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Singularity

xkcd.com - Fri, 2016-04-15 02:00
Categories: Cartoons, Science News

Spuren von Supernova in Mondproben gefunden

ScienceTicker.Info - Thu, 2016-04-14 15:34
Eine Sternenexplosion, die sich vor rund zwei Millionen Jahren in der Nähe unseres Sonnensystems ereignete, hat auch auf dem Mond Spuren hinterlassen. Das ergab eine neue Analyse von Bodenproben, die während der Apollo-Missionen zwischen 1969 und 1972 gesammelt worden waren. Lesen Sie die ganze Meldung bei Scienceticker Astro
Categories: Science News

Middle Managers' Experiences and Role in Implementing an Interactive Tailored Patient Assessment eHealth Intervention in Clinical Practice.

NLM - Nursing Informatics - Thu, 2016-04-14 14:57
Related Articles

Middle Managers' Experiences and Role in Implementing an Interactive Tailored Patient Assessment eHealth Intervention in Clinical Practice.

Comput Inform Nurs. 2015 Jun;33(6):249-57

Authors: Varsi C, Ekstedt M, Gammon D, Børøsund E, Ruland CM

Abstract
The role of nurse and physician managers is considered crucial for implementing eHealth interventions in clinical practice, but few studies have explored this. The aim of the current study was to examine the perceptions of nurse and physician managers regarding facilitators, barriers, management role, responsibility, and action taken in the implementation of an eHealth intervention called Choice into clinical practice. Individual qualitative interviews were conducted with six nurses and three physicians in management positions at five hospital units. The findings revealed that nurse managers reported conscientiously supporting the implementation, but workloads prevented them from participating in the process as closely as they wanted. Physician managers reported less contribution. The implementation process was influenced by facilitating factors such as perceptions of benefits from Choice and use of implementation strategies, along with barriers such as physician resistance, contextual factors and difficulties for front-line providers in learning a new way of communicating with the patients. The findings suggest that role descriptions for both nurse and physician managers should include implementation knowledge and implementation skills. Managers could benefit from an implementation toolkit. Implementation management should be included in management education for healthcare managers to prepare them for the constant need for implementation and improvement in clinical practice.

PMID: 25988851 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Methodological Challenges in Examining the Impact of Healthcare Predictive Analytics on Nursing-Sensitive Patient Outcomes.

NLM - Nursing Informatics - Thu, 2016-04-14 14:57
Related Articles

Methodological Challenges in Examining the Impact of Healthcare Predictive Analytics on Nursing-Sensitive Patient Outcomes.

Comput Inform Nurs. 2015 Jun;33(6):258-64

Authors: Jeffery AD

Abstract
The expansion of real-time analytic abilities within current electronic health records has led to innovations in predictive modeling and clinical decision support systems. However, the ability of these systems to influence patient outcomes is currently unknown. Even though nurses are the largest profession within the healthcare workforce, little research has been performed to explore the impact of clinical decision support on their decisions and the patient outcomes associated with them. A scoping literature review explored the impact clinical decision support systems containing healthcare predictive analytics have on four nursing-sensitive patient outcomes (pressure ulcers, failure to rescue, falls, and infections). While many articles discussed variable selection and predictive model development/validation, only four articles examined the impact on patient outcomes. The novelty of predictive analytics and the inherent methodological challenges in studying clinical decision support impact are likely responsible for this paucity of literature. Major methodological challenges include (1) multilevel nature of intervention, (2) treatment fidelity, and (3) adequacy of clinicians' subsequent behavior. There is currently insufficient evidence to demonstrate efficacy of healthcare predictive analytics-enhanced clinical decision support systems on nursing-sensitive patient outcomes. Innovative research methods and a greater emphasis on studying this phenomenon are needed.

PMID: 25899442 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

The Impact of National Cultural Differences on Nurses' Acceptance of Hospital Information Systems.

NLM - Nursing Informatics - Thu, 2016-04-14 14:57
Related Articles

The Impact of National Cultural Differences on Nurses' Acceptance of Hospital Information Systems.

