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Effective Assessment (effective + assessment)
Selected AbstractsEffective assessment of use of sitters by nurses in inpatient care settingsJOURNAL OF ADVANCED NURSING, Issue 2 2008Huey-Ming Tzeng Abstract Title.,Effective assessment of use of sitters by nurses in inpatient care settings Aim., This paper is a report of the evaluation of the impact of adopting the Patient Attendant Assessment Tool (PAAT) on nurses' requests for sitters, use of restraints, and falls and fall injury rates. Background., Staffing should be the primary issue in eliminating risks of patient falls during hospital stays. Method., Data were collected in two acute adult medical units of a Michigan hospital from August 2005 to February 2007. Data from three sources were merged for analyses: (1) study units' monthly reports; (2) quarterly reports of the National Database of Nursing Quality Indicators and (3) PAAT reports collected from October 2006 to February 2007. The primary outcome variables were the use of sitters, number of restraints ordered and fall and fall injury rates. Independent t -tests and correlation analyses were used for data analyses. The data before and after adopting this tool were compared using independent t -tests. Findings., The PAAT helped improve the fill/request rates for sitters. The use of soft limb holders decreased after adoption of this tool. The results also showed that if the number of sitter requests was higher, the total number of restraints would be lower but the total fall rate would be higher. Conclusion., Hospitals should include a tool similar to the PAAT in guidelines related to provision of constant observation or use of sitters. Further investigations of the optimum combination of staffing patterns and infrastructure are needed to promote safer hospital stays. [source] The Phil Hearne course: an evaluation of a multidisciplinary mental health education programme for clinical practitionersJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 2 2000S. Parsons CPsychol PhD GDip BSc (Hons) RNM RNG A description and evaluation of the pilot of a 30-week multidisciplinary mental health education programme (The Phil Hearne Course) is presented. The course was based upon the expressed service needs of an NHS Trust and upon the needs of users consulted during the developmental phase of the project. The course was designed to provide core skills, relating to effective assessment, communication, intervention and networking. These skills were thought to be applicable to all mental health disciplines. The course was evaluated positively by students and staff and was found to be effective in improving practice by providing a range of core skills for mental health workers. It was also determined that students tended to over-estimate their skills in core areas, particularly care planning and record-keeping. It is intended to develop the course into a distance learning, skills-based package. [source] Appraising riparian management effects on benthic macroinvertebrates in the Wye River systemAQUATIC CONSERVATION: MARINE AND FRESHWATER ECOSYSTEMS, Issue S1 2010Esther Clews Abstract 1.Agriculture, urbanization or forestry in river catchments can influence river organisms through diffuse effects on hydrology and hydrochemistry, or local effects on habitat character, bank erosion and sediment delivery. Riparian buffer zones are sometimes established to mitigate undesirable effects on salmonids, but consequences for organisms such as macroinvertebrates are less well known. 2.Riparian fencing and tree coppicing were carried out on upland tributaries of the Welsh River Wye (UK) from 1997 onwards with the aim of enhancing conditions for salmonid fish. The present study used routine, agency monitoring data to compare assemblages in three recently managed streams and five adjacent control streams. Data between 1995 and 2004 were used to assess treatment effects through time. 3.Post-treatment (2000,2004) assemblages were richer in recently managed streams than in controls, mostly due to apparent gains of taxa typical of channel margins and lowland, warmer conditions. However, results were equivocal because invertebrate families typical of lowland, more eutrophic conditions increased in occurrence in all reaches irrespective of treatment, while overall richness declined. 4.This study illustrates how routine monitoring data can reveal some effects of riparian land-use and management on stream biota. However, improved experimental design, ideally using a before,after control,intervention approach, would have allowed more effective assessment in this case study where confounding trends were so marked. We advocate using such approaches in future restoration studies to allow stronger inference and greater statistical power. The recent general decline in the richness of typical headwater organisms in the Wye system requires investigation. Copyright © 2010 John Wiley & Sons, Ltd. [source] The Squam Lake Report: Fixing the Financial System,JOURNAL OF APPLIED CORPORATE FINANCE, Issue 3 2010Kenneth French In these excerpts from The Squam Lake Report, fifteen distinguished economists analyze where the global financial system failed, and how such failures might be prevented (or at least their damage better contained) in the future. Although there were many contributing factors to the crisis,including "agency" problems throughout the financial system and a bankruptcy code poorly suited for reorganizing financial firms,at the core of the problem is a potential conflict between the risk-taking proclivity of financial institutions and the interests of the economy at large that must be managed at least in part through more effective regulation. The Squam Lake Report provides a nonpartisan plan to transform the regulation of financial markets in ways designed to limit systemic risk while preserving,to the extent possible and prudent,the economies of scale and scope that justify the existence of today's large financial institutions. To reduce the risks that large banks will fail, the authors call for higher capital requirements based on more effective assessments of the risks of bank assets and liabilities, as well as a new systemic regulator that should be part of the central bank. To reduce the costs of failure when it occurs, the authors propose that banks be required to create "living wills" laying out their plan to sell assets or shut down operations in the event of financial trouble. As part of that plan, regulators are urged to "aggressively encourage" banks to issue "contingent" debt capital securities that convert into equity. [source] Identifying English Language Learners with Learning Disabilities: Key Challenges and Possible ApproachesLEARNING DISABILITIES RESEARCH & PRACTICE, Issue 1 2005Richard K. Wagner The need for effective approaches for identifying English language learners with learning disabilities is great and growing. Meeting this need is complicated by recent developments in the field of learning disabilities that are unrelated to the English language learning status, and by limitations in existing knowledge specific to the identification of English language learners with learning disabilities. We review recent developments in the field of learning disabilities concerning the need for earlier identification, the need for a more appropriate conceptualization of learning disability, and the need for more effective assessments and treatments. We discuss challenges to assessment and identification of English language learners with learning disabilities, provide examples of two approaches to meeting these challenges, and describe some remaining challenges. [source] | ||||||||||