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This study conducted at the University of Central Florida was completed to inform the Ed. D. in Education program within the College of Education and Human Performance. The main purpose of the study was to determine the Dissertation in Practice (DiP) project types that should be allowed for use as the capstone requirement based on a needs analysis of K-12 schools and school districts. The secondary purpose was to inform the instructional design of the program to ensure the necessary skills and knowledge required are included in the program. The study was conducted in the University of Central Florida's Ed. D. in Education program and employed a qualitative approach to a needs analysis. Interviews were conducted with two distinctly different participant groups. The first group was comprised of administrators and teacher-leaders identified by a superintendent of a rural school district in Central Florida as "highly effective". The second group of participants was comprised of current Ed. D. students working in K-12 education with more than 10 years' experience. This research identified specific project types that best support school improvement and should therefore be integrated into the Ed. D. in Education program as allowable project types for use as the Dissertation in Practice. The results also identified qualities of highly effective administrators and teacher-leaders that may be considered by program faculty for inclusion in the design and implementation of the curriculum for the Ed. D. in Education program. Implications of this research include using the results to inform instructional practices and the allowable DiP projects for the Ed. D. in Education program. As this study was a needs analysis that serves as a basis for program instructional decisions, the results of this study may inform other Carnegie Project on the Education Doctorate (CPED) member institutions how to modify or enhance their programs as well. The focus on this study was exclusively on K-12 education. However many students enrolled in the program work in business, government, or non-profit settings. This research could be replicated to determine improvement project types that are commonly implemented in those settings in order to better meet the needs of all students enrolled in the Ed. D. in Education program.

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<p><strong>Abstract</strong></p> <p>Health care practice environments are central to the safety and quality of patient care. Hospitals often develop and implement a professional practice model (PPM) to improve practice environments. In the United States, magnet hospital designation is a driving force in PPM implementation. In Ontario, Canada, despite the lack of magnet hospital designation, many hospitals have implemented PPMs. There appear to be differences in how PPMs are implemented in Ontario.</p> <p>This phenomenographic study examined professional practice experts’ conceptions of PPM implementation and use in Ontario acute care hospitals. The findings indicate that PPM implementation is a dynamic and emergent phenomenon that occurs in cyclical phases of growth and reduced activity.</p> <p>Seven categories of PPM use are described (a) creating alignment/consistency, (b) supporting evidence-based practice, (c) enabling interprofessional practice, (d) enhancing professional accountability, (e) enabling patient-centred care, (f) creating/ strengthening linkages, and (g) strategic positioning of professional practice. Categories exhibited hierarchical relationships, with more foundational uses providing support for higher level uses.</p> <p>Three structural themes are identified (a) model design/structure, (b) professional practice leadership, and (c) organizational support. These themes work individually and synergistically, within and across the categories to influence use and potential impact of the PPM. Progressively fuller and more complex use of the PPM appears to occur under increasingly intense influence of the structural themes.</p> <p>The analysis provides unique information about relationships within and among categories of PPM use. This provides insight regarding how organizations might maximize return on investment with PPM implementation. Seven recommendations are identified.</p> / Master of Science (MSc)

Participants from earlier nationwide studies on predictors of internship match were contacted 7-10 years after obtaining their doctoral degree to gather additional data concerning their attained early career competencies and benchmarks (e.g., scores on the national licensing exam). In this sample (N = 190), licensure exam scores were significantly positively associated with scores obtained on the Graduate Record Examination (GRE), family of origin socioeconomic status, and student debt load. However, obtained licensure scores were not found to be significantly associated with any pre-doctoral training variables (e.g., intervention/ assessment hours, number of integrated reports, number of publications, rank order of matched internship site) or most post-doctoral early career activities. Weak positive associations between licensures scores and engaging in teaching / supervision / consultation services were observed. Few self-reported early career competencies were found to be weakly positively associated with scores on the national licensing exam (i.e., integrity, seeking supervision, scientific mindedness, evidence-based practice). Significantly inverse associations were found between national licensing exam scores and self-reported competencies in the areas of management and systems change. Findings are discussed and implications for the national licensing exam considered.

