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2019

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Message Factors That Favourably Drive Consumer’S Attitudes And Behavioural Intentions Towards Social Network And Media Platforms, Sarhang Majid Jan 2019

Message Factors That Favourably Drive Consumer’S Attitudes And Behavioural Intentions Towards Social Network And Media Platforms, Sarhang Majid

Plymouth Business School Theses

As consumers are increasingly utilising social network and media platforms for pre-purchase information, managers are confronted with producing effective social network and media platform (SNMP) messages that can favourably influence buyers’ attitudes and behavioural intentions towards brands and products. To ensure a thorough investigation of this research realm, and to develop awareness of the factors influencing the effectiveness of social media marketing, this study adopted a mixed methods approach involving a combination of both qualitative and quantitative research. An exploratory sequential research design was followed, starting with an in-depth, elite interview investigation with social media marketing experts. Adopting a thematic …

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The Holistic Exploration Of The Multifaceted Relationship Between Healthcare Professionals’ Job Satisfaction And Quality Of Care., Moya Lerigo-Sampson Jan 2019

The Holistic Exploration Of The Multifaceted Relationship Between Healthcare Professionals’ Job Satisfaction And Quality Of Care., Moya Lerigo-Sampson

Plymouth Business School Theses

Problem definition: Healthcare is a professional field, which most individuals will encounter at some point in their life, directly or indirectly. In the UK, healthcare organisations are facing significant challenges, including financial pressures, shortages in staffing levels, and changes in the way healthcare is delivered. In addition, patient demand for such healthcare systems has been increasing dramatically year on year, in part, due to societal changes towards unhealthier lifestyles. Consequently, amid such adversities, it is important to understand how these issues are affecting both the providers and receivers of healthcare. Therefore, the current study will explore how healthcare professionals’ job …

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'As You Were': Military-Bureaucratic Control And The Employment Relationship In The British Armed Forces, Margaret Prior Jan 2019

'As You Were': Military-Bureaucratic Control And The Employment Relationship In The British Armed Forces, Margaret Prior

Plymouth Business School Theses

Service in the British armed forces has not previously been considered a subject for employment and industrial relations research, but military personnel are in an employment relationship and thus worthy of such study. Drawing on an extensive literature review, documentary analysis and a qualitative survey and interviews with ex-service personnel, this study adopts a critical realist philosophy and retroduction to examine how the military employment relationship is regulated, experienced and contested, with particular reference to discipline and voice. It also compares military service with civilian employment, noting that the two, once similar, have diverged. The study uncovers a complex web …

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Strategic Management In Improving Total Quality In Bahrain’S Public Sector, Abdulrahman M. Alnoaimi Jan 2019

Strategic Management In Improving Total Quality In Bahrain’S Public Sector, Abdulrahman M. Alnoaimi

Plymouth Business School Theses

This study determined the strategic management in improving total quality in Bahrain’s public sector. More specifically, the concerns of this study were: 1) the demographic characteristics of the respondents in terms of gender, nationality, number of years in public sector, category of specialisation, position in the organisation, and field which team work is relevant; 2) the strategic management practices and TQM application along institutionalising the planning function, establishing the strategic foundation, strategic situational diagnosis, and managing TQM implementation; and 3) TQM factors implemented in Bahrain’s public sector; 4) applying TQM and influenced the Bahrain’s public sector competitiveness; 5) the role …

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Hidden In Plain Sight-An Analysis Of The Influence Of Strategic Leadership Characteristics And Styles Of The Chair, Chair/Ceo, Ceo And Cfo In Banking Failure, Recapitalisation Or Bailout (1999-2017). A Grounded Theory Approach, Alison Louise Miles Jan 2019

Hidden In Plain Sight-An Analysis Of The Influence Of Strategic Leadership Characteristics And Styles Of The Chair, Chair/Ceo, Ceo And Cfo In Banking Failure, Recapitalisation Or Bailout (1999-2017). A Grounded Theory Approach, Alison Louise Miles

