Role Development in the Managed Care Era: A Case of Hospital-Based Nursing     

Julie Apker 《Journal of Applied Communication Research》2001,29(2):117-136

Managed care poses numerous opportunities and challenges for today's health care organizations and their employees. This article investigates the ways that hospital nurses develop and make sense of their professional roles and organizational environments in a changing and often uncertain managed care setting. The case study approach used in this research combined qualitative methodologies to gain a rich, detailed, and contextual understanding of nurses' work roles and organizational experiences. After an analysis of interviews with 24 nurses and observations of nurses' communicative activities on one inpatient unit, the complexity of sensemaking and role development in a managed care environment is considered. Conclusions are then drawn regarding the theoretical and pragmatic implications of nurses' communicative processes, as they attempted to develop and understand their roles in a changing organizational context.  相似文献   

Relating college outcomes and activities to postgraduation success     

Michael K. Smith  Julie Thomas 《Assessment Update》1992,4(4):9-9

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Early Literacy Skills in African-American Children: Research Considerations     

Julie A. Washington 《Learning disabilities research & practice》2001,16(4):213-221

The poor reading achievement of African-American children in urban schools is well established. African-American children from low-income homes may be at particular risk for reading difficulties, although middle-income children often fare poorly as well. Intervention efforts have focused on children in kindergarten through fifth grade. This article suggests that prevention efforts must begin prior to kindergarten entry. Several key variables that may influence young children's performance, including poverty, general oral language skills, dialectal variations, home literacy practices, standardized testing bias, and teacher expectations, are explored. Future directions for research addressing emergent literacy in African-American children are discussed throughout.  相似文献   

Worldwide deliberation and public use of reason online   总被引：1，自引：0，他引：1  

May Thorseth 《Ethics and Information Technology》2006,8(4):243-252

The aim of this paper is threefold: (i) to trace the idea of deliberation back in the history of philosophy and establish the link to the Kantian concept of public reason; (ii) to pave the way for rhetoric as a constituent part of public deliberation; (iii) to undertake an applied ethical approach to worldwide deliberation online. The two former aims are treated in part one of the paper, whereas the applied analysis is undertaken in part two. One important task is to demonstrate in what ways the internet as a new and powerful venue for deliberation both challenges the old theories of public deliberation, and also points in the direction of certain revisions of our basic ideas about deliberation.  相似文献   

So many filters, so little time: the development of a search filter appraisal checklist          下载免费PDF全文

Julie Glanville  Sue Bayliss  Andrew Booth  Yenal Dundar  Hasina Fernandes  Nigel David Fleeman  Louise Foster  Cynthia Fraser  Anne Fry-Smith  Su Golder  Carol Lefebvre  Caroline Miller  Suzy Paisley  Liz Payne  Alison Price    Karen Welch 《Medical Library and Historical Journal》2008,96(4):356-361

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Indianapolis I3: the third generation Integrated Advanced Information Management Systems.     

Julie J McGowan  J Marc Overhage  Mike Barnes  Clement J McDonald 《Journal of the Medical Library Association》2004,92(2):179-187

In 2001, the Regenstrief Institute for Health Care and the Indiana University School of Medicine (IUSM) began an IAIMS planning effort to create a vision and a tactical plan for the first Integrated Advanced Information Management Systems (IAIMS) implementation to cross a large area and include unaffiliated institutions. A number of elements made this planning effort unique. Among these elements were the existence of a network infrastructure that supported the Indianapolis Network for Patient Care, the existence of a mature medical informatics program at the Regenstrief Institute, and the existence of a wide-area knowledge network fostered by the IUSM libraries. However, the leadership for a strong information technology role in the IUSM that could promote collaboration in support of education and research across the diverse Indianapolis hospital systems had been lacking. By bringing together various groups, each with a commitment to improve health care quality and public health across the Indianapolis metropolitan area, regardless of individual institutional affiliation, the strategic directions for I3-Indianapolis IAIMS Initiative have been defined and the foundations for a third generation IAIMS construct have been laid in Indianapolis, Indiana.  相似文献   

Institutional policy process improvement: using structurating activity theory to inform practice     

Heather E. Canary  Kris May  Marc D. Rinehart  Jahn B. Barlow 《Journal of Applied Communication Research》2018,46(2):202-222

Organizational communication scholars are increasingly called upon to use theoretical knowledge to address problematic processes in public institutions. This article reports a process improvement project focused on a university conflict of interest (COI) policy as an example of how scholars can engage theory to improve ongoing policy processes. The project team included communication scholars and research administration staff who designed, implemented, and evaluated the mixed-methods project guided by structurating activity theory. Baseline survey results were used to design the process improvement project. Results of the follow-up survey indicate that researchers who participated in some aspect of the process improvement project (i.e. attending a policy café, using the redesigned website, or reading the new Quick Reference Guide) reported higher levels of policy communication and knowledge and more positive attitudes toward the COI policy than researchers who had not engaged with process improvement efforts. We offer theoretical and practical implications of results for organizational communication scholars and practitioners.  相似文献   

Creating and Sharing Online Library Instruction: A How-to-do-it Manual for Librarians     

Julie M. Porterfield 《Public Services Quarterly》2018,14(1):57-58

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Parenting ASD Teens: A Guide to Making It Up as You Go     

Julie Yamanashi 《International Journal of Disability, Development & Education》2017,64(1):109-111

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The JBJS Peer‐Review Scoring Scale: A valid,reliable instrument for measuring the quality of peer review reports          下载免费PDF全文

Stephen R. Thompson  Julie Agel  Elena Losina 《Learned Publishing》2016,29(1):23-25

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