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A Table of Contents for the York Corpus Christi Play
Get PDFFifteenth-century civic records from York provide detailed information about the contents of the Corpus Christi Play presented by the guilds under the supervision of the council. This information is found in two entries in the A/Y Memorandum Book (a civic memorandum) and in the council's register of the texts of the episodes of the play. The A/Y Memorandum Book entries were compiled by Roger Burton, who was the Common Clerk from 1415 to 1433; one, the Ordo Paginarum (1415), contains guild names and brief descriptions of 51 episodes in the play; the other, a second list of pageants (c. 1420), gives guild names and titles of 56 episodes. The council's register of the texts belonging to the guilds (1463-1477) contains 48 episodes with space for another 3. These sources suggest a total play captaining at least 51 episodes
Chaucer and Bawdy
Get PDFThe reputation of a medieval poet is such that a successful dramatist of the 1960s could rely on the mere mention of his name to convey to the audience of the play the ideas of naughtiness and bawdy. Presumably the expansion of senior-secondary and tertiary education after World War II, the gradual relaxation of sexual mores, and the ready availability of a lively translation of the Canterbury Tales had all been factors that contributed to a popular dissemination of Chaucer's reputation for bawdiness. If that is so, it occurred in the absence of scholarly activity and interest in the topic. It is true that Chaucer shares with Shakespeare the singular honour of having a book devoted to his bawdy; yet that book was published as recently as 1972 and, modelling itself on Partridge's pioneering work on Shakespeare, takes the form of discursive glosses, apart from a brief, conceptually uncritical introduction. In general, before the later 1960s, while many medievalists privately took pleasure in Chaucer's treatment of sexual and excretory matters, they did not write upon this aspect of his work with the same unembarrassed candour that the poet himself had shown. Among general readers this aspect of Chaucer, and to an extent Chaucer's very name, was very often an occasion for sniggering
Considering Statistically Equivalent Models when using Structural Equation Modeling: an Example from Physics Identity
Get PDFStructural equation modeling (SEM) is a statistical method widely used in educational research to investigate relationships between variables. Using a SEM model involves a crucial step of considering statistically equivalent models and contemplating why the proposed model should not be rejected in favor of equivalent ones. However, many studies using SEM did not explicitly discuss this step. In this study, we use physics identity model as an example to demonstrate how multiple statistically equivalent models have distinct instructional implications. Previous research has indicated that physics identity comprises three dimensions: perceived recognition, self-efficacy, and interest. However, the relationships between these dimensions have not been thoroughly understood. Here, we discuss how our proposed model with perceived recognition predicting self-efficacy and interest is supported by prior studies involving individual student interviews and how intervention studies can further determine a more accurate causal model. Our study highlights the importance of considering statistically equivalent models when using SEM as an analysis tool
Caesia walalbai A.T.Webb, Birch & R.L.Barrett (Asphodelaceae, Hemerocallidoideae), a new species from south-east Queensland
Get PDFCaesia walalbai A.T.Webb, Birch & R.L.Barrett (Asphodelaceae, Hemerocallidoideae) is described as a new species endemic to south-east Queensland, Australia. It is distinguished from other white-flowered, eastern Australian Caesia species by long, often recurved pedicels and entirely yellow staminal filaments. Caesia walalbai is notable for having 23 observations on the citizen science platform iNaturalist, all made in the last three years, while a similar number of herbarium specimens have been collected, the first in 1959. The species was also collected on the Carnarvon Station Reserve BushBlitz in 2014. A new description of Caesia parviflora R.Br. is provided based on specimens collected in the Sydney region of New South Wales, the type location for the species
Review of Dinter and Schafer-Althaus, Medicine and Mobility in Nineteenth-Century British Literature, History, and Culture
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A consumer co-designed, self-delivered, Avatar-based patient discharge education application improves acute coronary syndrome (ACS) patient knowledge
No full textTitle: A consumer-co-designed, self-delivered, Avatar-based patient discharge education application improves acute coronary syndrome (ACS) patient knowledge
Background: High 30-day rehospitalisation rates among ACS patients have been attributed to poor disease knowledge and self-care, especially in those with low literacy and health literacy. Traditional patient education methods fail to address these issues.
Aims: We aimed to develop and evaluate a consumer-co-designed discharge education application (app) and test its effectiveness on disease knowledge and acceptability.
Methods: Based on the Heart Foundation Six Steps to Cardiac Recovery the app underwent a rigorous development process with the substantial engagement of consumers (Figure 1). It was piloted in patients with unstable angina or a non-STEMI episode. Disease knowledge, ACS responses were assessed at baseline, followed by first use and one month later. Patients and cardiac nurses rated the acceptability.
Results: Among 22 participants; 81.8% were male, mean age 59.7 years; 45.5% had not completed high school and 25% had marginal health literacy.
Significant improvements were observed for overall disease knowledge at one month (p=.003) and for the exercise and nutrition domains at discharge (p=.029; p<.001) and one month (p=.02; p=.003) (Figure 2). Significant improvements were also observed for ACS knowledge and beliefs at discharge (p=.008; p=.038) and one month (p<.001; p=.025) when ACS response attitude was also significantly improved at one month (p=.036). The app had very high acceptability, and was described as ‘clear, simple, easy to understand, stimulating and interactive, better than a live person’.