Plymouth Business School Theses

The global financial crisis (2007-2009) caused the most severe global economic downturn since the Great Depression and in the 10 years since, the global banking sector has witnessed an onslaught of banking scandals such as: LIBOR, FOREX, money laundering, and tax avoidance. In the wake of these ongoing issues, there is a clear need to explore alternative methods to tackle failures and scandals in the banking sector. A key weakness in the current discourse is the lack of analysis of the leadership characteristics and styles of board members of leading banks. This study responds to this weakness, contributing in three …

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Supply Chain Financial Performance In Liquefied Natural Gas Systems, Nasiru Zubairu Jan 2019

Supply Chain Financial Performance In Liquefied Natural Gas Systems, Nasiru Zubairu

Plymouth Business School Theses

Liquefied natural gas (LNG) is a rapidly growing energy source, with highly competitive supply chain networks, sensitive to global macro-economic developments. To date, supply chain finance studies have failed to explore supply chain financial performance (SCFP) in the LNG sector and few have demonstrated the potential impact of supply chain practices on financial performance. This study aims to evaluate the relationship between supply chain strategies and the financial performance of Nigeria liquefied natural gas (NLNG) systems, to guide practitioners to review and adopt supply chain initiatives that drive business survival and growth, while creating value for investors. To identify key …

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Measuring Sustainability In Less Developed Countries: Case Of Tourism In The Gorilla Parks Of The Democratic Republic Of Congo, Vincent-Bouky Kakuru Luhunde Jan 2019

Measuring Sustainability In Less Developed Countries: Case Of Tourism In The Gorilla Parks Of The Democratic Republic Of Congo, Vincent-Bouky Kakuru Luhunde

Plymouth Business School Theses

This research proposes a method and tool for measuring the sustainability of tourism in Less Developed Countries (LDCs), more specifically the gorilla tourism of the D.R. Congo. Since the Brundtland Report several assessment models have been proposed but have all failed to capture the centrality of sustainability, i.e. stakeholders, the very ones who can take action for sustainability to be achieved or not. This research has helped to design a holistic and stakeholder-centred method and tool for measuring sustainability of tourism, the Sustainability Value Model (SVM) using Social Network Analysis (SNA) method. The SVM tool provides a visual assessment of …

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Variable Fault Geometry Suggests Detailed Fault Slip-Rate Profiles And Geometries Are Needed For Fault-Based Probabilistic Seismic Hazard Assessment (Psha), Walker J Faure, F. Visini, G. Roberts, C. Galasso, K. Mccaffrey, Z. Mildon Jan 2019

Variable Fault Geometry Suggests Detailed Fault Slip-Rate Profiles And Geometries Are Needed For Fault-Based Probabilistic Seismic Hazard Assessment (Psha), Walker J Faure, F. Visini, G. Roberts, C. Galasso, K. Mccaffrey, Z. Mildon

School of Geography, Earth and Environmental Sciences

No abstract provided.

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An Evaluation Of A Diabetes Self-Management Education Program In A Community Health Clinic, Daniela Chetan Jan 2019

An Evaluation Of A Diabetes Self-Management Education Program In A Community Health Clinic, Daniela Chetan

Electronic Theses and Dissertations 2010 - 2019

The incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for developing diabetes-related complications (Ricci-Cabello et al., 2014). Diabetes is a chronic disease that requires a person to make …

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The Impact Of Cardiopulmonary Rehabilitation On Quality Of Life, Wildya Conde Jan 2019

The Impact Of Cardiopulmonary Rehabilitation On Quality Of Life, Wildya Conde

Electronic Theses and Dissertations 2010 - 2019

The devastating effects of cardiovascular disease are evident at a global and national level. Heart disease is the leading cause of mortality for both men and women, furthermore, heart disease is the number one cause of mortality for most ethnicities in the United States. Pulmonary disease also has an adverse impact on society. Pulmonary disease is one of the leading causes of disability and death worldwide. In an effort to increase the awareness of the effectiveness of cardiopulmonary rehabilitation clinics, this doctoral project conducted a program evaluation on a cardiopulmonary rehabilitation program (CRP) in Stuart, Florida. The purpose was achieved …

