Meta-analysis of 23 between-group direct observation studies of children with ADHD and typically developing peers indicates significant deficiencies in children with ADHD's ability to pay attention in classroom settings. Comparison with 59 single case design studies of children with ADHD suggests generalizability of between-group comparisons. Weighted regression analysis determined that several methodological differences – sample characteristics, diagnostic procedures, and observational coding schema – have significant effects on observed levels of attentive behavior in the classroom. Best case estimation indicates that after accounting for these factors, children with ADHD are on-task approximately 65% of the time compared to 85% for their classroom peers. Children with ADHD were also more variable in their attentive behavior across studies. Implications for conceptual models of ADHD are discussed.

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Signs are commonly used in the foodservice industry to portray food safety messages. However, many of these signs do not consider employee preferences or current needs in the industry. Employee perceptions can provide crucial information about the design of effective food safety messages. Surveys were conducted with meat and poultry processing employers in the mid-Atlantic region to determine food safety needs in the industry. Follow-up focus groups in both English (5) and Spanish (5) were conducted based on language availability and size. The most important food safety topics were hand washing (60.9%), cleaning/sanitizing (78.3%), and cross contamination (69.9%). Employees believe that color, text, and multiple language options could increase employee recognition and retention of intended messages. New, employee-driven hand washing signs were developed from the information in the focus groups. Signs were evaluated by video observation through five hand washing practice behaviors (soap use, complete wash, time to wash, complete rinse, and towel use) at two different poultry processing facilities in the mid-Atlantic at three different time points (baseline, short term, and long term). Soap use significantly increased at both facilities when baseline data was compared to short term and long term time periods. Facility B showed a significant increase in washing, time, and rinsing when baseline data was compared to short term, which indicates that a new sign could increase hand washing compliance. Sign color had a significant effect on behavior for washing and time of washing, while time had a significant effect on behavior for four of five variables tested. New signs could be a useful way to encourage compliance to food safety message for multicultural employees; however, they may need to be frequently changed as workers tend to refer back to old habits. / Ph. D.

Syftet med denna studie är att bidra med kunskap om vilka samtalssituationer som uppstår under en matematiklektion. Detta uppnås genom att kategorisera de olika samtalssituationerna utifrån Dysthes perspektiv på dialog. För att undersöka detta genomfördes sex observationer av lärares matematiklektioner i årskurs 1–3. Den insamlade empirin analyserades sedan med utgångspunkt i en riktad kvalitativ innehållsanalys och utifrån studiens teoretiska utgångspunkter. Resultatet visar att samtal är en integrerad del av samtliga lektioner och att interaktionen främst sker mellan lärare och elev snarare än elev och elev. Det finns en relativt stor variation mellan lärares matematiklektioner och även mellan de olika samtalssituationernas utrymme. Helklassamtal sker i stor utsträckning medan gruppsamtal är sällsynta. Resultatet visar även att monologiskt- och dialogiskt organiserad undervisning är relativt jämnt fördelat men att den monologiskt organiserade undervisningen får något större utrymme.

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Background: Society demands increased patient participation in healthcare. One strategy to achieve patient participation during hospital stay in a surgical ward is implementation of handover at the patient’s bedside. The literature discusses the meaning of the concept patient participation, it is therefore important to study if patient participation can be achieved through bedside handover on the clinical ward.Aim: To explore how the bedside handover in nursing was performed on a surgical ward from the patient’s perspective focusing and participation.Method: A qualitative descriptive design with focused observations and informal interviews. A total of 23 observations were done, the analysis was inspired by ethnographic method.Results: Five themes emerged from the analysis: A calm atmosphere, Conditions for participation, To create a sense of “us”, Conversation on equal ground and at last Integrity and secrecy. The patients were active participants during the bedside handovers, they contributed with information and asked questions. The medical vocabulary was simplified and adapted to the patient’s ability. During the interviews the patients stated that the bedside handover created a sense of security and control. The observations showed though, that the patients were not asked to participate nor were they prepared for the report beforehand.Conclusion: This study shows that bedside handover gives the patient a sense of participation in his or her own care and creates a feeling of security and control. The result also shows a need for improvement regarding information, preparation and the opportunity to decline bedside handover, which offers potential to improve the bedside handover’s ability to increase patient participation. / Bakgrund: Samhället efterfrågar ökad patientdelaktighet i vården och ett sätt att möta detta krav är införandet av bedsiderapport på vårdavdelning. Litteraturen förklarar betydelsen av begreppet patientdelaktighet i teorin, det är därför motiverat att genom observation undersöka om patientdelaktighet kan uppnås med hjälp av bedsiderapport i kliniken.Syfte: Att utforska hur bedsiderapportering genomförs på en kirurgisk vårdavdelning med fokus på patientens perspektiv och delaktighet.Metod: En kvalitativ deskriptiv design med fokuserade observationer och informella intervjuer. Totalt genomfördes 23 observationer vilka analyserades med etnografisk data-analysResultat: Studiens resultat mynnade ut i fem teman: En lugn stämning, Förutsättningar för delaktighet, Att skapa en ”vi- känsla”, Samtal på lika villkor samt Integritet och sekretess. Under observationerna sågs att patienterna deltog aktivt i rapporten, de bidrog med information och ställde frågor. Det medicinska språket förenklades och anpassades efter patientens förmåga. Under intervjun uppgav patienterna att bedsiderapporten skapade en känsla av trygghet och kontroll. Dock observerades att patienterna varken tillfrågades om medverkan eller förbereddes inför rapporten.Slutsats: Studien visar att införandet av bedsiderapport får patienten att känna delaktighet i den egna vården och skapar en känsla av trygghet och kontroll. Resultatet påvisar även behov av att genom förbättringsarbete utveckla arbetssättet vidare då brister observerades gällande information, förberedelser och möjlighet att avstå bedsiderapportering. Detta skulle ge potential till förbättring av bedsiderapportens förmåga att skapa patientdelaktighet.

The UTeach Observation Protocol (UTOP) is designed to capture what occurs in a classroom. The UTOP was developed for use in the nationally recognized UTeach program (uteach.utexas.edu) and has been validated nationally in the Gates Foundation Measures of Effective Teaching. (http://www.metproject.org/downloads/Preliminary_Findings-Research_Paper.pdf) Currently the UTOP has been used in both science and math classrooms and is being developed for use in English language arts and social studies classrooms as well. This report serves to begin the modification of the UTOP for use in an engineering classroom to evaluate engineering specific content. The UTOP has been described as a lens for reflection on teaching practices and the goal of this report is to help focus that lens more clearly on the engineering classroom. This tool was created for utilization in both educator and administrator roles. Teachers can use the UTOP to self-assess their own teaching practices as well as in observing other teachers and identify classroom best practices. Administrators and other classroom visitors can use the UTOP to understand and evaluate what occurs in a classroom for a multitude of outcomes. The methodology chosen in this report to create the engineering specific examples used real lessons that have been implemented in engineering classrooms and vetted in actual practice. Using both initial lessons from the teachers and their feedback along with language taken from the Next Generation Science Standard Framework and the UTeachEngineering Engineering Design Protocol, the examples were developed to show how to score each indicator on a scale of 1 to 5, with 1 being the lowest and 5 being the highest score, in a secondary engineering classroom. The next steps recommended for this work are to pilot the examples created in this report and test the usefulness of the examples created. This can be accomplished by field-testing it in UTOP training with teachers and modifying the information based on the feedback that they provide. The work described in this paper was made possible by a grant from the National Science Foundation (Award DUE-0831811). / text