A comparative study of occupancy and patient care quality in four different types of intensive care units in a children's hospital

This paper reports a comparative study of occupancy and patient care quality in four types of intensive care units in a children's hospital,: an Infant Care Center (ICC), a Medical/Surgical (Med/Surg) unit, a Neonatal Intensive Care Unit (NICU), and a Pediatric Intensive Care Unit (PICU), each featuring a mix of multi-bed and private room (PR) patient care environments. The project is prompted by interest by the project sponsor in a pre-occupancy analysis, before the units are upgraded to exclusive PR designs. Methods comprised, for each unit: (1) observations of ergonomic design features; (2) task activity analyses of job performance of selected staff; and (3) use of a survey to collect perceptions by unit nursing and house staff (HS) of indicators of occupancy and patient care quality. Conclusions: (1) the five most common task activities are interaction with patients, charting, and interaction with equipment, co-workers and family members; (2) job satisfaction, patient care, work environment, job, patient care team interaction, and general occupancy quality rankings by ICC and/or NICU respondents are significantly higher than those by other staff respondents; and (3) ergonomic design shortcomings noted are excess noise, problems with equipment, and work environment, job-related health, and patient care quality issues.     

Family structure and child outcomes: a high definition, wide angle “snapshot”

Using data from the National Survey of America??s Families (NSAF), this research investigates the relationships between a highly defined set of family structures and a broad set of child outcomes at a particular point in time in a child??s life. A detailed classification of family structures is constructed that clarifies key differences among various types of diverse families, and facilitates equivalencies testing and pairwise comparisons across nontraditional family structures. The NSAF contains a large number of observations for less common, but growing, family structures such as single-father families, grandparent-headed households and cohabiters, which makes such detailed analyses feasible and allows further stratification by child age, gender and race. The data also contains information on child behavioral, educational and physical health outcomes, as well as extensive household characteristics, economic resources and parental behaviors and inputs. Results suggest that differences across nontraditional family structures are particularly prominent for child health outcomes and that the gender of the resident parent is empirically important, more so than the presence of a cohabiting or married step-parent. Children in single father families have lesser access to health care yet enjoy better health outcomes than those in other families, even after controlling for economic resources (and inputs). In contrast, few differences are found between grandparent-headed families and other non-parent families. While we explore alternative explanations for these results, our cross-sectional data and complex set of family structure variables preclude isolating causal relationships; instead, our analyses yield empirically important distinctions that point to promising avenues for future research.     

Anthropology,Dance, and Education: Integrated Curriculum in Social Studies

The integration of dance into K–12 curriculum can help students to learn better, encouraging deeper exploration and active engagement with content knowledge. The purpose of this intervention study was to determine how the integration of dance and social studies with an anthropological framework affects student learning of content knowledge in social studies, as well as student attitude toward the topic. An anthropological framework was implemented to foster respectful investigation of culture. As a supplement to a sixth-grade unit on Ancient Egypt, the experimental group received four intervention lessons, incorporating creative dance. Results show that at posttest the intervention group had significantly higher content knowledge than the control group, and qualitative student responses from the intervention group suggest extremely positive feelings toward experiences in the program. This suggests that incorporating dance into sixth-grade social studies with an anthropological framework can encourage student exploration and increase understanding of content.     

A Framework for Enabling Evidence-based Practice in Allied Health

Evidence-based practice (EBP) is upheld as best practice in health and human services but there is a need for more research on how this approach can be enabled in day-to-day practice. This qualitative study examined EBP with allied health managers and practitioners in a health service network (n = 17). The findings highlight the systemic nature of EBP and the extent to which it involves both individual and environmental attributes. Individual attributes include clear understanding of EBP, relevant knowledge and skills, and motivation and passion. Environmental attributes are the presence of an organisational culture that values and prioritises EBP and an integrated mix of research support services, professional development activities, supervision and mentorship, and university partnerships. Theoretical frameworks can be useful for making sense of complex processes, planning, and evaluating change. Therefore, the findings are presented as a framework incorporating reflective questions relating to the elements identified as enabling EBP.     

Poly-victimization and resilience portfolios: Trends in violence research that can enhance the understanding and prevention of elder abuse

ABSTRACT

This literature review assesses the current state of knowledge about elder abuse and mistreatment, focusing on the lack of incorporation of all forms of elder victimization and the benefits of a poly-victimization framework. This review also includes existing knowledge on risk factors and calls for a greater focus on protective factors and a greater inclusion on family and community factors. Future research, prevention, and intervention would benefit from considering the true burden of elder victimization and a greater implementation of strengths-based approaches to programs.