Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

The master's thesis is about the using of PowerPoint presentations in music teaching from the viewpoint of the teacher at lower secondary schools in the Czech Republic. The theoretical part deals with implementation of ICT into schools, the importance and usage of interdisciplinary relations in tuition using ICT and about visualization as one of the successful modern trends in pedagogy linked with new technologies. In the practical part are examples of PowerPoint presentations made on the basis of curriculum selected from class-books for secondary school with proposals for practical use in music class. As a part of this thesis is the DVD with the created PowerPoint presentations. Key words: PowerPoint, presentation, ICT, visualisation, music class, interdisciplinary communication

Estudo quase experimental, com grupo de intervenção avaliado antes e após o procedimento, com o objetivo de capacitar os profissionais da saúde para as situações de comunicação de más notícias aos pacientes e aos seus familiares, por meio de um curso de difusão gratuito, com duração de cinco horas. Participaram 79 profissionais da saúde, entre enfermeiros, estudantes de enfermagem, biólogos, farmacêuticos, estudantes de medicina, psicólogos, assistentes sociais e terapeutas ocupacionais. Foram utilizados como instrumentos de pesquisas: 1) o questionário Breaking Bad News sobre o protocolo SPIKES, que possui 13 questões objetivas. Este questionário foi analisado pela distribuição da porcentagem de respostas para cada questão; 2) o questionário de avaliação do curso de más notícias composto por 43 questões objetivas. Para a análise das variáveis quantitativas foram utilizadas as médias e as medianas para resumir as informações, e os desvios-padrão, mínimo e máximo, para indicar a variabilidade dos dados, além da porcentagem. A comparação entre as pontuações dos participantes na primeira e na segunda avaliação de habilidades de comunicação foi realizada pelo teste estatístico de McNemar. O teste estatístico não paramétrico Mann-Whitney foi utilizado para comparar a relação entre a idade dos participantes e as respostas do questionário de avaliação do curso de más notícias. A comparação entre a idade e a pontuação total dos participantes na avaliação de conteúdo do curso foi feita pelo coeficiente de correlação de Spearman. Para todos os testes assumiu-se o nível de significância em 5%. A idade dos participantes variou entre 18 e 55 anos, sendo a maioria do sexo feminino (83,5%) e da área da enfermagem (53,2% profissionais e 24,1% estudantes). Ademais, 57% dos participantes nunca tiveram qualquer formação sobre transmissão de más notícias, porém mesmo após este curso, oito pessoas continuaram afirmando que não tiveram formação alguma. A autoavaliação da capacidade de informar uma má notícia no pré-teste foi considerada boa por 18,2%; 20,8% consideraram-se ruins e 6,5%, péssimos, enquanto que o pós-teste 42,8% consideraram-se bons, 11,7%, ruins e 2,6%, péssimos. O conforto do profissional neste momento variou de 21,8% para 7,7% no item absolutamente desconfortável, e de 6,4% para 14,1% no item confortável. Após o conhecimento sobre o protocolo SPIKES, 92,3% acreditam em sua aplicabilidade na prática clínica.Quanto à estratégia utilizada pelos entrevistados em sua prática clínica, o item mostrou que \"um plano ou estratégia consistente\" apresentou frequências de 21,9% no pré-teste e 51,56% no pós-teste. Os elementos do protocolo SPIKES apontados como de maiores facilidades entre os participantes no pré-teste foi o local da notícia e a verificação da compreensão de tudo o que foi dito, 30,6% e 28,6%, ao passo que no pós-teste o item mais escolhido foi a escolha do ambiente (53,06%). A relação entre idade e conhecimento do protocolo SPIKES teve apenas um item que apresentou significância. Concluiu-se, portanto, que