Purpose: This article provides an integrative review of competency-based education (CBE) in medical and nursing programs and examines the effect of CBE on students’ academic performance, technical skill development, and overall satisfaction and preparedness for future practice. Background: In recent decades, CBE has increasingly been discussed in medical and nursing education programs. The impact of the CBE curriculum on learning outcomes including academic performance, technical skill development, overall satisfaction, and preparedness for future practice has not been fully elucidated. Method: A review of the literature was conducted, and multiple databases were searched for studies that analyzed the impact of CBE on learning outcomes in medical and nursing program learners. Results: The overall trends in feedback showed that CBE was well-received by students, with high satisfaction scores reported. CBE was also shown to be equally or more effective than the traditional didactic model in developing students’ competencies and improving academic and clinical performance. Conclusion: Our comprehensive review of the literature suggests that competency-based education can be an effective framework that potentially outperforms traditional educational approaches on outcome measures related to clinical knowledge, technical skill, and/or clinical judgement.

In South Africa today, the challenge is to redress past inequalities and to transform the higher education system. This transformation of the higher education system is necessary in order to serve a new social order. The introduction of outcomes-based education and training requires a new approach to education, including the process of assessment. An outcomes-based approach to education and training focuses on continuous assessment through the use of a range of assessment methods. The Ministry of Education tasked the National Department of Education to embark on a review of their academic programmes. This review has been in response to register programmes on the National Qualifications Framework. This review has also been part of an attempt to improve the quality of qualifications. In most learning organisations, assessment and learning have always been closely related. If assessment has not simply been seen as the end point in learning but has been an important component in the design of the learning process itself, this statement will be severely tested by the movement towards an outcomes model for education and training. The primary aim of the study was to develop a conceptual model for the management of the impleme tation of a continuous assessment plan in a university of technology by means of aliterature study and an empirical investigation. Currently, information regarding the conceptualisation of this topic is inadequate and vague. If the nature of the complexities involved in the management and implementation of CASS at universities of technology are known, a conceptualised model can be developed for the effective management of the implementation thereof. The implementation of an integrated model of assessment requires the creation of an enabling environment in which the model can be implemented. This study has found that this is not true for many universities of technology, as: • programme design still rests on subjects that are not aimed at outcome-based models; • administrative systems are not designed to accommodate the recording of continuous assessments; • students, lecturers and other stakeholders have not undergone the necessary training regarding the change in paradigm from content-based to outcomebased education; and • policy regarding modularisation and continuous assessment has not yet been defined and implemented. The study serves to present a useable model for the management of the implementation of continuous assessment at universities of technology. The study is based on a balanced opinion as the experiences of both lecturers and students were investigated by means of structured questionnaires. The findings were verified by means of a focus group interview with administrative staff involved with continuous assessment. The model that was developed is a usable model as it was subjected to a number of verification tests. / Thesis (Ph.D. (Teaching and Learning))--North-West University, Vaal Triangle Campus, 2008.

