Home About us Contact
|
Home About us Contact | ||
|
|
||
Collaborative Approach (collaborative + approach)
Selected AbstractsCollaborative Approach in the Management of Pulmonary Atresia with Intact Ventricular SeptumJOURNAL OF INTERVENTIONAL CARDIOLOGY, Issue 3 2001F.R.C.P.Article first published online: 8 JUN 200, SHAKEEL A. QURESHI M.B.Ch.B. [source] Swimming Upstream: Collaborative Approaches to Watershed Management Edited by Paul Sabatier, Will Focht, Mark Lubell, Zev Trachtenberg, Arnold Vedlitz and Marty MatlockNATURAL RESOURCES FORUM, Issue 2 2006Randall Hannum No abstract is available for this article. [source] The patient's vulnerability, dependence and exposed situation in the discharge process: experiences of district nurses, geriatric nurses and social workersJOURNAL OF CLINICAL NURSING, Issue 10 2006IngBritt Rydeman MSc Aim., The aim of the study was to obtain a deeper understanding of the experiences of the discharge process among different professionals. Background., An optimal discharge process for hospitalized elderly to other forms of care is of crucial importance, especially since health and medical policies encourages shorter hospital stays and increased healthcare service in outpatient care. Methods., Nurses and social workers from inpatient care, outpatient care, municipal care and social services were interviewed. Eight focus-group interviews with a total of 31 persons were conducted. The subsequent analyses followed a phenomenological approach. Results., The findings revealed three themes, Framework, Basic Values and Patient Resources, which influenced the professionals' actions in the discharge process. The overall emerging structure comprised the patient's vulnerability, dependence and exposed situation in the discharge process. Conclusion., In conclusion some factors are of special importance for the co-operation and the actions of professionals involved in the discharge process. Firstly, a distinct and common framework, with conscious and organizationally based values. Secondly the need to take the patient resources into consideration. Together these factors could contribute to secure the patients involvement in the discharge process and to design an optimal, safe and good care. Relevance to clinical practice:, Collaborative approaches among a range of professionals within a variety of organizations are common, especially in the care of the elderly. The role and support of both the organizations and the educational units are decisive factors in this area. [source] Integrating the Core Competencies: Proceedings from the 2005 Academic Assembly ConsortiumACADEMIC EMERGENCY MEDICINE, Issue 1 2007Sarah A. Stahmer MD Abstract The Accreditation Council for Graduate Medical Education mandated the integration of the core competencies into residency training in 2001. To this end, educators in emergency medicine (EM) have been proactive in their approach, using collaborative efforts to develop methods that teach and assess the competencies. The first steps toward a collaborative approach occurred during the proceedings of the Council of Emergency Medicine Residency Directors (CORD-EM) academic assembly in 2002. Three years later, the competencies were revisited by working groups of EM program directors and educators at the 2005 Academic Assembly. This report provides a summary discussion of the status of integration of the competencies into EM training programs in 2005. [source] MAKING FAMILIES AND CHILDREN A HIGH PRIORITY IN THE COURTSFAMILY COURT REVIEW, Issue 4 2002California's Center for Families, Children & the Courts This article describes the California Administrative Office of the Court's (AOC's) Center for Families, Children & the Courts (CFCC). CFCC is an interdisciplinary unit that brings together all of the AOC's work on statewide policies and practices related to families and children in the court system. CFCC thus models the unified family court model within the state AOC. CFCC's projects and activities are described to show the effectiveness of its multidisciplinary and collaborative approach in addressing complex policy and practice issues. It is hoped that readers may discover aspects of CFCC's work that could be adapted to their own jurisdiction or practice. [source] A collaborative approach to embedding graduate primary care mental health workers in the UK National Health ServiceHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 5 2008Janine Fletcher MSc Abstract The UK National Health Service (NHS) workforce has recently seen the arrival of the Graduate Mental Health Worker (GMHW) in primary care. We established a Quality Improvement Collaborative to assist in embedding this new workforce in one Strategic Health Authority Area of England. The intervention utilised ,collaborative' technology which involves bringing together groups of practitioners from different organizations to work in a structured way to improve the quality of their service. The process was evaluated by an action research project in which all stakeholders participated. Data collection was primarily qualitative. During the project, there was an increase in throughput of new patients seen by the GMHWs and increased workforce satisfaction with a sense that the collaborative aided the change process within