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Measuring nursing competencies in the operating theatre: Instrument development and psychometric analysis using Item Response Theory

Article
Background: Concern about the process of identifying underlying competencies that contribute to effective nursing performance has been debated with a lack of consensus surrounding an approved measurement instrument for assessing clinical performance. Although a number of methodologies are noted in the development of competency-based assessment measures, these studies are not without criticism. Research aim: The primary aim of the study was to develop and validate a Performance Based Scoring Rubric, which included both analytical and holistic scales. The aim included examining the validity and reliability of the rubric, which was designed to measure clinical competencies in the operating theatre. Research method: The fieldwork observations of 32 nurse educators and preceptors assessing the performance of 95 instrument nurses in the operating theatre were used in the calibration of the rubric. The Rasch model, a particular model among Item Response Models, was used in the calibration of each item in the rubric in an attempt at improving the measurement properties of the scale. This is done by establishing the 'fit' of the data to the conditions demanded by the Rasch model. Results: Acceptable reliability estimates, specifically a high Cronbach's alpha reliability coefficient (0.940), as well as empirical support for construct and criterion validity for the rubric were achieved. Calibration of the Performance Based Scoring Rubric using Rasch model revealed that the fit statistics for most items were acceptable. Conclusion: The use of the Rasch model offers a number of features in developing and refining healthcare competency-based assessments, improving confidence in measuring clinical performance. The Rasch model was shown to be useful in developing and validating a competency-based assessment for measuring the competence of the instrument nurse in the operating theatre with implications for use in other areas of nursing practice. © 2012.
Background: Concern about the process of identifying underlying competencies that contribute to effective nursing performance has been debated with a lack of consensus surrounding an approved measurement instrument for assessing clinical performance. Although a number of methodologies are noted in t …

Recasting transfer as a socio-personal process of adaptable learning

Review
Transfer is usually cast as an educational, rather than learning, problem. Yet, seeking to adapt what individuals know from one circumstance to another is a process more helpfully associated with learning, than a hybrid one called transfer. Adaptability comprises individuals construing what they experience, then aligning and reconciling with what they know, and enacting responses. This learning process is mediated by societal and cultural contributions shaping tasks, their goals and solutions and also by individuals' capacities and interest, as shaped by their ontogenies (i.e. socially derived life histories). Labelling this process 'transfer' arises from concerns about educational institutions' key rationale: that what is learnt through them should be applicable elsewhere. However, expectations of educational provisions generating wholesale adaptable learning (i.e. transferable knowledge) are unrealistic because this learning is mediated by culturally, societally and situationally derived facts and personal factors. To moderate expectations and inform practice, transfer of knowledge needs to be understood as human thinking and acting mediated both internally (intra-psychologically) as well as inter-psychologically (from social and brute suggestions beyond the individual). Consequently, a socio-personal conception of adaptability is advanced here to illuminate this process. Through intra- as well inter-psychological mediation, it comprises individuals construing what is experienced, reconciliation with what they know and constructing new knowledge or adaptability. © 2012 Elsevier Ltd.
Transfer is usually cast as an educational, rather than learning, problem. Yet, seeking to adapt what individuals know from one circumstance to another is a process more helpfully associated with learning, than a hybrid one called transfer. Adaptability comprises individuals construing what they exp …

Interprofessional education sessions involving doctor of pharmacy, bachelor of science in nursing, and nurse anesthetist students

Article
To implement and assess the initial didactic interprofessional education (IPE) sessions in the health professions at our institution. Methods: Volunteer pharmacy students met with senior bachelor of science in nursing students or graduate nurse anesthetist students for case discussion during three different sessions. Each session had a different pedagogical approach. A survey was administered at the completion of each session to ascertain students' attitudes about these experiences. Results: Overall, the results showed that the session involving pharmacy students and bachelor of science in nursing students was more favorable than those involving pharmacy students and nurse anesthetist students. At least 80% of all participants responded that it is important to have IPE sessions like this and they would participate in them again if the opportunity was available. Moreover, 100% of the pharmacy students in each session agreed that the discussions were relevant to them and they enjoyed these learning experiences. Conclusions: This educational research showed that pharmacy and nursing students believed that the IPE sessions were beneficial for them. In the future, focused sessions may be the best pedagogical approach in order for these opportunities to be the most productive for everyone involved. © 2013 Elsevier Inc.
To implement and assess the initial didactic interprofessional education (IPE) sessions in the health professions at our institution. Methods: Volunteer pharmacy students met with senior bachelor of science in nursing students or graduate nurse anesthetist students for case discussion during three d …

Skills, lives and livelihoods: Insights from Ghana, India and Pakistan

Book chapter
[No abstract available]
[No abstract available]

The pediatrics milestones: Initial evidence for their use as learning road maps for residents

Article Open Access
Objective: As the next step in competency-based medical education, the Pediatrics Milestone Project seeks to provide a learner-centered approach to training and assessment. To help accomplish this goal, this study sought to determine how pediatric residents understand, interpret, and respond to the Pediatrics Milestones. Methods: Cognitive interviews with 48 pediatric residents from all training levels at 2 training programs were conducted. Each participant reviewed one Pediatrics Milestone document (PMD). Eight total Pediatrics Milestones, chosen for their range of complexity, length, competency domain, and primary author, were included in this study. Six residents, 2 from each year of residency training, reviewed each PMD. Interviews were transcribed and coded using inductive methods, and codes were grouped into themes that emerged. Results: Four major themes emerged through coding and analysis: 1) the participants' degree of understanding of the PMDs is sufficient, often deep; 2) the etiology of participants' understanding is rooted in their experiences; 3) there are qualities of the PMD that may contribute to or detract from understanding; and 4) participants apply their understanding by noting the PMD describes a developmental progression that can provide a road map for learning. Additionally, we learned that residents are generally comfortable being placed in the middle of a series of developmental milestones. Two minor themes focusing on interest and practicality were also identified. Conclusions: This study provides initial evidence for the Pediatrics Milestones as learner-centered documents that can be used for orientation, education, formative feedback, and, ultimately, assessment. © 2013 by Academic Pediatric Association.
Objective: As the next step in competency-based medical education, the Pediatrics Milestone Project seeks to provide a learner-centered approach to training and assessment. To help accomplish this goal, this study sought to determine how pediatric residents understand, interpret, and respond to the …