No / Recent initiatives to modernise the National Health Service describe how improving pay structures and staff working lives can be achieved in the form of advanced practitioner and consultant posts. Role development in Radiography represents a fundamental change to professional practice of radiographers and is subject to the provisions of the statutory and professional codes of conduct which govern such practice. In Diagnostic Radiography the response to Government initiatives has led to a change in practice so that radiographers in these new posts provide reports for a variety of imaging modalities. At the same time as there have been changes in the practice of Radiography, the discipline of evidence-based medicine has emerged. Changes in clinical practice should be underpinned by evidence from research. The purpose of this paper is to discuss the methodological approaches used to conduct research that evaluates one of the most salient areas of development in Radiography practice, that is the role of radiographers as advanced or consultant practitioners when interpreting plain radiographs. We begin by discussing what an evaluation is and two broad approaches for conducting health services research, and then appraise the evidence about radiographer reporting in the context of these methods of evaluation. We then suggest future considerations about the methodological approaches to evaluating radiographer reporting practice and identify where there are evidence gaps and the need for further research to inform evidence-based Radiography.

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-04-24T12:28:15Z No. of bitstreams: 1 Lourdes Passaura.pdf: 2380355 bytes, checksum: c0e1601f00db5df8d9f1a458c0ab81f8 (MD5) / Made available in DSpace on 2018-04-24T12:28:15Z (GMT). No. of bitstreams: 1 Lourdes Passaura.pdf: 2380355 bytes, checksum: c0e1601f00db5df8d9f1a458c0ab81f8 (MD5) Previous issue date: 2018-03-14 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / The purpose of this thesis is the work with families carried out from daily actions of social workers and psychologists in units of the Social Assistance Reference Center (CRAS). Its objectives are the study and analysis of the relation of theory in the movement of approximation of this work; dialogue on the contributions and difficulties of these professionals; the view of interdisciplinarity in the interface between Social Work and Psychology, including divergences and results. The methodology included theoretical studies and qualitative, descriptive and analytical research, based on the theoretical-methodological framework of historical-dialectical materialism. The technique used was that of the focal group, which had as one of the criteria the choice of people who share the same place of work; the reports / experiences; the necessities; the values; meanings; challenges; and elements of the chosen theme. The study included the participation of four psychologists and six social workers, professionals from three different CRAS units from Lins/SP city. The participatory methodology, through the collection of information obtained from the respondents, aimed to know and analyze social work with families in the daily life of social workers and psychologists in CRAS units; to redeem the conceptions, meanings, perspectives, divergences, conclusions and challenges identified in the intervention. The results point to the need to overcome the family tendency in inclusion in social policy. In this sense, it is considered necessary the exercise of a preventive social policy and of investment, that promote the right to the familiar coexistence, aspect pointed out by the members of the research, for improvements in relation to the effective vigilance; interdisciplinary teamwork (networking); the systematic, organized, continuous and joint attendance to the families, considering the diagnosis of the territory; the training and updating that promote professional clarity and autonomy, with the guarantee of sufficient technical staff. The final considerations include the challenges and the need to strengthen the coexistence services, as a priority, the home service for the elderly; the achievement of established goals by the social policy, a clear guideline in the methodological procedure within the services for the management work in the CRAS units; and conceptual innovations about family and social policy / O objeto desta tese é o trabalho com famílias realizado a partir de ações cotidianas dos profissionais assistentes sociais e psicólogos em unidades do Centro de Referência de Assistência Social (Cras). Tem como objetivos: o estudo e a análise da relação da teoria no movimento de aproximação desse trabalho; o diálogo sobre as contribuições e dificuldades desses profissionais; a visão da interdisciplinaridade na interface entre Serviço Social e Psicologia, incluindo as divergências e os resultados. A metodologia compreendeu estudos teóricos e pesquisa qualitativa, descritiva e analítica, a partir do referencial teórico-metodológico do materialismo histórico-dialético. A técnica utilizada foi a do grupo focal, que teve como um dos critérios a escolha de pessoas que compartilham do mesmo local de trabalho; os relatos/experiências; as necessidades; os valores; significados; desafios; e elementos da temática escolhida. O estudo incluiu a participação de quatro psicólogas e seis