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Delivering informed measures of patient centred care in medical imaging: what is the international perspective?Hyde, E., Hardy, Maryann L. 18 June 2021 (has links)
Yes / Focus on patient experience and patient centred approaches within healthcare has substantially increased since the Picker Institute (a not for profit organisation) was established in the 1980′s [ [15] ]. The Picker Institute's vision for ‘the highest quality person centred care for all, always’ outlines eight principles of person-centred care which health care providers should strive for [ [15] ]:
(1) Fast access to reliable healthcare advice [15].
(2) Effective treatment delivered by trusted professionals [15].
(3) Continuity of care and smooth transitions. [15]
(4) Involvement and support for family and carers [15].
(5) Clear information, communication and support for self-care [15].
(6) Involvement in decisions and respect for preferences [15].
(7) Emotional support, empathy and respect [15].
(8) Attention to physical and environmental needs [15].
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Relational experiences of children involved in bullying incidents in secondary school communities / Bianke van RooyenVan Rooyen, Bianke January 2014 (has links)
School communities are supposed to be safe places for children where they can build healthy and positive relationships; protected places where children not only gain knowledge, but also learn about themselves. However, research indicates an increase in violent behaviour within school communities. The serious nature of violence in South African schools is evident in reports of physical and sexual abuse, gang-related activities and children bringing and using weapons at schools. The violence is not limited to violence between children but also involves interschool rivalries where gang conflicts have become part of the problem. Despite the measures taken by the DoE, violence in schools is still escalating and educators in some schools can spend more time on solving issues relating to violence than being involved in the process of effective teaching. Consequently violence in schools might become a threat to the provision of effective education for children.
Current South African research on bullying behaviour tends to follow a linear, individualistic approach as a means to understanding the phenomenon of bullying. Research conducted within the South African context tends to focus on the individual behaviour of children involved in bullying incidents with the need to address the aggressive behaviour of the bully, the need to protect the victim and describing concerns for the bystanders. The concern of such a linear approach is that research does not place enough emphasis on the relationships of members in school communities and the contexts in which bullying behaviour occurs.
To address this gap in the knowledge regarding our understanding of bullying behaviour from a relational perspective, the researcher explored the relational experiences of secondary school children who were involved in bullying incidents in three secondary school communities in South Africa. A systemic developmental approach developed by Cairns and Cairns (1991) and adopted by Atlas and Pepler (1998) as well as a complex interactive dynamics systems approach informed this study. The purpose of this study is to contribute to efforts to find solutions to the escalation of bullying behaviour by exploring the relational experiences of children who were involved in bullying incidents in the context of secondary school communities in South Africa. It is anticipated that an exploration of the relational experiences of these children might facilitate a deeper understanding of the dynamics that emerge in the interactions between the various members in school communities and an understanding of how these interactions contribute toward the escalation in bullying behaviour. In order to obtain a deeper understanding regarding the phenomenon of bullying, a qualitative phenomenological study was conducted to explore the relational experiences of children involved in bullying incidents within three secondary school communities. Within the first phase of data collection thirty three participants (between grade 8-11), who were purposely selected, completed a written assignment. The written assignment included a short essay
based on their experience of a bullying incident and twenty incomplete sentences that were open-ended in nature. In the second phase of data collection the researcher conducted semi- structured interviews with six of the participants who participated in the first phase of data
collection. The semi-structured interviews allowed the researcher to ask further questions to obtain a deeper understanding regarding their relational experiences of bullying incidents in their school community. Based on the responses of the participants, three themes were identified: (1) Relational experiences of interactions between teachers and children based on the experiences of children where they spoke about interactions that suggested reciprocal disrespect between children and teachers, incongruence between teachers and learners, teachers attempting to control the behaviour of children and lack of interest displayed in children by their teachers; (2) Relational experiences of interactions between children that included subthemes of assertion of power to obtain status amongst peers, exclusion based on group membership, competiveness amongst groups and violating the trust of friends; (3) Relational experiences of interactions in conflict situations where participants described their bullying experiences and suggested that teachers display apathy in these forms of conflict situations. The participants also reported that children tend to instigate and reinforce conflict. Learners also often choose to remain silent out of fear for retaliation and that teacher-parent disputes exist regarding the managing of conflict situations between children. The relational experiences of the children assisted to inform our understanding of the interactive dynamics that underpin bullying behaviour. In view of the findings of the study, recommendations are made for practice, policy development and suggestions for future research are also offered. / MA (Psychology), North-West University, Potchefstroom Campus, 2015
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Relational experiences of children involved in bullying incidents in secondary school communities / Bianke van RooyenVan Rooyen, Bianke January 2014 (has links)
School communities are supposed to be safe places for children where they can build healthy and positive relationships; protected places where children not only gain knowledge, but also learn about themselves. However, research indicates an increase in violent behaviour within school communities. The serious nature of violence in South African schools is evident in reports of physical and sexual abuse, gang-related activities and children bringing and using weapons at schools. The violence is not limited to violence between children but also involves interschool rivalries where gang conflicts have become part of the problem. Despite the measures taken by the DoE, violence in schools is still escalating and educators in some schools can spend more time on solving issues relating to violence than being involved in the process of effective teaching. Consequently violence in schools might become a threat to the provision of effective education for children.