Submitted by Silvana Teresinha Dornelles Studzinski (sstudzinski) on 2015-07-08T15:46:28Z No. of bitstreams: 1 Bruna Omizzolo Lazzarotto.pdf: 1296969 bytes, checksum: 27fc157b60cb7bf5b6173eee26e75416 (MD5) / Made available in DSpace on 2015-07-08T15:46:28Z (GMT). No. of bitstreams: 1 Bruna Omizzolo Lazzarotto.pdf: 1296969 bytes, checksum: 27fc157b60cb7bf5b6173eee26e75416 (MD5) Previous issue date: 2013-02-22 / UNISINOS - Universidade do Vale do Rio dos Sinos / O modelo terceirização com contratos baseados em resultado pode ser uma opção vantajosa para as organizações que buscam aumentar a sua competitividade por meio da terceirização de processos. Contratos baseados em resultado estimulam os contratados a atingirem as metas estabelecidas, dado que a remuneração destes est• vinculada a esse atendimento. Entretanto, para que as metas sejam alcançadas, é fundamental que o contrato seja bem gerido tanto pela empresa contratante como pela contratada para a execução do serviço. Contudo, essa boa gestão não é um fator fácil de alcançar e várias barreiras podem surgir, em qualquer fase do processo de terceirização, seja na etapa de preparação, implantação ou manutenção. Considerando o cenário exposto, esta pesquisa tem como objetivo geral propor um conjunto de diretrizes de gestão capaz de suportar a inserção de uma terceirização com contratos baseados em resultado, em ambiente busines-to-business (B2B), de modo que o mesmo agregue valor para a contratante e contratada, sendo que os objetivos específicos são: (a) apresentar a atual prática de gestão de alguns casos de terceirização em ambiente B2B; (b) identificar os objetivos do processo de terceirização baseado em resultado em ambiente B2B, sob o ponto de vista para contratantes e contratados; e (c) identificar os fatores de sucesso e as barreiras para a inserção de uma terceirização baseada em resultados. Para o desenvolvimento da pesquisa, foi elaborado um framework teórico que sustentou a pesquisa de campo. Foram estudados onze contratos baseados em resultado, envolvendo sete empresas contratantes e sete contratadas. Como resultado, identifica-se que os principais fatores de sucesso atrelados ‡ terceirização estão relacionados ao processo de seleção do prestador de serviço, estabelecimento de um contrato específico com objetivos claros, e com uma gestão ativa do contratado e do relacionamento entre as empresas contratantes e contratadas. Como principais barreiras para o processo de terceirização, identifica-se o baixo apoio da alta administração da empresa contratante demonstrando um desalinhamento entre a estratégia de terceirização e a estratégia da organização; uma gestão negligente do contrato após esse ser estabelecido por parte da contratante; uma postura pouco proativa por parte do contratado. A partir desses fatores identificados, foram estabelecidas diretrizes de gestão para o processo de terceirização contemplando as três fases do processo: preparação, implantação e manutenção. Dentre as diretrizes propostas, pode-se destacar o estabelecimento de um processo de seleção do contratado, avaliando capacidade técnica e o alinhamento de objetivo; o estabelecimento de um contrato específico de terceirização incluindo regras, indicadores, punições e recompensas; o estabelecimento de um processo de gestão ativo, contemplado a utilização de indicadores e um processo de análise periódica desses; a gestão do relacionamento baseando em uma postura proativa. Espera-se que este trabalho possa contribuir no avanço do tema dado que se observam lacunas teóricas principalmente relacionadas ‡ gestão estratégica do processo, e contribuir em termos gerenciais possibilitando um aprimoramento do processo de gestão e, por consequência, o alcance dos objetivos esperados da terceirização. / The results-based outsourcing model may be an advantage to organizations seeking to increase their productivity by outsourcing processes. Results-based contracts stimulate the suppliers to achieve their goals because their compensation is commensurate with the achievement of results. However, the achievement of goals calls for a good contract management by the contracting parties, buyer and service supplier. A good contract management, however, is not an easy task and a number of barriers can come up in any step of the outsourcing process, preparation, implementation, and maintenance. In view of this scenario, this research work aims to propose a set of management guidelines capable of supporting the insertion of a results-based outsourcing in a business to business (B2B) environment in such a way as to add value to the buyer and the supplier as well, with the following specific objectives: (a) to present the current management practice from a few outsourcing initiatives in a B2B environment; (b) to identify the objectives of the outsourcing process based on results in a B2B environment from the standpoint of buyers and suppliers; and (c) to identify the success factors and the barriers to the insertion of results-based outsourcing. For the development of the research, a theoretical framework was created which supported the field survey/research. Eleven results-based contracts from seven buyers and seven suppliers provided the basis for the study. As a result, it has been identified that the main success factors for outsourcing are associated with the process of selecting the service provider, the establishment of a specific contract with clear-cut objectives and an active management of the contract, and the relationship with the contracting parties, buyers and suppliers. The main barriers to the outsourcing process were identified as the low level of support from the buyer’s top management demonstrating a misalignment between the outsourcing strategy and the company strategy; a neglectful management of the contract following its establishment by the buyer; a less than proactive posture from the supplier. Based on these research factors, management guidelines were established for the outsourcing process contemplating its three phases: preparation, implementation, and maintenance. Among the proposed guidelines, stands out the establishment of a selection process for the supplier, where the supplier’s technical capabilities and alignment of objective are reviewed; the establishment of a specific outsourcing contract including rules, indicators, penalties, and rewards, the establishment of a process of active management contemplating the utilization of indicators and a process of periodical review of the same; the management of the relationship based on a proactive and fair posture. Hopefully this research work will contribute to the advancement of the theme inasmuch as a number of theoretical gaps can be observed, mainly as regards the strategic management of the process, and to give a contribution in managerial terms, enabling organizations to improve their management process and, as a consequence, to achieve the desired outsourcing results.

