Transcript: RESEARCH PROPOSAL PROJECT BY: Adrian Fajardo WHAT IS HANDOFF REPORT? INTRODUCTION Simply put it as... The transfer of: 1) Patient information 2) Responsibility 3) Accountability ...from the off-going nurse to the incoming nurse. PROBLEM Ineffective Communication Joint Commission Patient Safety Goals – Improving… Problem Safety Issues “…effectiveness of communication among caregivers…” “…encourage patients to be actively involved…” Bedside handoff report may address national pt. safety goals r/t effective caregiver communication & pt. involvement PURPOSE Purpose Evaluate influence / degree of relation between… Identify advantages and disadvantages if bedside handoff report Determine implications of bedside handoff on current EBP 1) Implementing Handoff Report at Bedside 2) Patient & Nursing Satisfaction VARIABLES Independent Variable: The implementation of bedside handoff report Dependent Variable: Nursing and patient satisfaction Variables & Hypotheses HYPOTHESES Hypothesis: Implementing bedside handoff report increases patient and nursing satisfaction. Null Hypothesis: Implementing bedside handoff report has no effect on nursing and patient satisfaction. THEORETICAL FRAMEWORK Difficult decision-making requires collaboration Collaboration facilitated between patients, their families, & healthcare team Promotes: - Mutual relations - Effective Communication - Accountability Emphasizes patient & family involvement in communication processes Inclusion of pt./families in Collaborative Partnership COLLABORATIVE DELIBERATION MODEL Reflective of Bedside Handoff Report LITERATURE REVIEW LITERATURE REVIEW Total of 6 journal articles reviewed Purpose of Review: Evaluate perceptions of bedside handoff from the perspective of both patients and nurses Review of Article by Sherman, Sand-Jecklin, & Johnson Synthesis of Literature PROS: Increase in pt. satisfaction r/t… 1) Increased sense of involvement 2) Increased sense of being informed CONS: - Pt.’s more confused after report - Pt.’s feeling left out of conversation - Lack of privacy - Redundancy of information Increased Anxiety 1 2 Pilot study conducted in med-surg units over 6 months PROS: - Pt. participation leads to improved pt. care experiences - Participation through: 1) Listening 2) Correction/clarification of inaccurate info 3) Addition of helpful info - Improves pt. safety through prevention CONS: N/A Review of Article by Evans, Grunawalt, McClish, Wood, & Friese 3 Synthesis of Literature Perception of handoff report influence by context of pt.’s - Patience - Perception of their condition/prognosis PROS: N/A CONS: - Pt.’s confused by medical jargon - Pt.’s viewed nurses with poor/messy handoff reports as incompetent Review of Article by Dorvil 4 Study to evaluate nurses’ perception of standardized bedside handoff report tool & process Location: 205-bed hospital in South Florida PROS: - Decreased report times - Offgoing nurses leaving work on time - Oncoming nurses starting their shift on time CON: Monopolization of report by pt.’s Review of Article by Walsh, Messmer, Hetzler, O’Brien, Winningham 5 Study observing 60 pt.’s & 30 nurses PROS: Improvements in… - Accountability - Teamwork - Mentoring moments - Workflow efficiency - Prioritization - Medication reconciliation (especially w/ IV meds) - Error reduction CONS: N/A Review of Article by Maxson, Derby, Wrobleski, & Foss 6 Different from previously reviewed articles - Study conducted at children’s hospital in Atlanta, GA - Population of interest are: 1) Parents of children admitted in acute care setting and… 2) Their corresponding pediatric nurses PROS: - Parents feeling more involved in child’s care - Parents felt like staff listening to them more CONS: N/A Review of Article by Gettis, Dye, Williams, Frankish, & Alvarez METHODOLOGY METHODOLOGY Sampling Sampling Purposeful & non-probability sampling Samples will be recruited at 4 general care units in a medical center 10 to 15 nurse per unit = Total of 40 to 60 nurse samples Patient Sampling - Ages 22 and up - Admitted into 1 of the 4 designated general care units - Total of 40 to 60 samples Data Collection 2 Data Collection Methods Data Collection Observational Research staff to keep track of report times Observers will receive training Questionnaires Provided to both patients & nurses Likert rating scales (strongly agree, agree, neither agree nor disagree, disagree, strongly disagree Data Analysis Bivariate Approach Likert scale data w/o numerical value is ordinal in nature Spearman’s Rank-Order Correlation Coefficient - Coefficient value between -1 and +1 - Positive Coefficient = Positive Relationship between variables - Negative Coefficient = Negative Relationship between variables - Value of 0 = No Relationship between variables - The closer the value to 0, the weaker the association - If value of coefficient >= to p=0.05, then reject null hypothesis - If value of coefficient < p=0.05, then accept null hypothesis Data Analysis = 0.05 Ethical Considerations
