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Multidimensional Nature (multidimensional + nature)
Selected AbstractsStakeholders' views on measuring outcomes for people with learning disabilitiesHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 1 2006Anita F. Young PhD DipCOT Abstract What works and how do we know? These are recurring questions for health and social care professionals, although mediated through differing philosophies and historical perspectives. The aims of the study reported here were to discover views of managers and commissioners of services for people with learning disabilities in Scotland regarding (a) current approaches to service evaluation (as an indication of what is to be measured) and (b) healthcare outcome measurement (as an indication of preferences regarding how this should be measured). A postal questionnaire was used to survey 94 stakeholders from the NHS, Local Authorities, and non-statutory organisations across Scotland. Respondents' views were sought on current approaches to service evaluation within learning disabilities; outcome measurement; appropriateness of specified methods of measuring health outcomes; desired future methods of outcome measurement within learning disabilities; and service user involvement in care. A 77% (73/94) response rate to the questionnaire was achieved. Different methods of service evaluation were used by different stakeholders. Staff appraisal was the most frequently identified method (used by 85% of respondents). Specific outcome measures were used by 32% of respondents although there were differences of opinion as to what constitutes specific outcome measures. Overall there was strong support for goal-setting and reviewing (83%) and individualised outcome measures (75%) as appropriate methods for use with people with learning disabilities. The hypothetical question asking what outcome measures should be introduced for this client group had by far the lowest response rate (51/73). The overwhelming majority of all respondents, 68 (92%), reported user involvement in their service. Staff ambivalence to outcome measurement was evident in the research and respondents highlighted the complexity and multidimensional nature of outcomes for this service user group. Managers recognised that outcome measurement was expected but were uncertain how to go about it. [source] Distinguishing between task and contextual performance for nurses: development of a job performance scaleJOURNAL OF ADVANCED NURSING, Issue 6 2007Jaimi H. Greenslade Abstract Title.,Distinguishing between task and contextual performance for nurses: development of a job performance scale Aim., This paper is a report of a development and validation of a new job performance scale based on an established job performance model. Background., Previous measures of nursing quality are atheoretical and fail to incorporate the complete range of behaviours performed. Thus, an up-to-date measure of job performance is required for assessing nursing quality. Methods., Test construction involved systematic generation of test items using focus groups, a literature review, and an expert review of test items. A pilot study was conducted to determine the multidimensional nature of the taxonomy and its psychometric properties. All data were collected in 2005. Findings., The final version of the nursing performance taxonomy included 41 behaviours across eight dimensions of job performance. Results from preliminary psychometric investigations suggest that the nursing performance scale has good internal consistency, good convergent validity and good criterion validity. Conclusion., The findings give preliminary support for a new job performance scale as a reliable and valid tool for assessing nursing quality. However, further research using a larger sample and nurses from a broader geographical region is required to cross-validate the measure. This scale may be used to guide hospital managers regarding the quality of nursing care within units and to guide future research in the area. [source] Differential effects of strain on two forms of work performance: individual employee sales and creativityJOURNAL OF ORGANIZATIONAL BEHAVIOR, Issue 1 2002Linn Van Dyne In this research, we develop and test a model of the links between psychological strain (subjective experiences of feeling conflict and tension) and work performance. Our model includes two types of strain (work strain and home strain) and two forms of work performance (quantity of individual sales performance and creativity). Thus we acknowledge the importance of work and non-work sources of strain as well as the multidimensional nature of work performance. We test the proposed relationships with data collected over six months from a field sample of 195 hair salon stylists (personal service workers who interact directly with customers and provide services directly to individuals and not to other firms). Results demonstrate a positive relation between work strain and individual employee sales performance and a negative relation between home strain and employee creativity at work. Leader,member exchange moderated the effects of work strain and home