Comput Inform Nurs. 2015 Jun;33(6):265-72

Authors: Lin HC

Abstract
This study aims to explore the influence of national cultural differences on nurses' perceptions of their acceptance of hospital information systems. This study uses the perspective of Technology Acceptance Model; national cultural differences in terms of masculinity/femininity, individualism/collectivism, power distance, and uncertainty avoidance are incorporated into the Technology Acceptance Model as moderators, whereas time orientation is a control variable on hospital information system acceptance. A quantitative research design was used in this study; 261 participants, US and Taiwan RNs, all had hospital information system experience. Data were collected from November 2013 to February 2014 and analyzed using a t test to compare the coefficients for each moderator. The results show that individualism/collectivism, power distance, and uncertainty avoidance all exhibit significant difference on hospital information system acceptance; however, both masculinity/femininity and time orientation factors did not show significance. This study verifies that national cultural differences have significant influence on nurses' behavioral intention to use hospital information systems. Therefore, hospital information system providers should emphasize the way in which to integrate different technological functions to meet the needs of nurses from various cultural backgrounds.

PMID: 25899441 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

e-Patients Perceptions of Using Personal Health Records for Self-management Support of Chronic Illness.

NLM - Nursing Informatics - Thu, 2016-04-14 14:57
Related Articles

e-Patients Perceptions of Using Personal Health Records for Self-management Support of Chronic Illness.

Comput Inform Nurs. 2015 Jun;33(6):229-37

Authors: Gee PM, Paterniti DA, Ward D, Soederberg Miller LM

Abstract
Chronic illness self-management is largely moving from healthcare professionals and into the hands of the patient. One tool that has been promoted to facilitate self-management support of chronic illness by policymakers, health advocates, providers, and consumers is the personal health record. Little is known about how consumers effectively use personal health records for self-management support and for productive patient-provider interactions. The purpose of this study was to learn from chronically ill engaged, experienced, and educated (e-patient) adults how and why they use personal health records for self-management support and productive patient-provider interactions. Eighteen purposively selected consumers were interviewed in two communities. Qualitative description methods were used, and we used a grounded theory approach to analyzing interview data, which was digitally recorded and transcribed verbatim. We identified four major thematic categories that capture the perceptions of the chronically ill using personal health records: (1) patient engagement and health self-management, (2) access to and control over personal health data, (3) promotion of productive communication, and (4) opportunities for training and education. Knowledge gained from the e-patient personal health record users suggest that making improvements to the portal system and providing education to consumers and providers will increase the utility among the experienced users and encourage new users to embrace adoption and use.

PMID: 25899440 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Clinical Decision Support and Perioperative Peripheral Nerve Injury: A Quality Improvement Project.

NLM - Nursing Informatics - Thu, 2016-04-14 14:57
Related Articles

Clinical Decision Support and Perioperative Peripheral Nerve Injury: A Quality Improvement Project.

Comput Inform Nurs. 2015 Jun;33(6):238-48; quiz E1

Authors: Bouyer-Ferullo S, Androwich IM, Dykes PC

Abstract
Decision support at the point of care has been demonstrated to be an effective tool in providing a safe environment and improving patient outcomes. The operating room is typically an area where advanced technology is introduced to nurses on a regular basis. This quality improvement project focused on preventing a peripheral nerve injury, which is an example of a postoperative adverse event that is considered preventable. Injury of a peripheral nerve is the result of compression, hyperextension, flexion, or ischemia surrounding the nerve. The goals for this project were to improve the knowledge of peripheral nerve injury of the operating room nurses, design and implement a peripheral nerve injury assessment screen that could provide decision support within the operating room record, improve the nursing documentation of peripheral nerve injury interventions, and (long term) decrease the incidence of peripheral nerve injury. A decision support screen within the operating room record was designed to supplement the operating room nurse's risk assessment for peripheral nerve injury. The components of this project involved a preliminary and postproject surveys on peripheral nerve injury knowledge, an educational presentation, and a retrospective random review of nursing documentation in the operating room electronic health records. Project results demonstrated a significant increase in nursing documentation of peripheral nerve injury interventions (63%-92%) and a positive attitude toward their exposure to basic decision support (P = .046). Recommendations for future studies and establishing a standardized coding system for peripheral nerve injury identification were identified.

PMID: 25851559 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Some academics remain skeptical of Academia.edu

OLDaily by Stephen Downes - Thu, 2016-04-14 11:57


Shawna Wagman, University Affairs, Apr 14, 2016

"Please, don’ t put your papers on Academia.edu," Wolfgang Schwarz writes, arguing according to this article that "He argues that the platform essentially bans access for academics who, for whatever reason, don’ t have an Academia.edu account. It also shuts out non-academics." I've been hit with login requirements from both here and its twin, ResearchGate. I don't upload my papers to either site, though they've collected a large body of work by scraping available online libraries.