Current South African research on bullying behaviour tends to follow a linear, individualistic approach as a means to understanding the phenomenon of bullying. Research conducted within the South African context tends to focus on the individual behaviour of children involved in bullying incidents with the need to address the aggressive behaviour of the bully, the need to protect the victim and describing concerns for the bystanders. The concern of such a linear approach is that research does not place enough emphasis on the relationships of members in school communities and the contexts in which bullying behaviour occurs.
To address this gap in the knowledge regarding our understanding of bullying behaviour from a relational perspective, the researcher explored the relational experiences of secondary school children who were involved in bullying incidents in three secondary school communities in South Africa. A systemic developmental approach developed by Cairns and Cairns (1991) and adopted by Atlas and Pepler (1998) as well as a complex interactive dynamics systems approach informed this study. The purpose of this study is to contribute to efforts to find solutions to the escalation of bullying behaviour by exploring the relational experiences of children who were involved in bullying incidents in the context of secondary school communities in South Africa. It is anticipated that an exploration of the relational experiences of these children might facilitate a deeper understanding of the dynamics that emerge in the interactions between the various members in school communities and an understanding of how these interactions contribute toward the escalation in bullying behaviour. In order to obtain a deeper understanding regarding the phenomenon of bullying, a qualitative phenomenological study was conducted to explore the relational experiences of children involved in bullying incidents within three secondary school communities. Within the first phase of data collection thirty three participants (between grade 8-11), who were purposely selected, completed a written assignment. The written assignment included a short essay
based on their experience of a bullying incident and twenty incomplete sentences that were open-ended in nature. In the second phase of data collection the researcher conducted semi- structured interviews with six of the participants who participated in the first phase of data
collection. The semi-structured interviews allowed the researcher to ask further questions to obtain a deeper understanding regarding their relational experiences of bullying incidents in their school community. Based on the responses of the participants, three themes were identified: (1) Relational experiences of interactions between teachers and children based on the experiences of children where they spoke about interactions that suggested reciprocal disrespect between children and teachers, incongruence between teachers and learners, teachers attempting to control the behaviour of children and lack of interest displayed in children by their teachers; (2) Relational experiences of interactions between children that included subthemes of assertion of power to obtain status amongst peers, exclusion based on group membership, competiveness amongst groups and violating the trust of friends; (3) Relational experiences of interactions in conflict situations where participants described their bullying experiences and suggested that teachers display apathy in these forms of conflict situations. The participants also reported that children tend to instigate and reinforce conflict. Learners also often choose to remain silent out of fear for retaliation and that teacher-parent disputes exist regarding the managing of conflict situations between children. The relational experiences of the children assisted to inform our understanding of the interactive dynamics that underpin bullying behaviour. In view of the findings of the study, recommendations are made for practice, policy development and suggestions for future research are also offered. / MA (Psychology), North-West University, Potchefstroom Campus, 2015
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En studie om effektivitet inom hemtjänsten : Enligt brukare och personal inom området Örnsberg/Aspudden i stadsdelsförvaltningen Hägersten/Liljeholmen, Stockholms stad / A study of efficiency in public home-careOrdonez Asenjo, Carolina, Lundberg, Emma January 2011 (has links)