The impact of change facilitator styles (CFS) on elementary teachers' stages of concerns (SoC) about adopting outcome-based education (OBE) in their schools was studied. The group studied was 266 teachers from the Texas Network for Outcome-Based Education. Principal styles are based on the Concerns-Based Adoption Model (CBAM. Styles were determined by the Change Facilitator Style Questionnaire, and teachers' concerns profiles were measured by the Stages of Concern Questionnaire. ANOVA and t tests were conducted to assess the effects of CFS at each of the seven stages of concern. ANOVA assessed teachers' educational level, experience with teaching and OBE, principal gender and type of community related to SoC. Chi-square addressed the relationship among the demographic variables and CFS. With schools as the unit of analysis, significant differences at stages 0,1,2 were found. When teachers were the unit of analysis, significant differences were found at stages 0,1,2, and 3. Concerns of teachers with Initiator style principals were significantly lower at these stages. All teachers demonstrated concerns typical of nonusers, indicating resistance to OBE. Concerns were significantly lower for teachers with master's degree than for bachelor's at stages 0 to 3. Teachers with the least experience with OBE had significantly higher concerns. Chi-square compared change facilitator styles with the demographic variables. The only significant results were more males at the management style than expected. These findings support the CBAMtheory that the initiator style is more effective at impacting SoC and improving success in adopting an innovation. Teacher demographic variables do not affect SoC or CFS. The study indicates problems implementing OBE but suggests effective leadership could impact teachers' concerns.

Policies are shaped by social values and assumptions, and can significantly impact the delivery of health and social services. Marginalized groups are often disadvantaged in the political realm and reliant on publicly funded services and supports. The purpose of this research is to consider how public policies are constructed and implemented for marginalized groups and to increase understanding of the consequences of policy reform. It draws on a case study of the Ontario Disability Support Program, Employment Supports (ODSP-ES) and considers the impact of the policy revision that occurred in 2006 on employment support services for people living with mental illness. A constructivist grounded theory approach guided data collection and analysis. Key policy documents were analyzed and 25 key informant interviews were conducted with individuals who were involved in: the construction and/or implementation of the policy; developing and/or delivering employment services under the policy; or advocacy work related to the policy. The findings highlight the impact of outcome-based funding on employment services and practices, and provide lessons for the construction and implementation of public policy for marginalized groups. The new funding system has promoted a shift from a traditional social service model of employment supports towards a marketing model, wherein services focus on increasing job placement and short-term job retention rates. However, the introduction of market principles into employment services has had significant implications for people living with mental illness. Employment programs are required to absorb increased financial risk, thereby altering the way service providers work with clients to help them find and keep jobs; there is a heightened focus on the rapid placement of clients into available jobs and less attention to the quality of employment being achieved and to complex barriers that prevent individuals from succeeding with employment. Although ODSP-ES has been somewhat successful at connecting people with disabilities to competitive employment, it has led to secondary consequences that compromise its overall utility. The findings highlight the complexity of constructing and implementing public policy for marginalized groups and suggest that evaluating public policy is an interpretative exercise that should be explored from multiple perspectives beyond the stated objectives.