the organizations. Involvement of managers and commissioners from the Primary Care Trusts where the GMHWs were employed appeared to be important in achieving change. This was not, however, sufficient to combat significant attrition of the first cohort of workers. The project identified several barriers to the successful implementation of a new workforce for mental health problems in primary care, including widespread variation in the level and quality of supervision and in payment and terms of service of workers. A collaborative approach can be used to support the development of new roles in health care; however, full engagement from management is particularly necessary for success in implementation. The problems faced by GMHWs reflect those faced by other new workers in healthcare settings, yet in some ways are even more disturbing given the lack of governance arrangements put in place to oversee these developments and the apparent use of relatively unsupported and inexperienced novices as agents of change in the NHS. [source] The experiences of non-medical health professionals undertaking community-based health assessments for people aged 75 years and overHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 2 2002Julie E. Byles BMed PhD Abstract Our objective was to explore the perceptions of allied health professionals who conducted over 3000 home-based health assessments within the general-practice-dominated Australian primary healthcare system. A series of semistructured qualitative interviews were carried out within the Department of Veterans' Affairs ,Preventive Care Trial', where health assessments are undertaken by health professionals in the homes of participating veterans and war widows. Health professionals were employed within the Preventive Care Trial to conduct assessments in 10 areas of New South Wales and Queensland. Subjects were mainly registered nurses, but also included a social worker, an occupational therapist, a physiotherapist and a psychologist. The health professionals described positive attitudes towards the health assessments, and showed that they have the broad range of necessary personal and professional skills to undertake them. Home visits were seen as an essential component and the most useful aspects included direct observation of home safety and medications. This study demonstrates that health assessments for older people can be acceptably and competently undertaken by suitably qualified allied health professionals, and that an effective collaborative approach to patient care can be achieved through such a system. [source] Genetics education in the nursing profession: literature reviewJOURNAL OF ADVANCED NURSING, Issue 2 2006Sarah Burke BA MA Aim., This paper reports a literature review exploring genetics education for nursing professionals. The aim was to contribute to the debate about the future direction of such education. Background., Advances in genetics science and technology have profound implications for health care and the growing importance and relevance of genetics for everyday nursing practice is increasingly recognized. Method., A search was conducted in February 2005 using the CINAHL and Google Scholar databases and the keywords nurse, midwife, health visitor, education and genetics. Papers were included if they were published in English between 1994 and 2005 and included empirical data about genetics education in nursing. In addition, attempts were made to access the grey literature, with requests for information on research, for example, to members of the Association of Genetic Nurses and Counsellors and searches of relevant websites. Findings., Agreement on the relevance of genetics for nursing practice is extensive. Empirical evidence of the learning needs of practitioners highlights widespread deficits in knowledge and skills, and low confidence levels. Provision of nursing education in genetics is patchy and insubstantial across a number of countries, further hampered by lack of strategic development. Significant progress has been made in the identification of learning outcomes for nurses. Research on the delivery of genetics education is limited, but the role of skills-based training, use of clinical scenarios, and importance of assessment have all been identified as factors that can promote learning. Conclusion., Whilst areas of good performance were revealed, many studies identified gaps in professional competence and/or education. New initiatives are underway to support genetics education and its integration into professional practice, but further research is needed on the most effective forms of educational delivery, and an international collaborative approach to this should be considered. [source] The psychologist's role in the collaborative process of psychopharmacologyJOURNAL OF CLINICAL PSYCHOLOGY, Issue 6 2002Kenneth A. Weene This is a discussion of a collaborative approach between psychologists, physicians, patients, and others in the administration of psychotropic medication. It is based on a systems point of view. In that perspective, not only are the people indicated above a system, but also the patient is considered from a holistic-systems point of view. It requires that the psychologist not only be a member of the system, and a