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Performance feedback has long been a popular strategy for organizational change (Fairbank & Prue, 1981). One of the primary advantages of performance feedback interventions is the relatively low cost of implementation for organizations when compared to other productivity-enhancement techniques, such as monetary incentives (Yukl, Wexley, & Seymore, 1972) like pay for performance (Lazear, 1995) or employee of the month programs with rewards associated with them (Daniels, 2000). Performance feedback is beneficial to ensure that employees are knowledgeable of the expectations, and what aspects of job performance need to be improved. Three studies (i.e., Betchel, McGee, Huitema, & Dickinson (2015); Alajadeff Abergel, Peterson, Wiskirchen, Hagen & Cole (2017) and Wine et. al. (2019)) have published research evaluating feedback presented prior to completion of a task; however, results varied. The current study evaluated whether feedback presented prior to a performance event improves performance when compared to a baseline condition where no feedback was presented. / Applied Behavioral Analysis

Introduction: Alternate Level of Care (ALC) patients are those who are kept hospitalized although they are medically well enough to be discharged. Those patients wait in acute care because they cannot access an appropriate alternative level of care outside the hospital. ALC leads to the improper consumption of valuable resources that are needed for patients waiting in other departments such as emergency rooms. This reflects poor quality outcomes of the healthcare system and represents a significant economic burden. Moreover, particularly when it concerns older adults, longer stay in hospital results in worsening their health outcomes, declining their functional status and increasing their needs for long-term care. Therefore, ALC is costly from both patient and health care system perspective. Objectives: The main objective of this study was to assess the impact of the Home First strategy on the incidence of ALC. Moreover, the study addressed both the specialized clinical needs (such as dialysis, chemotherapy and mechanical ventilation) and socioeconomic status of ALC patients in order to unveil their association with the ALC length of stay. Methods: This study involved a secondary analysis of data from the Institute for Clinical Evaluation (ICES). The analyzed dataset included a cohort of 6,059,033 hospitalization records of Ontario citizens, aged 65 years and older, who were admitted to an acute care facility between April 2004 and March 2017. The study involved descriptive analytics grouping the dataset into ALC and non-ALC subsets and examined the percentage of ALC hospitalizations, ALC days and reported odds ratios across several patients' characteristics. Results: From 2004 until 2016, ALC patients waited to access an appropriate destination for 10.7 million days. Those numbers represented 19.7% of all hospitalization days across Ontario. ALC was more likely among seniors aged 75-84 (OR 1.36, 95% CI 1.35-1.36), aged 85-94 (OR 2.16, 95% CI 2.15-2.17), aged 95+ (OR 2.46, 95% CI 2.40-2.50), females (OR 1.37, 95% CI 1.35-1.36), those who were hospitalized 90 days prior to their current admission (OR 1.22, 95% CI 1.21-1.22), and those who were admitted to hospital through Emergency Department (OR 2.64, 95% CI 2.62-2.67). Moreover, ALC was 10 times more likely in the subgroup of patients who were discharged to long-term care (LTC) (OR 9.71, 95% CI 9.66-9.77). For the socioeconomic characteristics, this study showed that patients were more likely to have ALC days when they lived in urban areas, had a lower income, and were highly unstable and dependent. Furthermore, patients with special clinical needs spent from 10% to 25% of their total hospitalization length of stay waiting to be discharged to an appropriated alternative level of care. Finally, the study revealed that although the implementation of a Home First strategy resulted in a 26% reduction of ALC hospitalizations and a 13% decrease in ALC days, the percent of patients discharged to LTC did not change. For the subgroup having the highest percentage of ALC hospitalizations (53.4%) and ALC days (40.3%), this