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Use Of The Hypertension Self-Care Profile Tool And Dash Diet For Self-Care Management Among African American Adults With Hypertension, Charity H. Denson Jan 2019

Use Of The Hypertension Self-Care Profile Tool And Dash Diet For Self-Care Management Among African American Adults With Hypertension, Charity H. Denson

Electronic Theses and Dissertations 2010 - 2019

Although there are clinical guidelines in place for the treatment of hypertension (HTN), many African Americans (AA) fail to reach controlled levels within the primary care setting. The ultimate goal of this quality improvement project is to provide evidence-based information that could be used to improve HTN care and decrease the rates of uncontrolled HTN among AA adults with HTN. The project was conducted at a Federally Qualified Health Center in Fort Pierce, Florida. The intention of this quality improvement project is to address the need for attention to this concerning issue, to highlight best current evidence, and to provide …

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Improving Hypertension: Engagement In A Walking Exercise Program In A Primary Care Setting, Ana Favareto Jan 2019

Improving Hypertension: Engagement In A Walking Exercise Program In A Primary Care Setting, Ana Favareto

Electronic Theses and Dissertations 2010 - 2019

Background: Hypertension (HTN) is a very common, undertreated, and costly disease. Despite effective treatment strategies available, uncontrolled hypertension remains a persistent problem in the primary care setting. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to assess the effectiveness of a walking exercise program (WEP) on blood pressure in adults diagnosed with uncontrolled hypertension in a primary care setting. Goals were targeted to decrease blood pressure, decrease BMI, and increase physical activity. Methods: Using Bandura’s Social Cognitive theory as a framework, a walking exercise was offered at a primary care clinic, to assess the effectiveness of …

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Increasing The Colorectal Cancer Screening, Maria Flora Jan 2019

Increasing The Colorectal Cancer Screening, Maria Flora

Electronic Theses and Dissertations 2010 - 2019

Background: Worldwide, Colorectal cancer (CRC) is the third leading cause of death (Bevan & Rutter, 2018). In the United States of America, Colorectal cancer is the second leading cause of death related to cancer (Green et al., 2019). The Center for Disease Control and Prevention (CDC) reports that millions of people are not screening as recommended and thus missing the chance to prevent or detect early CRC when treatment could often lead to a cure (CDC, 2016). CRC is a highly valued preventive service, but sadly underused. Purpose: The project goal was to evaluate the Colorectal screening program in one …

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Remote Health Coaching On Nutrition To Tackle Hyperlipidemia In Underserved Communities, Mary I. Gamble Jan 2019

Remote Health Coaching On Nutrition To Tackle Hyperlipidemia In Underserved Communities, Mary I. Gamble

Electronic Theses and Dissertations 2010 - 2019

Although there are effective medications to lower blood lipid levels, studies show that comprehensive nutritional counseling provides more effective and lasting results on blood lipids in comparison to standard of care with solely pharmacological intervention (Sialvera et al., 2017). Changes in diet such as reducing saturated fat and increasing fiber intake, are two of many alterations that have been proven to be successful and have consequently helped reduce the relative risk of ASCVD (Masana et al., 2017). The purpose of this quality improvement project was to direct participants with hyperlipidemia in the management of the condition using evidence-based nutrition guidelines …

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Program Evaluation Of Target Bp Within A Community Health Center, Stephanie Geevarughese Jan 2019

Program Evaluation Of Target Bp Within A Community Health Center, Stephanie Geevarughese

Electronic Theses and Dissertations 2010 - 2019

Despite aggressive efforts to help people achieve target blood pressure goals, currently in the US, only 52% of patients with hypertension have achieved blood pressure goals as established by JNC 8 (Low et al., 2014). Hypertension correlates with a greater risk of myocardial infraction, heart failure, stroke, and kidney disease (Low et al., 2014). Early detection and intervention is essential to reduce mortality and morbidity (Beune et al., 2014). Target BP is a national initiative formed by the American Heart Association (AHA) and the American Medical Association (AMA) in response to the rising incidence of uncontrolled blood pressure (BP). The …