När befolkningen blir allt äldre, samhället förväntas bli effektivare, hemtjänstens ansvarsområde breddas och konkurrensen från privata aktörer växer; så behöver hemtjänsten anpassa sig, vilket kräver fler resurser. Frågan är dock hur det fungerar och hur effektiv vår hemtjänst är? Syftet med denna uppsats är att få en förståelse för effektiviteten inom hemtjänsten i området Örnsberg/Aspudden i stadsdelsförvaltningen i Hägersten/Liljeholmen i Stockholms stad. Detta har undersökts utifrån ett personal- respektive brukarperspektiv, genom en enkätundersökning för personalen och en semistrukturerad intervju med en brukare. Uppsatsen har främst en kvalitativ ansats och grundar sig på teorier kring effektivitet och kvalitet. Studien har visat att både personalen och brukaren känner en hög nöjdhet till hemtjänsten i Hägersten/Liljeholmen. De känner båda att arbetet som ska göras hinns med och personalen upplever ingen stress. Dock anser alla parter att det i allmänhet investeras för lite ekonomiska resurser i hemtjänsten, vilket får oss att undra vad dessa ytterligare resurser skulle användas till, då båda parter anser sig nöjda med sitt jobb respektive sin hjälp. Det är även svårt att fastställa att effektiviteten i Hägersten/Liljeholmens hemtjänst är hög, då endast en brukare intervjuats vilket ger en subjektiv bild av effektiviteten, detta även om vår studie påvisar en hög effektivitet. / As the population ages, the community is expected to become more effective; home-care's responsibilities increase and competition from private home-care givers is growing; the need for public home-care to adapt increases, requiring more resources. The question is how effective is our public home-care service? The purpose of this thesis is to gain an understanding of the effectiveness of home-care services in the area Örnsberg/Aspudden in the municipal district administration office of Hägersten/Liljeholmen in Stockholm. This has been examined from a personnel and user perspective, through a survey for the personnel and a semi-structured interview with the user. The thesis has primarily a qualitative approach and is based on theories about efficiency and quality. The study has shown that both the personnel and the user feel a high level of satisfaction for home-care in Hägersten/Liljeholmen. They both feel that there is enough time for the planed work and the personnel feels no stress during their average workday. However, all parties consider that there is a general under-investment of financial resources in home-care; which leads us to wonder what these additional resources would be used for, when both parties are satisfied with their job and the help they receive. It is also difficult to determine that the effectiveness of Hägersten/Liljeholmen’s home-care service is high, when only one user has been interviewed. Which gives us a subjective view of efficiency, even though our study shows a high efficiency.
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Structuralist and interactionist perspectives of collective behavior and control of crowds.Gunes, Ismail Dincer 08 1900 (has links)
The purpose of this thesis is to understand the concept of collective behavior from different theoretical perspectives and the policy implications they imply for the Turkish Riot Police Units. The civil disturbances in the 1960s have clearly illustrated range of problems in the domain of crowd control. This work will start with the general characteristics and the classification of collective behavior. Second, two main perspectives on collective behavior, which are the structuralist and the interactionist perspectives, will be examined respectively. The question will be asked whether these two perspectives efficiently and effectively explain the crowds and the crowd control. Finally, the other factors in crowd control will be explored, and recommendations concerning the handling of crowds in a more peaceful manner will be made.
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Inflytande och delaktighet i förskolan : en studie om yngre barns möjligheter och rättigheterAhrreman, Jonna, Näsberg, Johanna January 2016 (has links)
The purpose of this study is to investigate young children’s possibility to participation and influence in preschool settings. The specific questions were: If and how do preschool teachers work with young children's influence and participation? In what way is the preschool teachers approach closely related to young children's opportunity to influence and participate? The results show that preschool teachers do work with young children’s influence and participation by keeping them involved in the preschool settings and considering their interest when planning the activities. The teachers also interpret the children’s ability to express their wishes and needs through nonvocal communication such as gestures and body language. The teacher's approach was shown as closely connected to the children opportunity to influence and participate in consideration to how close the teacher was to the child’s perspective and how they viewed the child. In summary this study concludes that the children’s ability to exert influence and participation will increase by endeavouring to come close to the child’s perspective and balancing the routines of the preschool settings as well as taking the child’s individuality into consideration.
