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Diverse Settings (diverse + setting)
Selected AbstractsThe impact of victim-offender mediation: A cross-national perspectiveCONFLICT RESOLUTION QUARTERLY, Issue 3 2000Mark S. Umbreit The field of victim-offender mediation, now in its third decade, has grown extensively throughout North America and Europe, with programs in more than twelve hundred communities. This article reports on results from three related studies on the consequences of participating in victim-offender mediation, including programs in four of the United States (Umbreit, 1996, 1994a, 1994b; Umbreit and Coates, 1993), four provinces of Canada (Umbreit, 1999, 1995c), and two cities in England (Umbreit and Roberts, 1996). VOM is implemented differently in various places, reflecting cultural norms and mores. Given innumerable ways of doing victim-offender mediation, are there common experiences shared among participants that can inform program delivery and justice policy? The VOM model was found to be a highly transportable and flexible program in diverse settings. High levels of client satisfaction with both the process and outcome were found, and a high level of fairness was expressed. VOM continues to be a promising model, reflecting the principles of the restorative justice movement and offering a firm foundation of practice wisdom and research from which other newer forms of victim-offender dialogue, such as family group conferences, circles, and boards, can benefit (Bazemore and Umbreit, 1999). [source] Fire-cracked rock features on sandy landforms in the Northern Rocky Mountains: Toward establishing reliable frames of reference for assessing site integrityGEOARCHAEOLOGY: AN INTERNATIONAL JOURNAL, Issue 5 2007Alston V. Thoms In cool coniferous forest settings of the Northern Rocky Mountains, well-preserved fire-cracked rock (FCR) features within 30 cm of the surface on ostensibly stable, sandy upland landforms date to the last six millennia. Isolated FCR and artifacts sometimes extend a meter or more below surface, which is suggestive of in situ burial. A paucity of intact features in the lower solum, however, is consistent with the downward migration of deeply buried artifacts by biomechanical processes, especially floralturbation. Moreover, an absence of credible sediment source areas usually precludes colluvial deposition, and results of grain-size analysis reported herein are inconsistent with eolian deposition. Site disarticulation rates tend to be faster on landforms in warmer forested regions of south-central North America, given that most intact FCR features there date only to the last two millennia. The very presence of millennia-old FCR features in these diverse settings, however, is a testament to their durability and utility as measures of site integrity. © 2007 Wiley Periodicals, Inc. [source] Business Improvement Districts: Policy Origins, Mobile Policies and Urban LiveabilityGEOGRAPHY COMPASS (ELECTRONIC), Issue 3 2007Kevin Ward This article reviews the trans-nationalisation of Business Improvement Districts. It outlines the geographical and ideological origins of this much-heralded approach to downtown governance, and the means through which it has found itself in such diverse settings as Cape Town in South Africa, Kru,evac in Serbia and Liverpool in the UK. Analysing the emergence of Business Improvement Districts in terms of the external edges of the state and its internal architecture, on the one hand, and, on the other, in the context of discussions around urban liveability, this article reviews work across geography, planning, political science and sociology. It concludes by arguing that Business Improvement Districts are both interesting in their own right, for what they reveal about contemporary trans-national trends in urban governance, and for what they what they have to say about wider processes of neoliberal urbanisation. [source] Involving consumers successfully in NHS research: a national surveyHEALTH EXPECTATIONS, Issue 4 2007Rosemary Barber BA MSc MAppSci Abstract Objectives, To investigate how far and in what way consumers are involved in NHS research. Background, There is guidance from the UK Department of Health on involving consumers in research, but it is not known how these policies have been implemented. Design, A national postal survey was conducted of 884 researchers selected randomly from the National Research Register, 16 researchers registered on the INVOLVE database and 15 consumers nominated by researchers who collaborated in the same research projects. Setting, The survey participants were drawn from diverse settings including NHS organizations and universities. Participants, Researchers and consumers collaborating in the same projects. Main outcome measures, Details of how consumers were involved and the number of projects that met previously developed consensus-derived indicators of successful consumer involvement in NHS research. Results, Of the 900 researchers who were sent a postal questionnaire, 518 responded, giving a response rate of 58%. Nine of the 15 consumers responded. Eighty-eight (17%) researchers reported involving consumers, mainly as members of a project steering group, designing research instruments and/or planning or designing the research methods. Most projects met between one and four indicators. Conclusions, This national survey revealed that only a small proportion of NHS researchers were actively involving consumers. This study provides a useful marker of how far the Department of Health's policy on consumer involvement in NHS research has been implemented