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61.
The research goals were to obtain an understanding of who the users of e-books in the NHS are, what they are using e-books for, and when and how they use them. This article presents the methodology used and the findings from the research. It also explores the outputs and next steps from the research, both for the individual countries and collectively. The Five Nations group, (library leads in England, Northern Ireland, Ireland, Scotland and Wales) commissioned research into healthcare staff use and non-use of e-books to understand the behaviours, needs and expectations of healthcare staff and to identify shared challenges around e-books to inform policy and practice.  相似文献   
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Piecemeal change to improve schooling is an approach that at its worst does more harm than good, and at its best is limited to creating pockets of good within school districts. When it comes to improving schooling in a district, however, creating pockets of good isn't good enough. Whole school systems need to be improved.

This article focuses on helping educators learn how to transform entire school systems to create unparalleled opportunities to improve student, faculty and staff, and system learning, and presents a set of principles to help change leaders in school systems navigate large-scale, district-wide change to create these multiple learning opportunities.  相似文献   
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Semistructured interviews were used to identify memory strategies used by 35 older adults. Five types of tasks were used: paired‐associate learning, free recall, serial recall, rule learning, and reading comprehension. For the first three tasks, two types of materials were developed: experimental and everyday. The nine memory activities were presented separately. Participants were asked to describe the strategies they would use for each activity. Order of presentation for the experimental and everyday materials was counterbalanced. Examination of the frequency data revealed differences in the number and type of strategies reported for the five types of learning tasks. An analysis of variance revealed that the group receiving the three everyday tasks first reported a significantly greater use of strategies on all tasks. These results indicate that the elderly may have limited repertoires of alternative memory strategies and that the types of materials used can significantly affect their performance.  相似文献   
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In Australian schools, one significant component of whole-school learning in sexuality education is to provide students with developmentally appropriate curriculum and learning opportunities, with the intention of influencing positive health and well-being. In the situation where the usual classroom teacher is under-prepared or unwilling to teach sexuality education to their students, the use of external providers who are experts in puberty and sexual health is crucial. While the provider is a key influential factor in any sexual health programme, reliance on external providers for the provision of sexuality education in regional Australian cities is not well documented. This mixed-method study aims to address this gap in the literature with a specific focus on Ballarat, where the provision of sexuality education, particularly in primary schools, is heavily reliant on several external providers. Participant schools highlight the need for further positive synergies between the classroom teachers, external agencies and the accessibility of a rigorous curriculum to sustain the delivery of an effective programme to young people in schools.  相似文献   
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Computer Assisted Learning (CAL) is increasingly being recognised as an effective means of teaching and learning. In Gynaecology, the anatomy and surgical steps in vaginal surgery such as vaginal hysterectomy are confusing due to limited access and restricted view of the operative field. The objective of this pilot project was to develop an interactive CAL program on CD–ROM, combining video, illustrations and three–dimensional images to enhance understanding of vaginal hysterectomy in terms of the anatomy and steps of the surgical procedure.
Macromedia Director was used to develop the program. With Director, it is possible to combine text, graphics, animation, video and sound to create interactive material for the web, presentations or CD–ROMS. The CD–ROM takes you through the individual steps of a vaginal hysterectomy combining video clips with voice–over, illustrations and text. The three-dimensional image was included to enhance understanding of the complex relationships between the uterus, bladder and rectum. There is an interactive self–assessment section with multiple–choice questions and an anatomy self–test. The CD–ROM has been evaluated as an educational tool by 12 undergraduate students and 16 trainees in Gynaecology. Most were satisfied with the program. A need for development of further similar educational software has been identified.
The CD–ROM has identified an innovative and useful approach to teaching operative surgery. The results from the evaluation have been positive in terms of the need for similar programs in future.  相似文献   
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Abstract

Business studies has enjoyed a remarkable change of status in the 14‐18 school curriculum since 1986. This change has been interpreted by Williams and Yeomans (1994) as a case of the ‘new vocationalism’ put into practice. It is argued here that this transformation has been rather more complex. If a school subject changes its status in the academic/vocational spectrum it is pertinent to ask whether this is a sign of an overall change in the curriculum (e.g. the ‘new vocationalism') or the development of a single subject title within a broadly static curriculum structure and philosophy. These alternatives are summarized and the recent history of business studies is reviewed. It is suggested that the changing status of business studies reflects the way in which it has successfully responded to the academic values which dominate the secondary school curriculum in England and Wales. However, it has achieved this transformation while, according to a deputy head interviewed in this study, retaining the image of being ‘vaguely vocational’. This ambiguity has enabled the subject to flourish in vocational (GNVQ) as well as academic (A level) contexts, but it leaves it vulnerable in each sphere. GNVQ advanced business1 teaching in schools can bear a very close resemblance to A level teaching, prompting the question of whether a ‘vocational course’ is really providing a distinctively relevant preparation for future employment. The association of business studies with the vocational curriculum leaves its academic credentials under question.  相似文献   
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