assistentes sociais, profissionais de três unidades do Cras do Município de Lins/SP. A metodologia participativa, mediante coleta das informações obtidas dos pesquisados, objetivou conhecer e analisar o trabalho social com famílias no cotidiano dos assistentes sociais e psicólogos em unidades do Cras; resgatar as concepções, os significados, as perspectivas, divergências, a conclusão e os desafios constatados na intervenção. Os resultados apontam para a necessidade de superação da tendência familista na inclusão na política social. Nesse sentido, julga-se necessário o exercício de uma política social preventiva e de investimento, que promova o direito à convivência familiar, aspecto assinalado pelos membros da pesquisa, para melhorias em relação à vigilância efetiva; o trabalho interdisciplinar em equipe (trabalho em rede); o atendimento sistemático, organizado, contínuo e conjunto às famílias, considerando o diagnóstico do território; a capacitação e atualização que promovam a clareza e autonomia profissional, com a garantia de suficiente equipe técnica. As considerações finais compreendem os desafios e a necessidade de fortalecimento dos serviços de convivência, prioritariamente, o serviço domiciliar ao idoso; o alcance das metas estabelecidas pela política social, diretriz clara no procedimento metodológico dentro dos serviços para o trabalho de gestão nas unidades do Cras; e inovações conceituais sobre família e política social

This study addresses how political and professional claims directed at teachers change, and in many ways challenge teachers’ professional autonomy, as well as affect preconditions for meaning-making in pedagogic practices. Focus is placed on political steering and its implications for teacher education and teachers’ work in schools. Professional tensions between claims for system-oriented success de-fined as goal achievement versus a communicative understanding are analysed within a conceptual framework of steering and meaning. Based on official educational policy documents as well as teachers’ development projects the analysis revolves around issues concerning core competencies in teacher education and professionalisation processes. The empirical material comprises the Swedish 2001-teacher education reform and the Swedish National Higher Education Agency’s criticism of that part of teacher education which is obligatory for all teacher students (AUO). Moreover, grounds for educational policy that lead to the introduction of individual development plans (IUP) in school are analysed. Additionally, comments on circulated proposals submitted by universities and teacher organisations in connection with Bologna and the IUP-reforms are subject to analysis. In terms of methodology, the study primarily draws upon theories of communicative action, critical discourse analysis and theories of the professions. The results indicate that emphasis in educational policy is placed on the clarification of goals, progression and assessment practices in schools and teacher edu-cation. Thus teachers and teacher educators need to address functional steering claims which demand commitment and loyalty for political reforms. This entails that teachers’ professional autonomy is restricted. Teachers are encouraged to take difficult decisions and act strategically in order to maximise the pedagogic outcome based on economic and political claims for excellence, collaboration, and a clear-cut steering direction. Professionalism now appears to connote quality control by way of more specified formulations and assessments towards learning outcomes. Political rhetoric stipulates as essential that teachers determine knowledge progression and boundaries between the various exam and knowledge levels. Teachers are also to expound internal documentation in order to fulfil system-related claims. The study illustrates how conditions and preconditions emanate from shared profes-sional considerations, competencies and convictions, and that teachers need to be able to discuss these. However, this is challenged by a continuously increasing management by documents. In light of recentralised steering, claims are directed at teachers who are now to create transparency, quantifiable criteria for assessment and employability. Based on the teachers’ development projects, the results indicate that teachers are critical of how the education system is subjected to increasing pressure due to a stream of reforms and evaluations. Politicisation and economisation of education underscore a need for pragmatic and strategic actions within the profession. In contrast to experiences of political lack of vision, impellent user orientation and marketisation, universities and teachers claim that critical communicative-oriented pedagogy boost professional autonomy. Moreover, the study indicates that teachers’ positions and professional identities vary depending on the perceived validity of the political claims. Claims for objectivity, simplification, clarity and functional criteria for assessment are countered by claims for in-depth meaning-making and consideration of the complexity and knowledge instability that is constitutive of pedagogic practices. Ultimately, this study illustrates a professional shift within the teacher body towards notions of objectivity and individualisation, thereby threatening teachers’ critical discussions of their organisation and work.

