Este estudo analisa os efeitos colaterais indesejados de avaliações externas quando combinadas a políticas de responsabilização (accountability) escolar no Brasil. Estes efeitos colaterais, denominados \"peiragênicos\" por Madaus e Russell, são previsíveis, indesejados e decorrem da manipulação (gaming) das regras do sistema pelos agentes envolvidos, levando à inflação de escores, vieses nos resultados reportados e interferências indevidas nos processos escolares que se pretendiam monitorar. Este estudo completa uma lacuna na literatura nacional, visando a medir a extensão de dois destes efeitos: a exclusão não aleatória de alunos de baixa proficiência de avaliações e a incidência de fraudes ingênuas, em desacordo aos protocolos de aplicação das avaliações. Duas abordagens são apresentadas. Para estimar as exclusões de alunos de baixa proficiência é proposta uma análise baseada na assimetria de distribuições de proficiência, usando distribuições normais truncadas. Para avaliar a extensão de fraudes ingênuas, definidas como a divulgação de respostas aos alunos testados sem levar em conta a existência de cadernos de itens ou permissividade com \"colas\" entre alunos, é introduzida uma abordagem baseada na contagem de blocos impróprios maximizadores. Ambos os algoritmos são aplicados à Prova Brasil, de 2013 e 2015. As medições obtidas são confrontadas com variáveis explicativas associadas às pressões da responsabilização, mediante modelos hierárquicos lineares. As pressões consideradas neste trabalho resultam de programas estaduais de bonificação docente e de acompanhamento do Indicador de Desenvolvimento da Educação Básica (Ideb), assim como variações em rankings do Ideb nos municípios. Os resultados indicam que tanto a exclusão de alunos de baixo desempenho quanto fraudes ingênuas ocorrem em associação a estas pressões. O gaming parece mais intenso em unidades da federação com políticas high-stakes, assim como em escolas com Ideb baixo verificado na avaliação anterior. Tendências de variação do Ideb, distâncias deste indicador às metas, ou mudanças em posições no ranking resultam não correlacionados significativamente às pressões. Exclusões medidas são menores em UFs com avaliações próprias para cálculo de bonificação. Um substancial aumento nas indicações de fraudes em 2015, versus 2013, pode estar associado às mudanças na participação mínima de alunos exigida nestas avaliações. Conclui-se que há necessidade dos formuladores de avaliações tomarem cuidados para controlar os dois efeitos estudados. / This survey analyzes the undesired side effects of standardized assessments when combined with accountability policies, in public schools in Brazil. These effects, identified as \"peiragenics\" by Madaus and Russell, are predictable, undesired and unplanned for, and arise from agents engaging in \"gaming the system\", leading to score inflation, biased reported results and undue interference in the schooling processes under assessment. This survey attempts to fill a void in Brazilian literature regarding the measurement of two side effects: exclusion of low performing students from assessments and undue interference of teachers or testers in the assessment protocols (cheating). To this effect, two analytic approaches are presented. To estimate non-random exclusions of low performing students from testing, a model based on the observed asymmetry of proficiency results, using truncated normal distributions, is proposed. A second model, to assess the extension of naive teacher cheating, defined as attempts to share common answers regardless of differences in test booklets or turning a blind eye to students\' copying answers from classmates, counts unexpected appearances of improper score-maximizing blocks, introduced in this study. Both algorithms are applied to Prova Brasil\'s 2013 and 2015 data sets, a federal assessment of mathematics and reading skills. Measurements are confronted with explanatory variables to test for accountability pressures and gaming-inducing drivers, using two-level hierarchical linear models. The pressures considered in this survey arise from teacher bonus programs adopted by several Brazilian states, performance tracking and rankings of the Ideb indicator (a nationwide metric of the development of elementary and middle-school public education). Results indicate that both selective exclusions of low performing students and naive teacher cheating occur, in patterns associated with pressures. Gaming behavior appears to be more intense in states with high-stakes linked to the assessment, in schools with lower Ideb ratings. Past trends and gaps versus targets in Ideb and changes in local rankings result not significantly correlated with gaming behavior. Lowest exclusion measurements occur in states where alternative assessments are used for bonus payments. A substantial increase in cheating indications in 2015 over 2013 was measured, possibly reflecting increased minimum participation requirements stressing schools to maintain performance through cheating attempts. In conclusion, the need for care in design of assessment policies to control for the two effects measured is made evident.