o treinamento de habilidades de comunicação de más notícias atingiu seus objetivos melhorando o conhecimento e a aptidão dos profissionais da saúde. Evidenciou-se também que a educação em comunicação na área da saúde mantém-se falha, bem como é escassa a difusão de protocolos que abarquem esta difícil tarefa destinada aos profissionais da saúde. O pós-teste mostrar-se-ia mais eficaz caso fosse aplicado após o retorno dos profissionais aos seus pacientes e o uso das técnicas apreendidas. Sugerimos a adoção de educação permanente aos atuantes na área da saúde / A quasi-experimental study with an intervention group evaluated before and after the procedure, in order to enable health professionals to communicate bad news to patients and their families through a free course of five hours duration. We evaluated 79 health professionals, including nurses, nursing students, biologists, pharmacists, medical students, psychologists, social workers and occupational therapists. The following research tools were used: 1) the Breaking Bad News questionnaire about the SPIKES protocol, which has 13 objective questions. This questionnaire was analyzed by the distribution of the percentage of answers for each question; 2) the evaluation questionnaire of the course of bad news composed by 43 objective questions. For the quantitative analysis we used the means and the medians to summarize the information, and the standard deviations, minimum and maximum to indicate the variability of the data, besides the percentage. The comparison between the scores of participants in the first and second evaluation of communication skills was performed by the McNemar statistical test. The Mann-Whitney non-parametric statistical test was used to compare the relationship between the age of the participants and the responses of the evaluation questionnaire of the course of bad news. The comparison between the age and the total score of the participants in the evaluation of course content was made by the Spearman correlation coefficient. For all tests, the level of significance was set at 5%. The participants\' ages ranged from 18 to 55 years old, with most females (83.5%) and nursing (53.2% professionals and 24.1% students). In addition, 57% of the participants never had any training on the transmission of bad news, but even after this course, eight people continued to claim that they had no training. The self-reported ability to report bad news in the pre-test was considered good by 18.2%; 20.8% were considered bad and 6.5% were poor, while the post-test 42.8% were considered good, 11.7%, bad and 2.6% Lousy. The comfort of the professional at the time ranged from 21.8% to 7.7% on the uncomfortable item and from 6.4% to 14.1% on the comfortable item. After knowing about the SPIKES protocol, 92.3% believe in its applicability in clinical practice. Regarding the strategy used by the interviewees in their clinical practice, the item showed that \"a consistent plan or strategy\" presented frequencies of 21.9% in the pre-test and 51.56% in the post-test. The elements of the SPIKES protocol identified as greatest facilities among participants in the pre-test were the news site and the verification of the understanding of all that was said 30.6% and 28.6%, while in the post-test the most chosen item was the choice of the environment (53.06%). The relationship between age and knowledge of the SPIKES protocol had only one item that presented significance. It was concluded, therefore, that communication education in the health area remains flawed, as well as the dissemination of protocols that cover this difficult task for health professionals. The post-test would be more effective if it were applied after the return of the professionals to their patients and the use of the seized techniques. We suggest the adoption of permanent education to those in the health area

