Dementia-related work activities of home care nurses and aides: Frequency,perceived competence,and continuing education priorities

ABSTRACT

An understanding of the specific dementia learning needs of home care staff is needed to plan relevant continuing education (CE) programs and supports. The study’s objective was to examine frequency and perceived competence in performing 20 dementia-related work activities, and identify CE priorities among home care staff. A cross-sectional survey of all home care staff in a primarily rural health region was used to gather data. Of 111 eligible staff, 82 participated (41 nursing aides, 41 nurses/case managers). To explore the relationship between activity frequency (F) and competence (C), the proportion of nurses and aides in four quadrants for each activity was examined: (1) low F-low C, (2) low F-high C, (3) high F-low C, and (4) high F-high C. Nurses/case managers were significantly more likely than aides to regularly perform 11 activities and to report high competence in 9 activities (p < .05); aides were more likely to assist with two activities (personal care and daily living activities). Thus, nurses/case managers performed a broader range of activities and reported higher competence overall. The top CE topic for both groups was recognizing differences between dementia subtypes, but rankings for most activities varied by group. Aides’ CE priorities indicated a desire to develop competence in low frequency-low competence activities, suggesting an expanded role in supporting dementia patients and their families. Nurses’ CE priority topics were in the high F-high C quadrant, indicating a need to further develop competence in these activities. Findings have implications for planning CE programming for home care providers.     

CONNECTING THE LEARNING COMMUNITY AND VOCATION IN THE PUBLIC WORLD

Faith communities have become privatized and secluded from the daily lives of parishioners. Meanwhile secular media raises religious questions. When learning communities visit the vocational worlds of people in the parish, they can listen and learn in the languages people speak there: architecture, real estate, medicine. What are their worldviews, values, belief systems, joys, and struggles? A nurse anesthetist in Eau Claire, a librarian in Colorado Springs, a firefighter in Syracuse reflected theologically on the issues they face and more clearly discerned their callings. Listening to people speak about their faith and life in their terms on their turf helps develop a multilingual learning community.     

Building inclusion and resilience in students with and without SEN through the implementation of narrative speech,role play and creative writing in the mainstream classroom of primary education

ABSTRACT

Based on the theory of inclusion, the present 3-year pilot program (2013–2016) deals with narrative speech, role play and creative writing as a useful tool to build resilience in primary school students with and without Special Educational Needs (SEN) in the mainstream classroom. The specific aim of the program was to help students develop a series of fundamental psychosocial skills, such as a positive sense of inner self and the ability to cooperate and relate to others by familiarising with them in recognising and expressing the basic emotions of joy, sadness, fear and anger. Under the systematic cooperation among the general education teacher, the special education teacher and the rest of the teaching staff, the concept was to involve the maximum of the school teachers in order to create a Community of Practice, Collaboration, Sharing Learning and Action. Using an action-based research approach, the data from the present work allowed the participating students to demonstrate a range of socio-emotional skills, including those necessary for self-awareness. Similarly, the teachers involved in the project in each class built positive relations with their students and the rest of the teachers as well, whom they encouraged to participate in various collaborative tasks through similar programs.     

Assimilation and individual differences in emotion: The dynamics of anger and approach motivation

Individuals who cross cultural boundaries face many challenges when trying to adapt to a receiving culture. Adaptation challenges such as learning to maneuver across societal domains may become increasingly complex if structural level factors such as discrimination are present. Researchers have conceptualized acculturation as a relatively autonomous decision indicating that four acculturation strategies exist: assimilation, separation, integration, and marginalization. Moreover, researchers have also long debated the link between acculturation strategy, adaptation hassles and negative health outcomes. However, models seeking to explain how individual difference and structural level variables may influence each other and subsequently influence acculturation and adaptation are needed. The purpose of this study is to lay the foundation for the conceptualization of such a model. We propose that temperamental predispositions to negative emotionality, anger, and impulsivity may highlight discrimination which in turn may lead to increases in acculturative stress and negative markers of psychosocial well-being. We used SEM to test our hypothesized model. Results supported a modified model. Implications for the measurement of adaptation and design of interventions are discussed.     