human resource management for hospitality, tourism and events: Second edition

Book
human Resource Management for the Hospitality and Tourism Industries 2nd Edition, takes an integrated look at HRM policies and practices in the tourism and hospitality industries. Utilising existing human resource management (HRM) theory and practice, it contextualises it to the tourism and hospitality industries by looking at the specific employment practices of these industries, such as how to manage tour reps or working in the airline industry. It initially sets the scene with a broad review of the evidence of HRM practice within the tourism and hospitality industries. Having identified the broader picture, the text then begin to focus much more explicitly on a variety of HR policies and practices such as: recruitment and selection, legislation and equal opportunities, staff health and welfare and remuneration strategies in the industry. This 2nd edition has been fully updated: with new legal information, data, statistics and examples new chapter looking at HRM policies and practice in Events new international examples of best practice for prescriptive teaching and discussion, and international case studies to exercise problem solving techniques and contextualise learning enhanced companion website for students and lecturers including: power point slides, student test bank, additional case studies and links to additional resources Written in a user friendly style, each chapter includes chapter outlines and objectives, HRM in practice - boxed examples, reflective review questions, web links, discussion questions and further reading to aid understanding and test knowledge. © 2007, 2013 Dennis Nickson. All rights reserved.
human Resource Management for the Hospitality and Tourism Industries 2nd Edition, takes an integrated look at HRM policies and practices in the tourism and hospitality industries. Utilising existing human resource management …

Retaining through training even for older workers

Article
This paper investigates whether on-the-job training has an effect on the employability of workers. Using data from the Netherlands we disentangle the true effect of training incidence from the spurious one determined by unobserved individual heterogeneity. We also take into account that there might be feedback from shocks in the employment status to future propensity of receiving firm-provided training. We find that firm-provided training significantly increases future employment prospects. This also holds for older workers, suggesting that firm-provided training may be an important instrument to retain older workers at work. © 2012 Elsevier Ltd.
This paper investigates whether on-the-job training has an effect on the employability of workers. Using data from the Netherlands we disentangle the true effect of training incidence from the spurious one determined by unobserved individual heterogeneity. We also take into account that there might …

Effectiveness of reflective exercises for obstetrics and gynaecological residents

Article
Objective: To evaluate the effectiveness of reflective exercises in obstetrics and gynaecology (OB/GY) residents for theimprovement in certain identified skills.Study Design: Experimental study.Place and Duration of Study: Gynaecology Unit III, Services Institute of Medical Sciences / Services Hospital, Lahore,from September 2009 to August 2010.Methodology: Twenty-four residents from all 4 years of residency program were included in the study after their informedconsent. The competencies identified were surgical skills, professionalism, communication skills and critical appraisalskills. The reflective exercises evaluation was done on questionnaire designed for this purpose.Results: The results showed that the residents initially had underdeveloped ability to engage into purposeful reflectiveexercises, which improved with practice and showed encouraging results. Reflective exercises particularly helped inimprovement of surgical skills as opposed to other identified competencies.Conclusion: Regular engagement of postgraduate trainees in reflective exercises in a purposeful manner hasencouraging results in terms of improvement in surgical, communication, critical appraisal skills and has a role in boostingprofessionalism among residents. However, a longitudinal multicentre study can give better insight regarding theeffectiveness of this practice.
Objective: To evaluate the effectiveness of reflective exercises in obstetrics and gynaecology (OB/GY) residents for theimprovement in certain identified skills.Study Design: Experimental study.Place and Duration of Study: Gynaecology Unit III, Services Institute of Medical Sciences / Services Hospi …

E-mentoring in global software development teams: Success factors to develop a common culture

Book chapter
Global Software Development (GSD) teams face communication and coordination problems due to spatial, temporal, and cultural separation between team members. Cultural diversity and cross-cultural management are significant issues among GSD teams. In software development projects, mentoring dramatically reduces the learning curve for novice human resources. Due to the large amount of electronic communication instruments, a remarkable number of different e-Mentoring concepts have emerged, which provides opportunity for mentoring that would not otherwise be possible. This chapter presents key success factors to enable e-Mentoring as a tool to develop a common culture in GSD scenarios. These success factors enable the correct application of mentoring programmes and the use of this to build a common culture in organizations that perform GSD. © 2014, IGI Global.
Global Software Development (GSD) teams face communication and coordination problems due to spatial, temporal, and cultural separation between team members. Cultural diversity and cross-cultural management are significant issues among GSD teams. In software development projects, mentoring dramatical …

A development dilemma for secondary vocational education

Article
human resource development is one of the theories guiding China's development of secondary vocational education. Secondary vocational education has always played a role in human resource training and development from the nation's founding to the present. In Chinese society today, however, there is a clear instrumentalist tendency in secondary vocational education's focus on human resource development, which has become a dilemma constraining the development of secondary vocational education. Our empirical study in the city of Dalian found that such an instrumentalist talent development trend appears primarily in the following areas: employment-oriented training models, interest-driven school management, and local conservatism in development planning. © 2013 M.E. Sharpe, Inc.
human resource development is one of the theories guiding China's development of secondary vocational education. Secondary vocational education has always played a role in human resource training and development from the nat …