and in what way. [source] Use of NANDA, NIC, and NOC in a Baccalaureate CurriculumINTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 2003Cynthia Finesilver BACKGROUND For the last 8 years, NANDA, NIC, and NOC have been successfully introduced to students in fundamentals courses at Bellin College of Nursing. As students progress through the curriculum, the classifications are expanded and applied to various client populations in all settings. The faculty expect students to use NANDA, NIC, and NOC in a variety of ways: during preparation for care of clients, documentation of client care, discussion of clients in postconference; in formal nursing process papers; and in the college laboratory setting. MAIN CONTENT POINTS Through the use of standardized languages, which address all steps of the nursing process, students have been able to plan, implement, and evaluate nursing care in all settings, from primary care to specialty care areas. Application of the NANDA, NOC, and NIC frameworks into a baccalaureate curriculum is desirable because the classifications are research based, comprehensive, and based on current nursing practice. NOC and NIC include physiologic, psychosocial, illness prevention and treatment, health promotion, and alternative therapies. Because of the universal and clinically meaningful language, students are able to communicate and document nursing activities in diverse settings and better define the unique actions and value of nursing. Feedback from students and faculty has been positive. Faculty members are encouraged to refine and alter course expectations related to NANDA, NOC, and NIC as needed. Students in the fundamentals courses adapt easily to NANDA, NOC and NIC during small group work and during discussion of common client problems, such as constipation. CONCLUSIONS Although the frameworks are not used as part of the organizing framework, they are used to teach nursing process and increase students' critical thinking and problem-solving capabilities. [source] Promoting breast health: older women's perceptions of an innovative intervention to enhance screeningINTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 2 2006Robin Y. Wood EdD Aims and objectives., This study is a continuation of prior funded research in which we tested the use of age and ethnically sensitive video breast health kits to increase knowledge about breast cancer and enhance the screening practices of breast self-examination and mammography among older Caucasian and African-American women. Background., Breast cancer is the most frequent cancer in women worldwide and accounts for 23% of all cancers. Mammography is currently the best procedure available for mass screening of breast cancer. However, underutilization of mammography is a problem among older women in the United States. Elders are at the greatest risk for developing and dying from breast cancer but they are the least likely group to be screened routinely with mammograms or to practice breast self-examination, particularly if they are African-American. Design., Participatory qualitative evaluation focus groups were used to assess the overall impact of the video kit intervention programme and to elucidate the quantitative findings of the original study. Methods., Four focus groups were conducted in two diverse settings with a purposive sample of 23 participants (N = 23). The overall sample was predominantly African-American (87%) with mean age of 71 ± 7.9 years and mean education completed of 12 ± 3.4 years. Results., Five major themes emerged from group discussions: usability and appeal of the intervention, fear and empowerment, personal relevance and intergenerational sharing, impact on screening behaviours, and story telling. Conclusions., Analyses suggest that customized media materials constructed especially for older African-American women empowered participants in this sample to action regarding their own breast health. Relevance to clinical practice., These findings may translate to global populations where risk is increasing but screening programmes are not widely available. Given that older women are historically difficult to access and impact, further design and evaluation of innovative and sensitive educational programmes such as the one described here are recommended. [source] From critical care to comfort care: the sustaining value of humourJOURNAL OF CLINICAL NURSING, Issue 8 2008Ruth Anne Kinsman Dean PhD Aims and objectives., To identify commonalities in the findings of two research studies on humour in diverse settings to illustrate the value of humour in team work and patient care, despite differing contexts. Background., Humour research in health care commonly identifies the value of humour for enabling communication, fostering relationships, easing tension and managing emotions. Other studies identify situations involving serious discussion, life-threatening circumstances and high anxiety as places where humour may not be appropriate. Our research demonstrates that humour is significant even where such circumstances are common place. Method., Clinical ethnography was the method for both studies. Each researcher conducted observational fieldwork in the cultural context of a healthcare setting, writing extensive fieldnotes after each period of observation. Additional data sources were informal conversations with patients and families and semi-structured interviews with members of the healthcare team. Data analysis involved line-by-line analysis of transcripts and fieldnotes with identification of codes and eventual collapse into categories and overarching