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No description available.

After careful review of English for Specific Purposes (ESP) and English for Medical Purposes (EMP) literature, I assisted in the development of a curriculum for an ESP Certified Nursing Assistant (CNA) Preparation course. The course participants were non-native English speaking employees of Utah Valley Regional Medical Center (UVRMC), currently working in the department of housekeeping, wanting to further their employment opportunities. The ESP CNA Preparation course was 12 weeks duration, three days per week, 5:30 pm – 7:00 pm. My contribution to the curriculum was the development of teaching materials and methods and I used two guiding questions to assist in the development of the materials: • What form should effective materials take for an ESP CNA preparation course? • How effective were these materials? From all the ESP / EMP related literature that I reviewed, I found three studies (Orr, 2002; Bosher & Smallkowski, 2002; Dias, 1999) that had a strong emphasis, closely related to our curriculum, on different aspects of materials development. The literature provided a basis for the outline of materials to be developed for the ESP CNA Preparation course. An in-depth needs and situational analysis, close observation of the CNA course and ongoing Teaching English to Speakers of Other Languages (TESOL) coursework, added to the basis established from the review of literature. The CNA course gave the project team opportunities to observe what English skills a non-native English speaker (NNES) would need to participate appropriately, and with different people observing we gathered different perspectives. The materials development process reviews the types (e.g., lesson plans, activities, worksheets, audio etc) and purpose of materials developed. After two week increments of the ESP CNA Preparation course, I critically reviewed the things that I learned from the use of my materials (e.g., lesson plan format, time allocations, teaching methodology, materials that did not enhance language skills etc). My materials went through a refining process. Three things I learned from this project are: • To teach an effective ESP curriculum, an ESL and a content expert are required. • Materials developed for an ESP course come from a variety of sources. • The development of materials is a progressional process.

Over the last decade, long-term care facilities have transitioned from institutional care models that focus on person-centered care, in which the resident is the center of the care. The purpose of this study is to explore the nurse and certified nursing assistant perception of the person-centered care services they deliver. Jean Watson's theory of human caring is the theoretical framework that guided this study. The theory focusing on the human caring experiences and person-centered care is being characterized as a caring feeling. The carative factors of Watson's theory, the fundamental concept of caring, has been associated with improved outcomes for the resident and the caregiver. Using a phenomenology research design, 3 focus groups of 15 nurses and 10 certified nursing assistants (CNA), working in a long-term care facility, were asked questions to describe their perception of person-centered care. The responses from the 25 participants were stored and organized using Nvivo. The thematic analysis revealed that the nurses and CNAs perceived person-centered care to include the caring and compassionate approach taken when care is being delivered. The participants also shared that person-centered care included involving the resident in decision making through communicating openly and developing relationships. The discussions revealed that 8 carative factors influenced their understanding, with the main factor being the creative problem-solving method for decision making. The �ndings from this study have the potential to impact positive social change at the organizational level, influencing the delivery of care within long-term care settings.

Syftet med denna studie är att belysa hur upplevelsen gällande dokumentation bland personal inom hemvården ser ut. Detta gjordes genom en kvalitativ studie med sex slumpmässigt utvalda ur personalen på tre arbetsplatser inom en medelstor stad i Sverige. Den huvudsakliga faktorn som formar upplevelsen gällande dokumentationen bland personal tenderer att vara hur arbetstiden är fördelad, då ingen specifik tid till detta finns utsatt i deras schema. Detta verkar vara ett stressmoment bland personalen. Vikten av kunskap, både gällande möjligheten till att använda de redskap som finns tillgängliga inom arbetsplatsen samt tillräckliga språkkunskaper för att ordentligt kunna dokumentera har även nämnts som viktiga faktorer. Tillgängligheten av verktyg, främst datorer visade sig ha en stor inverkan på personalens upplevelser gällande tiden. En annan faktor som pekades ut var arbetsklimatet, som var påverkat av det stöd som erbjöds från personalgrupp och enhetschef vid problem gällande dokumentationen. Den sista större faktorn gällande upplevelsen av dokumentationen visade sig vara att den ger en trygghet, något som skyddar både personal och brukare. För att vidare belysa resultaten av denna studie, användes två teorier, KASAM (Känsla av sammanhang) och systemteorin. / The purpose of this study is to shed some light regarding the experiences among personnel within home care services about documentation as a work activity. This is done by a quality study with six randomly selected personnel for an interview from three workplaces within a medium sized city in Sweden. The result of this study shows a pattern among the participants in certain areas. The primary factor that shapes the experience regarding documentation among personnel tend to be how the working time is distributed, since no specific time set aside for documentation only in the schedule. This tends to be a stress factor amongst the personnel. The importance of knowledge, both regarding the ability to use the tools available within the workplace and the language skill needed to properly document has been mentioned as important factors. The accessibility of tools, primary computers has a major impact on the experience of time amongst the personnel. Another factor that was pointed out was the working climate, which was affected by the support offered by both other personnel and head of unit should problems regarding documentation arise. And lastly a major factor regarding the experience about documentation turned out to be the safety it gives regarding the rule of law, which protected both the personnel and patients. To further shed light regarding the results of this study, two theories were applied, “sense of coherence” and systems theory.