Thesis (Ph. D.)--Drexel University, 2006. / Includes abstract. Includes bibliographical references (leaves 163-175).

The dominant theme is the examination of the development of the Teachers' Registration Movement and within this context to consider the elements of conflict bearing on policy and decision-making. The submission explores the relationship between private teachers, as represented by the College of Preceptors and external agencies, in ways that no other work does: the position of the government in relation to private teachers is considered in the context of the royal commissions on education, of the early examinations provided by the College of Preceptors, Oxford and Cambridge universities and the Royal Society of Arts, and of the Scholastic Registration Association. Ground-breaking themes are employed in that (a) a comprehensive account of the Teachers' Registration Movement is presented; (b) there is a consideration of the way in which conflict and divisions emerge within this development; (c) there is an examination of how elementary and secondary teachers interacted with the state over teachers' registration (this involved a small-scale project conducted by me within the Education Department. University of Wales, Swansea in 1999); (d) attempts are made to relate issues of the past to present-day practice, e.g. the re-emergence of earlier principles to the Beloe Report recommendations. The submission's extension of knowledge in the field is supported therefore in terms of the archival coverage between 1846 and the present day, and of explaining in considerable detail the financing, membership, policies, individual contributions, rules governing registration, and overall effectiveness of the teacher registration councils. As far as these issues are concerned, it is the focus on conflict within the development of the Teachers' Registration Movements that sets it apart from other contributions. Works prior to the submission did not have access to all of the relevant documentation at TNA and relied on other less informative sources. The essential task was to interpret a series of events that had not been fully examined before.

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Online learning appeals to busy professionals and project managers (PMs) since demands from work, family, and personal interests compete with the desire to engage learning and finish courses. The thesis critically analyzes adult learning literature, then develops models, and tests the approaches at a commercial university. The professional learning model overcomes the gap in applied online learning design and delivery theories through a perspective transformation of the fundamental educational psychology principles, to shift the philosophy towards an integrated humanistic-constructivist paradigm. The key principles emphasized in this new approach are andragogical motivation, self-schema, self-efficacy, and self-regulation. A repeated-measures quasi-experiment was designed and conducted in a university online MBA program (n=48), using a scientific research methodology (that controlled confounding factors) to empirically test the professional learning factor model. Paired-treatment tests, factor covariances, coefficient of multiple determinations, and cause/effect multiple regression findings were statistically significant at the 95% confidence level (most tests exceeded 99%). A linear mathematical predictor and systemic model was substantiated from the concept testing, to quantitatively explain 66%(r²) of cause-effect variance between the contextual factors and dependent variables. These findings were compared to, and were in agreement with similar studies. The limitations of the quasi-experiments are small sample size, natural selection (as opposed to pure randomization), and generalizability to other contexts (models not yet replicated). The research makes a theoretical and empirical contribution to four stakeholder domains - Project Management (PM) professionals, adult educators, academic research community, and the PM body of knowledge. The first value claim consists of empirically proven online learning design and delivery guidelines, that can be applied and/or replicated. Secondly, the research multi-methods to decrease time-to-market for these multi-year experiments. Lastly the research evidence might promote the development of more 'soft-skills' content in PM

Doctor of Philosophy (PhD) / Effective clinical reasoning and its communication are essential to health professional practice, especially in the current health care climate. Increasing litigation leading to legal requirements for comprehensive, relevant and appropriate information exchange between health professionals and patients (including their caregivers) and the drive for active consumer involvement are two key factors that underline the importance of clear communication and collaborative decision making. Health professionals are accountable for their decisions and service provision to various stakeholders, including patients, health sector managers, policy-makers and colleagues. An important aspect of this accountability is the ability to clearly articulate and justify management decisions. Considerable research across the health disciplines has investigated the nature of clinical reasoning and its relationship with knowledge and expertise. However, physiotherapy research literature to date has not specifically addressed the interaction between communication and clinical reasoning in practice, neither has it explored modes and patterns of learning that facilitate the acquisition of this complex skill. The purpose of this research was to contribute to the profession’s knowledge base a greater understanding of how experienced physiotherapists having learned to reason, then learn to communicate their clinical reasoning with patients and with novice physiotherapists. Informed by the interpretive paradigm, a hermeneutic phenomenological research study was conducted using multiple methods of data collection including observation, written reflective exercises and repeated semi-structured interviews. Data were analysed using phenomenological and hermeneutic strategies involving in-depth, iterative reading and interpretation to identify themes in the data. Twelve physiotherapists with clinical and supervisory experience were recruited from the areas of cardiopulmonary, musculoskeletal and neurological physiotherapy to participate in this study. Participants’ learning journeys were diverse, although certain factors and episodes of learning were common or similar. Participation with colleagues, peers and students, where the participants felt supported and guided in their learning, was a powerful way to learn to reason and to communicate reasoning. Experiential learning strategies, such as guidance, observation, discussion and feedback were found to be effective in enhancing learning of clinical reasoning and its communication. The cultural and environmental context created and supported by the practice community (which includes health professionals, patients and caregivers) was found to influence the participants’ learning of clinical reasoning and its communication. Participants reported various incidents that raised their awareness of their reasoning and communication abilities, such as teaching students on clinical placements, and informal discussions with peers about patients; these were linked with periods of steep learning of both abilities. Findings from this research present learning to reason and to communicate reasoning as journeys of professional socialisation that evolve through higher education and in the workplace. A key finding that supports this view is that clinical reasoning and its communication are embedded in the context of professional practice and therefore are best learned in this context of becoming, and developing as, a member of the profession. Communication of clinical reasoning was found to be both an inherent part of reasoning and an essential and complementary skill necessary for sound reasoning, that was embedded in the contextual demands of the task and situation. In this way clinical reasoning and its communication are intertwined and should be learned concurrently. The learning and teaching of clinical reasoning and its communication should be synergistic and integrated; contextual, meaningful and reflexive.