Esta tese tem como objetivo analisar as ações do Estado brasileiro na educação básica no período de 1995 a 2014. Para tanto, faço uso de uma política pública educacional – o Sistema de Avaliação da Educação Básica (Saeb) – como “janela” desta pesquisa. O uso de uma política educacional como “janela” implica no entendimento de que as políticas públicas estão inseparavelmente relacionadas ao Estado (AGUDELO, 2011; OSCAR OSZLAK; GUILLERMO O'DONNELL, 1995) e que só se pode definir como política pública a ação que tem o aval estatal (OSZLAK; O'DONNELL, 1995). A escolha do Saeb, por sua vez, esteve alicerçada em uma revisão bibliográfica que aponta que, a partir das reformas estatais dos anos de 1990, as avaliações ganharam centralidade no cenário brasileiro (HYPOLITO, 2008; PERONI, 2003; FREITAS, 2004; BONAMINO; SOUSA, 2012; SOUZA; OLIVEIRA, 2003; COELHO, 2008). Esta é a justificativa para fazer uso de uma política pública educacional que inclui avaliações de larga escala, pois entendo que, olhando para tais avaliações, posso ter um acesso privilegiado para identificar como o Estado age na educação básica. A revisão bibliográfica também apontou que as reformas estatais de 1990 no Brasil foram fortemente influenciadas pelo modelo gerencial. Assim, os pressupostos gerencialistas foram aqueles, centralmente, utilizados para o entendimento das mudanças ocorridas no Estado brasileiro na década de 1990. Como forma de entender o modelo gerencial, faço uso das contribuições dos autores John Clarke e Janet Newman – que estudaram as reformas gerenciais no contexto da Inglaterra. Apresento um breve panorama histórico dos contextos internacional e brasileiro, no qual trato sobre a reestruturação do Estado e as principais mudanças que passaram a existir em relação às políticas educacionais, examinando, de forma especial, a centralidade que ganharam as avaliações de larga escala na educação. Através da realização de entrevistas realistas (PAWSON; TILLEY, 2000) com pessoas ligadas a órgãos estatais e a instituições não-estatais – que têm exercido um importante papel nas discussões educacionais –, da análise de documentos e da teoria construída para a tese, realizei uma análise que levou em conta as lentes teóricas utilizadas ao longo do estudo – análise relacional (APPLE, 2006) e a abordagem estratégico-relacional (JESSOP, 2008) – e que permitiu inferir, de forma complexa, sobre como se caracterizam as ações do Estado brasileiro na educação básica no período de 1995 a 2014. Concluí que, apesar da existência de particularidades no âmbito estatal brasileiro, sendo o Estado ainda forte e bastante centralizado e caracterizado pelo patrimonialismo, coronelismo e populismo (FAORO, 2001), as avaliações de larga escala e os pressupostos gerenciais servem como importantes orientadores das ações do Estado na educação básica, o que corrobora o alerta de Clarke e Newman (1997) de que, apesar das contradições existentes no Estado, o gerencialismo possui, atualmente, primazia sobre outros modelos. / This dissertation aims to analyze the action of the Brazilian State in the context of basic education from 1995 to 2014. Therefore, I use a public educational policy – the Basic Education Assessment System – as a “window” of this research. The use of a educational policy as a “window” implies the understanding that public policies are inseparably related to the State (HYPOLITO, 2008; PERONI, 2003; FREITAS, 2004; BONAMINO; SOUSA, 2012; SOUZA; OLIVEIRA, 2003; COELHO, 2008) and also requires the understanding that a policy can only be set as public policy when it has the State guarantee (OSZLAK; O'DONNELL, 1995). The choice of the Basic Education Assessment System was based on the literature review that points out that evaluations gained centrality in the Brazilian context since the State reforms in the 1990s (HYPOLITO, 2008; PERONI, 2003; FREITAS, 2004; BONAMINO; SOUSA, 2012; SOUZA; OLIVEIRA, 2003; COELHO, 2008). This is the justification for using an educational policy that includes large-scale assessments; I understand that, when looking for such assessments, I can have a privileged access to identify how the State acts in basic