well-versed in medication member at that; (s)he must also be an observer of the system, be able to take a meta perspective, in order to be able to exercise some unique functions,functions for which psychologists are well-trained. © 2002 Wiley Periodicals, Inc. J Clin Psychol 58: 617,621, 2002. [source] Postmodern collaborative and person-centred therapies: what would Carl Rogers say?JOURNAL OF FAMILY THERAPY, Issue 4 2001Harlene Anderson Among the most frequent comments and questions about my postmodern collaborative approach to therapy are ,It sounds Rogerian' and ,Is it any different from Carl Rogers' client-centred therapy?',Yes,' I usually say, ,there are similarities and differences.' Here I overview the Collaborative and Rogerian approaches, highlight selected similarities and distinct differences, and comment on the relationship of each to family therapy as I see them. [source] Persistent isolationist or collaborator?JOURNAL OF NURSING MANAGEMENT, Issue 3 2010The nurse's role in interprofessional collaborative practice orchard ca. (2010) Journal of Nursing Management18, 248,257 Persistent isolationist or collaborator? The nurse's role in interprofessional collaborative practice Aim, The present study explores current understanding about interprofessional collaborative client-centred practice and nursing's role in this form of care delivery. Background, A profession-only focus on nursing practice has been challenged at professional, national governmental and World Health Organization levels stressing for more interprofessional patient-centred collaborative teamwork. Evaluation, Moving to patient-centred collaborative practice is fraught with barriers. Enablers can result in building trust, power sharing and shared decision-making. Changing current workplace environments requires institutional commitments to support collaborative team development. Key issue(s), Nurses can become collaborative members of teams through: (1) re-socialize; (2) understanding and articulating nurses roles, knowledge and skills to others; (3) other health providers sharing the same to nurses; (4) identifying where shared roles, knowledge and skills exist; and (5) learning to work in collaborative teams. Nurses must address some fundamental issues about practice that negate collaboration and patient-centred care. Conclusions, All professionals, including nurses, must move away from a service-oriented delivery to a patient-centred collaborative approach to care. Implications for nursing management, The values within health organizations need to be underpinned by collaborative interprofessional patient-centred practice. To accomplish this goal, administrators and managers must support assessment of employees and visiting physicians as to their conformance with agency established expectations for such practice. [source] A collaborative approach to the implementation of clinical supervisionJOURNAL OF NURSING MANAGEMENT, Issue 2 2002C. Spence MSc Aim,This paper discusses a collaborative approach to implementing clinical supervision, which was initiated between a primary care trust and a school of nursing and midwifery. Background,To enable clinical supervision to proceed successfully and to be perceived as beneficial, this necessitates a collaborative partnership between clinicians, managers and educationalists. Key issues,The different stages of the initiative will be explored and the paper will consider examples of the collaborative processes involved. The evaluation of the project is examined and suggestions for the future continuation of the initiative are discussed. Conclusion,There is evidence that this has been a successful initiative and that a collaborative way of working can be beneficial when implementing clinical supervision. [source] Australian Indigenous adolescents with chronic conditions: Sociocultural contextJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 11 2009Heather McDonald Abstract Scant information is available in the health literature on Australian Indigenous adolescents with chronic conditions and disabilities. Little is known about how Indigenous adolescence differs from mainstream adolescence, or how Indigenous adolescents manage chronic conditions. Health services are encouraged to engage in information sharing with Indigenous clients and to develop a collaborative approach to chronic condition management as a way to improve outcomes. [source] Integrated Management of Physician-delivered Alcohol Care for Tuberculosis Patients: Design and ImplementationALCOHOLISM, Issue 2 2010Shelly F. Greenfield Background:, While the integration of alcohol screening, treatment, and referral in primary care and other medical settings in the U.S. and worldwide has been recognized as a key health care priority, it is not routinely done. In spite of the high co-occurrence and excess mortality associated with alcohol use disorders (AUDs) among individuals with tuberculosis (TB), there are no studies evaluating effectiveness of integrating alcohol care into routine treatment for this disorder. Methods:, We designed and implemented a randomized controlled trial (RCT) to determine the effectiveness of integrating pharmacotherapy and behavioral treatments for AUDs into routine medical care for TB in the Tomsk Oblast Tuberculosis