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Improving Nutrition In Adults With Hypertension, Jennifer Jenkins Jan 2019

Improving Nutrition In Adults With Hypertension, Jennifer Jenkins

Electronic Theses and Dissertations 2010 - 2019

Nutrition can play a significant role in health conditions especially diseases such as hypertension. Nutritional intake can positively or negatively affect blood pressure, and many authors have found impactful changes when proper diet is adhered. Individuals who follow DASH diet guidelines have especially made positive changes in blood pressure. This quality improvement project examined if DASH diet-based nutrition education in adults with hypertension improved dietary intakes of vegetables and fruits, and reduced sodium intake and blood pressure. This manuscript addresses this concern using current evidence by describing the steps taken in a quality improvement project at Community Health of South …

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Improving Assessment And Management Of Copd, Kevin P. Hanaway Jan 2019

Improving Assessment And Management Of Copd, Kevin P. Hanaway

Electronic Theses and Dissertations 2010 - 2019

Chronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death in the United States. In 2014 approximately 142,000 individuals in the U.S. died from COPD (Office of Disease Prevention & Health Promotion, Healthy People 2020). The Global Obstructive Lung Disease Initiative (GOLD) (2019) provides evidence-based practice (EBP) guidelines for diagnosing, managing, and treating Chronic Obstructive Pulmonary Disease (COPD). This Doctor of Nursing Practice (DNP) quality improvement project used best practice recommended by GOLD (2019) to improve assessment of COPD by use of the Chronic Obstructive Pulmonary Disease Assessment Test (CAT). The implementation process for using the CAT was …

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Community Breast Screening “Treasure Your Chest”, Lovely Joji Jan 2019

Community Breast Screening “Treasure Your Chest”, Lovely Joji

Electronic Theses and Dissertations 2010 - 2019

Background: Cancer is the second leading cause of death in United States (CDC, 2019). It has a huge impact on our society. In 2019, an estimated 268,600 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 62,930 new cases of non-invasive breast cancer (U.S. Breast Cancer Statistics, 2019). About 41,760 women in the U.S. are expected to die in 2019 from breast cancer. Early diagnosis of the disease can reduce the mortality significantly and promote quality of life. Screening mammography has shown to reduce mortality from breast cancer in women 40-70years …

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Getting Physical With Back Pain, Jessica Langley Jan 2019

Getting Physical With Back Pain, Jessica Langley

Electronic Theses and Dissertations 2010 - 2019

Low back pain (LBP) can be debilitating and result in decreased mobility and reduced quality of life. This paper describes a quality improvement project focusing on managing LBP using an evidenced-based, multimodal approach. The multimodal approach included physical therapy combined with an analgesic and/or anti-inflammatory medication for pain that provide different mechanisms of action. The selected population were patients who presented with low back pain in a primary care setting. The participants attended physical therapy for four weeks while taking an individualized, prescribed medication regimen based on pain rating scores and LBP physical assessment. On the follow-up evaluation, all participants …

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Improving Hemoglobin A1c Using The 4 Steps To Manage Your Diabetes For Life, Brittany Murray Jan 2019

Improving Hemoglobin A1c Using The 4 Steps To Manage Your Diabetes For Life, Brittany Murray

Electronic Theses and Dissertations 2010 - 2019

Diabetes is the seventh leading cause of death in the U.S. where 1.5 million Americans are diagnosed each year. This evidence-based quality improvement project showed the effects of diabetes self-management education on lowering hemoglobin A1c levels and improving self-management behaviors. Education from the National Diabetes Education Program using the 4 Steps to Manage Your Diabetes for Life booklet along with follow up phone calls, a pre and post- Diabetes Self-Management Questionnaire were administered to twelve participants at the clinic. Descriptive statistics and a paired sample T-test were used to analyze data on the hemoglobin A1c and the Diabetes Self-Management Questionnaire. …

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Using Educational Materials To Increase Colorectal Cancer Screening Rates, Loreta D. Padron Jan 2019