education. The literature review also pointed out that in the 1990s the State reform in Brazil was strongly influenced by managerialism. Thus, managerial assumptions were used to understand the changes in the Brazilian State in the 1990s. In order to understand managerialism, I use the contributions from John Clarke and Janet Newman – who have studied managerial reforms in England’s context. I present a brief historical overview of both international and Brazilian contexts, in which I deal with the restructuring of the State and the major changes in relation to educational policies, examining, specially, the centrality of large-scale assessments in education. By conducting realistic interviews (PAWSON; TILLEY, 2000) with people linked to State agencies and non-state institutions – which have played an important role in educational discussions –, document analysis and the theory built in this dissertation, I carried out an analysis that took into account the theoretical lens used throughout the study – relational analysis (APPLE, 2006) and the strategic-relational approach (JESSOP, 2008) – which allowed me to infer, in a complex way, how the action of the Brazilian State in basic education from 1995 to 2014 is characterized. I concluded that, despite of the existence of peculiarities in the Brazilian State level, which means that the State is still strong and quite centralized and characterized by paternalism, “coronelismo” and populism (FAORO, 2001), large-scale assessments and managerial assumptions have served as important guides of the State's actions in basic education, which confirms the Clarke and Newman’s alert (1997) that, in spite of the existence of contradictions in the State, managerialism has primacy over other models nowadays.

Musical ensembles’ attendance at competitive music performance events (CMPEs) is a mainstream characteristic of the music education paradigm in many states. One problem with this current system is that we do not know the extent to which the results of these events impact the musical self-beliefs of the individual participants and those of their ensemble as a group. A total of ninety-one students and three directors from three different high school band programs in Arkansas participated in this research. The purpose of this study was to (a) examine students’ perceptions of their musical self-beliefs as related to their ensemble’s ratings at competitive music performance events (CMPEs), (b) gain clarity into how the educational ideology of the director might affect the self-efficacy beliefs of his or her students, and (c) open a dialogue into potential discovery of the sources of group efficacy beliefs in a band setting as related to individual self-efficacy beliefs. More specifically, I sought to discover students’ and directors’ perceptions of the results of CMPEs through their own words and experiences in order to offer suggestions for music educators to benefit them and their students when they participate in CMPEs. I used a holistic, multiple case study design as detailed by Yin (2014). Analysis of participant statements about their experiences at and ensemble results from CMPEs yielded a greater understanding into how these particular participants from Arkansas view CMPE results in terms of their overall musical self-beliefs. Furthermore, through the analysis of data, I was able to posit the Framework for Understanding the Formation of Group Efficacy Beliefs of High School Band Students which included three criteria: (a) Unity, (b) Cognizance of Function, and (c) Introspection. In addition to the proposed framework, findings suggest that band directors may be able to foster positive efficacy beliefs in their students and their ensembles by (a) framing the CMPE as a part of the learning process, not a means to an end; (b) encouraging students to set and pursue their own personal musical goals; (c) develop a culture within their ensemble of shared values, beliefs, and goals, awareness of each individual’s role in the performance; and (d) foster the ability for individual students to reflect and improve their own performances for the benefit of the group.