Service (TOTBS) in Tomsk, Russia. Eligible patients are diagnosed with alcohol abuse or dependence, are newly diagnosed with TB, and initiating treatment in the TOTBS with Directly Observed Therapy-Short Course (DOTS) for TB. Utilizing a factorial design, the Integrated Management of Physician-delivered Alcohol Care for Tuberculosis Patients (IMPACT) study randomizes eligible patients who sign informed consent into 1 of 4 study arms: (1) Oral Naltrexone + Brief Behavioral Compliance Enhancement Therapy (BBCET) + treatment as usual (TAU), (2) Brief Counseling Intervention (BCI) + TAU, (3) Naltrexone + BBCET + BCI + TAU, or (4) TAU alone. Results:, Utilizing an iterative, collaborative approach, a multi-disciplinary U.S. and Russian team has implemented a model of alcohol management that is culturally appropriate to the patient and TB physician community in Russia. Implementation to date has achieved the integration of routine alcohol screening into TB care in Tomsk; an ethnographic assessment of knowledge, attitudes, and practices of AUD management among TB physicians in Tomsk; translation and cultural adaptation of the BCI to Russia and the TB setting; and training and certification of TB physicians to deliver oral naltrexone and brief counseling interventions for alcohol abuse and dependence as part of routine TB care. The study is successfully enrolling eligible subjects in the RCT to evaluate the relationship of integrating effective pharmacotherapy and brief behavioral intervention on TB and alcohol outcomes, as well as reduction in HIV risk behaviors. Conclusions:, The IMPACT study utilizes an innovative approach to adapt 2 effective therapies for treatment of alcohol use disorders to the TB clinical services setting in the Tomsk Oblast, Siberia, Russia, and to train TB physicians to deliver state of the art alcohol pharmacotherapy and behavioral treatments as an integrated part of routine TB care. The proposed treatment strategy could be applied elsewhere in Russia and in other settings where TB control is jeopardized by AUDs. If demonstrated to be effective, this model of integrating alcohol interventions into routine TB care has the potential for expanded applicability to other chronic co-occurring infectious and other medical conditions seen in medical care settings. [source] Lung function in infants and young children with chronic lung disease of infancy: The next steps?PEDIATRIC PULMONOLOGY, Issue 1 2007Janet Stocks PhD Abstract Over the past year, a series of papers have reviewed the literature concerning assessment and interpretation of lung function in infants and young children with chronic lung disease of infancy. This manuscript, which represents the final paper in that series, summarizes the findings to date and highlights key areas for future research. Despite the huge literature in this field, interpretation of results and their use in guiding clinical management are still limited by difficulties in ,normalizing data' according to body size and maturation and selection of appropriate control groups. Furthermore, sensitive tests that more closely reflect the underlying pathophysiology of ,new' bronchopulmonary dysplasia, together with simple and reliable methods of assessing lung maturity at birth and true oxygen requirements at specified time points are urgently required. Research in this field is also challenged by the need to separate the independent effects of genetic predisposition, gene,environment interactions, preterm delivery, neonatal respiratory disorders and various treatment strategies on the growing lung. The extent to which disruption of lung growth following premature exposure to the extra-uterine environment leads to an earlier or more aggravated decline in respiratory function in later adult life remains to be elucidated. Whatever its origin, given the increasing survival of smaller and more immature infants, the long term sequelae of neonatal lung disease, are likely to continue to change, requiring ongoing, carefully designed longitudinal studies. Future research strategies need to encompass a multicenter, multi-disciplinary, collaborative approach with closer links between clinicians and basic scientists, to ensure that the most relevant research questions are addressed using appropriate methodology and that findings are implemented into clinical practice in a more timely fashion. Pediatr Pulmonol. 2007; 42:3,9. © 2006 Wiley-Liss, Inc. [source] Early communication of drug safety concerns: a feasibility study on enhancing interaction between the pharmaceutical industry and regulatorsPHARMACOEPIDEMIOLOGY AND DRUG SAFETY, Issue 3 2010Elizabeth Swain BPharm, MRPharmS Abstract Purpose The responsibility for monitoring the safety of marketed medicines is shared between regulatory authorities and the pharmaceutical industry and is underpinned by legal obligations on both sides. Both marketing authorisation holders (MAHs) and regulators initially evaluate and investigate potential safety concerns, and then work together on further review as appropriate. We wanted to test the feasibility of enhanced interaction between MAH and regulator via a regular monthly, two-way communication of potential safety concerns between the MAHs and the Medicines and Healthcare Products Regulatory