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131.
Using grounded theory methodology, authors utilized four online focus groups to explore counselor trainees’ understanding of diversity in a mental health diagnosis course. Four overarching themes, each embodied by two subthemes, emerged from the data. Implications for counselor educators teaching diversity in diagnosis to counselor trainees are provided.  相似文献   
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Quality indicators (QIs) measure the extent to which set targets are attained and provide a quantitative basis for achieving improvement in care and, in particular, laboratory services. A body of evidence collected in recent years has demonstrated that most errors fall outside the analytical phase, while the pre- and post-analytical steps have been found to be more vulnerable to the risk of error. However, the current lack of attention to extra-laboratory factors and related QIs prevent clinical laboratories from effectively improving total quality and reducing errors. Errors in the pre-analytical phase, which account for 50% to 75% of all laboratory errors, have long been included in the ‘identification and sample problems’ category. However, according to the International Standard for medical laboratory accreditation and a patient-centered view, some additional QIs are needed. In particular, there is a need to measure the appropriateness of all test request and request forms, as well as the quality of sample transportation. The QIs model developed by a working group of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) is a valuable starting point for promoting the harmonization of available QIs, but further efforts should be made to achieve a consensus on the road map for harmonization.  相似文献   
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Abstract

A study was made of the relationship of physique and developmental level, determined by use of the Wetzel Grid, to performance of junior high boys on four fitness tests: pull-ups, 50-yd. dash, standing broad jump, and softball throw. Subjects of different physique groups (heavy, medium, and thin) who were alike developmentally (accelerated, normal, and retarded) differed more markedly in performance than did subjects of different developmental levels who were alike with regard to physique. Subjects who were medium in physique and normal in development were the best performers. Subjects of heavy physique (many overweight) were the poorest performers. This would seem to indicate the need for a restudy of classification methods, particularly when norms are to be used for evaluating performance.  相似文献   
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Today's turbulent business and social environment often compels organizations to adopt internal programs that will help them cope with complexity. One organizational sector in which this is particularly true is the health care industry, as managed care programs and competitive forces have changed the way hospitals and clinics operate. This study looks at a specific organizational program designed to cope with these industry changes and considers the impact of the program on the nurses involved. Drawing on theory and research on role development and strategic ambiguity, this case analysis looks at a hospital system in which the nursing role of “care coordinator”; was defined in a strategically ambiguous way. After analyzing interviews with 19 care coordinators, conclusions are drawn regarding affective reactions to strategic role ambiguity, behavioral adaptation to strategic role ambiguity, and the importance of conceptualizing role ambiguity as a systemic process.  相似文献   
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