Outcomes of an Institutional Quality and Safety Residency Program Initiative

Although there are challenges in delivering a quality improvement initiative at academic medical centers, the potential benefits to resident physicians‐in‐training, hospitals, and patients are significant. This article describes the effects of an institution‐wide effort. Resident physicians‐in‐training from four medical specialty programs partnered with hospital staff while working on team quality‐improvement projects. We tracked clinical outcomes and used validated assessments. The results showed improvements in learning and organizational culture.     

Measures used in assessing outcomes of school‐wide positive behaviour support

School‐Wide Positive Behaviour Support (SWPBS) is increasingly becoming a popular approach to managing challenging behaviour in schools. However, several issues still have to be addressed facilitate successful implementation of this approach in schools. One of these issues pertains to the appropriateness of the different measures used to determine the efficacy of the approach. Because many schools are using indirect measures to assess the effects of SWPBS implementation, determining which measures more accurately reflect the effectiveness of the SWPBS components may increase the effectiveness of school measurement systems. The purpose of this study was to examine the measures used in evaluating the efficacy of positive behaviour support. The paper discusses the strengths and weaknesses of outcome measures regarding problem behaviour, prosocial behaviour, and implementation fidelity.     

冬天的快乐

在冬天/孩子们都很高兴/紧紧地聚在一起/围绕着温暖的炉火/当刮大风的时候/大量的漂浮物在窗户的四周/爆米花薄片像雪片     

Research and evaluation in sexuality education: an allegorical exploration of complexities and possibilities

Defining ‘success’ in sexuality education solely in terms of quantitative outcome measures is woefully inadequate. All too often, such measures presuppose and perpetuate a narrow and overly instrumental view of sexuality and education. Research and evaluation favouring quantitative measures of effectiveness tend to amplify short‐term results and mediocre ends at the expense of more substantive insight into the complexities and nuances of human action and good practice. The paper begins with a true story involving a teenager and high‐risk behaviours. This story serves as a basis for an allegorical exploration of programme development, goals and vision. The allegory offers a context for thinking about the importance of research and evaluation methods that focus on expressive action, agency and symbolic metaphorical thinking as opposed to measurable behaviours and linear logical thinking.