Partnership working in the production of clinical guidelines

This article describes a working partnership between the Cairns Clinical Librarian Service, Health Care Libraries, University of Oxford and the Emergency Department (ED) at the John Radcliffe Hospital, Oxford. This collaboration resulted in the establishment of a guideline development group in June 2002. The aim of the group is to produce a set of easily accessible, user-orientated, evidence-based guidelines for the use of clinicians in the Emergency Department, within a realistic timescale. The Cairns Clinical Librarian Project was built on previous models of clinical librarianship and incorporated an evaluation of previous programmes. The objective was to provide information to clinicians at the time and point of need. Consultation with the ED from the outset determined the approach adopted by the Cairns team. Clinical guidelines have been shown to improve clinical practice. Pending the introduction of nationally available protocols, we have begun to establish a collection of evidence-based guidelines using web-based architecture in conjunction with the Oxford Radcliffe Hospitals NHS Trust's IT department. A piece of diagnostic analysis was undertaken to ensure a coherent strategy was developed for the guideline project. An 'intermediate approach' was adopted, where existing valid guidelines were modified to fit local circumstances. We strove to be transparent at all times about all aspects of the guideline development process. Formative evaluation has shown how the application of evidence-based health care needs adequate resources and requires people with appropriate knowledge and skills. This article charts the progress of the project and highlights how the partnership between the clinical team and the Clinical Librarian has been deemed to be essential to the success of the project.     

Cervical range of motion and proprioception in rugby players versus non-rugby players

In this study, we examined the effects of number of years of playing rugby on neck function. Active cervical spine range of motion and proprioception were assessed in 14 non-rugby-playing but trained sportsmen (mean age 28 years, s = 7) and 46 rugby players (26 rugby forwards: mean age 26 years, s = 5; mean years played 14 years; 20 backs: mean age 24 years, s = 5; mean years played 14 years). Active cervical range of motion in flexion, extension, left and right lateral flexion, plus left and right rotation were measured using a cervical range of motion device. The ability to reposition the head in a central position with eyes closed was taken as a measure of proprioception. Results show that rugby forwards generally had the least active cervical range of motion, particularly neck extension (forwards, 43 degrees ; backs, 55 degrees ; controls, 58 degrees ), with the decrement correlating with the number of years played. In addition, repositioning was significantly worse in rugby players after neck extension than non-rugby players (6 degrees vs. 3 degrees ). The active cervical range of motion of rugby forwards is similar to that of whiplash patients, suggesting that participation in rugby can have an effect on neck range of motion that is equivalent to chronic disability. Reduced active cervical range of motion could also increase the likelihood of injury and exacerbate age-related neck problems.     

Value-added measures of school effectiveness in the United Kingdom

Conclusion This paper has mostly focused on the performance of schools in terms of examination and test results. On their own, such results are insufficient for proper judgements about schools’ performance. Other pupil outcomes such as pupil attendance, capacity for independent learning, attitudes towards school and learning, behaviour and selfconcept are also important. School effectiveness research aims to investigate a broad range of educational outcomes. Examples of this approach are provided by the Junior School Project (Mortimore et al., 1988), the Lancashire project (Thomas & Mortimore, 1996) and the ISEP in Scotland (MacBeath & Mortimore, 1994) which involves collecting pupil, teacher and parent attitude data in addition to academic outcomes. Nevertheless, the main performance indicator for schools continues to be how successful they are at ensuring that as many pupils as possible achieve their full academic potential. Original language: English Sally Thomas (United Kingdom) Sally Thomas (United Kingdom) This research paper was completed via a grant awarded by the United Kingdom Economic and Social Science Research Council. I am very grateful for the helpful comments of my colleagues Louise Stoll, Pam Sammons, Harvey Goldstein and Hillary Street on a previous version of this paper.     