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Transcript: The Impact of Self-Grading on Middle School English Students’ Writing Skills Angelica Smith - University of Maryland Abstract Superficial teacher feedback on writing assignments combined with little to no student effort to reflect on any feedback keeps students from the opportunity to refine essential metacognitive skills. Previous research indicates that self-grading is an effective strategy for students to practice metacognitive awareness. After 9 weeks of instruction incorporating either self-grading or providing traditional teacher feedback for reflection on writing assignments, gains of 85 seventh graders’ writing scores for organization will be analyzed to determine the extent to which the metacognitive experience of self-grading improves performance. Empirical evidence should help teachers ascertain whether the time-consuming practice of self-grading is valuable to student learning. Statement of Problem Peer- and Self-assessment are not as widely practiced as they could be because teachers' goals are to save as much time as possible and to ensure grade accuracy for all students. Logistical, pedagogical, and metacognitive benefits of peer- and self-assessment were contested and needed to be put to the test. Students don't reflect on teacher feedback on writing assignments and miss out on opportunities to refine metacognitive skills necessary for learning. Significance The proposed study contributes more knowledge about the benefits of self-assessment on student learning The proposed study helps teachers ascertain the value of incorporating self-assessment into their regular practice in improving performance, despite how much time is required for planning and preparation. Research Foundation The Impact of Self- and Peer-Grading on Student Learning Philip M. Sadler and Eddie Good After a Supreme Court decision in favor of peer-grading in classrooms, Sadler and Good decide to put benefits of self- and peer-grading to the test that are of teacher interest (p. 13) Participants included four middle school science classrooms Issues of interest: Student grades as substitute for teacher grades Student grading as a tool for student learning Results: High correlation between teacher and student grades Bias within student grading in self- and peer-assessment Self-assessment students made most gains in test scores Rationale for Proposed Study Test familiarity could have effected results Realistic assessment to determine student learning Research Questions / Hypotheses To what extent does the experience of self-assessment (training and process) impact students' writing organizational skills? Students who participate in self-assessment will improve their writing organizational skills significantly more than comparison students. Methods Participants 113 students in 4 sections of seventh grade English and their teacher No previous instruction on concept being taught during data collection Same age-range as students in original study / Studying different content Measure Scoring Guide for Writing - five or six traits writing rubric; traits include: Ideas & Content, Organization, Word Choice, (Voice,) Sentence Fluency, and Conventions; scores range from 1-lowest to 5-highest. The proposed study will target scores in Organziation. Different from measure in original study in that it is county-/teacher-designed, not student-designed, and assessess aspects of writing instead of science. Procedure All students receive instruction on the Well-Developed Paragraph (WDP) formula: a tool students are required to use to structure WDP's when writing literary analysis. 2 sections in control group (receive traditional teacher feedback on writing assessments); 2 sections in experimental group (trained and participate in self-assessment process) Of the four WDP's written to assess mastery of reading and writing skills, organization scores for first and fourth WDP will be collected. Data Analysis To what extent does the experience of self-assessment impact student's writing organizational skills? Descriptive statistics (means and standard deviations) are calculated in both groups for the first and fourth WDP. Gains from first to fourth WDP are calculated, and mean gains are found. t-test is conducted to determine the significance of the gains in both groups. EDHD 662 Fall 2012 Awareness of progress and performance Ability to modify strategies mid-task Evaluating Reference Sadler, P. M., & Good, E. (2006). The Impact of Self- and Peer-Grading on Student Learning. Educational Assessment, 11(1), 1-31. Assess final product Evaluate strategies used Planning Monitoring Theoretical Foundation: Metacognitive Regulation Selecting strategies Choosing/acquiring resources