Policies are shaped by social values and assumptions, and can significantly impact the delivery of health and social services. Marginalized groups are often disadvantaged in the political realm and reliant on publicly funded services and supports. The purpose of this research is to consider how public policies are constructed and implemented for marginalized groups and to increase understanding of the consequences of policy reform. It draws on a case study of the Ontario Disability Support Program, Employment Supports (ODSP-ES) and considers the impact of the policy revision that occurred in 2006 on employment support services for people living with mental illness. A constructivist grounded theory approach guided data collection and analysis. Key policy documents were analyzed and 25 key informant interviews were conducted with individuals who were involved in: the construction and/or implementation of the policy; developing and/or delivering employment services under the policy; or advocacy work related to the policy. The findings highlight the impact of outcome-based funding on employment services and practices, and provide lessons for the construction and implementation of public policy for marginalized groups. The new funding system has promoted a shift from a traditional social service model of employment supports towards a marketing model, wherein services focus on increasing job placement and short-term job retention rates. However, the introduction of market principles into employment services has had significant implications for people living with mental illness. Employment programs are required to absorb increased financial risk, thereby altering the way service providers work with clients to help them find and keep jobs; there is a heightened focus on the rapid placement of clients into available jobs and less attention to the quality of employment being achieved and to complex barriers that prevent individuals from succeeding with employment. Although ODSP-ES has been somewhat successful at connecting people with disabilities to competitive employment, it has led to secondary consequences that compromise its overall utility. The findings highlight the complexity of constructing and implementing public policy for marginalized groups and suggest that evaluating public policy is an interpretative exercise that should be explored from multiple perspectives beyond the stated objectives.

Der Bologna-Prozess hat umfangreiche Reformbewegungen mit dem Ziel einer Harmonisierung des Europäischen Hochschulraums initiiert. Des Weiteren hat die universitäre Lehre in Europa und international fächerübergreifend vielschichtige Veränderungen erfahren und wird zunehmend studierendenzentriert und kompetenzorientiert ausgerichtet. Um mit diesen Entwicklungen Schritt zu halten, war das Ziel dieser Arbeit, ein flexibles und innovatives Lehrkonzept für Fach Kieferorthopädie an der Universität Leipzig zu erarbeiten. Grundlage dafür war die Erstellung eines Lernzielkatalogs, der sowohl allgemeine als auch spezifisch auf die lokalen Gegebenheiten zugeschnittene Anforderungen definiert. Anhand dieses Katalogs wurden vier Module erstellt. Sie halten sich in ihrem strukturellen und inhaltlichen Aufbau sowohl an die Vorgaben der Approbationsordnung als auch an die europäischen und nationalen Empfehlungen. Durch die Einbeziehung traditioneller und moderner Lehr-, Lern- und Prüfungsformen wurde die Lehre studierendenzentriert und kompetenzorientiert gestaltet. Diese Arbeit kann als Muster für die Implementierung eines modernen Lehrkonzepts in der Kieferorthopädie dienen. Eine Verknüpfung mit anderen Fachrichtungen im Sinne einer interdisziplinären Studentenausbildung ist durch die transparente Gestaltung des Lernzielkatalogs und der Module ebenso möglich wie eine Anpassung an zukünftige geänderte Rahmenbedingungen.

The post 1994 educational reforms in South Africa brought about a new thinking in the basic education system. The Curriculum 2005 introduces General Education and Training (GET) band comprising of Grades R-9 and Further Education and Training (FET) comprising of Grades 10-12. These changes necessitates that greater energy and investment be made in the development of appropriate programmes for professional development of educators at both pre-service and in-service levels in order to increase educator reorientation and competency in educating learners in the new education system. The purpose of the study is to determine the impact of educator professional development programmes (pre- and in-service) on Grade 10 Life Orientation educators with regard to the implementation of the National Curriculum Statement (NCS) in the Francis Baard District. The study also aims to determine barriers encountered in the implementation of in-service professional development programmes for Grade 10 Life Orientation educators. The study consists of a literature review concerning the National Curriculum Statement and professional in-service training programmes. A quantitative approach was followed to collect the relevant data. Grade 10 Life Orientation educators in the Francis Baard District form the population of this study. Two distinct conclusions are drawn from the findings of the study, namely; • Educators professional programmes (pre- and in-service) had very little impact on the knowledge, skills and abilities of Grade 10 Life Orientation educators for the implementation of the National Curriculum Statement (NCS) in the Francis Baard District. • Pre- and in- service educator professional development programmes attended by Grade 10 Life Orientation educators did not substantially improve their capabilities mentioned above to implement the National Curriculum Statement. Four categories of recommendations are suggested, namely: • The responsibility of the Department of Education towards the professional in-service training programmes. • The teacher training institutions' responsibility towards the Life Orientation teachers. • The formation of support groups in the different regions in the Francis Baard District. • Further research should be conducted to improve successful implementation of educator professional development programmes ( pre- and in-service) on Grade 10 Life Orientation educators. / Thesis (M.Ed.)--North-West University, Potchefstroom Campus, 2011