Ethics-in-practice in fragile contexts: Research in education for displaced persons,refugees and asylum seekers

The rising numbers of forcibly displaced peoples on the move globally, and the challenges with providing access to education, reflect the shifting and complex times that we live in. Even though there has been a proliferation in educational research in the context of forced migration, in line with the increasing number of forced migrants, there has not been a commensurate focus on unpicking the increasingly complex ethical conditions within which researchers and participants operate. To examine this issue, the article provides three narrated accounts by researchers in this field and explores the interaction of researcher and author-researcher voice to critically appraise their research experience and identify critical reflections of understanding of ethics-in-practice in fragile contexts. These narratives are framed by the CERD (consequential, ecological, relational and deontological) ethical appraisal framework, which explores ethical thinking through four ethical lenses. The article contributes to a deeper understanding of ethics-in-practice as a central dimension in educational research. The implications of this work show how a one-size-fits-all approach to ethical appraisal is inappropriate for socially just educational research. This work also illustrates the importance of attending to relationships and voice of the forcibly displaced, both of which are often lacking in educational research in fragile contexts.     

The (hidden) injuries of NAPLAN: two standardised test events and the making of ‘at risk’ student subjects

Standardised testing regimes, including the National Assessment Program Literacy and Numeracy (NAPLAN) in Australia, have impacted on relationships between and within schools, and on teachers’ work and on pedagogies. Previous analyses of the effects of NAPLAN have been generated outside of the test situation: frequently through attitudinal surveys and qualitative interviews. This article takes as its point of departure two intensely affective events associated with the NAPLAN test day itself. These events erupted in two qualitative studies of students’ schooling experiences: a study of students’ experiences of NAPLAN and a study of students’ experiences of student voice at school. We ask, after Deleuze and Guattari, What can a NAPLAN test do? Exploring the entangled corporeal (physical and embodied) and incorporeal (psychic and subjectivating) wounds effected in and through these events, we analyse the dynamic constitution and re-constitutions of ‘at risk’ categorisations. While the NAPLAN test is not claimed to cause physical and psychical injury, we argue that standardised test conditions, in these singular events, are inextricably entwined with the formation of particular students’ schooled subjectivities.     

学校效能的增值评价——对河北省保定市普通高中学校的实证研究

学校评价在教育评价体系中处于核心地位,它直接影响着对教师评价和学生评价的原则以及学校的发展方向。运用增值评价学校效能是当前学校评价研究的重要内容。对河北省保定市普通高中学校效能进行实证研究结果表明60%~80%的高考成绩校际差距都不是学校本身所导致的,在提高学生进步幅度方面,不同学校间存在明显差异。增值评价结果与高考分数评价结果存在较大差异;学校效能在不同学科间没有显著差异;学校对不同学生群体的效能无差异。学校效能的增值评价对于创新学校评价体系具有重要的参考价值。     

Fostering children’s working theories: pedagogic issues and dilemmas in New Zealand

Working theories and learning dispositions are key learning outcomes in the early childhood curriculum in New Zealand. However, while there has been a focus on learning dispositions in recent years, less is known about the development of children’s working theories or the pedagogy to support this. The aim of this study was to explore children’s working theories in action in a number of Playcentre settings. The authors were interested in children’s problem‐seeking and ‐solving, theorising, acting and interactions as they engaged in everyday inquiries and conversations with others. This paper discusses some of the dilemmas for educators, including defining and recognising working theories, and deciding what to respond to, and how to respond. When attention was paid to the subtle nuances of moment‐to‐moment interactions it provided new insights into pedagogy. The findings have implications for early childhood educators as they seek to develop episodes of sustained shared thinking and support the development of children’s working theories over time.     

Integrating ICT into classroom practice in modern foreign language teaching in England: making room for teachers' voices

Current government policy in the UK places teachers of all subject areas under pressure to embed ICT into their pedagogic practice to improve teaching and learning. This article attempts to compare that policy with the situated reality of a small number of Modern Foreign Language teachers striving to comply. The voices of four teachers are presented as they began to embed the use of ICT (primarily their newly acquired Interactive Whiteboards) into their existing classroom approach. The story of their developing practice is examined for signs of transformation; the complexity of a real situation is thus contrasted with a simplified ideal. By means of this investigation, examples of sophisticated pedagogical thinking are explored to demonstrate that it is perhaps not so easy to transform the learning process, with or without ICT.

