Search results

This paper aims to report on a pilot research project designed to explore if new mobile augmented reality (AR) technologies have the potential to enhance the learning of clinical skills in the lab.

An exploratory action-research-based pilot study was undertaken to explore an initial proof-of-concept design in using AR resources to supplement clinical skills lab teaching. A convenience non-probability sample of 72 undergraduate nursing students tested these resources during lab sessions, and participated in post-exposure surveys and focus groups to help evaluate them. This pilot design aimed to test logistics and gather information prior to further developmental work.

Key similarities emerged between the survey and focus group findings regarding the technical issues and support for student learning. Students clearly expressed a comfort with the technology, and both students and faculty identified the ability to access resources to support self-directed learning and review of skills as positive attributes of using AR. However, technical issues such as slow response times and incompatible smartphones interfered with resource access and frustrated some students, potentially having a negative impact on their learning. Students gave positive feedback regarding the value of mobile access and having AR resources available “at the bedside” where they were practicing.

This empirical pilot study was limited to a small number of participants in a single location. However, a deeper understanding of the potential value of AR in clinical health professional education, and best practices in implementing these new technologies, was achieved.

This study provides a valuable practical contribution, as the approach for AR resource development described can be readily replicated by teachers with limited technical skills. The practical limitations of AR technologies discovered by use in real-world settings will provide developers and educators with valuable information as they begin to explore the use of AR in the lab and beyond.

AR represents a rapidly developing field, with increasing social impact. This study provides some initial ideas that will help inform future uptake of AR in wider educational settings, beyond health professional education.

This study represents original work in the field, and specifically, an original implementation of AR in an educational context.

This paper explores a different approach to evaluating the merits of specific technical components of computer based learning applications. A traditional double blind experimental study was implemented in a new context. A computer based Clinical Decision Simulator (CDS) system was designed and implemented incorporating an intelligent agent. This was compared to an otherwise identical system with no agent, and a group of students not using CBL systems. The results suggested that although no improvement in measurable learning outcomes could be conclusively demonstrated there was some evidence that those students using the intelligent agent system demonstrated more positive learning experiences and a deeper conceptualisation of the issues. This would suggest that a comparative multimethod experimental evaluation strategy, although complex (and not without its shortcomings) may help provide a more comprehensive analysis of students learning experience, and provide a useful picture of the student’s perceptions of CBL tools. This novel approach may be of particular relevance where the justification of a specific technological aspect of an e‐learning application is required. The value of developing and using an experimental strategy to evaluate a specific technological aspect of a computer based learning (CBL) application is discussed.

Balance Theory has accumulated an impressive record of empirical confirmation at both the micro- and macro-levels. Yet, it is unclear why humans consistently prefer balanced relations when imbalance offers the opportunity to reap material rewards. We argue that balance is preferred because it functions as a “compression heuristic,” allowing networks to be more easily encoded in, and recalled from, memory.

We present the results of a novel randomized laboratory experiment using nearly 300 subjects. We evaluate the independent and joint effects of degree of balance/imbalance and presence/absence of kin compression heuristics on network recall.

We find that memory for relationship valence is more accurate for balanced, rather than imbalanced, networks and that relationship existence and relationship valence are separable cognitive elements. We also use comparisons between kin and non-kin networks to suggest that humans are implicitly aware of the conditions under which imbalanced networks will be most durable.

We show that the tension/strain postulated to generate mental and behavioral responses to increase balance likely stems from cognitive limitations. More broadly, this connects balance theory to models of human cognition and evolution and suggests that human general processing ability may have evolved in response to social, rather than physical, challenges.