Transcript: Design: Exploratory, non-experimental, cross-sectional, mixed method, survey Subjects: UCS Therapists - Psychology, Psychiatry, & Social Work Challenges & Strategies What are VCU University Counseling Services (UCS) therapists' perceptions of multicultural competence & how do these perceptions inform their work with clients? Study Design & Methods Research Question Challenges: Small sample size, UCS Therapists may choose not to participate, psychological distress Strategies: Inform ahead of time, Volunteer & will not affect employment; Nonjudgmental questions Multicultural Competency Mixed Methody Survey Quantitative: Multicultural Counseling Knowledge & Awareness Scale ASK Model: Attitude, Skills, & Knowledge Qualitative: Open ended question about broaching multiculturalism. Research Proposal
Transcript: Created by: Samuel Minkin November 2nd 2017 CREATIVITY InTRO InTRO Modern-Day Education resembles traditional education It has only marginally evolved over time Rote memorization and efficiency are still the main skills taught in school Technology could change things Technology-Based Learning Technology-Based Learning Learning based on collaboration on websites The Internet has potential to be an educational tool The Internet is dispersed and decentralized. Information flows from many different kinds of sources. Access to information Interdisciplinary Learning Things that Occur on the Internet Things that Occur on the Internet Communities Interaction Feedback Mash-Up PICTURES PICTURES Traditional education Traditional education Rote memorization and efficiency are still the main skills taught in school An expert lectures students Problem-solving methods are dictated by instructors Specialization over interdisciplainary studies Statistics Statistics Why This topic/Conversation? Why This topic/Conversation? The Conversation/Topic: Modern-day education Education has many implications both on the individual and societal level There are many different types of learners in school Technology-based learning can appeal to a wide variety of learners On the Societal Level: 1. It can lead to a more productive society 2. It can lead to a stronger public commons On the Individual Level: 1. Better problem-solvers 2. Better Students Finding a specific website - limited sources talking about its positive and negative effects Figuring Out the Functionality of the Website Focusing on a specific age-group. Would it even work for elementary school students? Would starting with high school students be too late? Challenges Challenges creativity as an emergent property creativity as an emergent property Research Question: How has Evernote, a website that promotes collaborative-based learning, led to the formation of a more enhanced and evolved creativity known as group creativity? Technology Based Creative- Problem Solving Has Two Phases: 1. The Divergent Phase - Exploring, characterized by messiness - Evaluating Data 2. The Convergent Phase - Honing onto specific things. Extracting important information out of clutter. - Focusing on specific solutions Terms for Interaction and Collaboration: Synchronic Interactions - Interactions that occur simultaneously Diachronic Exchanges - Interactions that occur over a longer period of time "Recent models of group creativity (Sawyer, 2003) argue that collective creative work has to be understood as the synergy between synchronic interactions (i.e., parallel and simultaneous) and diachronic exchanges (i.e., interaction over long time spans and mediated by ostensible products)" (Sarmiento, Stahl 503). Quote Quote Potential Conclusions Potential Conclusions Online collaborative-based learning can lead to a greater extent of creativity People would be better suited to solve modern problems If I'm wrong: Technology will be a distraction. Students will find ways to cheat. Ultimately, a case should be made for using a specific website - being more technology dependent - because it can lead to creativity Sarmiento, Johann W. and Gerry Stahl. "Group Creativity in Interaction: Collaborative Referencing, Remembering, and Bridging." International Journal of Human-Computer Interaction, vol. 24, no. 5, June 2008, pp. 492-504. EBSCOhost, doi:10.1080/10447310802142300. Works cited Works cited
Transcript: Research Project Proposal Presentation Banu Oral 21903454 Eng102.107 Outline OUTLINE Works Cited Main Arguments Counter Argument Thesis Statement Conclusion Research Question Any Questions Banu ORAL 21903454 Eng102.107 1 Research Question To what extent environmental factors affect happiness? Research Question Banu ORAL 21903454 Eng102.107 Why did I choose this topic? 2 Thesis Statement Thesis Statement Despite the opposing views, environmental factors, which are ecological; political, and socio-cultural factors can affect happiness positively. Banu ORAL 21903454 Eng102.107 3 Counter Argument Counter Argument Some argue that people are born happy or unhappy since the level of life satisfaction alters depending on the genes rather than the environmental factors. Based on the 'World Value Survey' reports, the authors state that those with more A allele genes are happier than others (Minkov and Bond 330). Banu ORAL 21903454 Eng102.107 Clifford Sosis advocates that although identical twins have similar tendencies towards positive and negative emotions, their happiness levels can also change with the change of non-genetic factors (5). 