Using Educational Materials To Increase Colorectal Cancer Screening Rates, Loreta D. Padron

Electronic Theses and Dissertations 2010 - 2019

Colorectal cancer (CRC) is the second leading, and third most preventable cancer in the United States (U.S.) (Center for Disease Control [CDC], 2019a) As the second leading cause of deaths in the U.S., more than 90% of CRC cases occur in people age 50 and older (CDC, 2019a). Roughly about 21.7 million of those at greatest risk of developing CRC have not been screened as recommended (CDC, 2019b). According to the national guidelines, the United States Preventative Service Task Force [USPSTF] recommends screening for CRC using a fecal occult blood testing (FIT or gFOBT) yearly, a sigmoidoscopy every 5 years …

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Sun Protective Behavior Counseling In Parents Of Children Aged Six Months And Older, Stephanie Queen Jan 2019

Sun Protective Behavior Counseling In Parents Of Children Aged Six Months And Older, Stephanie Queen

Electronic Theses and Dissertations 2010 - 2019

Ultraviolet radiation exposure (UVR) is the most significant modifiable risk factor in preventing skin cancer. Seeking shade, and wearing hats, photoprotective clothing, sunscreen, and sunglasses are effective sun protective behaviors proven to reduce long-term morbidity and mortality from UVR. To be effective, these behaviors must be practiced consistently and adopted early within childhood. This quality improvement project explores the impact of sun protective behavior counseling in parents with children aged six months or older. Sun protective behavior counseling was given to parents in conjunction with evidence-based supplemental infographics along with examples of appropriate clothing, sunglasses, hats, and sunscreens. Successes of …

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Screening Time: Increased Colorectal Cancer Screening Among Haitian Americans, Tarah Roch Jan 2019

Screening Time: Increased Colorectal Cancer Screening Among Haitian Americans, Tarah Roch

Electronic Theses and Dissertations 2010 - 2019

The American College of Gastroenterology and the American Cancer Society (2018) issued new guidelines recommending adults aged 45 years and older with an average risk of colorectal cancer undergo regular screening. When colorectal cancer is diagnosed at earlier stages, available treatments are more successful. Haitian immigrants are among the fastest growing group of immigrants in the US with Florida being the second largest number of people of Haitian heritage. National studies do not distinguish Haitians from the other Blacks subgroups and there are no specific statistics within African descent subgroups on colorectal cancer incidence and rate of screening. Based on …

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Improving Hgba1c And Overall Insulin Resistance For Patients With Type Ii Diabetes: Evaluating The Effectiveness Of A Whole-Food, Plant-Based Diet, Jennifer Seegott Jan 2019

Improving Hgba1c And Overall Insulin Resistance For Patients With Type Ii Diabetes: Evaluating The Effectiveness Of A Whole-Food, Plant-Based Diet, Jennifer Seegott

Electronic Theses and Dissertations 2010 - 2019

The purpose of this Doctor of Nursing Practice (DNP), quality improvement project was to assist participants in the management of their type 2 diabetes through the use an evidencebased Whole-Food, Plant-Based (WFPB) diet approach. The project described the effectiveness of individual WFPB instruction and counseling. Following recruitment, the participant attended weekly dietary counseling sessions focused on incorporating a WFPB diet over a 6-week period. The participant completed the 16-item food intake questionnaire (16-FIQ) pre- and post-dietary counseling along with HgbA1c measurements during the project period. Post dietary counseling resulted in an increase in the participant’s HgbA1c from 8.1% to 8.9%, …

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Lipids, Learning, And Lifestyle: Improving Cholesterol Levels In A Rural Health Clinic Through Enhanced Care-Coordinator Education, Stefanie Warren Jan 2019

Lipids, Learning, And Lifestyle: Improving Cholesterol Levels In A Rural Health Clinic Through Enhanced Care-Coordinator Education, Stefanie Warren