O sofrimento moral é descrito na literatura como o sentimento resultante do impedimento à uma ação considerada moralmente apropriada, devido, sobretudo, a obstáculos institucionais, como a falta de recursos e a carga de trabalho. As consequências envolvem sintomas físicos, como mal estar, choro e desordens do sono e sintomas psicológicos, como frustração, impotência e culpa, além de implicações organizacionais, principalmente relacionadas com afastamentos e abandono do emprego. Considerando que o contexto de trabalho pode influenciar na vivência de situações moralmente problemáticas, o objetivo do estudo foi analisar o fenômeno do sofrimento moral em enfermeiros no Brasil e em Portugal. Trata-se de uma pesquisa metodológica para desenvolvimento, busca de evidências de validade e refinamento de um instrumento de pesquisa. A investigação partiu da análise de 38 estudos da literatura para construção de uma escala para identificação de fatores de risco para sofrimento moral. A busca por evidências de validade incluiu uma análise de juízes, para validação de conteúdo, e uma análise fatorial exploratória, para validação de constructo, com uma amostra de 268 enfermeiros brasileiros e 278 enfermeiros portugueses. O resultado foi uma escala com evidência de validade para ambos os países, com Alpha de Cronbach de 0,913 e 0,790, teste de Kaiser-Meyer Olkin de 0,869 e 0,914 e índice de Bartlett significativo (p <0,001) para Brasil e Portugal, respectivamente. Cerca de 59,8% da variância é explicada por 30 itens, divididos em sete fatores, na versão brasileira, e cerca de 53,9% da variância é explicada por 20 itens, divididos em 4 fatores, na versão portuguesa. A vivência de fatores de risco para sofrimento moral foi considerada moderada no Brasil e baixa em Portugal. As variáveis que mostraram associação significativa com maiores médias totais de risco nos dois países foram o tipo de serviço, as horas de trabalho, estar em sofrimento moral e ter a intenção de deixar o emprego atual. Pesquisas no âmbito do sofrimento moral podem, entre outros aspectos, auxiliar na identificação dos desafios e das dificuldades que mais preocupam os enfermeiros em seu contexto de trabalho. No intuito de contribuir no desenvolvimento de estratégias de enfrentamento e melhorar a retenção e a satisfação profissional, pesquisas acerca do sofrimento moral podem refletir positivamente na qualidade dos cuidados. / Moral distress is described as the feeling resulting from the impediment to an action considered morally appropriate, mainly due to institutional obstacles such as the lack of resources and the high workload. Main consequences are physical symptoms, such as malaise, crying and sleep disorders and psychological symptoms, such as frustration, impotence and guilt, as well as organizational implications, mainly related to withdrawal and abandonment of employment. Considering that the work context may influence the experience of morally problematic situations, the objective of these study was to analyze the phenomenon of moral distress among nurses in Brazil and in Portugal. It is a methodological research for development, searching for evidence of validity and refinement of a research instrument. The research started with the analysis of 38 studies for the construction of a scale to identify risk factors for moral distress. The search for evidence of validity included an analysis of judges, for content validation, and an exploratory factorial analysis, for construct validation, with a sample of 268 Brazilian nurses and 278 Portuguese nurses. The result was a scale with evidence of validity, Cronbachs Alpha of 0,913 and 0,790, Kaiser-Meyer Olkin test of 0,869 and 0,914 and a significant Bartlett (p <0,001). About 59,8% of the variance was explained by 30 items, divided into seven factors in the Brazilian version, and about 53,9% of the variance was explained by 20 items, divided into four factors in the Portuguese version. The experience of risk factors for moral distress was considered moderate in Brazil and low in Portugal. The variables that showed a significant association with the highest risk for moral distress in both countries were the type of work context, the hours of work, being in moral distress and having the intention to leave the current job. Research in the field of moral distress can, among other things, help in identifying the challenges and difficulties that most concern nurses in their work context. In order to contribute to the development of coping strategies and to improve professional retention and satisfaction, researches about moral distress may positively reflect on the quality of care.