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Mathematical practices: their use across learning domains in a tertiary environmentManson, Lynette Anne 30 August 2010 (has links)
This research presents a case study at a South African University, involving students who had
studied mathematics in a pre-undergraduate Foundation Programme (FP) and who were currently
in their first year of study in Information Technology (IT) at the same institution. The study
investigated a possible relationship between the teaching approach used in the FP mathematics
classroom and the extent of students’ abilities to use important mathematical practices, such as
using procedures flexibly; using representation; understanding/explaining concepts; questioning;
justifying claims; disagreeing; strategising; and generalising, in an undergraduate IT context.
Focus group interviews and task-based interviews were used to answer three related questions:
“To what extent are students aware of differences in teaching approaches between FP
mathematics and undergraduate study?”; “To what extent do students believe that their
experiences of the teaching approaches in the Foundation Programme mathematics class have
helped them in undergraduate study in other courses?”; and “In what ways are the mathematical
practices taught in the Foundation Programme used in undergraduate study in IT?” A bricolage of
learning theories was used as a framework for understanding the possible relationships between
teaching approach, development of mathematical practices and learning transfer. The students in
the focus groups described the teaching approach used in the FP mathematics classes as studentcentred,
whereas many of the undergraduate IT lectures and tutorials were described as teachercentred.
The students felt that the approach used in the FP mathematics classroom was beneficial
to further study, in that it taught them how to become responsible for their own learning and
brought about deep understanding of the mathematical concepts learned in the FP. The task-based
interviews showed that all students used mathematical practices to solve IT problems to a greater
or lesser extent. The use of these mathematical practices was best understood as being influenced
by all past cognitive, social and cultural experiences, and was therefore not a case of “transfer” in
the traditional sense of the word. Instead, the use of mathematical practices could be described as
an extreme case of “cognitive accommodation” from a cognitive constructivist perspective, or a
case of “generality” from a situative perspective. Furthermore, an inter-relationship emerged between student-centred teaching, students’ productive disposition towards mathematics, and the
extent of “transfer” of mathematical practices to the IT domain. This interesting relationship
warrants further investigation.
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A framework for efficiently mining the organisational perspective of business processesSchönig, Stefan, Cabanillas Macias, Cristina, Jablonski, Stefan, Mendling, Jan 23 June 2016 (has links) (PDF)
Process mining aims at discovering processes by extracting knowledge from event logs. Such knowledge may refer to different business process perspectives. The organisational perspective deals, among other things, with the assignment of human resources to process activities. Information about the resources that are involved in process activities can be mined from event logs in order to discover resource assignment conditions, which is valuable for process analysis and redesign. Prior process mining approaches in this context present one of the following issues: (i) they are limited to discovering a restricted set of resource assignment conditions; (ii) they do not aim at providing efficient solutions; or (iii) the discovered process models are difficult to read due to the number of assignment conditions included. In this paper we address these problems and develop an efficient and effective process mining framework that provides extensive support for the discovery of patterns related to resource assignment. The framework is validated in terms of performance and applicability.
