testing demonstrates that the proposed alloy fulfills the computational predictions, and furthermore the physical properties exceed those of other commercially available Mo-base alloys for forging-die applications.The authors acknowledge the financial support of Rolls-Royce plc, EPSRC under EP/H022309/1 and EP/H500375/1, the Royal Society, and Gonville & Caius College
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Centrifuge modelling of tunnelling with forepoling
Geotechnical centrifuge modelling provides a means by which geotechnical events and processes can be better understood. In particular, the technique has proved invaluable when investigating collapse mechanisms in small scale models that can be related to full scale events. A series of eight plane strain centrifuge model tests investigating the effect of inserting inclusions around the annulus of a single tunnel in over consolidated clay has been conducted using the geotechnical centrifuge at City University London. The model used a compressed air supported circular cavity to simulate the tunnel. Stiff resin inclusions embedded around its periphery were used to represent closely spaced forepoles forming grout umbrella arches. Image processing was used to obtain patterns of displacements at the subsurface and displacement transducers measured vertical settlement at the ground surface level. The investigation focused on how different arrangements of forepoling affected tunnel stability. The influence of forepoling on normally accepted plastic collapse mechanisms is discussed. An optimisation of the forepoling layout is uggested in accordance with the findings
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On the entropic stabilisation of an Al<inf>0.5</inf>CrFeCoNiCu high entropy alloy
The extent to which configurational entropy can stabilise a single solid solution in an Al0.5CrFeCoNiCu high entropy alloy has been assessed through characteristion of samples following casting and heat treatment at 1000 C. At temperatures between 1000 C and the onset of melting, the alloy was shown to be within a two phase field and these phases were stable following prolonged exposure at elevated temperature. X-ray and transmission electron diffraction indicated that both constituent phases had an fcc structure. Therefore, these phases share a Gibbs energy curve that must contain two local minima at the solidus temperature, rather than the single minimum required for a continuous solid solution. These
observations indicate that there is no temperature at which this material is in a stable, solid state single phase field and that therefore, the configurational complexity is insufficient to stabilise a solid solution phase against enthalpic effects.EPSRC/Rolls-Royce Strategic partnership for funding (NGJ, AB and HJS under EP/H500375/1, JWA and BDC under EP/H022309/1).This is the final published manuscript distributed under a Creative Commons Attribution License 2.0 UK. This article can also be viewed on the publisher's website at: http://www.sciencedirect.com/science/article/pii/S0966979514001848
User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study
Background: User-testing and subsequent modification of clinical guidelines increases health professionals’ information retrieval and comprehension. No study has investigated whether this results in safer care.
Objective: To compare the frequency of medication errors when administering an intravenous medicine using the current National Health Service Injectable Medicines Guide (IMG) versus an IMG version revised with user-testing.
Method: Single-blind, randomised parallel group in situ simulation. Participants were on-duty nurses/midwives who regularly prepared intravenous medicines. Using a training manikin in their clinical area, participants administered a voriconazole infusion, a high-risk medicine requiring several steps to prepare. They were randomised to use current IMG guidelines or IMG guidelines revised with user-testing. Direct observation was used to time the simulation and identify errors. Participant confidence was measured using a validated instrument. The primary outcome was the percentage of simulations with at least one moderate-severe IMG-related error, with error severity classified by an expert panel.
Results: In total, 133 participants were randomised to current guidelines and 140 to user-tested guidelines. Fewer moderate-severe IMG-related errors occurred with the user-tested guidelines (n=68, 49%) compared with current guidelines (n=79, 59%), but this difference was not statistically significant (risk ratio: 0.82; 95% CI 0.66 to 1.02). Significantly more simulations were completed without any IMG-related errors with the user-tested guidelines (n=67, 48%) compared with current guidelines (n=26, 20%) (risk ratio: 2.46; 95% CI 1.68 to 3.60). Median simulation completion time was 1.6 min (95% CI 0.2 to 3.0) less with the user-tested guidelines. Participants who used user-tested guidelines reported greater confidence.
Conclusion: User-testing injectable medicines guidelines reduces the number of errors and the time taken to prepare and administer intravenous medicines, while increasing staff confidence.
Trial registration number: researchregistry5275
User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study
Background: User-testing and subsequent modification
of clinical guidelines increases health professionals’
information retrieval and comprehension. No study has
investigated whether this results in safer care.
Objective: To compare the frequency of medication errors
when administering an intravenous medicine using the
current National Health Service Injectable Medicines Guide
(IMG) versus an IMG version revised with user-testing.
Method: Single-blind, randomised parallel group in situ
simulation. Participants were on-duty nurses/midwives who
regularly prepared intravenous medicines. Using a training
manikin in their clinical area, participants administered a
voriconazole infusion, a high-risk medicine requiring several
steps to prepare. They were randomised to use current
IMG guidelines or IMG guidelines revised with user-testing.
Direct observation was used to time the simulation and
identify errors. Participant confidence was measured using
a validated instrument. The primary outcome was the
percentage of simulations with at least one moderatesevere IMG-related error, with error severity classified by an
expert panel.
Results: In total, 133 participants were randomised to
current guidelines and 140 to user-tested guidelines.
Fewer moderate-severe IMG-related errors occurred
with the user-tested guidelines (n=68, 49%) compared
with current guidelines (n=79, 59%), but this difference
was not statistically significant (risk ratio: 0.82; 95%
CI 0.66 to 1.02). Significantly more simulations were
completed without any IMG-related errors with the usertested guidelines (n=67, 48%) compared with current
guidelines (n=26, 20%) (risk ratio: 2.46; 95% CI 1.68 to
3.60). Median simulation completion time was 1.6min
(95% CI 0.2 to 3.0) less with the user-tested guidelines.
Participants who used user-tested guidelines reported
greater confidence.
Conclusion: User-testing injectable medicines guidelines
reduces the number of errors and the time taken to
prepare and administer intravenous medicines, while
increasing staff confidence.
Trial registration: number researchregistry5275
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