‘Our surgeons want this to be short and simple’: practices of in-hospital medication review as coordinated sociomaterial actions

ABSTRACT

Medication review, a systematic assessment of a patient’s medicines by a health care professional, is intended to prevent medication-related harms. A critical element of medication review concerns whether medication review is conducted in a coordinated way. This article draws from a case example of implementing medication review in two surgical wards of a Swedish regional hospital and aims to analyse how medication review is being accomplished with respect to the coordination of its actions. Using a practice-based ethnographic approach, we present several coordination mechanisms by illustrating how practices are connected to materials involved in medication review. Also, we show how common orientations, ends, and understandings expressed in different medication review practices contribute to the coordination of the practices. In conclusion, this article highlights the complexity of establishing and sustaining medication review as a coordinated practice in routine health care. By closely examining sociomaterial connections, this article sheds new light on the neglected issue of artefacts and arrangements in constituting and transforming a highly complex medication practice.     

Who dares wins? Do higher realistic occupational aspirations improve the chances of migrants for access to dual vocational education and training in Germany?

High educational aspirations are considered to be a crucial factor for educational success and social advancement. As is also the case in many western European countries, migrants in Germany have higher aspirations than non-migrants. Although migrants’ average school performance levels are significantly lower, their greater educational aspirations exert a positive influence on the acquisition of higher educational qualifications. This paper investigates whether higher aspirations are also revealed in respect of Germany’s highly prevalent dual vocational education and training (VET) system and how this affects the transition to dual VET for young people from a migration background. Multivariate analyses using the database of the German National Educational Panel Study (NEPS) relate to school-leavers in Years 9 and 10 of general schools who aspired to enter dual VET upon completion of schooling. If we control for the main influencing factors, young people from a migrant background are shown to exhibit higher occupational aspirations with regard to dual VET than their counterparts not from a migration background. However, viewed in overall terms, higher occupational aspirations lead to poorer chances of transition to dual VET. This is much more noticeable amongst migrants than amongst non-migrants.     

Student-generated content: an approach to harnessing the power of diversity in higher education

Internationally, classes in higher education institutions are becoming larger and more diverse. Support for ‘non-traditional’ students has often taken the form of additional remedial classes offered outside the main curriculum, which has met with limited success. Sociocultural theories of learning argue that the potential clash between the sociocultural context of disciplinary knowledge and the very different home contexts of many non-traditional students needs to be acknowledged. One way to achieve this is to use student-generated content, which allows teachers to bring student experiences and voices into the community of practice and acknowledges the importance of their prior experiences in knowledge production. Building on such sociocultural approaches to teaching and learning, this paper focuses on the use of student-generated podcasts as a means to harness the diversity of student experiences in a large (nearly 600 students) first-year Economics class at a South African University.     

Working memory capacity and reading skill moderate the effectiveness of strategy training in learning from hypertext

Cognitive and metacognitive strategies are particularly important for learning with hypertext. The effectiveness of strategy training, however, depends on available working memory resources. Thus, especially learners high on working memory capacity can profit from strategy training, while learners low on working memory capacity might easily be overtaxed. In addition, efficient basic reading comprehension processes are important for strategy training to be successful: When both the newly acquired strategies and poorly routinized basic reading comprehension processes compete for working memory resources, navigation within the hypertext and learning might deteriorate rather than improve. In an experiment, 64 undergraduates learned with a comprehensive expository hypertext after receiving either a cognitive or a metacognitive or no strategy training. In line with the predictions, learners high on working memory capacity or reading skill could profit from learning strategy training in terms of learning outcomes and the quality of their navigational behavior. Learners low on working memory capacity or reading skill, in contrast, performed worse in both training conditions compared to the control condition. The improvement in learning outcomes for skilled learners as well as the impairment in learning outcomes for unskilled learners could be shown to be indirect effects mediated by the quality of navigational behavior.     

Idle chatter or compelling conversation? The potential of the social media-based #NGSSchat network for supporting science education reform efforts

The Next Generation Science Standards (NGSS) chat (#NGSSchat) is a social media-based professional network used to discuss topics related to the NGSS in the United States. While successful reforms involve and coordinate the work of multiple stakeholders, recent research points out a striking lack of coordination between the individuals working in different educational roles—to the detriment of intended changes in the system. In this study, we analyzed more than 7,000 posts from individuals participating in #NGSSchat on Twitter (n = 247) during 2 years of 1-hr synchronous discussions. We studied the depth and types of conversations that took place, the extent to which the involvement of teachers, administrators, researchers, and organizations was balanced, and what explains participation in the network over time. Using a mixed-methods approach involving social network analysis, we found that conversations were primarily transactional, or social, and substantive, or providing opportunities for sense-making about the standards or for participants to transform their practice and that individuals from diverse roles participated, with teachers comprising the plurality of those involved. Additionally, researchers, administrators, and teachers were the most active in the network, with no differences in both initiating, or sending, and being the recipients of, or receiving, replies as a part of conversations. Finally, we found that being a teacher or administrator, as well as receiving replies from individuals who were important in the network, were positively related to sustained involvement in the network in the following year. We discuss how #NGSSchat—as a social media-based professional network—demonstrates similar features in other effective networks, and how social media-based networks invite new visions for how to implement ambitious, large-scale changes in science education.     