Agency (MHRA). It was envisaged that such a process would aid prioritisation and planning by both parties, avoid duplication of effort and support a collaborative approach for decision making. Methods Four MAHs took part in the pilot, which was conducted between July 2007 and June 2008. Potential safety concerns were exchanged on a monthly basis. The MAH/MHRA proposed a timeline for evaluation of each potential safety concern. The pilot did not include serious public health issues which are immediately reported to regulatory authorities. Results During the pilot, 136 potential safety concerns were exchanged. Thirteen per cent of these resulted in a change to product information for health professionals and patients. There was concurrence between the MAHs and MHRA on timelines proposed for evaluation. Conclusions The pilot proved feasible for the companies involved and indicated potential benefits of a system for avoiding duplication of effort and supporting a collaborative approach to planning and prioritisation of investigation of potential safety concerns between pharmaceutical industry and regulatory authorities. Copyright © 2009 John Wiley & Sons, Ltd. This article was published online on December 27, 2009. An error was subsequently identified. This notice is included in the online and print versions to indicate that both have been corrected (08/01/10). [source] Building a strong foundation for occupational health and safety: Action research in the workplaceAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 8 2009Judith A. Daltuva MSW Abstract Background Action research (AR) holds promise as a method to improve occupational health and safety. Methods This case study explores the challenges and accomplishments during the first 6 months of an AR occupational health and safety committee at a manufacturing facility. Results Critical steps in the formative phase of the AR project included: (1) addressing differing power levels and perceived ownership of management and production committee members; (2) developing a collaborative approach to communication and problem solving; and (3) transitioning from dependence on university leadership to shared leadership among the committee. Conclusions AR can lead to greater empowerment to address occupational health and safety issues, and to improved dialoge between labor and management. AR can increase the likelihood that the problem will be understood, and effective solutions will be developed and their application supported and used throughout the organization. Am. J. Ind. Med. 52:614,624, 2009. © 2009 Wiley-Liss, Inc. [source] Promoting the skills of knowledge translation in an online master of science course in primary health careTHE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, Issue 2 2006FRCGP, ILTM, Trisha Greenhalgh MA Abstract We present 4 key arguments: (1) knowledge translation requires tacit and explicit knowledge that must be introduced into the organization as well as simply acquired by individuals; (2) educating for knowledge translation must go beyond conveying facts and developing capability; (3) a constructivist and collaborative approach to education can address the needs of learners for knowledge translation; and (4) the online environment, if appropriately used, has many useful features for supporting constructivist and collaborative learning. We illustrate these arguments with reference to a part-time online master of science course whose learners are mostly senior health care professionals engaged in knowledge translation. [source] Percutaneous Tracheostomy: Don't Beat Them, Join Them,THE LARYNGOSCOPE, Issue 9 2004D Russ Blankenship MD Abstract Objectives: The introduction of percutaneous tracheostomy (PercTrach) has resulted in tension over the scope of practice between otolaryngologists and pulmonary/critical care (PCC) specialists. We sought to determine the value of a collaborative approach to the performance of PercTrach at the bedside in the intensive care unit setting. Study Design and Methods: A retrospective study of consecutive patients who underwent bedside PercTrach at the Medical College of Georgia between May of 2003 and November of 2003. All cases were performed in conjunction with the PCC team, which typically provided bronchoscopic guidance during the performance of the procedure, whereas the PercTrach was performed by the otolaryngology team, although these roles were occasionally reversed. In all cases, the PercTrach was performed using the Ciaglia Blue Rhino introducer set. Results: Twenty-three patients (12 males, 11 females) with a mean age of 47.6 ± 14.3 (range 23,65) years underwent PercTrach. The procedural times ranged from 7 to 21 minutes, with a mean of 13.9 ± 4.4 minutes; this represented 9.6 minutes on average to insert the tracheostomy tube and an additional 4.3 minutes to completely secure the tracheostomy tube. The time interval from consultation to PercTrach was less than 24 hours in 16 of 23 cases (overall mean time to PercTrach = 41.7 ± 37.1 hours), with delays beyond 24 hours related in most instances to patient stability. Conclusion: A multidisciplinary approach to PercTrach results in a number of clinical and educational benefits. Chief among these benefits is a rapid, cost-effective response to