A study of clinical questions posed by hospital clinicians.

OBJECTIVE: This article presents the results of complementary research studies on the behaviors of hospital clinicians in asking clinical questions and the relationship between asking of questions, outcome of information searches, and success in problem solving. METHODS: Triangulation in research methods--a combination of mailed questionnaires, interviews, and a randomized controlled study--was employed to provide complementary views of the research problems under study. RESULTS: The survey and interviews found that clinical problems (concerned mainly with therapy and equipment or technology) were expressed as statements rather than questions (average number of concepts = 1.7), that only slightly more than half (higher for doctors) of problems could be solved, and that the majority of clinical questions were not well formed. An educational workshop however improved clinicians' formulation of questions, but the use of structured prompting was found to improve building of hypotheses in the doctors' group without training. The workshop also improved satisfaction with the obtained information and success in problem solving. Nonetheless, for both the experimental and control groups, more structured and complete questions or statements did not mean higher success rates in problem solving or higher satisfaction with obtained information. CONCLUSION: The triangulation methods have gathered complementary evidence to reject the hypothesis that building well-structured clinical questions would mean higher satisfaction with obtained information and higher success in problem solving.     

Disciplined freedom,branded authenticity,and dependable independence: how tensions enact flexibility in lifestyle blogging careers

Analyzing 219 blog posts from 52 self-employed women lifestyle bloggers in North America, this study shows how these digital professionals navigate tensions and communicatively constitute work flexibility. In their narratives, women bloggers employed tension management approaches such as reframing, continual connections, and reflective practice in response to tensions in enacting temporal–spatial, identity, and financial flexibility. Specifically, women followed oxymoronic constructions – disciplined freedom, branded authenticity, and dependable independence – to embrace and transform competing poles of fluidity?structure, authenticity?marketability, and independence?interconnection. Expanding work–life research to the self-employed digital labor context, this study responds to recent calls to uncover more-than tension management strategies in empirical settings and contributes to a tension-centered, contextual, and processual analysis of workplace flexibility construction.     

Research trends and collaborations by applied science researchers in South African universities of technology: 2007–2017

This paper analyses the publication patterns of researchers in the field of applied sciences at Universities of Technology in South Africa. Aspects investigated include publications in SCOPUS-listed journals; number of citations and countries of publication. Collaborative research patterns at national and international levels were also investigated. A bibliometric analysis approach was followed using SCOPUS as the main source of data and analysing the articles published in selected applied science disciplines. Results show that researchers in the field of applied sciences in universities of technology have increased their number of publications over the past 10?years and are also working in conjunction with other researchers both nationally and internationally. The analysis is an important addition to the field in South Africa which helps in measuring how institutions are positively responding to government incentives in research. The results are also important to information professionals who are increasingly playing an important role in research impact assessments.     

Relational turbulence and perceptions of partner support during reintegration after military deployment

The transition from deployment to reintegration can be stressful for returning military personnel and at-home partners, and support plays a key role in their ability to transition effectively. We draw on relational turbulence theory to advance predictions about how parameters of the relationship between returning service members and at-home partners predict their perceptions of their partner’s support during the post-deployment transition. We surveyed 235 individuals (117 returning service members, 118 at-home partners) who had experienced the transition within the past 6 months. Findings consistent with the theory indicated that relational turbulence partially mediated the negative associations that relational uncertainty and interference from a partner shared with partner support. Partner uncertainty was a direct negative predictor of partner support as well. We consider how these results extend theory, research, and practice.     

Institutional policy process improvement: using structurating activity theory to inform practice

Organizational communication scholars are increasingly called upon to use theoretical knowledge to address problematic processes in public institutions. This article reports a process improvement project focused on a university conflict of interest (COI) policy as an example of how scholars can engage theory to improve ongoing policy processes. The project team included communication scholars and research administration staff who designed, implemented, and evaluated the mixed-methods project guided by structurating activity theory. Baseline survey results were used to design the process improvement project. Results of the follow-up survey indicate that researchers who participated in some aspect of the process improvement project (i.e. attending a policy café, using the redesigned website, or reading the new Quick Reference Guide) reported higher levels of policy communication and knowledge and more positive attitudes toward the COI policy than researchers who had not engaged with process improvement efforts. We offer theoretical and practical implications of results for organizational communication scholars and practitioners.     

The Information Nature of Culture

This paper explores the information nature of culture. It is represented as an extragenetic and nonorganizational information process and system. Information is regarded as a universal property of matter that is essentially associated with development processes and realizes various forms and ways of storage and circulation at various development stages of global evolution. The socio-cultural principle of exogenous accumulation, transmission, and transformation of information is analyzed in the context of the continuing growth of the information content of material systems on the superhighway of global-universal evolution. It is noted that the information concept of culture evolves into a new area of cultural studies, that is information and cultural studies, advancing our understanding of the nature of culture and cultural genesis.