strain on creativity. We discuss findings and implications, emphasizing multiple roles, the importance of differentiating types of strain, and the multidimensionality of work performance. We conclude by suggesting that strain may be particularly relevant to work performance of employees in jobs like those in our sample which are characterized by high social interdependence and low task interdependence. Copyright © 2001 John Wiley & Sons, Ltd. [source] Validity Study of Kessler's Psychological Distress Scales Conducted Among Patients Admitted to French Emergency Department for Alcohol Consumption,Related DisordersALCOHOLISM, Issue 7 2010Benjamin Arnaud Background:, Alcohol-related disorders (ARD) encountered in emergency departments (ED) have a high prevalence and are underestimated. It is necessary to provide professionals with a tool to identify patients in whom there is a risk that alcohol-related and mental health problems may be associated. Kessler's K6/10 psychological distress scales are fast, easy-to-use, and have been shown to achieve a good performance in the identification of psychological distress associated with ARD. Aim:, The aim of this study was to evaluate the psychometric properties of the Kessler scales, version 6 and 10, with a sample of patients admitted to EDs for alcohol consumption. Methods:, On the day after their admission, with a zero "blood" alcohol concentration, 71 patients were randomly assigned to be assessed using 6 or 10 items version. The internal consistency and factor structure of the K6/10 versions were examined. Convergent validity was measured using the Hospital Anxiety and Depression Scale (HADS) and the Hamilton Depression Rating Scale (HDRS). Results:, The prevalence of psychological distress in our sample was approximately 60%. The selected threshold scores were 10 for K6 (Sensitivity: 0.92; Specificity: 0.62) and 14 for K10 (Sensitivity: 0.95; Specificity: 0.54). The Cronbach coefficients for K6 and K10 were 0.76 and 0.84, respectively. The factor analyses indicated the multidimensional nature of K6/10. The 2 versions, containing 6 and 10 items respectively, correlated better with the HADS (0.83 and 0.70, respectively) than with the HDRS (0.51 and 0.49, respectively). The areas under the ROC Curve indicated a high level of accuracy for both the K6 (0.87) and the K10 (0.77). The difference was not statistically significant. Conclusions:, This study confirms the good psychometric characteristics of Kessler's psychological distress scale. Even though similar performances were observed for K6/10, the brevity of the K6 makes it more suitable for use in EDs. [source] The Political Power of the Retirees in a Two-Dimensional Voting ModelJOURNAL OF PUBLIC ECONOMIC THEORY, Issue 4 2003Georges Casamatta We show that the retirees are able to obtain favorable pension policies whereas they belong to a minority in the population. The argument relies on the multidimensional nature of the political process. We consider a two-dimensional collective choice problem. The first of these choices is the level of the contribution rate to the Pay-As-You-Go pension system. The second is a noneconomic decision, unrelated to the pension system. Using a political agency model, we show that, as soon as the retirees are sufficiently numerous, the equilibrium tax rate may be higher than the tax rate preferred by the young, who yet constitute a majority over the pension issue. [source] Early developmental precursors of impulsive and inattentive behavior: from infancy to middle childhoodTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 4 2002Sheryl L. Olson Background: We examined infancy and toddler-age precursors of impulsivity and inattention in school-age children. Children (50 boys, 39 girls) had been participants since infancy in the Bloomington Longitudinal Study. Method: Individual differences in children's self-regulatory competence were assessed at 8 years of age, using laboratory tests and observations of three central constructs: Inhibitory Control, Behavioral Control, and Attentional Disengagement. Results: We found that measures of caregiver,child interaction, child temperament, and child cognitive competence during the toddler period significantly predicted variations in children's later impulsive functioning. However, the strength of these relationships, and the type and combination of significant risk factors, were differentially patterned in relation to specific subtypes of later child impulsivity. Conclusions: These data provide further evidence for the multidimensional nature of child impulsivity, and they highlight the importance of examining toddler-age precursors of children's later self-regulatory competence. [source] Archaeological prospecting at the Double Ditch State Historic Site, North Dakota, USAARCHAEOLOGICAL PROSPECTION, Issue 1 2008Kenneth L. KvammeArticle first published online: 14 FEB 200 Abstract A four-year programme of remote sensing at the Double Ditch State Historic Site, a fortified earthlodge village in the Great Plains of North Dakota, USA, demonstrates the importance of combined prospecting methods for understanding the multidimensional nature of complex