Introduction: In previous years, Occupational Therapy relied on the parents and caregivers’ perspectives about their children’s activity capacity, performance, and participation. The shift to a more child and family-centred practice has led to the creation of a variety of self-reported assessments for children and adolescents. This study reviewed articles containing paediatric self-report assessments, available for use within the Occupational Therapy area, and critically appraised them. Method: A systematic review in seven databases with the use of 22 search terms was conducted. Inclusion criteria was articles containing paediatric and adolescent reported assessments available to Occupational Therapists, published up to 20 years old and written in the English language. Exclusion criteria included articles containing impairment-based measures and proxy reported measures. The initial literature search took place between March 1st, 2018 and April 30th, 2018. Eighty-two articles met criteria, and, from these articles, 21 assessments were found and appraised using the COSMIN checklist Results:. Twenty-one assessments were found to measure children’s and adolescents’ perceptions on their activity capacity, performance and/ or participation. All their characteristics and technical details are mentioned in depth in this research. When applicable, clinimetric properties were appraised and found quite a few with good or excellent reliability and validity. Few assessments had not any research regarding their clinimetric properties. Conclusion: Most found assessments measured activity capacity and performance. The need for more participation-based measures emerged. Few assessments showed good or excellent reliability and validity which need to be considered if used within clinical practice.

The purpose of this study was to determine if male and female communicators utilize different styles of persuasion with an attractive versus an unattractive female target. Forty undergraduate students were asked to persuade a female confederate in either an attractive condition or an unattractive condition to eat M&M's. Perceptions of attractiveness and personality assessments were checked by a post-experimental questionnaire. Influence attempts were rated and categorized by the use of the Social Interaction Scoring System. Individual responses were then factor analyzed to identify profiles of persuasive communication. These behavioral profiles were then statistically compared across experimental conditions by analyses of variance. No significant differences were found for sex or experimental condition. The subjects did, however, perceive the confederate as significantly more attractive when in the attractive condition than when in the unattractive condition. Further, while the confederate was perceived as more curious and perceptive when in the attractive condition, she was perceived as more indifferent and insensitive when in the unattractive condition. From the results of this study, it -was concluded that people do not necessarily alter their persuasive technique according to the attractiveness of the target person. Possible explanations for these findings are discussed, and suggestions for further research are given.

Abstract Background: Despite the rise in the occurrence of skin cancer, primary care nurse practitioners are reluctant to perform skin cancer assessments during patient visits. Melanoma is almost always curable if detected in the early stages, but invasive disease accounts for 9,000 deaths per year (American Cancer Society, 2013). Changing knowledge, attitudes and practice regarding skin cancer assessments potentially leads to early detection and treatment of skin cancers and impacts patient outcomes. However, in order to change knowledge and attitudes, we must first assess them. Purpose: The purpose of this research was to validate a new skin cancer assessment tool instrument called KAP-SCA to measure knowledge, attitude, and practice in primary care NPs. Methods: Sequential mixed methods were used. First, focus group interviews with 14 primary care nurse practitioners were conducted during Phase I. Interviews were audio-recorded then transcribed verbatim and imported into ATLAS.ti. Phase II involved instrument development from a blueprint and calculation of content validity indexes (CVI) for items and subscales. Phase III of this study included testing the validity and reliability of a KAP instrument using quantitative methods. This new instrument assesses primary care nurse practitioner knowledge, attitudes, and practice regarding skin cancer assessment. Results: Content validity for the subscales was evaluated by CVI ranged from .90 to .95. The Cronbach's alpha was highest for the practice subscale (alpha =.89) while the lowest was seen with the knowledge subscales (alpha =.50). Construct validity assessed by exploratory factor analysis indicated the presence of three underlying factors, confidence in practice, confidence relating to education and NP role in practice. Implications for Practice: Interventions need to be developed based on the knowledge deficits and barriers to practice identified by these NPs including educational programs that focus on increasing primary care NPs' knowledge and confidence levels regarding skin cancer assessments and identification of malignant lesions. Conclusion: Beginning evidence of validity and reliability were found for the Knowledge, Attitudes and Practice-Skin Cancer Assessments (KAP-SCA), however further studies are warranted.

