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Self-efficacy and humanitarian aid workers
As a result of frequent exposure to trauma, aid workers are at high risk for negative psychological symptoms. Training specifically geared at fostering critical incident self-efficacy in humanitarian aid workers may bolster critical incident self-efficacy as well as general self-efficacy as they relate to experiences of traumatic symptomatology and resilience. Sixty-three aid workers completed questionnaires regarding efficacy, resilience, coping, and posttraumatic stress symptomatology at baseline, and 46 aid workers completed the same measures after the training workshop. Multiple regression analysis indicated that higher levels of self-efficacy related to higher resilience levels. General self-efficacy and critical incident coping self-efficacy (CICSE) were stronger after the training, even when controlling for histories of trauma. Histories of trauma contributed significant variance to CICSE before the training but were insignificant after the training. These findings suggest that aid organizations can support their workers by providing training that promotes resilience through enhancing efficacies.
Journal Article
E-Resource Acquisitions in Academic Library Consortia
Scholarly publishing is the information marketplace in which academic libraries function, and major shifts in traditional publishing and pricing models are in process. Library consortia have long been viewed as a means of increasing purchasing power and reducing costs. In late 2010, the Five College Libraries hired R2 Consulting LLC to investigate and make recommendations regarding how the Libraries cooperate more closely on the acquisition, management, and delivery of electronic resources. This study examines and evaluates how other academic library consortia are licensing and acquiring electronic books, databases, journals and streaming media. The organizations, activities, processes, history and trends of e-resource acquisitions and collection development at the Colorado Alliance of Research Libraries, Orbis Cascade Alliance, Triangle Research Libraries Network and Washington Research Library Consortium are presented with data collected by the author. Additional context is provided through a literature review, and a discussion of current practices provides a sampling of the new directions, academic library consortia are taking and the challenges they face.
Journal Article
Supporting children with learning difficulties
How do you teach history to a child who can't remember what she had for dinner? What difference will it make to a child's counting skills if you place the objects in a line, rather than dropped randomly on the table? Will breaking down a task into smaller steps help a young person learn how to dress himself? Children with learning disabilities do not follow set patterns of learning, and yet often they are expected to learn in the same way as their non-disabled peers. Christine Turner draws on 25 years' experience gained from teaching children with severe, profound and multiple disabilities to provide an introduction to learning disabilities and the effect they have on the individual and the family. She proposes holistic strategies to ensure that every child makes progress, regardless of the extent of their disability. All aspects of learning, from the simplest forms of non-verbal communication to the way ICT can motivate and inspire are explored in this practical and informal guide for anyone wanting to support a child with learning difficulties.
eBook
Longitudinal Continuity of Care Is Associated With High Patient Satisfaction With Physical Therapy
Background and Purpose. Recent literature has suggested that longitudinal continuity (ie, the patient is seen by the same practitioner for the entire course of treatment) may be linked to high degrees of patient satisfaction with medical care. The purpose of this study was to provide preliminary information regarding the association between longitudinal continuity and reports of patient satisfaction with physical therapy outpatient care. Subjects and Methods. A sample of 1,502 adult subjects completed the MedRisk Instrument for Measuring Patient Satisfaction With Physical Therapy Care at the time of discharge from outpatient physical therapy. Relationships between satisfaction measures and the presence or absence of longitudinal continuity were assessed by use of binary logistic regression. Results. Overall, 36.8% of the subjects reported complete satisfaction on the internal subscale (patient-therapist), and 47.9% of the subjects reported complete satisfaction on the external subscale (patient-support staff). Higher percentages of women (40.2% and 51.1% for internal and external subscales, respectively) than of men (31.9% and 43.3% for internal and external subscales, respectively) were completely satisfied with care. Of subjects who reported complete satisfaction on the internal subscale, 71.2% had longitudinal continuity of care, and 28.8% did not. A similar trend was noted for the external subscale (patient-support staff); 66.8% of subjects who reported complete satisfaction had longitudinal continuity, and 33.2% did not. Odds ratios describing the probability of complete satisfaction with care for subjects who had longitudinal continuity and for those who did not were significant and ranged from 2.7 to 3.5. Discussion and Conclusion. Subjects who received their entire course of outpatient physical therapy from only 1 provider were approximately 3 times more likely to report complete satisfaction with care than those who received care from more than 1 provider. These findings suggest that clinicians and managers should make efforts to preserve longitudinal continuity of care as a means of improving patient satisfaction with care.