A Combination of Hand-held Models and Computer Imaging Programs Helps Students Answer Oral Questions about Molecular Structure and Function: A Controlled Investigation of Student Learning

We conducted a controlled investigation to examine whether a combination of computer imagery and tactile tools helps introductory cell biology laboratory undergraduate students better learn about protein structure/function relationships as compared with computer imagery alone. In all five laboratory sections, students used the molecular imaging program, Protein Explorer (PE). In the three experimental sections, three-dimensional physical models were made available to the students, in addition to PE. Student learning was assessed via oral and written research summaries and videotaped interviews. Differences between the experimental and control group students were not found in our typical course assessments such as research papers, but rather were revealed during one-on-one interviews with students at the end of the semester. A subset of students in the experimental group produced superior answers to some higher-order interview questions as compared with students in the control group. During the interview, students in both groups preferred to use either the hand-held models alone or in combination with the PE imaging program. Students typically did not use any tools when answering knowledge (lower-level thinking) questions, but when challenged with higher-level thinking questions, students in both the control and experimental groups elected to use the models.     

Building a Culture of Engagement through Participatory Feedback Processes

In response to school environments in which teachers and students feel disconnected from the learning process, we developed a three-part curriculum feedback system with the goal of creating a school-wide culture of engagement through participatory feedback processes. Here we describe the barriers to participation and ownership that are addressed by our curriculum feedback process, provide a rationale for each component of the multi-prong feedback process, and illustrate how each part of the feedback system was implemented in our pilot schools. We argue that addressing feedback regularly, optimizing the process to be user-friendly, and demonstrating appreciation for positive and constructive feedback can help any curriculum supervisor foster a school-wide culture of engagement among teachers and students.     

Cardiac structure and function in weight trainers, runners, and runner/weight trainers

The purpose of this study was to describe and compare cardiac structure and function in adult male weight trainers, runners, and those who do both activities. Subjects had actively participated in the various training programs for the previous five years. Age ranged from 28.4 to 31.3 years in the three groups. Echocardiography was used to assess selected heart diameters, volumes, indices of contractility, and thicknesses, while VO2 max and percent body fat were measured using standard methods. Heart structure and function were expressed in absolute terms and relative to total body weight. An alpha level of .05 was used in all comparisons. Results indicated the runners demonstrated significantly greater relative LVIDd, LVIDs, and LVPW than the weight trainers. The runner/weight trainers possessed significantly greater relative LVIDd, LVIDs, LVPW, IVS, and LVEDV than the weight trainers. No significant differences, absolute or relative, existed between the runner and runner/weight trainer groups in any of the myocardial structure and function variables. It was concluded that men who run or run and weight train have similar structural and functional characteristics of the heart and possess greater relative internal diameter and left ventricular wall thickness than men who only weight train.     

THE PRO-EEC CONVERSION OF GREEK PUBLIC OPINION (1981-90)

Greece became an EEC member in 1981, following a parliamentaryvote in the then New Democracy (conservative)–controlledparliament. Opinion polls indicated though that were a referendumheld at the time, membership would have been rejected, as thegovernment had lost its popular support (and lost power in thecourse of that year) and an across-the-board anti-western majorityhad emerged in a country whose people's national identity wasfirst defined during and as a defense against the crusades.Ten years later, there exists in Greece a very large consensusin favor of EEC membership which includes even the communistleft, at least programmatically. The spectacular, and unprecedentedamong Community countries, pro-EEC conversion is the subjectof this paper. First, using the European Commission's Eurobarometerand Eurodim's Helleno-barometer data, the evolution of Greekpublic opinion towards the EEC is documented. Secondly, thetrend data in the various voting groups show that this conversionis basically the result of the transformation of the socialistelectorate from anti-EEC to pro-EEC, but with a lag behind thesimilar change in the party's (PASOK) policies during its eight-yearrule (1981–9). Thirdly, evidence is provided that anti-westernismhas not died out in Greece, but that it has both mellowed andbecome ‘selective’. So, we conclude that the pro-EECconversion was not the result of some general ‘Westernization’of Greek public opinion, but the outcome of a ‘learningexperience’: during their country's ten-year EEC membership,the Greeks discovered that the benefits from this internationalcommitment far outweighed the costs. In fact, it is argued thatthe pro-EEC conversion of Greek public opinion has contributedto the mellowing of its anti-westernism: whereas the crusadeswere instrumental in cutting the Greeks from Europe, the EECappears now the vehicle of their reintegration into a worldin whose development they have historically played a major role.