Thesis (MCur (Nursing Science))--University of Pretoria, 2009. / Summary in English. Includes bibliographical references.

Doctor of Philosophy (PhD) / Effective clinical reasoning and its communication are essential to health professional practice, especially in the current health care climate. Increasing litigation leading to legal requirements for comprehensive, relevant and appropriate information exchange between health professionals and patients (including their caregivers) and the drive for active consumer involvement are two key factors that underline the importance of clear communication and collaborative decision making. Health professionals are accountable for their decisions and service provision to various stakeholders, including patients, health sector managers, policy-makers and colleagues. An important aspect of this accountability is the ability to clearly articulate and justify management decisions. Considerable research across the health disciplines has investigated the nature of clinical reasoning and its relationship with knowledge and expertise. However, physiotherapy research literature to date has not specifically addressed the interaction between communication and clinical reasoning in practice, neither has it explored modes and patterns of learning that facilitate the acquisition of this complex skill. The purpose of this research was to contribute to the profession’s knowledge base a greater understanding of how experienced physiotherapists having learned to reason, then learn to communicate their clinical reasoning with patients and with novice physiotherapists. Informed by the interpretive paradigm, a hermeneutic phenomenological research study was conducted using multiple methods of data collection including observation, written reflective exercises and repeated semi-structured interviews. Data were analysed using phenomenological and hermeneutic strategies involving in-depth, iterative reading and interpretation to identify themes in the data. Twelve physiotherapists with clinical and supervisory experience were recruited from the areas of cardiopulmonary, musculoskeletal and neurological physiotherapy to participate in this study. Participants’ learning journeys were diverse, although certain factors and episodes of learning were common or similar. Participation with colleagues, peers and students, where the participants felt supported and guided in their learning, was a powerful way to learn to reason and to communicate reasoning. Experiential learning strategies, such as guidance, observation, discussion and feedback were found to be effective in enhancing learning of clinical reasoning and its communication. The cultural and environmental context created and supported by the practice community (which includes health professionals, patients and caregivers) was found to influence the participants’ learning of clinical reasoning and its communication. Participants reported various incidents that raised their awareness of their reasoning and communication abilities, such as teaching students on clinical placements, and informal discussions with peers about patients; these were linked with periods of steep learning of both abilities. Findings from this research present learning to reason and to communicate reasoning as journeys of professional socialisation that evolve through higher education and in the workplace. A key finding that supports this view is that clinical reasoning and its communication are embedded in the context of professional practice and therefore are best learned in this context of becoming, and developing as, a member of the profession. Communication of clinical reasoning was found to be both an inherent part of reasoning and an essential and complementary skill necessary for sound reasoning, that was embedded in the contextual demands of the task and situation. In this way clinical reasoning and its communication are intertwined and should be learned concurrently. The learning and teaching of clinical reasoning and its communication should be synergistic and integrated; contextual, meaningful and reflexive.

Thesis (Ph. D.)--Georgia State University, 2008. / Title from file title page. Lisa Martin-Hansen, committee chair; Geeta Verma, Christine Thomas, Mike Dias, committee members. Electronic text (122 p. ; ill.) : digital, PDF file. Description based on contents viewed August 22, 2008. Includes bibliographical references (p. 195-210).