reflects a partial failure of the Home First strategy in achieving its main objective of facilitating the discharge of patients to their homes. Conclusions: Policy makers and health care practitioners may benefit from the findings of this study by considering the needs of the ALC patients while planning, allocating resources, and developing polices for discharge, LTC and community care. However, more work is required to quantify the impact of the ALC determinants suggested in this study and assess the efficiency of the current policies and procedures. Introduction: Alternate Level of Care (ALC) patients are those who are kept hospitalized although they are medically well enough to be discharged. Those patients wait in acute care because they cannot access an appropriate alternative level of care outside the hospital. ALC leads to the improper consumption of valuable resources that are needed for patients waiting in other departments such as emergency rooms. This reflects poor quality outcomes of the healthcare system and represents a significant economic burden. Moreover, particularly when it concerns older adults, longer stay in hospital results in worsening their health outcomes, declining their functional status and increasing their needs for long-term care. Therefore, ALC is costly from both patient and health care system perspective. Objectives: The main objective of this study was to assess the impact of the Home First strategy on the incidence of ALC. Moreover, the study addressed both the specialized clinical needs (such as dialysis, chemotherapy and mechanical ventilation) and socioeconomic status of ALC patients in order to unveil their association with the ALC length of stay. Methods: This study involved a secondary analysis of data from the Institute for Clinical Evaluation (ICES). The analyzed dataset included a cohort of 6,059,033 hospitalization records of Ontario citizens, aged 65 years and older, who were admitted to an acute care facility between April 2004 and March 2017. The study involved descriptive analytics grouping the dataset into ALC and non-ALC subsets and examined the percentage of ALC hospitalizations, ALC days and reported odds ratios across several patients' characteristics. Results: From 2004 until 2016, ALC patients waited to access an appropriate destination for 10.7 million days. Those numbers represented 19.7% of all hospitalization days across Ontario. ALC was more likely among seniors aged 75-84 (OR 1.36, 95% CI 1.35-1.36), aged 85-94 (OR 2.16, 95% CI 2.15-2.17), aged 95+ (OR 2.46, 95% CI 2.40-2.50), females (OR 1.37, 95% CI 1.35-1.36), those who were hospitalized 90 days prior to their current admission (OR 1.22, 95% CI 1.21-1.22), and those who were admitted to hospital through Emergency Department (OR 2.64, 95% CI 2.62-2.67). Moreover, ALC was 10 times more likely in the subgroup of patients who were discharged to long-term care (LTC) (OR 9.71, 95% CI 9.66-9.77). For the socioeconomic characteristics, this study showed that patients were more likely to have ALC days when they lived in urban areas, had a lower income, and were highly unstable and dependent. Furthermore, patients with special clinical needs spent from 10% to 25% of their total hospitalization length of stay waiting to be discharged to an appropriated alternative level of care. Finally, the study revealed that although the implementation of a Home First strategy resulted in a 26% reduction of ALC hospitalizations and a 13% decrease in ALC days, the percent of patients discharged to LTC did not change. For the subgroup having the highest percentage of ALC hospitalizations (53.4%) and ALC days (40.3%), this reflects a partial failure of the Home First strategy in achieving its main objective of facilitating the discharge of patients to their homes. Conclusions: Policy makers and health care practitioners may benefit from the findings of this study by considering the needs of the ALC patients while planning, allocating resources, and developing polices for discharge, LTC and community care. However, more work is required to quantify the impact of the ALC determinants suggested in this study and assess the efficiency of the current policies and procedures. / Thesis / Master of Science (MSc)