settlements. Aerial survey from a powered parachute acquired high-resolution digital colour and thermal infrared imagery. The former distinguishes houses, borrow pits and ditches from middens and fill areas by changes in vegetation; the latter does the same through temperature variations that also highlight substantial village deposits and century-old excavations. Magnetic gradiometry reveals two previously unknown fortification systems that vastly increase the settlement's area and projected population to perhaps 2000 individuals. Vast numbers of food storage pits that supported that population are also indicated. Vertical soundings and area surveys of magnetic susceptibility aid in the understanding of storage pit magnetism and anthropogenic soil mounding and removal. A high-resolution digital model of topography documents surface expressions caused by ditches, houses, borrow pits and mounds; when combined with overlays of geophysical data understanding of remote sensing responses is improved and relationships between large mounds with village defenses are made clear. Ground-penetrating radar gives insights into mounded midden interior forms and yields details about house interior components, while electrical resistance results improve definition of middens, other depositional areas, houses and borrow pits. This multisensor remote sensing programme reduced excavation costs by allowing a wide variety of archaeological features of interest to be targeted accurately. Excavations confirmed anomaly identifications and established a chronology that documents late fifteenth century origins to an ultimate abandonment about AD 1782. Copyright © 2008 John Wiley & Sons, Ltd. [source] Female sexuality in multiple sclerosis: the multidimensional nature of the problem and the interventionACTA NEUROLOGICA SCANDINAVICA, Issue 5 2010G. Bronner Bronner G, Elran E, Golomb J, Korczyn AD. Female sexuality in multiple sclerosis: the multidimensional nature of the problem and the intervention. Acta Neurol Scand: 2010: 121: 289,301. © 2010 The Authors Journal compilation © 2010 Blackwell Munksgaard. Female sexual functioning is a complex process involving physiological, psychosocial and interpersonal factors. Sexual dysfunction (SD) is frequent (40,74%) among women with multiple sclerosis (MS), reflecting neurological dysfunction, psychological factors, depression, side effects of medications and physical manifestations of the disease, such as fatigue and muscle weakness. A conceptual model for sexual problems in MS characterizes three levels. Primary SD includes impaired libido, lubrication, and orgasm. Secondary SD is composed of limiting sexual expressions due to physical manifestations. Tertiary SD results from psychological, emotional, social, and cultural aspects. Sexual problems cause distress and may affect the family bond. Practical suggestions on initiation of discussion of sexual issues for MS patients are included in this review. Assessment and treatment of sexual problems should combine medical and psychosexual approaches and begin early after MS diagnosis. Intervention can be done by recognizing sexual needs, educating and providing information, by letting patients express their difficulties and referring them to specialists and other information resources. [source] Psychometric Properties of the Mentor Role Instrument when Used in an Academic Medicine SettingCLINICAL AND TRANSLATIONAL SCIENCE, Issue 3 2010Terri Collin Dilmore Ph.D. Abstract The Ragins and McFarlin Mentor Role Instrument (RMMRI) was originally developed to measure perceptions of mentoring relationships in research and development organizations. The current study was designed to evaluate the RMMRI's reliability and validity when the instrument was administered to clinical and translational science trainees at an academic medical center. The 33-item RMMRI was administered prospectively to a cohort of 141 trainees at the University of Pittsburgh in 2007,2008. Likert-scale items focused on perceptions of five mentoring roles in the career dimension (sponsor, coach, protector, challenger, and promoter) and six mentoring roles in the psychosocial dimension (friend, social associate, parent, role model, counselor, and acceptor). Outcome items included overall perceptions of mentoring satisfaction and effectiveness. Of 141 trainees, 53% were male, 66% were white, 22% were Asian, and 59% were medical doctors. Mean age was 32 years. Analyses showed strong within-factor inter-item correlations (Pearson Coefficients of 0.57,0.93); strong internal consistency (Cronbach alphas of 0.82,0.97); confirmatory factorial validity, as demonstrated by confirmatory factor analysis of the two mentoring dimensions, 11 mentoring roles, and 33 RMMRI items; and concurrent validity, as demonstrated by strong correlations (Pearson Coefficients of 0.56,0.71) between mentoring dimensions, satisfaction, and effectiveness. This article concludes that the RMMRI shows reliability and validity in capturing the multidimensional nature of mentoring when administered to clinical and translational science trainees in the academic setting. Clin Trans Sci 2010; Volume 3: 104,108 [source] | |||||||||||||