requests for elective tracheostomy. Practicing otolaryngologists with a prior bias against this approach (as we had) should reconsider adopting this revised procedure. [source] A Preliminary Report of Knowledge Translation: Lessons From Taking Screening and Brief Intervention Techniques From the Research Setting Into Regional Systems of CareACADEMIC EMERGENCY MEDICINE, Issue 11 2009Edward Bernstein MD Abstract This article describes a limited statewide dissemination of an evidence-based technology, screening, brief intervention, and referral to treatment (SBIRT), and evaluation of the effects on emergency department (ED) systems of care, utilizing the knowledge translation framework of reach, effectiveness, adoption, implementation, and maintenance (RE-AIM), using both quantitative and qualitative data sources. Screening and brief intervention (SBI) can detect high-risk and dependent alcohol and drug use in the medical setting, provide early intervention, facilitate access to specialty treatment when appropriate, and improve quality of care. Several meta-analyses demonstrate its effectiveness in primary care, and the federal government has developed a well-funded campaign to promote physician training and adoption of SBI. In the busy environment of the ED, with its competing priorities, researchers have tested a collaborative approach that relies on peer educators, with substance abuse treatment experience and broad community contact, as physician extenders. The ED-SBIRT model of care reflects clinician staff time constraints and resource limitations and is designed for the high rates of prevalence and increased acuity typical of ED patients. This report tracks services provided during dissemination of the ED-SBIRT extender model to seven EDs across a northeastern state, in urban, suburban, and rural community settings. Twelve health promotion advocates (HPAs) were hired, trained, and integrated into seven ED teams. Over an 18-month start-up period, HPAs screened 15,383 patients; of those, 4,899 were positive for high risk or dependent drinking and/or drug use. Among the positive screens, 4,035 (82%) received a brief intervention, and 57% of all positives were referred to the substance abuse treatment system and other community resources. Standardized, confidential interviews were conducted by two interviewers external to the program with 24 informants, including HPAs and their supervisors, clinicians, nurse managers, and ED directors across five sites. A detailed semistructured format was followed, and results were coded for thematic material. Barriers, challenges, and successes are described in the respondents' own words to convey their experience of this demonstration of SBIRT knowledge translation. Five of seven sites were sustained through the second year of the program, despite cutbacks in state funding. The dissemination process provided a number of important lessons for a large rollout. Successful implementation of the ED-SBIRT HPA model depends on 1) external funding for start-up; 2) local ED staff acting as champions to support the HPA role, resolve territorial issues, and promote a cultural shift in the ED treatment of drug and alcohol misuse from "treat and street" to prevention, based on a knowledge of the science of addiction; 3) sustainability planning from the beginning involving administrators, the billing and information technology departments, medical records coders, community service providers, and government agencies; and 4) creation and maintenance of a robust referral network to facilitate patient acceptance and access to substance abuse services. [source] A collaborative approach to the environmental assessment process prior to oil exploration activities offshore the Falkland IslandsAQUATIC CONSERVATION: MARINE AND FRESHWATER ECOSYSTEMS, Issue 1 2002Liz Hopkins Abstract 1.Operating Companies awarded acreage in the Falkland Islands First Offshore Licensing Round began exploration for oil and gas in 1996. Appropriate environmental management is an important aspect of exploration activities in any new frontier area and the Falklands Islands were no exception. Operators with drilling commitments established the Falklands Operators Sharing Agreement (FOSA), which included an Environmental Workgroup (EWG) to take responsibility for the environmental issues associated with exploration activities. 2.The EWG was established early in the exploration programme and commissioned a number of specific environmental studies relating to the offshore environment of the Islands. The data made available by this research provided a valuable input to the assessment of potential environmental impacts from the planned exploration activities. By undertaking environmental impact assessments prior to exploration activities FOSA were able to identify and adopt operational and management controls to ensure potential environmental impacts were, where possible, minimized or avoided. 3.The EWG also provided the main point of contact with the regulators on environmental matters and through the Falkland Islands Exploration & Production Environmental Forum facilitated consultation with government departments such as Fisheries, and other stakeholders such as Falklands Conservation. 