Conclusions: This novel ACS education app has the potential to provide discharge education for ACS patients even for patients with low education and health literacy
Electronic Medical Record Implementation Incentivises Accurate Patient Identifier Entry for Point-of-Care Glucose Measures: Another Step Towards Improved In-Hospital Diabetes Care
No full textTitle: Electronic Medical Record Implementation Incentivises Accurate Patient Identifier Entry for Point-of-Care Glucose Measures: Another Step Towards Improved In-Hospital Diabetes Care
Background: Clinical service delivery and research in the field of inpatient diabetes care is contingent on accurate documentation of point-of-care glucose results. Networked glucose meters require correct patient identifier entry to link glucose data with a patient’s chart.
Aims: To evaluate accurate entry of patient identifiers using a networked glucose meter system, before and after implementation of an electronic medical record.
Methods: This retrospective observational study evaluated glucose meter patient identifier entry at a quaternary hospital in Victoria, Australia from September 2019 (introduction of networked blood glucose meters), until May 2021, 9 months following hospital-wide EMR implementation. Identifier entry was considered accurate if string length matched the length of the identifier type in use. The four weeks following EMR implementation were censored to account for peri-implementation workflow disruptions.
Results: Over 79 weeks, 76.3% of glucose measures (269,199/352,841) had accurate patient identifier entry. Pre-EMR entry accuracy was 71.6% (132,918/185,677) while post-EMR accuracy was higher at 81.5% (136,281/167,164), p<0.001. Interrupted time series modelling showed the deterioration in identifier entry accuracy observed from program inception (slope -0.20 percentage points/week) transformed to a marked and sustained improvement following EMR implementation (slope +0.36 percentage points/week, p<0.001).
Conclusions: While patient identifier entry accuracy deteriorated pre-EMR, post-EMR improvements may relate to aligning incentives in this period. Pre-EMR entry accuracy was not incentivised, whereas post-EMR accurate entry resulted in automatic glucose data transfer to the clinical record, saving the frontline clinician time and effort. These results have implications for human-centred electronic workflow design and implementation, to optimise delivery of in-hospital diabetes care
Use it or lose it: The role user unfamiliarity with electronic medication systems plays in medication errors
No full textBackground: Electronic medication management systems (EMMS) improve medication safety, but simultaneously introduce new system-related errors, errors highly unlikely with the use of paper records. No research has examined how these errors change over time and whether errors related to user unfamiliarity with EMMS decrease over time.
Aims: To explore how incident reports of system-related errors related to user unfamiliarity with EMMS change over time.
Methods: EMMS-related incidents occurring at three hospitals in a Local Health District between 1 January 2010 and 31 December 2019 were extracted from the NSW Health Incident Information Management System. Each hospital had introduced the EMMS at different time points (one, three and 12 years prior). Factors contributing to these EMMS-related incidents were extracted and classified, including user ‘misunderstanding or unfamiliarity with EMMS or EMMS workflow’ and ‘inadequate training or education’.
Results: The number of incident reports related to user unfamiliarity or inadequate training fluctuated over time but never dissipated. User unfamiliarity and inadequate training were associated with at least 8 incidents every year (range 8 – 55 incidents) and were still contributing factors to reported incidents in the hospital that had had EMMS in place for over 12 years.
Conclusions: EMMS become more embedded in hospitals with long-term use, but our results indicate that user unfamiliarity with the system is an ongoing issue, despite long-term use. This result highlights that EMMS are not set-and-forget systems. Organisations are required to provide ongoing training for new/rotating staff and refresher training with the addition of new functionality to systems
Optimising app interface design for an under-served workforce – How co-designing with home careworkers has shaped a resource to support end-of-life care.
No full textBackground: By 2023 more than 275,600 Australians will be supported by home careworkers (HCW) allowing them die in their home. There is, however, a wide range of abilities, knowledge, backgrounds, and experiences among casualised and fragmented home care workforce. Only a third of health careworkers have received formal training in palliative care.
Aims: To collaborate with HCW to create a useable and relevant app for supporting their end-of-life care practice contextualised to their needs, requirements, and abilities.
Methods: A comprehensive co-design process applying user-centred design approach was conducted involving HCW and other home care sector representatives. The design approach included co-design interviews to scope needs of HCW and to identify content/resources. Using card sorting, content concepts were mapped to form an app information. Throughout the development process, evaluations were conducted to assess usability of the app including wireframes and prototypes.
Results: Using co-design interviews with HCW, we developed rich content for an app structured within an evidence-based framework to support end-of-life care. Information architecture structured from card sorting data supported end-user navigation, functionality, language, and information flow. Testing usability and user experience identified errors within the app prototype which were resolved prior to release.
Conclusions: Through a co-design approach, the Home Care app has been adopted by the home care sector as a valuable, usable, and high-quality resource with interaction experiences tailored by HCW to support their end-of-life care practice