4 First Reason The first point as to the extent to which environmental factors affect happiness in terms of ecologic determinants is that ideal geographical conditions can enhance life satisfaction. First Reason Banu ORAL 21903454 Eng102.107 5 Sub Argument 1 Using proximity measures and Geographical Information Systems (GIS), it was determined that ideal environmental conditions have a positive impact on well-being (Brereton et al. 394-395). Banu ORAL 21903454 Eng102.107 5) a. “The coefficient of CO2 indicates that with 1 percent increase in carbon dioxide emissions decreases happiness up to 0.46 units…. The results show that with one percent increase in protection of species the level of happiness increases by 0.06 units.” (Majeed and Mumtaz 759-760). Sub Argument 2 Banu ORAL 21903454 Eng102.107 5) b. Second Reason Besides the idea mentioned before, another point to consider about how environmental factors affect happiness in terms of political determinants is that a high quality of government may lead to a high life satisfaction level. Second Reason Banu ORAL 21903454 Eng102.107 6 Sub Argument 1 Jörg Ott : “There is a high correlation between the quality of government and average happiness in nations, with technical quality as the leading aspect.” (13). Banu ORAL 21903454 Eng102.107 6) a. According to The World Values Survey covering 75 countries, the quality of government has an independent influence on citizens' life satisfaction in poor countries and the rich ones (Samanni and Holmberg 11). Sub Argument 2 Banu ORAL 21903454 Eng102.107 6) b. Third Reason The last point to examine about the extent to which environmental factors influence happiness in terms of socio-cultural determinants is that stereotyped cultural judgments in terms of individuality and gender equality can increase life satisfaction. Third Reason Banu ORAL 21903454 Eng102.107 7 Sub Argument 1 Dezhu Ye, Yew-Kwang Ng, and Yujun Lian revealed that in countries with individualistic cultures, people have a more substantial self-identity consistency, a more consistent self-view (521). Banu ORAL 21903454 Eng102.107 7) a. The cross-country culture survey indicates that gender egalitarianism can contribute to the well-being level with 37.1 % (Ye et al. 519). Sub Argument 2 Banu ORAL 21903454 Eng102.107 7) b. Conclusion Conclusion To summarize, notwithstanding the opposing views, environmental factors, which are ecological, political, and socio-cultural factors, positively can influence happiness. Body 1 Body 2 Body 3 Body 4 Based on the twin study, which observed changes in the subjective well-being of genetically identical twins due to non-genetic factors, it can be realized that happiness does not come from genes. It is claimed that life satisfaction may increase in ideal geographical conditions such as temperate climate, species conservation, and water quality. It is asserted that the high quality of government in terms of technical quality, impartiality, the rule of law, and absence of corruption may cause a rise in happiness level. As revealed by some, stereotyped cultural judgments regarding individuality and gender equality may improve subjective well-being. Banu ORAL 21903454 Eng102.107 8 References References: Brereton, Finbarr & Clinch, J. Peter & Ferreira, Susana, "Happiness, geography and the environment," Ecological Economics, Elsevier, vol. 65(2), pages 386-396, April, 2008. https://www.sciencedirect.com/science/article/pii/S0921800907003977 Commer, Pak & Sci, Soc & Majeed, Muhammad & Mumtaz, Shaista. “Happiness and Environmental Degradation: A Global Analysis”. Pakistan Journal of Commerce and Social Sciences. 2017. 753-772. 2017. http://hdl.handle.net/10419/188315 Minkov, Michael, and Michael Harris Bond. "A Genetic Component to National Differences in Happiness". Journal of Happiness Studies 18.2 (2017):
Transcript: Integrity Tax Consulting Inc. Integrity. It's not just our name, it's the way we do business. Integrity is a national firm with the finest most qualified employees that offers a full line of real and personal property services. The objective is to reduce your company's property taxes and increase your bottom line. What makes Integrity different? We get your appeals resolved faster with our non-adversarial approach. We also offer our clients national coverage with local expertise benefits through our partnerships across the country. Our Firm Executive Summary Real Property Tax Service Site Inspection Market Comparison Assessment Analysis Negotiations Real Property Review Steps Client Evaluation Site Inspection Client Recommendation Adjustments Personal Property Review Steps Personal Property Tax Services Accurate Filing Tax Savings Reallocate Internal Resources Addition Cost Reductions Personal Property Tax Compliance Steps Personal Property Tax Compliance The Problem Subtopic 1 Our Solution Subtopic 1 Experiences Subtopic 1 Schedule & Benchmarks Pricing/Cost