Psychosocial outcomes associated with soccer academy involvement: Longitudinal comparisons against aged matched school pupils

ABSTRACT

Despite literature highlighting numerous risks to the healthy psychosocial development of youth elite academy soccer players, little of this research is based on high-quality research designs. This study employed a prospective longitudinal cohort design to track psychosocial outcomes of academy involvement within male youth elite soccer players (n = 33, U12-U16 age groups) compared to age-matched soccer-active school pupils (n = 44) over 12 months. Participants completed questionnaires assessing the most commonly raised psychosocial concerns at four equally spaced data collection periods (T1–T4). Repeated measures multivariate analysis of variance (MANOVAs) indicated that, over the year, both groups reported a healthy and improving stress and recovery balance, as well as positive and stable needs satisfaction and physical, psychological and social well-being. Academy players reported stable positive school-related quality of life, whereas school pupils reported increases from T3 to T4. Academy players reported consistent significantly higher total athletic identity and exclusivity of identity. Findings suggest that many concerns around negative psychosocial impacts of soccer academy involvement did not materialise in this context. However, heightened athletic identities remained a concern.     

Exercise does not increase salivary lymphocytes,monocytes, or granulocytes,but does increase salivary lysozyme

An increase in salivary leukocytes may contribute to the exercise-induced increase in salivary antimicrobial proteins (AMPs). However, exercise-induced changes in salivary leukocytes have not been studied. The purpose of the study was to describe salivary leukocyte changes with exercise. Participants (n = 11, 20.3 ± 0.8 years, 57.2 ± 7.6 ml kg^?1 min^?1 peak oxygen uptake ((VO) ?₂peak), 11.1 ± 3.9% body fat) ran for 45 min at 75% of VO_2peak. Stimulated saliva (12 mL) was collected pre- and immediately post exercise. Saliva was filtered through a 30 µm filter before analysis of leukocytes (CD45⁺), granulocytes (CD45⁺CD15⁺), monocytes (CD45⁺CD14⁺), T-cells (CD45⁺CD3⁺), and B-cells (CD45⁺CD20⁺) using flow cytometry. Saliva was analysed for Lysozyme (Lys) using ELISA. Exercise did not alter any leukocyte subset. The major constituent of leukocytes pre-exercise were granulocytes (57.9 ± 30.3% compared with monocytes: 5.1 ± 2.7%, T-cells: 17.1 ± 8.9%, B-cells: 12.1 ± 10.2%) (P < 0.05). In a subset of n = 6, Lys secretion rate increased after exercise (pre: 5,170 ± 5,215 ng/min; post: 7,639 ± 4,140 ng/min) (P < 0.05). Exercise does not result in increased granulocytes, but does increase Lys. Further, these data suggest that an increase in salivary leukocytes is not needed to increase Lys.     

Intercultural sensitization with synthetic cultures: Evaluation of a computer-based multimedia learning tool

The purpose of the present study was to evaluate a new computer-based multimedia learning tool for intercultural sensitization that is based on synthetic cultures. The learning tool named “Culture Awareness Training” (CAT) is targeted at learners with few intercultural experiences, and its aim is to sensitize participants to cultural influences on behavior and to intercultural differences, and to enhance perspective taking. Two studies were conducted to evaluate the effectiveness of the CAT. Study 1 (N = 107) showed that participation in the CAT led to higher intercultural awareness and higher intercultural interest compared to a control group. In Study 2 (N = 46), the CAT was compared to a simulation game for intercultural sensitization. Participants were students shortly before their stay abroad. Results showed that both the CAT and the classical simulation game enhanced participants’ cultural awareness.     

So many students,so little time: Practical student worker training in an academic library

Abstract

Student employees are an invaluable asset to academic libraries. They supplement limited professional staffing, allow for students to engage with their academic community, and give work opportunities to those currently enrolled in school. This article reviews several practical ways to train library student workers that both minimizes hands-on staff time and allows for high customer service and student employee success. Best practices include (a) a student worker training assessment, (b) explicit student worker policies, (c) an annual mandatory training session, (d) online training, (e) a focus on student worker retention, and (f) unique student worker roles.