themes. Results., Common themes from both studies included the value of humour for team work, emotion management and maintaining human connections. Humour served to enable co-operation, relieve tensions, develop emotional flexibility and to ,humanise' the healthcare experience for both caregivers and recipients of care. Conclusions., Humour is often considered trivial or unprofessional; this research verifies that it is neither. The value of humour resides, not in its capacity to alter physical reality, but in its capacity for affective or psychological change which enhances the humanity of an experience, for both care providers and recipients of care. Relevance to clinical practice., In the present era which emphasises technology, efficiency and outcomes, humour is crucial for promoting team relationships and for maintaining the human dimension of health care. Nurses should not be reluctant to use humour as a part of compassionate and personalised care, even in critical situations. [source] The Doctoral Education of Professional Marriage and Family TherapistsJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 3 2010Robert E. Lee The professional practice of marriage and family therapy (MFT) scholarship is regulated at the master's level in the United States. Consequently, contemporary curricular issues have largely been focused on what is to be achieved within the master's degree, with an emphasis on clinical practice. We consider here what value may and should be added through the doctoral degree in marriage and family therapy. Doctoral programs are the developmental stage wherein we should seek to transmit the specialized knowledge and skills germane to MFT scholarship and practice in diverse settings, e.g., clinical and research intensive university, family law, health care, child development and education, child welfare, juvenile justice, faith based, and business. However, underlying this specialty education are three transcendental goals: sophistication of family systems scholarship, socialization into the profession of MFT, and cultivation of professional maturity. [source] WHO/ISBRA Study on State and Trait Markers of Alcohol Use and Dependence: Analysis of Demographic, Behavioral, Physiologic, and Drinking Variables That Contribute to Dependence and Seeking TreatmentALCOHOLISM, Issue 7 2002Jason Glanz Background Discussions between the World Health Organization (WHO) and the International Society on Biomedical Research on Alcoholism (ISBRA) identified the need for a multiple-center international study on state and trait markers of alcohol abuse and alcohol dependence. The reasoning behind the generation of such a project included the need to understand the alcohol use characteristics of diverse populations and the performance of biological markers of alcohol use in a variety of settings throughout the world. A second major reason for initiating this study was to collect DNA for well-structured and stratified association studies between genetic markers and/or "candidate" genes and behavioral/physiological phenotypes of importance to predisposition to alcohol dependence. Methods An extensive interview instrument was developed with leadership from the U.S. National Institute on Alcohol Abuse and Alcoholism (NIAAA). The instrument was translated from English to Finnish, French, German, Japanese, and Portuguese (Brazilian). One thousand eight hundred sixty-three subjects were recruited at five clinical centers (Montreal, Canada; Helsinki, Finland; Sapporo, Japan; São Paulo, Brazil; and Sydney, Australia). The subjects responded to the structured interview and provided blood and urine samples for biochemical analysis. This article focuses on the demographic characteristics of the study subjects, their drinking habits, alcohol-dependence characteristics, comorbid psychiatric and other drug variables, and predictors for seeking treatment for alcohol dependence. Multiple logistic regression models were constructed and used to explore variables that contribute to various levels of alcohol consumption, to a diagnosis of alcohol dependence, and to seeking treatment for alcohol dependence. ANOVA with post hoc comparisons, ,2, and Pearson moment calculations were used as necessary to assess additional relationships between variables. Results A number of factors previously noted in disparate studies were confirmed in our analysis. Men consumed more alcohol than women, Asians consumed less alcohol than whites or Blacks, alcohol-dependent subjects consumed more alcohol than nondependent subjects, alcohol consumption increased with age, and an increased level of education (university or postgraduate education) reduced the percentage of such individuals in the category designated as heavy drinkers (>210 g alcohol/week) and in the group who were currently in treatment for dependence. However, our analysis allowed for much more detailed comparisons; for example, although men drank more than women on a g/day basis, the differences were less pronounced on g/kg/day basis, and alcohol-dependent women drank equal amounts of alcohol as alcohol-dependent men on a g/kg/day basis. Antisocial personality characteristics or reports of trouble sleeping when an individual stops drinking were associated with higher alcohol intake. The most important of the tested factors that contributed to a DSM-IV diagnosis of dependence, however, was the report of anxiety if an individual stopped drinking. In terms of the various criteria within the DSM-IV criteria for alcohol dependence, no one criterion seemed to be prominent for individuals who sought alcohol dependence treatment, but