Electronic Theses and Dissertations 2010 - 2019

Having high cholesterol levels raises the risk for heart disease, the leading cause of death in the United States. High cholesterol is considered a silent preventable condition. Uncontrolled cholesterol levels increase health disparities experienced by patients of low-socioeconomic status. The purpose of this quality improvement (QI) project is to determine the effect of an evidence-based cholesterol education program in enhancing hyperlipidemia management strategies among Care Coordinators at a Federally Qualified Health Center (FQHC). The overall goal of the project is to improve patient’s cholesterol levels over a 3-month period. This project supports the implementation of enhanced hyperlipidemia education for Care …

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Improving Behavioral And Psychological Symptoms And Cognitive Status Of Participants With Dementia Through The Use Of Toy Interactive Pets, Bryanna Streit Jan 2019

Improving Behavioral And Psychological Symptoms And Cognitive Status Of Participants With Dementia Through The Use Of Toy Interactive Pets, Bryanna Streit

Electronic Theses and Dissertations 2010 - 2019

Background: In the US, one in three older adults die with Alzheimer’s or related dementia (Gaugler et al., 2019). Currently, there is no cure for the rapidly growing burden, but there are pharmacological treatments to manage the symptoms, which lead to numerous side effects (Kales et al., 2015). Method: We tested the effectiveness of a non-pharmacological toy interactive pet (TIP) in improving mood/behavior and cognition among twelve persons with mild-severe dementia attending an adult day center (ADC) over 12 visits. Mood/behavioral symptoms were assessed using the Alzheimer’s Disease and Related Dementias Mood Scale (AD-RD), Observed Emotion Rating Scale (OERS), and …

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National Survey: Developing A Common Approach To Grading Of Practice In Pre-Registration Midwifery, Ml Fisher, Heather Bower, Samantha Chenery-Morris, Frances Galloway, Judith Jackson, Susan Way, M Fisher Jan 2019

National Survey: Developing A Common Approach To Grading Of Practice In Pre-Registration Midwifery, Ml Fisher, Heather Bower, Samantha Chenery-Morris, Frances Galloway, Judith Jackson, Susan Way, M Fisher

School of Nursing and Midwifery

This paper presents the final phase of a national project exploring grading of practice in programmes leading to registration as a midwife in the United Kingdom. The aim was to develop a generic framework for grading practice, enhancing standardisation while enabling flexibility in application of current and new educational standards. A mixed method on-line survey considered existing practice assessment tools, factors contributing to robust and reliable assessment and perceptions of two assessment tools developed by the research team: a ‘Lexicon Framework’ and ‘Rubric’, which were tested through scenarios. Participants included 170 midwifery and nursing academics, clinicians and students, representing 20 …

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Professional Knowledges For Early Childhood Education And Care, Vjg Campbell Barr Jan 2019

Professional Knowledges For Early Childhood Education And Care, Vjg Campbell Barr

School of Law, Humanities and Social Sciences

This article proposes reconceptualizing professional knowledge in early childhood education and care (ECEC) as knowledges, incorporating phronesis (practical wisdom), techne (skill), and episteme (pure knowledge). Conceptualizing professional knowledge in the plural broadens perspectives on the professional knowledge base and opens up a discussion of how different forms of knowledge are acquired. Drawing on Bernstein, the author identifies ECEC as requiring horizontal and vertical constructs of knowledge that have different structures and legitimization processes. While phronesis is presented as being a part of ECEC professional knowledges, the discussion explores the difficulties in defining phronesis, because of the variable ways it is …

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Health Professional Perceptions Of Communicating With Adolescents And Young Adults About Bone Cancer Clinical Trial Participation, Susie Pearce Jan 2019

Health Professional Perceptions Of Communicating With Adolescents And Young Adults About Bone Cancer Clinical Trial Participation, Susie Pearce

School of Nursing and Midwifery

No abstract provided.

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‘I Cried Too’ – Allowing Icu Nurses To Grieve When Patients Die, R Endacott Jan 2019

‘I Cried Too’ – Allowing Icu Nurses To Grieve When Patients Die, R Endacott

School of Nursing and Midwifery

No abstract provided.

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