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-04-02T12:29:03Z No. of bitstreams: 1 Carla Rosati Colepicolo.pdf: 1033427 bytes, checksum: d8492a54ef28de7fd281005b92d3bc9b (MD5) / Made available in DSpace on 2018-04-02T12:29:03Z (GMT). No. of bitstreams: 1 Carla Rosati Colepicolo.pdf: 1033427 bytes, checksum: d8492a54ef28de7fd281005b92d3bc9b (MD5) Previous issue date: 2018-02-26 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Fundação São Paulo - FUNDASP / Introduction: The development of voice research has shown common interests in some areas of knowledge. Singing teachers and speech therapists have approached their knowledges and a joint work can provide a growth for all professionals involved with the singing voice. Objective: to analyze the joint performance of singing teachers and speech therapists in working with singers. Method: intentional sample with five singing teachers and five recognized speech therapists working with the voice of singers. These answered five semi-directed questions that were audio-taped and transcribed. The material was analyzed and categorized. Results: according to the audiologists interviewed, it is up to them to understand the context of the singer; diagnose and carry out actions of prevention and rehabilitation of the voice; work with the physiology and vocal structure. The singing teachers said that the role of speech therapist is to work with health and voice alteration. The vocal orientation was pointed out by the two groups of professionals. According to the singing teachers, their role is to detect the vocal alteration and refer to the other specialist. For speech therapists, only the singing teacher should do the vocal classification and tuning. Expressiveness, musicality, technique, choice of repertoire, style and vocal aesthetics were items indicated by both professionals to explain the role of the singing teacher. The role of adjusting the vocal structure in order to meet the demand was a response considered as the role of speech therapists and singing teachers. The performance among professionals is understood and can happen: independently or complementary and associated or still, with interaction, communication and continuity in the work with singers. Some aspects were mentioned that intercept the relations between these specialists in the performance with related singers: to the vocal well-being; to the context lived by the singers; the roles of professionals; the terminology used; the relevance of the specialty in the singing voice and the counterpoint between science versus art. Conclusion: singing teachers and speech therapists establish different and unique working relationships with singers, characterized by contact, exchanges of knowledge, referrals, support, recognition, joint action and interdisciplinary action. Both vocal teachers and speech therapists say they need to work together because they understand that the other professional can develop the vocal aspect or adjust the vocal apparatus of the singers identified in their evaluation with more precision, more effectiveness or more specificity / Introdução: o desenvolvimento da pesquisa em voz cantada tem mostrado interesses comuns por parte de algumas áreas do conhecimento. Professores de canto e fonoaudiólogos têm aproximado seus saberes e um trabalho conjunto pode proporcionar um crescimento para todos os profissionais envolvidos com a voz cantada. Objetivo: analisar a atuação conjunta de professores de canto e fonoaudiólogos no trabalho com cantores. Método: amostra intencional com cinco professores de canto e cinco fonoaudiólogos reconhecidos no trabalho com a voz de cantores. Esses responderam a cinco perguntas semi-dirigidas que foram áudio-gravadas e transcritas. O material foi analisado e categorizado. Resultados: de acordo com os fonoaudiólogos entrevistados, cabe a eles entender o contexto do cantor; diagnosticar e realizar ações de prevenção e reabilitação da voz; trabalhar com a fisiologia e estrutura vocal. Os professores de canto falaram que o papel do fonoaudiólogo é trabalhar com a saúde e alteração vocal. A orientação vocal foi apontada pelos dois grupos de profissionais. Segundo os professores de canto, o papel dos mesmos é de detectar a alteração vocal e encaminhar ao outro especialista. Para os fonoaudiólogos, somente o professor de canto deve fazer a classificação vocal e afinação. A expressividade, musicalidade, técnica, escolha do repertório, o estilo e estética vocal foram itens indicados por ambos os profissionais para explicar o papel do professor de canto. O papel de ajustar a estrutura vocal a fim de atender a demanda foi uma resposta considerada como papel de fonoaudiólogos e professores de canto. A atuação entre os profissionais é entendida e pode acontecer: de forma independente ou complementar e associada ou ainda, com interação, comunicação e continuidade no trabalho com cantores. Foram citados alguns aspectos que interceptam as relações entre esses especialistas na atuação com cantores relacionados: ao bem-estar vocal; ao contexto vivido pelos cantores; aos papéis dos profissionais; a terminologia utilizada; a relevância da especialidade na voz cantada e o contraponto entre ciência versus arte. Conclusão: professores de canto e fonoaudiólogos estabelecem entre si diferentes e peculiares relações de atuação no trabalho com cantores, se caracterizando pelo contato, por trocas de conhecimento, encaminhamentos, apoio, reconhecimento, atuação conjunta e atuação interdisciplinar. Tanto professores de canto como fonoaudiólogos dizem indicar e necessitam de um trabalho conjunto porque entendem que o outro profissional poderá desenvolver o aspecto vocal ou fazer o ajuste do aparelho vocal dos cantores identificado em sua avaliação com mais precisão, mais efetividade ou mais especificidade