the higher the number of criteria met by the individual, the higher was the probability that he or she would be in treatment. Conclusions This initial report is the beginning of the "data mining" of this rich data set. The cross-national/cross-cultural aspects of this study allowed for multiple comparisons of variables across several ethnic/racial groups and allowed for assessment of biochemical markers for alcohol intake and predisposition to alcohol dependence in diverse settings. [source] Cultural Intelligence: Its Measurement and Effects on Cultural Judgment and Decision Making, Cultural Adaptation and Task PerformanceMANAGEMENT AND ORGANIZATION REVIEW, Issue 3 2007Soon Ang abstract We enhance the theoretical precision of cultural intelligence (CQ: capability to function effectively in culturally diverse settings) by developing and testing a model that posits differential relationships between the four CQ dimensions (metacognitive, cognitive, motivational and behavioural) and three intercultural effectiveness outcomes (cultural judgment and decision making, cultural adaptation and task performance in culturally diverse settings). Before testing the model, we describe development and cross-validation (N = 1,360) of the multidimensional cultural intelligence scale (CQS) across samples, time and country. We then describe three substantive studies (N = 794) in field and educational development settings across two national contexts, the USA and Singapore. The results demonstrate a consistent pattern of relationships where metacognitive CQ and cognitive CQ predicted cultural judgment and decision making; motivational CQ and behavioural CQ predicted cultural adaptation; and metacognitive CQ and behavioural CQ predicted task performance. We discuss theoretical and practical implications of our model and findings. [source] Teaching paediatric residents about learning disorders: use of standardised case discussion versus multimedia computer tutorialMEDICAL EDUCATION, Issue 8 2005Carolyn Frazer Bridgemohan Background, We developed a standardised case-based educational exercise on the topic of childhood learning disorders, and a multimedia computerised adaptation of this exercise, as part of a national curriculum project based on the Bright Futures guidelines. Objective, To explore resident perceptions of the facilitated case discussion (FCD) and the computerised tutorial (CT). Design, Quasi-randomised comparison of two educational interventions. Setting, Preclinic teaching conferences at a large urban children's hospital. Participants, A total of 46 paediatric residents years 1,3 assigned to either FCD (n = 21) or CT (n = 25). Interventions, FCD residents met in groups of 8,12 with a trained facilitator for a structured case discussion, while CT residents worked in groups of 2,3 at a computer station linked to an interactive website. Outcome Measures, Participant responses during semistructured focus group interviews. Analysis, Focus group transcripts, field notes and computer logs were analysed simultaneously using qualitative grounded theory methodology. Results, Residents experienced CT as fun, offering flexibility, greater auditory and visual appeal and more opportunities for active learning. FCD allowed greater contact with expert faculty and made the material more relevant to clinical practice. FCD participants emphasised the clinical skills gleaned and stated that the learning experience would change their future patient management. Both groups reported that case discussion was more interactive than computer learning. Median time spent on learning was slightly shorter for the CT group. All groups of learners arrived at the correct final diagnosis. Conclusions, FCD and CT stimulate different types of learning among paediatric residents. Future studies are needed to determine how to integrate these two techniques to meet the learning needs of residents in diverse settings. [source] Occupational therapists use of cognitive interventions for clients with Alzheimer's diseaseOCCUPATIONAL THERAPY INTERNATIONAL, Issue 1 2010Alexandra Robert Abstract The aim of this study was to establish a profile of occupational therapy practice for cognitive interventions for clients with Alzheimer's disease (AD) in an urban setting. Seventy-four occupational therapists working with older adults with AD in diverse settings in the city of Montreal were randomly selected and were sent a self-administered questionnaire by mail. Sixty-five (87.8%) therapists responded. Findings indicated that 52.3% of occupational therapists are performing cognitive interventions with persons with AD. Of those, 82.4% report using cognitive rehabilitation, 61.8% using cognitive stimulation and 50.0% using cognitive training. Intervention use varied across settings and differed according to severity of AD. The sessions are usually provided individually and often include the client's caregiver. Generalizability of the results is limited to urban areas, and possible differences in service provision should be taken into consideration. Further research is needed to measure the effectiveness of these interventions provided by occupational therapists and to compare occupational therapy practices in urban and rural areas. Copyright © 2009 John Wiley & Sons, Ltd. [source] Development of the Competency Based Fieldwork Evaluation (CBFE)OCCUPATIONAL THERAPY INTERNATIONAL, Issue 4 2001Linda T Miller PhD Abstract Recent changes in health care have contributed to an increase in community care and a consequent increase in community fieldwork sites in professional practice education. Evaluations of student