4.The co-operative approach taken by the operators with regard to the environmental management of the exploration activities offshore the Falkland Islands is considered to have been very successful. The most obvious benefits were through the shared resources resulting in financial savings, however, other benefits have included, avoiding duplication of effort, the promoting of ,working togetherness' and a reduced burden on consultees. Copyright © 2002 John Wiley & Sons, Ltd. [source] Laptop computers and children with disabilities: Factors influencing successAUSTRALIAN OCCUPATIONAL THERAPY JOURNAL, Issue 1 2001Naomi Priest The purpose of this study was to determine factors perceived to influence the successful use of laptop computers by clients of the Crippled Children's Association of South Australia. The study was conducted in two phases: (i) a consultation phase involving key stakeholders; and (ii) a survey phase in which a questionnaire was distributed. Five key themes were identified by the consultation phase which grouped together similar factors perceived to influence the successful use of laptop computers. These themes were factors related to: (i) the laptop user; (ii) the laptop user's parents/family; (iii) attributes of the laptop; (iv) the laptop user's school; and (v) support and assistance which the laptop user may receive. A questionnaire was developed around these themes. Participants rated the importance of factors within these themes in relation to successful laptop computer use by children with disabilities. Results identified the most important factors across the whole sample were portability and teachers ability to adapt learning tasks to suit laptop use. However, each stakeholder group rated different factors as most important. Recommendations for a collaborative approach to laptop computer prescription, ongoing follow up and quality assurance, and the provision of training and development opportunities are suggested. [source] In Need of Review?BRITISH JOURNAL OF SPECIAL EDUCATION, Issue 3 2002Statements of Special Educational Needs, The Audit Commission's Report on Statutory Assessment Since spring 2001, the Audit Commission has been carrying out research into provision for children with special educational needs. In this article, Anne Pinney, Project Manager with the Public Services Research section at the Audit Commission, summarises the findings presented in an interim report published in June 2002. She reveals widespread dissatisfaction with current approaches to assessment; the process of developing a Statement; the allocation of resources to support children with special educational needs; and the procedures used by schools and LEAs to ensure that SEN provision is effective. Anne Pinney goes on to set out the recommendations made by the Audit Commission in its interim report. These include a collaborative approach to review involving schools and LEAs; increased delegation of resources to schools; and the development of more effective inter,agency approaches to assessment and intervention. This article concludes with a call for a high level independent review of SEN policy and practice focused on resolving the tensions in the current system. Anne Pinney also looks forward to a number of other outcomes from the Audit Commission's work in relation to children with special educational needs. BJSE will be bringing you news of these developments in future issues. [source] Sociopolitical Activist or Conversational Partner?FAMILY PROCESS, Issue 1 2003Collaborative Therapies, Distinguishing the Position of the Therapist in Narrative In this article, we explore the similarities and differences of two contemporary family therapy approaches: narrative and collaborative therapies. These therapies are contrasted by describing positioning of the narrative practitioner as sociopolitical activist and the collaborative practitioner as conversational partner. The article begins with a brief overview of the two therapies. Subsequently, we outline their epistemological genealogies and the practice similarities that arise from the theoretical assumptions underpinning these therapies. The remainder of the article addresses the theoretical and therapeutic differences in narrative and collaborative approaches reflected in the positioning of therapist as either sociopolitical activist or conversational partner. While narrative and collaborative approaches share more similarities than differences in relation to their emphasis on the constitutive characteristics of language, focus on socio,elational contexts, and critique of singular objective truths, prominence is given to the starker contrasts in narrative and collaborative understandings of politics, power, dialogue, and discourse. It is proposed that by outlining some provocative contrasts between narrative and collaborative approaches, new conversations and generative practices will emerge in the therapy room. [source] Collaboration with the Community to Widen Participation: ,Partners' without Power or Absent ,Friends'?HIGHER EDUCATION QUARTERLY, Issue 2-3 2004Kim SlackArticle first published online: 9 DEC 200 Current discourse around widening participation emphasises the importance of partnership and collaboration. For example, the Learning Skills Council and government policy all cite the need to