La politique actuelle du gouvernement du Royaume‐Uni exerce une pression sur les enseignants de toutes matières pour qu'ils intègrent les technologies d'information et de communication dans leurs pratiques pédagogiques afin d'améliorer l'enseignement et l'apprentissage. Cet article essaye de comparer cette politique avec la réalité contextualisée d'un petit nombre de professeurs de langues étrangères qui font leur possible pour s'y conformer. Les voix de quatre enseignants y sont présentées alors qu'ils commençaient à intégrer l'informatique (et en particulier leurs tableaux interactifs récemment acquis) dans leur approche pédagogique actuelle. L'histoire du changement de leurs pratiques est remise en question pour trouver des indications de transformation. La complexité d'une situation réelle peut alors être mise en contraste avec une idée simplifiée. De par cette étude, on peut examiner des exemples de la réflexion pédagogique développée pour montrer que ce n'est pas tellement facile de transformer les méthodes d'apprentissage, avec ou sans l'outil informatique.

Die Gegenwärtige Regierungspolitik in Großbritannien setzt Lehrkräfte aller Schulfächer unter Druck, moderne Informationstechniken in ihre pädagogische Praxis einzubeziehen, um den Unterricht und den Lernprozess zu verbessern. Dieser Beitrag versucht, diese Politik mit der realen Situation einer kleinen Anzahl von SprachlehrerInnen zu vergleichen, die sich bemühen, den Anordnungen nachzukommen. Die Stimmen von vier Lehrkräften werden vorgelegt, die damit begonnen haben, Informations‐ und Kommunikationstechnologie (hauptsächlich ihre neu erworbenen interactive whiteboards (interaktive Tafeln)) in ihre gegenwärtige Unterrichtsmethode einzubeziehen. Es wird untersucht, welche Veränderungen es bei zunehmender Praxis gibt. Die Vielschichtigkeit einer realen Situation wird somit dem vereinfachten Idealfall gegenübergestellt. Mittels dieser Untersuchung werden Beispiele hochentwickelten pädagogischen Denkens erforscht und dazu verwendet, um zu zeigen, dass es doch nicht so einfach ist, den Lernprozess zu verändern—mit oder ohne ICT.

La política actuel del gobierno del Reino Unido sitúa a los profesores de todos los departamentos bajo la presión de arraigar ICT en la práctica de su pedagogía para mejorar la enseñanza y el aprendizaje. Este artículo intenta comparar esa política con la realidad de un pequeño número de profesores de idiomas extranjeros que se esfuerza por llevarla a cabo. La voz de cuatro profesores nos presenta como empoezaron a arraigar el uso de ICT (primeramente con la reciente adquisición de los Whiteboards Interactivos) como enfoque en sus clases actuales. La historia de su práctica en desarrollo está acompañada de indicios de cambios. Por eso la complejidad de una situación real se contrasta con un ideal más simplificado. Por medio de esta investigación, se exploran ejemplos de pensamiento pedagógico sofisticado para demostrar que quizás no sea tan fácil transformar el proceso de aprendizaje, con o sin ICT.     

Mischief-making of one kind/and another: unruliness and resistance in rural preschoolers' free play

While many contemporary popular cultural discourses in the USA recognise and commodify children as distinct persons engaging in the middle-class project of expressive individuation, much public and early educational policy has simultaneously intensified the control and regulation of children, children’s culture and children’s bodies and emotions in early education settings. Prout suggests that late modern schooling might be characterised by ‘practices directed at greater surveillance, control and regulation of children’ (304). This ethnographic study of a group of three-, four- and five-year-old children in a rural New England community preschool setting explores rural children’s lived experiences resisting control and navigating contradiction through unruly, mischievous games and free play. This unruliness is situated in the context of escalating academic demands in early childhood education and resistant rural community culture(s).     

Telemental health technology in deaf and general mental-health services: access and use

Long-distance travel to provide mental health services for deaf people has implications for efficiency, safety, and equality of service. However, uptake of Telemental Health (TMH) has been slow in both deaf and general mental health services. A quantitative study was used to investigate access to TMH and whether staff confidence, experience, or demographics affect TMH use. It was concluded that staff in neither deaf mental health services nor general mental health services had adequate knowledge of or access to TMH. Staff expressed concerns over TMH's appropriateness in their work. Previous use of videoconferencing was assosciated significantly with confidence, but previous use of videophones was not. Neither staff in deaf services nor deaf staff were more experienced with or more confident about videoconferencing, whereas, within deaf services, deaf staff were significantly more confident about videophone use. Training implications are discussed.