[Link] [Comment]

Active OER: Beyond open licensing policies

OLDaily by Stephen Downes - Thu, 2016-04-14 11:57


Timothy Vollmer, Creative Commons, Apr 14, 2016

Here is the point of the post in a nutshell: "If we agree that empowerment and engagement of educators and learners is an important goal, we need to implement active policies that build on and support the potential ensured by passive ones," policies such as incentives and infrastructure (but let's be honest: mostly incentives). This is based on the presumption that "less than 5% of users is willing to modify content, remix it, create own versions and mash-ups." Judging by the amount of resharing, retweeting, and reposting that happens on Twitter, Facebook and the rest, I would say this number is very low. If it applies at all, it probably only applies to teachers and OERs. And I have to ask, if we have to incent them to reuse, then we should examine what we're doing.

[Link] [Comment]

Six Ways to Support Personalized Learning

OLDaily by Stephen Downes - Thu, 2016-04-14 11:57


Gregory Dobbin, EDUCAUSE Review, Apr 14, 2016

This is a survey from the responses from the winners of Integrated Planning and Advising for Student Success (iPASS) grants last year.

  1. Focus on Differing Levels of Preparation
  2. Strengthen Student Engagement
  3. Accommodate Different Goals and Styles
  4. Rethink Institutional Structures and Support
  5. Take Advantage of Appropriate Technologies
  6. Build Trust

All of these seem reasonable - who would object? But the implementation is another matter, and these points are all (especially the last three) so broad they offer no guidance at all.

[Link] [Comment]

In Britain, the Wealthy Get Wealthier

OLDaily by Stephen Downes - Thu, 2016-04-14 11:57


John Morgan, Inside Higher Ed, Apr 14, 2016

More evidence for a proposition that has been noted in this newsletter before, specifically, that equality of outcomes is not achieved simply by providing access to the same curriculum. The purpose of elite institutions of higher education is to allow the wealthy to create insider networks, and these appear to freeze out the non-wealthy, even those who attend these institutions. "Graduates from richer family backgrounds (defined as top 20  percent by household income) earn significantly more after graduation than other graduates, even after completing similar degrees from similar universities." See also another report on the same study from the BBC.

[Link] [Comment]

Govt needs to look at online learning for skills shortage, says expert

Online learning update by Ray Schroeder - Thu, 2016-04-14 02:10

by SHANNON WILLIAMS, IT Brief

ALISON founder Mike Feerick says global inequality and the skills gap is one of the biggest challenges facing governments, and free online education is one of the most powerful modern tools available to address it. However, he says governments and advisors are looking in the wrong places for answers, and asking the wrong people for solutions. “We have been stopping people from educating themselves, and stopping those who can teach from having a wider impact,” Feerick explains. Speaking at SXSW in Texas, Feerick says there are three policies that governments could implement to radically propel online learning for all societies. “Firstly, governments could mandate that free online informal learning becomes an integral part of any hiring decisions across public and semi-state recruitment,” he says. “It would comprehensively deliver the message that free online lifelong learning is important, relevant and valued.”

https://itbrief.co.nz/story/govt-needs-look-online-learning-skills-shortage-says-expert/

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Online Education as a Catalyst for Organizational Change?

Online learning update by Ray Schroeder - Thu, 2016-04-14 02:05

By Joshua Kim, Inside Higher Ed

Online Education: A Catalyst for Higher Education Reforms The Final Report from MIT’s Open Education Policy Initiative. “…learning-science-based online education (including the blended model) is disrupting the existing higher education teaching paradigm.” Recommendation 4: Foster Institutional and Organizational Change in Higher Education to Implement These Reforms What do you make of this recommendation? The MIT report argues that like other legacy sectors, higher education is due for disruption. This higher ed disruption will come from a combination of learning science, new (scalable) online learning technologies, and an altered set of economic and political arrangements (such as competency based learning and government / employer supported alternative credentialing). Disrupting the power / position of legacy higher education institutions, according to the MIT report, will not be easy.

https://www.insidehighered.com/blogs/technology-and-learning/online-education-catalyst-organizational-change

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Micro-Credentials Offer Universities an Opportunity to Bridge Skill Gaps