This chapter advances understanding of how professional expertise is enacted and created to accomplish routines in the context of technology-mediated work. Information and communication technologies broaden the participation of professionals with various specialist skills and expertise to accomplish work together, which is particularly salient in health care. Broadening participation, however, creates jurisdictional conflict among professionals. Thus, a key challenge of interprofessional work is the need to mutually adapt established professional routines and overcome jurisdictional conflict to perform interdependent routine tasks. The authors examine how professionals adapt established routines by analyzing the new interactions and interdependent actions required to accomplish technology-mediated geriatric consultation routines. The findings of this study show that professionals create new patterns of actions that are shaped by relational forms of professional expertise, namely selective and blending expertise. The findings and theoretical insights contribute to the literature on routine dynamics by highlighting the importance of relational expertise, and showing how it can transform and destabilize otherwise established professional routines.

The official supervision which may be exercised over the food supply of England and Wales, so far as its quality and wholesomeness is concerned, falls under the following heads:—

In 2020, the Covid-19 pandemic resulted in full or partial lockdowns of higher education institutions (HEIs) in most countries worldwide. On the other hand, HEIs around the world were faced with the difficult questions of how to continue to provide training, learning and research activities to students during outbreaks, epidemics and pandemics. Online and blended learnings are relatively new modes of teaching and learning activities which enable HEIs to offer either online only or a combination of online and physical-based programs of study respectively. Adoption of such learning practices helped ensure continued HEIs operations during outbreaks, epidemics and pandemics. However, there are HEIs which still have no or limited investment in online and blended learning. This chapter outlines the different models of online and blended learning that HEIs can adopt, demystify the benefits, values and challenges posed by these models, necessary infrastructure including information and communication technologies (ICTs) as well as required staff and student support services to ensure effective and efficient uptake and usage. It further shows that with a deliberate initial investment in the necessary infrastructure, staff and student support services, the resources of and potential for online and blended programs can be enormous. It also outlines remote learning models that HEIs can adopt, how to support students’ readiness for online and blended learning, the benefits and challenges posed by employing online and blended learning in HEIs and the necessary infrastructure and support services.

Medication errors are an important patient safety issue. Electronic medication reconciliation is a system designed to correct medication discrepancies at transitions in healthcare. The purpose of this paper is to measure types and prevalence of intravenous antibiotic errors at hospital discharge before and after the addition of an electronic discharge medication reconciliation tool (EDMRT).

A retrospective study was conducted at a tertiary hospital where house officers order discharge medications. In total, 100 pre-EDMRT and 100 post-EDMRT subjects were randomly recruited from the study center’s clinical Outpatient Parenteral Antimicrobial Therapy (OPAT) program. Using infectious disease consultant recommendations as gold standard, each antibiotic listed in these consultant notes was compared to the hospital discharge orders to ascertain the primary outcome: presence of an intravenous antibiotic error in the discharge orders. The primary covariate of interest was pre- vs post-EDMRT group. After generating the crude prevalence of antibiotic errors, logistic regression accounted for potential confounding: discharge day (weekend vs weekday), average years of practice by prescribing physician, inpatient service (medicine vs surgery) and number of discharge mediations per patient.

Prevalence of medication errors decreased from 30 percent (30/100) among pre-EDMRT subjects to 15 percent (15/100) errors among post-EDMRT subjects. Dosage errors were the most common type of medication error. The adjusted odds ratio of discharge with intravenous antibiotic error in the post-EDMRT era was 0.39 (0.18, 0.87) compared to the pre-EDMRT era. In the adjusted model, the total number of discharge medications was associated with increased OR of discharge error.

To the authors’ knowledge, no other study has examined the impact of reconciliation on types and prevalence of medication errors at hospital discharge. The focus on intravenous antibiotics as a class of high-stakes medications with serious risks to patient safety during error events highlights the clinical importance of the findings. Electronic medication reconciliation may be an important tool in efforts to improve patient safety.

Charisma holds a central place in discussions about leadership. The Founding Fathers were opposed to some forms of charisma but endorsed some as well. They sought to entrust government to select-people, like themselves, who could be trusted to rule for the many – in Bass (1998) terms, “socialized” as opposed to “personalized” charismatic leaders. This chapter responds to Publius, the authors of the Federalist Papers, to explain the problems the Founding Fathers’ fears have caused us in presidential elections, including that of 2000.