In South Africa today, the challenge is to redress past inequalities and to transform the higher education system. This transformation of the higher education system is necessary in order to serve a new social order. The introduction of outcomes-based education and training requires a new approach to education, including the process of assessment. An outcomes-based approach to education and training focuses on continuous assessment through the use of a range of assessment methods. The Ministry of Education tasked the National Department of Education to embark on a review of their academic programmes. This review has been in response to register programmes on the National Qualifications Framework. This review has also been part of an attempt to improve the quality of qualifications. In most learning organisations, assessment and learning have always been closely related. If assessment has not simply been seen as the end point in learning but has been an important component in the design of the learning process itself, this statement will be severely tested by the movement towards an outcomes model for education and training. The primary aim of the study was to develop a conceptual model for the management of the impleme tation of a continuous assessment plan in a university of technology by means of aliterature study and an empirical investigation. Currently, information regarding the conceptualisation of this topic is inadequate and vague. If the nature of the complexities involved in the management and implementation of CASS at universities of technology are known, a conceptualised model can be developed for the effective management of the implementation thereof. The implementation of an integrated model of assessment requires the creation of an enabling environment in which the model can be implemented. This study has found that this is not true for many universities of technology, as: • programme design still rests on subjects that are not aimed at outcome-based models; • administrative systems are not designed to accommodate the recording of continuous assessments; • students, lecturers and other stakeholders have not undergone the necessary training regarding the change in paradigm from content-based to outcomebased education; and • policy regarding modularisation and continuous assessment has not yet been defined and implemented. The study serves to present a useable model for the management of the implementation of continuous assessment at universities of technology. The study is based on a balanced opinion as the experiences of both lecturers and students were investigated by means of structured questionnaires. The findings were verified by means of a focus group interview with administrative staff involved with continuous assessment. The model that was developed is a usable model as it was subjected to a number of verification tests. / Thesis (Ph.D. (Teaching and Learning))--North-West University, Vaal Triangle Campus, 2008.

The post 1994 educational reforms in South Africa brought about a new thinking in the basic education system. The Curriculum 2005 introduces General Education and Training (GET) band comprising of Grades R-9 and Further Education and Training (FET) comprising of Grades 10-12. These changes necessitates that greater energy and investment be made in the development of appropriate programmes for professional development of educators at both pre-service and in-service levels in order to increase educator reorientation and competency in educating learners in the new education system. The purpose of the study is to determine the impact of educator professional development programmes (pre- and in-service) on Grade 10 Life Orientation educators with regard to the implementation of the National Curriculum Statement (NCS) in the Francis Baard District. The study also aims to determine barriers encountered in the implementation of in-service professional development programmes for Grade 10 Life Orientation educators. The study consists of a literature review concerning the National Curriculum Statement and professional in-service training programmes. A quantitative approach was followed to collect the relevant data. Grade 10 Life Orientation educators in the Francis Baard District form the population of this study. Two distinct conclusions are drawn from the findings of the study, namely; • Educators professional programmes (pre- and in-service) had very little impact on the knowledge, skills and abilities of Grade 10 Life Orientation educators for the implementation of the National Curriculum Statement (NCS) in the Francis Baard District. • Pre- and in- service educator professional development programmes attended by Grade 10 Life Orientation educators did not substantially improve their capabilities mentioned above to implement the National Curriculum Statement. Four categories of recommendations are suggested, namely: • The responsibility of the Department of Education towards the professional in-service training programmes. • The teacher training institutions' responsibility towards the Life Orientation teachers. • The formation of support groups in the different regions in the Francis Baard District. • Further research should be conducted to improve successful implementation of educator professional development programmes ( pre- and in-service) on Grade 10 Life Orientation educators. / Thesis (M.Ed.)--North-West University, Potchefstroom Campus, 2011