Competition among individuals over shared resources reveals asymmetries in quality resulting in the formation of dominance hierarchies. These hierarchies act as a mechanism for social selection by partitioning resources among group-living animals. The following chapters describe my dissertation research which investigates the factors contributing to competitive asymmetries among broodmates as well as the short- and long-term consequences of the early social environment for the cooperatively breeding red-cockaded woodpecker (Picoides borealis). My research revealed that fledgling red-cockaded woodpeckers form male-biased, linear dominance hierarchies. Among fledgling males,, high relative nestling condition strongly predicted fledgling dominance, and this condition–rank relationship persisted through independence. Male nestlings are slightly larger and heavier than females; however, the sexual size dimorphism in mass is only present in mixed-sex broods, suggesting that the subtle structural size advantage gives males a competitive advantage over their sisters. Conflict rates among siblings increased with decreasing targeted feeding rates, and dominant fledglings were able to secure more food from provisioning adults through scramble competition. First-year survival favored males over females and dominant males over subordinates. Females were more dispersive overall than males, and subordinate males were more likely to disperse than dominants. The social environment prior to fledging influenced male dispersal decisions and subordinates delayed dispersal in the spring in situations where all dominants died over the winter. The probability of delayed dispersal in females was higher for females raised without brood-mates in one of two populations included in a long-term demographic data analysis. The availability of breeding vacancies may explain the differences in female dispersal behavior according to social environment between these populations. This research contributes to a greater understanding of the relative contribution of intrinsic benefits versus extrinsic constraints as an influence on delayed dispersal decisions in red-cockaded woodpeckers. Inter- and intra-sexual social rank is correlated with individual access to natal food resources and the probability of first-year survival. The intrabrood variation in dispersal strategies driven by social rank is sufficient to regularly produce both dispersal strategies among males and provides additional support that delaying natal dispersal is the preferred strategy for males in this system. / Ph. D.

Yes / Over the past few decades the number of women having their first babies over the age of 35 in the United Kingdom (UK) has increased. Women’s timing of motherhood is invariably bound up with a discourse of ‘choice’ and in this paper we consider the role choice plays in the timing of motherhood among women who have been defined as ‘older’ mothers. This article is based on data from 11 semi-structured interviews that explored the transition to motherhood among ‘older’ middle-class mothers. The interviews were analysed using critical discursive psychology. The women drew upon two dominant repertoires when making sense of their timing of motherhood. Within the first repertoire, ‘older motherhood as circumstance’, older motherhood was presented as the outcome of life circumstances beyond their control, with a lack of the ‘right’ circumstances facilitating ‘delayed’ motherhood. Within the second repertoire, ‘older motherhood as readiness’, women constructed themselves as (now) prepared for motherhood. ‘Readiness’ was bound up with notions of self-fulfillment, yet also assessments of their ability to be ‘good’ mothers. We conclude that, far from a straightforward choice, the timing of motherhood is shaped by cultural definitions of the ‘right’ circumstances for parenthood, but also cultural definitions of ‘good’ motherhood, which may define when women are ‘ready’.

Cranes are increasingly used in transportation and construction. increasing demand and faster requirements necessitate better and more efficient controllers to guarantee fast turn-around time and to meet safety requirements. Container cranes are used extensively in ship-to-port and port-to-ship transfer operations. In this work, we will extend the recently developed delayed position feedback controller to container cranes. In contrast with traditional work, which models a crane as a simple pendulum consisting of a hoisting cable and a lumped mass at its end, we have modeled the crane as a four-bar mechanism. The actual configuration of the hoisting mechanism is significantly different from a simple pendulum. It consists typically of a set of four hoisting cables attached to four different points on the trolley and to four points on a spreader bar. The spreader bar is used to lift the containers. Therefore, the dynamics of hoisting assemblies of large container cranes are different from that of a simple pendulum. We found that a controller which treats the system as a four-bar mechanism has an improved response. We developed a controller to meet the following requirements: traverse an 80-ton payload 50 m in 21.5 s, including raising the payload 15 m at the beginning and lowering the payload 15 m at the end of motion, while reducing the sway to 50 mm within 5.0 s at the end of the transfer maneuver. The performance of the controller has been demonstrated theoretically using numerical simulation. Moreover, the performance of the controller has been demonstrated experimentally using a 1/10th scale model. For the 1/10th scale model, the requirements translate into: traverse an 80 kg payload 5 m in 6.8 s, including raising 1.5 m at the beginning and lowering 1.5 m at the end of motion, while reducing the sway to 5 mm in under 1.6 s. The experiments validated the controller. / Master of Science

No / It is now recognised that psychosocial factors – anxiety and depression, social isolation, low economic status and pain, for example – are associated with delayed healing of wounds. However, little research has been undertaken to examine how these factors may not only be a consequence of delayed healing, but may also play an important role in delaying healing. It is suggested that an evaluation of a patient’s psychosocial status should therefore be included as part of a general wound assessment.

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