performance designed before this transition are limited in their applicability across diverse settings. This article describes the development of a student performance evaluation, the Competency Based Fieldwork Evaluation (CBFE), based on a set of core competencies. Specifically, the CBFE was created to be used across a variety of rehabilitation professions: (a) to evaluate student performance in a variety of fieldwork settings, (b) to provide a cumulative record of student competency acquisition, and (c) to ensure competency for entry to practice. Focus group discussions and review of evaluations across disciplines led to the compilation of seven competencies common to all rehabilitation professions: (1) practice knowledge, (2) clinical reasoning, (3) facilitating change, (4) professional interactions, (5) communication, (6) professional development, and (7) performance management. A pilot version of the CBFE, using a visual analogue scale (VAS) for each competency, was field tested. Content analysis supported the seven competencies. However, concerns regarding the use of a VAS led to revision to a numeric rating scale with descriptors reflecting the stages of professional development. Evidence to date supports the use of the CBFE as a measure of developing clinical skills across diverse settings. However, most data have come from occupational therapy students. Future research is needed to evaluate the numeric rating scale, the reliability of the CBFE, and to evaluate the applicability of the CBFE across rehabilitation professions. Copyright © 2001 Whurr Publishers Ltd. [source] Bullying in School: Evaluation and Dissemination of the Olweus Bullying Prevention ProgramAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2010Dan Olweus The nature and extent of bullying among school children is discussed, and recent attention to the phenomenon by researchers, the media, and policy makers is noted. The Olweus Bullying Prevention Program (OBPP) is a comprehensive, school-wide program that was designed to reduce bullying and achieve better peer relations among students in elementary, middle, and junior high school grades. Several large-scale studies from Norway are reviewed, which provide compelling evidence of the program's effectiveness in Norwegian schools. Studies that have evaluated the OBPP in diverse settings in the United States have not been uniformly consistent, but they have shown that the OBPP has had a positive impact on students' self-reported involvement in bullying and antisocial behavior. Efforts to disseminate the OBPP in Norway and the United States are discussed. [source] Informal and Illicit Entrepreneurs: Fighting for a Place in the Neoliberal Economic OrderANTHROPOLOGY OF WORK REVIEW, Issue 2 2008Rebecca B. Galemba Abstract A panel at the 2007 meetings of the American Anthropological Association examined the working lives of illicit and informal entrepreneurs living in "the gaps" or "shadows" of neoliberal globalization. Panelists challenged dichotomies such as informal/formal and legal/illegal by examining the everyday practices of workers in diverse settings. Emphasis was placed on entrepreneurs' efforts to legitimate their activities and identities to themselves and others. [source] Conditioning in 2 × 2 TablesBIOMETRICS, Issue 1 2009Michael A. Proschan Summary Two-by-two tables arise in a number of diverse settings in biomedical research, including analysis of data from a clinical trial with a binary outcome and gating methods in flow cytometry to separate antigen-specific immune responses from general immune responses. These applications offer interesting challenges concerning what we should really be conditioning on,the total number of events, the number of events in the control condition, etc. We give several biostatistics examples to illustrate the complexities of analyzing what appear to be simple data. [source] ESE-3, an Ets family transcription factor, is up-regulated in cellular senescenceCANCER SCIENCE, Issue 9 2007Makoto Fujikawa Normal cells irreversibly stop dividing after being exposed to a variety of stresses. This state, called cellular senescence, has recently been demonstrated to act as a tumor-suppressing mechanism in vivo. A common set of features are exhibited by senescent cells, but the molecular mechanism leading to the state is poorly understood. It has been shown that p38, a stress-induced mitogen-activated protein kinase (MAPK), plays a pivotal role in inducing cellular senescence in diverse settings. To better understand the senescence-inducing pathway, microarray analyses of normal human fibroblasts that ectopically activated p38 were performed. It was found that five genes encoding ESE-3, inhibin ,A, RGS5, SSAT and DIO2 were up-regulated in senescent cells induced by RasV12, H2O2 and telomere shortening, but not in quiescent or actively growing cells, suggesting that these genes serve as molecular markers for various types of cellular senescence. The ectopic expression of ESE-3 resulted in retarded growth, up-regulation of p16INK4a but not of p21, and increased levels of SA-,-gal activity. In contrast, RGS5, SSAT and the constitutive active form of the inhibin ,A receptor gene did not induce such senescence phenotypes when ectopically expressed. ESE-3 expression increased the activity of the p16INK4a promoter in a reporter assay, and recombinant ESE-3 protein bound to the Ets-binding sequences present in the promoter. These results suggest that ESE-3 plays a role in the induction of cellular senescence as a downstream molecule of p38. (Cancer Sci 2007; 98: 1468,1475) [source] | ||||||||||||||||