Transcript: The Challenge Why Taming Tigers? 1 Day Experiential Equine workshop - Step away from the day-to-day and work as a team on a challenge which is stretching for everyone Build understanding of your own Tiger and the Tigers within the team, plus strategies to tame him Experience the "Hero's Journey" in one day in order to anticipate the journey of change you are about to experience Put yourself to the test physically and mentally with support from your colleagues One to one consultation and coaching over 6 weeks SMT members will: Build an intensive relationship of trust and openness with their facilitators Become very honest with themselves about their personal blocks, attitudes and Tigers (and develop strategies to minimise them) Understand their contribution to the team and to the success or failure of the Evolution project Commit, hearts and minds, to the project by identifying the business critical and personally critical outcomes of the project Team Contract workshop: Aligning the team behind a shared goal, team rules and a powerful sense of purpose and momentum (with roadmap) to deliver on the vision The result is a contract, signed, owned and policed by the the team itself which defines exactly what is required to achieve success and how to get there Tigers are tamed, rulebooks re-written, the team is out on the pitch Quarterly review: Setting the compass together makes the Tiger roar. Delivering on the contract agreed makes him roar again. During 2013 we will help the SMT maintain momentum, address obstacles, upgrade the team culture and apply the 10 Rules to tame the Tiger who WILL roar if the goal is bold enough...which it is. Group of peers, reporting from their silos Differing levels of commitment to the goal Resistance to change, fear of change "This is how we do it here" "Who can I blame?" Senior executives Distrust of each other "This isn't going to affect me" "We can do this without assistance" Team driving forward the ambition Completely aligned Out on the track "How can we do it better?" "I am responsible" Team of inspirational leaders Trusting each other to deliver "I am part of creating the future" "To achieve this we must change...and that means accepting help" (cc) photo by Metro Centric on Flickr doodles We aren't neutral - we are as responsible for delivering your ambition as you are This is what we do. We help leadership teams to set and achieve their bold goals We are business focused. This isn't a "jolly", a conventional "team offsite" or a "team building" programme. It is about business We are experts in our field (4 books published, 150 years combined experience in the change industry, additional 150 years experience in business and public sector leadership roles) But don't just take our word for it... From notes Steve Hardy, Chief Executive, AXA Personal Lines Experiential workshop - 2 days Quarterly review - 4 x half day sessions To The current reality... Notes "It's stunning how it's worked. Our organisational goal and the words Taming Tigers are everyday phrases now. We are seeing real change." Evolution (cc) photo by jimmyharris on Flickr (cc) photo by Franco Folini on Flickr Double click to crop it if necessary Bold ambition The very shape of the business needs to change The SMT is under scrutiny - Is it a strong team? Does it believe in the vision? Is it trusted to lead this change? The SMT needs to become even more sophisticated to succeed The full SMT will be in place by September - the clock is ticking outlook from the top (Note to SMT) You will need to be: Fully committed to the "Amazon" vision Speak honestly (the process will support that) Learn how to tame the Tiger Be willing to try something different Commit the time to driving forward the vision Treat us as part of the business, an extension of your team Team Contract workshop - 3 days offsite plus action steps Option 1 investment: Experiential phase: £6750 Consultation phase: £13,500 Team Contract workshop: £19,850 Quarterly review: £12,000 TOTAL: £52,100 plus VAT and expenses Includes: 16 months of support from Taming Tigers for the SMT to re-write industry rulebooks and drive forward the new business vision as a team A tried and tested process made bespoke for you A combination of individual development, team bonding, experiential learning and open, honest dialogue facilitated by world class experts A committed team at Taming Tigers who will not only help you set the team's compass but achieve the goal, whatever it takes photo frame The objectives - Consultation and Coaching - 3 x 2 hours over 6 weeks Place your own picture behind this frame! (cc) photo by Metro Centric on Flickr details map Option 2 investment: Experiential phase: £6750 Team Contract workshop: £24,750 TOTAL: £31,500 plus VAT and expenses Includes: 2-3 months of support from Taming Tigers for the SMT to re-write industry rulebooks and identify the roadmap to drive forward the new business vision as a team A tried and tested process made bespoke
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