Journal Article
Experiences of Caregivers Caring for a Family Member Who Is Using Hemodialysis
In this qualitative phenomenological study using a purposive sample, six caregivers of patients on hemodialysis were interviewed about their experiences of caring for a family member who uses hemodialysis. Six major themes and 12 subthemes were identified. Perceptions of caregivers are that caregiving is hard work and stressful; however, caregivers found the experience to be meaningful, even though the stress may interfere with their own health status. Study limitations include a small sample that may not represent the entirety of caregivers' perspectives. Implications for practice include developing informal and formal support systems and exercise programs that help this population manage the stress associated with caregiving for family members using hemodialysis.
Journal Article
Experiences of Caregivers Caring for a Family Member Who Is Using Hemodialysis
In this qualitative phenomenological study using a purposive sample, six caregivers of patients on hemodialysis were interviewed about their experiences of caring for a family member who uses hemodialysis. Six major themes and 12 subthemes were identified. Perceptions of caregivers are that caregiving is hard work and stressful; however, caregivers found the experience to be meaningful, even though the stress may interfere with their own health status. Study limitations include a small sample that may not represent the entirety of caregivers' perspectives. Implications for practice include developing informal and formal support systems and exercise programs that help this population manage the stress associated with caregiving for family members using hemodialysis.
Journal Article
RETRACTION: FIRST REJECTION, THEN DISMISSAL: RECONSIDERING \AMERICAN PIPE\ TOLLING FOR SECURITIES CLASS ACTIONS
In American Pipe & Construction Co. v. Utah, the Supreme Court created a class action tolling rule, which halted the running of a statute of limitations for all asserted class members of an antitrust suit during the court's certification of the class. Although the Court focused its analysis on the policy behind Federal Rule of Civil Procedure 23, courts purporting to apply the tolling rule have since extended their analyses to such issues as whether the tolling rule is equitable or legal in nature and whether the tolling rule also applies to statutes of repose. Most recently, the Second Circuit held in Police & Fire Retirement System of Detroit v. IndyMac MBS, Inc. that the statute of repose of § 13 of the Securities Act cannot be tolled. This Note examines the Supreme Court's reasoning in American Pipe and the distinct policies behind statutes of repose, arguing that the policies motivating § 13's statute of repose are not disserved if the American Pipe tolling rule is extended to circumstances factually similar to those faced by the plaintiffs in IndyMac. Rather, tolling under this limited circumstance is supported by the reasoning in American Pipe, the policies behind Rule 23, and the private-securities-litigation framework more generally.
Journal Article
A Value-Based Insurance Design Program At A Large Company Boosted Medication Adherence For Employees With Chronic Illnesses
This paper contributes to a small but growing body of evidence regarding the efficacy of value-based insurance design. In a retrospective, observational study of employees of a large global pharmaceutical firm, we evaluated how reduced patient cost sharing for prescription drugs for asthma, hypertension, and diabetes affected the use of these drugs and related medical services. We estimate that prescription medication use rose 5 percent per enrollee across the entire enrolled population. Increased use was most evident for patients taking cardiovascular medication. By the third year, adherence to cardiovascular medications was 9.4 percent higher, and patients realized cost savings over time. Overall, the program was mostly cost-neutral to the company, and there was no aggregate change in spending. However, we raise the prospect that this program may have saved the company money by reducing other medical costs. [PUBLICATION ABSTRACT]
Journal Article