adopt collaborative approaches to assist with widening participation and student progression. In 1998 the Higher Education Funding Council for England (HEFCE) called for proposals for higher education institutions to build partnerships to widen participation. Successful partnership bids were subsequently funded for a period of one year initially and extended up to three years in total. One of the aims of the partnerships as outlined by the HEFCE was to address uneven rates of demand for higher education amongst certain socio-economic groups by working in collaboration with other organisations. This article focuses on one aspect of an evaluative research project examining collaboration resulting from the HEFCE initiative: the involvement of communities in developing partnerships. It examines their initial involvement and the extent to which they were then incorporated into ongoing partnerships and decision-making. Factors that mitigate against community involvement are discussed. It is concluded that although organizational and institutional links can be highly beneficial to realizing the objective of a widened base of involvement in HE there may be a sense in which the role of communities is either neglected, or worse, omitted. [source] Collaborative Research: Policy and the Management of Knowledge Creation in UK UniversitiesHIGHER EDUCATION QUARTERLY, Issue 2 2001David Smith Collaboration in research activity is now the rule not the exception. It is encouraged by government, funding bodies and research councils. However, the concept of collaboration is difficult to define. It occurs at many different levels, driven by a complex research system-policy dynamic. Three different models of collaboration , inter-personal, team and corporate , are identified, each with their own rationale, structure, benefits and costs. The paper examines the institutional implications of these models. It argues that institutions and individual researchers conceptualise and operationalise research collaboration in different ways. Although vital to institutional mission, collaborative research is rarely mapped by senior managers with any precision. In general, institutional approaches to the management of collaborative research lag behind the policy rhetoric. The paper concludes with an overview of the key dilemmas for institutional strategists and policy makers posed by the shift towards more collaborative approaches to research. [source] Going beyond ADR: A federal sector mission- and work life-centered approach to building collaboration and democratic values on the jobALTERNATIVES TO THE HIGH COST OF LITIGATION, Issue 9 2005Judy Cohen Judy Cohen, of New York, reports on potential adaptations of collaborative approaches to structuring workplaces in describing her work at the Federal Aviation Administration. [source] Towards integrated paediatric services in the Netherlands: a survey of views and policies on collaboration in the care for children with cerebral palsyCHILD: CARE, HEALTH AND DEVELOPMENT, Issue 5 2007B. J. G. Nijhuis Abstract Aim, Worldwide, family-centred and co-ordinated care are seen as the two most desirable and effective methods of paediatric care delivery. This study outlines current views on how team collaboration comprising professionals in paediatric rehabilitation and special education and the parents of children with disabilities should be organized, and analyses the policies of five paediatric rehabilitation settings associated with the care of 44 children with cerebral palsy (CP) in the Netherlands. Methods, For an overview of current ideas on collaboration, written statements of professional associations in Dutch paediatric rehabilitation were examined. The policy statements of the five participating settings were derived from their institutional files. Documents detailing the collaborative arrangements involving the various professionals and parents were evaluated at the institutional level and at the child level. Involvement of the stakeholders was analysed based on team conferences. Results, Also in the Netherlands collaboration between rehabilitation and education professionals and parents is endorsed as the key principle in paediatric rehabilitation, with at its core the team conference in which the various priorities and goals are formulated and integrated into a personalized treatment plan. As to their collaborative approaches between rehabilitation centre and school, the five paediatric settings rarely differed, but at the child level approaches varied. Teams were large (averaging 10.5 members), and all three stakeholder groups were represented, but involvement differed per setting, as did the roles and contributions of the individual team members. Conclusion, Collaboration between rehabilitation and education professionals and parents is supported and encouraged nationwide. Views on collaboration have been formulated, and general guidelines on family-centred and co-ordinated care are available. Yet, collaborative practices in Dutch paediatric care are still developing. Protocols that carefully delineate the commitments to collaborate and that translate the policies into practical, detailed guidelines are needed, as they are a prerequisite for successful teamwork. [source] | ||||||||||||||||||||||