Provider documentation of patient education: a lean investigation

Purpose

The study evaluates how providers give patient education materials and identifies improvements to comply with Meaningful Use (MU) requirements.

Methods

Thirty-eight patient-provider interactions in two health care outpatient clinics were observed.

Results

Providers do not uniformly know MU patient education requirements. Providers have individual preferences and find gaps in what is available. Accessing and documenting patient education varies among providers. Embedded electronic health record (EHR) materials, while available, have technical access barriers.

Conclusions

Providers'' EHR skills and knowledge levels contribute to non-standardized patient education delivery.     

Visually Framing Press Freedom and Responsibility of a Massacre: Photographic and Graphic Images in Charlie Hebdo's Newspaper Front Pages Around the World

This research examines 441 front-page images published in 367 newspapers on the day following the shooting in Paris of 12 people at or near the Charlie Hebdo office. The aim of this study is to understand how mainstream media visually framed responsibility for the Charlie Hebdo massacre and how these visual frames coalesced to represent collective narratives about press freedom. Through a collaborative visual analysis, this study attempts to understand how the selected visual frames worked to communicate the causes, effects, and responses to the massacre and also to press freedom—an ideological construct that news media had a vested interest in advancing.     

Lifestyles of the Rich and Famous: Celebrity Media Diet and the Cultivation of Emerging Adults’ Materialism

The present study used cultivation theory to explore the relationships between celebrity media diet and materialism for a sample of 224 emerging adults. Results indicated main effects between both celebrity magazine consumption and celebrity TV news consumption on materialism. Total celebrity media diet was also significantly related to materialism. Findings suggest that a media diet high in celebrity culture and lifestyle has significant impact on emerging adults’ preoccupation with consumerism, particularly for women. This research contributes to a growing body of literature on the effects of a celebrity-saturated media environment and the cultivation of materialistic attitudes.     

CD-ROM talking books: what do they promise?

This study describes one teacher's use of multimedia, specifically CD-ROM talking books, in the classroom. The goal of the investigation was to reveal and analyse how a primary (Grade 3) teacher integrated CD-ROM books into her curriculum. Issues emerging from the study included how features of the software interact with features of classrooms, how patterns of instruction are affected by the infusion of technology, and how students interact with the software, and each other, while reading the CD- ROM books     

Successive reversals of a discriminated preference for signaled tailshock

Three rats received unmodifiable tailshock at random intervals in a shuttlebox. In a continuous-choice situation, Ss could choose between an auditory signal immediately preceding or immediately following the tailshock. Over repeated daily 3-h sessions, each S acquired a spatial discrimination indicating a strong preference for the signal preceding tailshock. This preference continued undiminished through two successive reversals of the position associated with signaled shock. This demonstration precludes explanations of the preference-for-signaled-shock phenomenon based upon primary reinforcement value or acquired value of the signal, position preferences, and overt modification of the aversiveness of the reinforcer through such means as postural adjustments. An explanation of recent failures to obtain the preference-for-signaled-shock effect is offered.     

Journalism training in Sri Lanka: meeting the needs of working journalists

The ethnic conflict that has enveloped Sri Lanka since the 1980s has been deeply damaging to Sri Lankan journalism, whose traditions of impartiality and professionalism have been seriously undermined. The BBC World Service Trust has attempted to address these issues through a European‐funded training programme aimed at a broad range of media practitioners in Sri Lanka. This article seeks to assess how successful this programme has been and what lessons can be drawn by training organisations elsewhere who are seeking to implement similar projects.     

Designing informal learning experiences for early career academics using a knowledge ecosystem model

This article presents a ‘knowledge ecosystem’ model of how early career academics experience using information to learn while building their social networks for developmental purposes. Developed using grounded theory methodology, the model offers a way of conceptualising how to empower early career academics through (1) agency (individual and relational) and (2) facilitation of personalised informal learning (design of physical and virtual systems and environments) in spaces where developmental relationships are formed, including programmes, courses, events, community, home and social media. It is suggested that the knowledge ecosystem model is suitable for use in designing informal learning experiences for early career academics.     

Two components of responding in Pavlovian lick suppression

The present research examined the temporal distribution of responding in a lick suppression paradigm. In Experiment 1, rats were trained with either a 30- or a 120-s conditioned stimulus (CS), which was followed either by a footshock (unconditioned stimulus [US]) or nothing. Licking during the CS was suppressed only in the former condition. Suppression was more pronounced early in the CS. In Experiment 2, rats were exposed to two 30-s or two 120-s CSs, with delivery of the shock being contingent on CS1 for half of the animals and on CS2 for the other half. For both the paired and the unpaired conditions, suppression at the beginning of CS1 was observed for all the groups. By discounting the possibility of generalization between CS1 and CS2, it appears that this initial suppression was not a conditioned response to the CS, but an unconditioned one due to mere exposure to the shock US.     

Some determinants of second-order conditioning

In a Pavlovian conditioning situation, an initially neutral stimulus may be made excitatory by nonreinforced presentations in compound with an established conditioned excitor [i.e., second-order conditioning (SOC)]. The established excitor may be either a punctate cue or the training context. In four conditioned suppression experiments using rats, we investigated whether SOC phenomena parallel other cue interaction effects. In Experiment 1, we found that the response potential of a target stimulus was directly related to the intertrial interval when SOC was mediated by a punctate cue, and inversely related to the intertrial interval when SOC was mediated by the training context. Experiment 2 demonstrated that punctate- and context-mediated SOC are oppositely affected by posttraining context extinction, and Experiments 3 and 4 demonstrated that context- and punctate-mediated SOC are differentially affected by conditioned stimulus (Experiment 3) and unconditioned stimulus (Experiment 4) preexposure treatments. These findings parallel phenomena in conditioned inhibition and cue competition situations.