Online learning update by Ray Schroeder - Thu, 2016-04-14 02:02

BY TANYA ROSCORLA, Center for Digital Education

Higher education leaders are pondering how to make bite-sized, low-cost learning opportunities available to students in different ways. Working adults who change jobs and careers frequently often don’t need to go through an entire degree program to learn different skills. However, they do need a flexible way to earn credentials that are recognized by employers and that demonstrate their ability to apply the skills they learn, said David Schejbal, dean of continuing education, outreach and e-learning at University of Wisconsin-Extension. University micro-credentials can help fill that role. Six universities have been working with employers to find out what skills they need their employees to have, including the Georgia Institute of Technology, University of California Davis Extension, University of California Irvine Extension, University of Wisconsin-Extension, University of Washington and University of California, Los Angeles.

http://www.centerdigitaled.com/higher-ed/Micro-Credentials-Offer-Universities-an-Opportunity-to-Bridge-Skill-Gaps.html

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How to Build an Engaged Event Community

OLDaily by Stephen Downes - Wed, 2016-04-13 23:56


DoubleDutch, Apr 13, 2016

Relatively light (11 page PDF) but generally useful guide on the use of social media to support an event. The publishers produce event apps, so they have an interest in this, but it doesn't appear until the last page. And they capture the pain point nicely: "56% of marketers still list the ‘ inability to tie engagement to business outcomes’ as the largest pain point of measuring social media ROI." I agree. It was really difficult for me to match a particular event to the launch of a particular project. How then do I justify them to my managers?

[Link] [Comment]

OpenText Release 16

OLDaily by Stephen Downes - Wed, 2016-04-13 23:56


Press Release, OpenText, Apr 13, 2016

For the record: OpenText release. "Introducing OpenText Release 16 which offers an open platform for better control, deeper integrations into your mission-critical systems and a sharp focus on embedded analytics for actionable intelligence, available on premise or in the cloud. All in a single release."

[Link] [Comment]

Events: NYU "Politics Of Privatization" Summit [#PoPNonCon16] Going On Now

OLDaily by Stephen Downes - Wed, 2016-04-13 23:56


Alexander Russo, Education Next, Apr 13, 2016

Alexander Russo writes, "In case you haven't seen it, there's a "Non-Conference" on Privatization in Education  at NYU going on this week... The hashtag is  #PoPNonCon16. The livestream is here." Just so you know.

[Link] [Comment]

From Written to Digital: The New Literacy by Phillip Ventimiglia and George L. Pullman

OLDaily by Stephen Downes - Wed, 2016-04-13 23:56


Helge Scherlund, Helge Scherlund's eLearning news blog, Apr 13, 2016

Summary and review of this book on digital literacy. Phillip Ventimiglia quoting Walter Isaacson: "The major innovations of the digital revolution— from the first general-purpose computer to the transistor to the iPhone— were all created by individuals who understood how to synthesize the humanities with technology."

[Link] [Comment]

It’s time to rethink liberal arts education in Michigan

Online learning update by Ray Schroeder - Wed, 2016-04-13 02:10

By JEFF DEGRAFF, Michigan Public Radio

Instead of being the vehicle to join the middle class that it once was, higher education is now an obstacle that actually prevents access to knowledge and reinforces existing privilege. This was the powerful message of a compelling Economist cover story last year titled America’s New Aristocracy. The essay argues that college in the U.S. needs to change. Massive Online Open Courses (MOOCs), including TED, Coursera, and edX, reproduce tired models of teaching by featuring talking heads delivering lectures. Methods like those used by the Khan Academy represent a radical change in the way we imagine the classroom. In this model, students receive the primary course material to read through and learn before coming to class. This way, during actual class time, the instructor can work with the students in applying the shared concepts to real situations. This flipped-classroom approach is essentially applied liberal arts: the high-mindedness of trivium and quadrivium meets the practicality of John Dewey.

http://michiganradio.org/post/its-time-rethink-liberal-arts-education-michigan#stream/0

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Low Budget High Quality Videos for the Flipped Classroom

Online learning update by Ray Schroeder - Wed, 2016-04-13 02:05

by Christy K. Turner, Edutopia

YouTube videos are a popular way for audiences to quickly search then learn how to use a product or information about a topic. It is a perfect place to store your clips for a flipped classroom. More than a billion internet users access YouTube on a daily basis (Luscombe, 2015). For anyone wanting a cheap effective way to get video information to a targeted audience, YouTube is simplest most cost effective mode of delivery. With flipped classrooms becoming more popular, teachers are wanting to create their own videos as well. The costliest part of videos is the equipment to film and edit them. However, by knowing a few tricks and where to get low cost tools, creative videos can be made on a miniscule budget.

http://www.edutopia.org/discussion/low-budget-high-quality-videos-flipped-classroom

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