<p>The overarching aim of this dissertation is to study divergences in assessments of social assistance in Swedish social welfare offices. ‘Assessments’ here refers to whether applications for social assistance are granted or not, as well as the size of subsidies. Another aim with the dissertation is to explore whether differences in assessments have changed over time. A primary focus in this study is the importance of elements of changing character, e.g. varying organizational and individual conditions. Among these elements, the main focus is on the relation between organizational factors and professional discretion among social workers.</p><p>Primary data used for the study has been assembled among social workers (n=121) in eleven municipalities in the northern Stockholm area. The main section of the questionnaire used for assembling data consists of six vignettes, each describing a different situation. Data is supplemented with secondary material that derives from a similar study conducted in 1994.</p><p>Overall, findings show considerable divergences in the way social workers make their assessments. Some of the divergences are explained by different organizational conditions, e.g. varying levels of specialization and size of caseloads. Individual factors, such as sex, age and varying professional characteristics, e.g. work experience, influence the assessments only to a limited degree, while attitudes among social workers play a larger role. The study also indicates a substantial decrease in generosity over time. This might to some extent be explained by changed and elaborated set of regulations in the sphere of social assistance. Further, the individual divergences in assessments have increased over time. A plausible interpretation of the results is that an increasing number of regulations combined with professional discretion, entails a larger scope for social workers’ opinions and individual screening among rules.</p>

<p>Syftet med studien var att beskriva vårdpersonalens uppfattning om risker för undernäring och preventivt arbete hos personer 70 år och äldre, på olika vårdnivåer och inom en kommun. Studien hade en beskrivande design och tolv vårdpersonal deltog, varav fyra sjuksköterskor från en medicinavdelning, två sjuksköterskor, en sjukgymnast och en arbetsterapeut från en hälsocentral samt två sjuksköterskor, en enhetschef och en sjukgymnast från ett äldreboende inom en kommun. Intervjuer användes vid datainsamlingen. Data analyserades genom kvalitativ innehållsanalys och bildade kategorierna <em>Tillstånd som utgör en risk för undernäring, Säkerställa näringsintaget, Ett strukturerat arbetssätt samt Samverkan och ansvar. </em>Som risker för undernäring<em> </em>beskrevs sjukdomar, funktionsnedsättning samt förlorad uppfattning om vikten. Att säkerställa näringsintag innefattade mat, mellanmål och måltidsmiljö. Ett strukturerat arbetssätt handlade om riskbedömningar, åtgärder samt utvärdering. Vidare beskrevs samverkan inom och utanför den egna yrkesgruppen, vårdnivåer och ansvaret omkring arbetet med näringsfrågorna. Vårdpreventivt arbetssätt upplevdes spara tid, tydliggöra vad som skall göras och möjliggöra utvärderingar. Läkarens medverkan i det preventiva arbetet behöver klargöras och rutiner för spridning av arbetssättet till andra enheter formas. Vidare behövs beslut om hur näringstillstånd och behov ska dokumenteras och rapporteras för att säkerställas mellan vårdnivåerna</p> / <p>The purpose was to describe nursing staffs’ perceptions of risks for malnutrition and preventive efforts thereof, for patients 70 years and older, at different care levels within one municipality. Descriptive design was used and twelve participants included; two district nurses, one physiotherapist and one occupational therapist from a health care centre, two registered nurses, one unit director<strong> </strong>and one physiotherapist from a nursing home in the municipality and four registered nurses from an internal medicine hospital ward. Interviews and qualitative content analysis was used resulting<strong> </strong>in four categories <em>Conditions of risks for malnutrition</em>, <em>Ensuring nutritional intake</em>, S<em>tructured way to work<strong> </strong></em>and <em>Collaboration and responsibilities</em>. The participants’ described diseases, disabilities and lost of apprehension concerning weight constituting malnutrition risks. Meals and meal environment influence nutritional intake. Risk assessments, interventions and evaluations mirrored structured way of working. Collaboration with colleagues, other professionals and care levels were highlighted together with responsibilities. Physicians’ participation in malnutrition preventions needs clarification. Improvements like documentation of the nutritional status among the elderly and reports between the different levels of care are needed to ensure safe nutritional care.</p><p> </p>

