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The Relationship Among Children Born With A Congenital Heart Defect, Effects Of General Anesthesia, And Special Academic Needs, Lorilynn Bowie

Dissertations

Abstract

I initiated this study due to experience in the public education system in one state in the United States. I noted a lack of understanding among educators on how to meet the educational needs of children born with a congenital heart defect (CHD) who had undergone general anesthesia related to their CHD. A lack of communication between the medical sector and the educational world led to extensive delays in children receiving the educational support they needed to be successful academically. There were two primary exploratory questions that drove my study: 1.) Is there a relationship between children born with …

Quality Assurance In Competency Training Of Pre-Anesthesia Consultation Skills, Michelle Wong

The Dissertation in Practice at Western University

The absence of quality assurance in training clinicians to perform pre-anesthesia consultations at a Canadian university is the Problem of Practice addressed in this Organizational Improvement Plan. This competency requires learners to apply their anesthesia knowledge to take medical histories; perform physical examinations; diagnose anesthetic risks; and generate anesthesia plans. Random chart audits of many learners identify deficiencies and suggest inconsistent training of this competency. This Organizational Improvement Plan analyzes the anesthesia program’s organizational context to be a complex adaptive system; organizational structure to be a hierarchy; and organizational state to be static. Through the paradigms of complexity theory, interpretivism, …