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Existe-t-il un lien entre ce que je pense et ce que j’imagine ? : une approche processuelle centrée sur les pensées répétitives négatives et la perspective visuelle en imagerie mentale / Is there a relationship between what I think and what I imagine? : a processual approach focused on repetitive negative thinking and visual perspective in mental imageryDouce, Perrine 18 December 2017 (has links)
Les recherches actuelles en psychologie clinique sont centrées sur l’étude des processus psychologiques impliqués dans le développement et le maintien de nombreux troubles psychologiques. Deux de ces processus ont fait l’objet de nombreuses études : les pensées répétitives négatives (PRN), qui sont majoritairement verbales, et la perspective visuelle adoptée dans les images mentales (i.e., acteur vs. observateur). Bien que représentant des phénomènes distincts, les PRN et la perspective d’observateur semblent toutes deux avoir une fonction d’évitement et dépendre d’un processus d’abstraction centré sur l’analyse du « pourquoi » des événements (i.e., l’adoption d’un mode abstrait de traitement de l’information). Ces similarités fonctionnelles et processuelles amènent à se questionner sur les liens possibles entre les PRN et la perspective d’observateur. Pourtant, très peu d’études se sont intéressées à cette association. Par conséquent, cette thèse portait sur les liens entre les PRN et la perspective d’observateur en imagerie mentale, ainsi qu’à leur processus sous-jacent (i.e., l’abstraction) et leur fonction (i.e., l’évitement). Les résultats de quatre études corrélationnelles indiquent que les PRN et la perspective d’observateur ne sont pas associées. Ils répliquent aussi des résultats d’études passées sur le rôle de l’évitement et de l’abstraction dans les PRN mais pas dans la perspective d’observateur. Les résultats de trois études expérimentales montrent également que l’induction de PRN sur un mode abstrait n’a pas d’effet sur la perspective visuelle adoptée ou la réactivité émotionnelle et, plus globalement, que l’induction d’un mode abstrait de traitement de l’information n’a pas d’effet sur la perspective visuelle adoptée, les PRN, ou la réponse émotionnelle lors de l’anticipation ou le rappel d’une tâche émotionnelle. Finalement, une méta-analyse conduite sur les études publiées et les études menées dans le cadre de cette thèse semble confirmer l’absence de lien entre les PRN et la perspective d’observateur. Dans l’ensemble, il semblerait que les PRN et la perspective d’observateur en imagerie mentale ne soient pas associées. Ces résultats sont discutés au regard des modèles théoriques et des implications méthodologiques. / Current research in clinical psychology is focused on the study of psychological processes implicated on the onset and maintenance of many psychological disorders. Two of these processes have been extensively explored: repetitive negative thinking (RNT), which is predominantly verbal, and the visual perspective adopted in mental images (i.e., actor vs. observer). Even if they represent two distinct phenomena, RNT and the observer perspective both seem to serve an avoidance function and be underpinned by a process of abstraction focused on the analysis of the “why” of events (i.e., the adoption of an abstract level of construal). These functional and processual similarities suggest a potential association between RNT and the observer perspective. However, few studies have examined this association. Therefore, this dissertation explored the association between RNT and the visual perspective in mental imagery as well as their underlying process (i.e., abstraction) and function (i.e., avoidance). Results of four correlational studies showed that RNT and the observer perspective were not associated. They also replicated results from previous studies on the role of avoidance and abstraction in RNT but not in visual perspective. Results from three experimental studies also showed that the induction of RNT at an abstract level had no effect on visual perspective or emotional reactivity, and more generally, that the induction of an abstract level of construal did not influence visual perspective, RNT, and emotional response during the anticipation or the post-event processing of an emotional task. Finally, a meta-analysis conducted on published studies as well as on our studies confirmed the absence of association between RNT and the observer perspective. Overall, it seems that RNT and the observer perspective adopted in mental imagery are not associated. These results are discussed in light of theoretical models and methodological implications.
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Empathy in the Middle-School History Classroom: The Effects of Reading Different Historical Texts on Theory of Mind, Empathetic Concern, and Historical Perspective-TakingCollette, Jared P. 01 May 2019 (has links)
Theoretical and empirical evidence indicate a possibility that reading certain types of historical texts could improve different constructs of empathy that include theory of mind (ToM), empathic concern (EC), and historical perspective-taking (HPT).The objective of this study was to compare the effect of reading a collection of primary documents in comparison to a historical narrative on ToM, HPT, and EC for adolescents in an eighth-grade history class. Students were randomly assigned to read either a historical narrative or a collection of adapted historical documents with approximately the same length, and reading level. This researcher controlled for student comprehension scores, ToM scores, estimated amount of reading frequency, gender, and age. Post reading, students were assessed on ToM, EC, and HPT using age-appropriate and valid measures.
The results demonstrated no statistical difference for individuals assigned to read either text as measured by ToM, EC, and HPT. Individuals with higher comprehension abilities in the historical document group were more likely to read for a longer period of time than individuals with high comprehension abilities in the narrative group. Empathic emotions for the narrative group were significantly correlated with higher HPT. The researcher argues that better ToM assessments need to be developed for adolescents and the relationship of reading historical texts and empathy for adolescents should be a topic of future research.
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