<p>I have made interviews with a teacher and with pupils from the lower grades in a school dominated by pupils with Swedish as their second language, about the role and effects of assessment with particular focus on the subject of <em>mathematics</em>. I have also studied the policy documents (“kursplanen”) for the subjects of Swedish and mathematics. The formulations of the learning goals in Swedish are differentiated, so that the demands are somewhat lower for pupils with Swedish as their <em>second language</em>. In mathematics, however, the learning goals are the same for all pupils, and they include the ability to communicate mathematical concepts in meaningful and relevant situations. The language of this communication is supposed to be Swedish, and the cultural code necessary to find the situation meaningful and relevant is often Swedish. The textbooks in mathematics for the early grades are oriented towards the learning goals, and contain many problems formulated in plain Swedish language, and with meaning and relevance often oriented to assumed fruit distribution habits among culturally Swedish children. This creates a problem with assessments in mathematics for many pupils with Swedish as their second language. They often feel that the assessments in mathematics are <em>unfair</em>, if they already know the numerical system and could have solved the problem, had it been given to them in a more simplified language. There is a risk that these pupils give up on the subject of mathematics too early, and for linguistic and cultural reasons. My research has shown that some of these pupils even question the mathematical ability of their teacher, because they can so easily check the numerical results on their pocket calculators, and at the same time find the verbal explanations of the teacher so difficult to understand. The problems resulting from the discrepancy between the learning goals in Swedish and mathematics, are aggravated by the recently introduced national tests in the third grade, witch give an official stamp on the use of <em>summative assessment</em> in the form of mathematical tests that includes verbally and culturally demanding problems. What the individual teacher in mathematics can do under these circumstances, is exploiting the rights and demands for <em>individualization of learning</em> to the outmost for pupils with Swedish as their second language. Children who in the future are going to use their mathematical skills and abilities professionally in the Swedish society certainly have to learn the appropriate words, as well as the cultural codes for the Swedish way of formulating mathematical problems. But their roads to achieving these particular goals in the national learning plan for mathematics, will in various ways be different from that of pupils with Swedish as their first language. The advent of national tests in mathematics in the third grade makes it even more important for the teacher to focus on the use of <em>formative assessments</em>, that make temporary allowance for the pupils present shortcomings in the linguistic and cultural understanding of mathematics, while at the same time setting up personal and individualized learning goals, aimed at overcoming these shortcomings.</p>

<p>The role of the principal in Sweden has undergone significant changes over the past two decades.  Task and responsibility has been decentralized from the national level to o the local school board affecting principals´ everyday life. At the same time a new inspection system for all schools has been introduced.  These changes puts focus on how principals implement and report political decisions within established guidelines. For many principals it is a balancing act to achieve the national goals within a local context. All the above include for the principal important work with evaluations of quality in different processes in the school, especially those related to teacher performance and children’s grades and results.</p><p>In the mid 1990’s a debate about the lack of evaluations and school improvement in Swedish schools started, and as a result the Government decided in 1997 that every school should write a quality assessments and that the school board should write a summery for the whole school district. Many schools had problems in the beginning with the working processes around quality assessments, and many schools view this national law only as a top-down control decision from the Government and were not able to see the school improvement part of the law.</p><p>The aim of this study is to describe how principals take responsibility for the quality assessment regulation and to analyze how they act and lead their schools in relation to quality assessments. In this study, results are presented from survey data, done with 131 principals who attended the National Principal Training Program at Umeå University. A theoretical model which discusses four leadership styles is used as a theoretical background. This model has an organizational frame. After making an argument for the importance of each of these styles for understanding principals work with quality assessments, two strands are examined. First, leadership styles are described from a principal perspective and factor analysis is used to investigate if these styles can illustrate principals´ work with quality assessments. Second, important factors explaining different ways in which principals tackle the work with quality assessments is highlighted. These factors are affected by different laws and regulations and even some time local political decisions and policies which here is understood as structure and culture, and personal background, for example the principals´ age, sex, education and experience. </p><p>Based on the empirical results, my theoretical conclusion is that the four leadership styles used are relevant for understanding how principals work with quality assessments.  The study also shows that structure and culture are important factors when it comes to explaining how principals´ work with quality assessments.  Personal background, however, are not shown as important in this study.</p>