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Purpose: The purpose of this study was to explore the efficacy of an interdisciplinary intervention on interdisciplinary teamwork and patient functional outcomes in an acute inpatient rehabilitation unit at a mid-sized regional hospital. Design: Pilot mixed-methods pre-post intervention study. Methods: Interdisciplinary teamwork and patient functional outcomes were measured before and after a teamwork intervention. Interdisciplinary teamwork was measured with the Healthcare Team Vitality Instrument (HTVI) and a qualitative staff questionnaire developed by a content expert. Patient functional outcomes were measured by aggregated Functional Independence Measure (FIM®) scores. Findings: Post-intervention FIM® gain scores increased significantly (p = .008). Staff questionnaire revealed improvement in interdisciplinary teamwork, with the major themes of teamwork and appreciation/respect. Post-intervention HTVI showed no significant change (p=.528). Conclusions: Initial results of this intervention are promising; additional research is needed to study the effectiveness of this intervention in a variety of acute rehabilitation settings. Clinical Relevance: Rehabilitation leaders can implement low-cost teamwork interventions to improve interdisciplinary teamwork and patient outcomes.

Objectives: The objective of this thesis is to identify and understand communication and information exchange events and their influencing factors that are precursors to medical errors. Methods: Palliative Sedation Therapy is used as a case study to understand how communication and information sharing occur on an in-patient palliative care unit. Data sources were non-participant observation and interviews. Directed content analysis was used to analyze the data, with previously published conceptual models of communication acting as the guides for this analysis. Results/Discussion: Results identified several communication issues that have the potential to act as precursors to medical error at different points in the communication act. A model identifying the points where these precursors can impact communication was created. Conclusion: These results can be used to identify how improvements to communication and information exchange can increase the effectiveness of communication and reduce the likelihood of medical errors occurring.

It is a commonly held belief that the integration of user research data into the design process can bring great benefits / and there have been many studies that not only examine these benefits, but have also suggested how these researches may be carried out. However, effective integration relies as much on the way information gathered from user researches is delivered to the designer as the quality of the information gathered. Examples of how user research findings are communicated can be found in literature / but what is lacking is a structured approach to developing deliverables with a framing of discussions about effectiveness, considering the practitioner&rsquo / s needs and expectations. This study aims to investigate how user research findings should be communicated to the designers in order to maintain effectiveness in integration of the findings to the design process. A model and strategies and guidelines to achieve effective communication are proposed as the result. In order to propose them the methodology involves three main stages, including a literature search, an in-depth interview with the practicing designers and a verification questionnaire to confirm the findings of the previous two stages. The results of the study reveal expected outcomes of the user research activity by designers as the dimensions of effective communication of user research findings. Moreover qualities of the delivery mediums and informational content of the deliverables are identified from practitioners&rsquo / perspectives. The outcome of the study is a set of strategies and guidelines that the researches should consider, while designing new deliverables and planning communication activities for delivering user research findings to the design process.

Children have difficulty with reading for a number of reasons. One of these reasons may be temporary conductive hearing loss (TCHL) in preschool, which can be caused by otitis media (persistent fluid build-up in the middle ear), one of the most frequent medical issues in preschool children (Burt & Schappert, 2004). While otitis media can be treated medically, the duration of hearing loss and the age at which the hearing loss occurred may contribute to future reading difficulties (Easterbrooks, Lederberg, Miller, Bergeron & Connor, 2008). The literature surrounding the connection between otitis media, TCHL, and reading development is inconclusive. In addition, the nature of interdisciplinary communication to discuss the potential future challenges for children who have had TCHL is unclear. Little is known about how professionals communicate with parents about these challenges, and about how parents can best support their children. This research focused on providing detailed descriptions of how medical and educational professionals reported they communicated with each other and with parents about the potential reading risks associated with TCHL. This study followed standard qualitative research methods to conduct in-depth interviews with six medical and educational professionals and with two parents of children with TCHL. Results from this study have revealed important aspects that characterize what, when, and how professionals inform parents of children with TCHL about potential future reading problems. The knowledge gained through this research can guide future research and have practical implications for medical and educational professionals and provides recommendations for how parents are informed about potential future reading difficulties. / Thesis (Master, Education) -- Queen's University, 2011-09-27 11:48:59.805

Objectives: The objective of this thesis is to identify and understand communication and information exchange events and their influencing factors that are precursors to medical errors. Methods: Palliative Sedation Therapy is used as a case study to understand how communication and information sharing occur on an in-patient palliative care unit. Data sources were non-participant observation and interviews. Directed content analysis was used to analyze the data, with previously published conceptual models of communication acting as the guides for this analysis. Results/Discussion: Results identified several communication issues that have the potential to act as precursors to medical error at different points in the communication act. A model identifying the points where these precursors can impact communication was created. Conclusion: These results can be used to identify how improvements to communication and information exchange can increase the effectiveness of communication and reduce the likelihood of medical errors occurring.