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Andragogy in the Age of AI: Transformative Pathways for Adult Education
Full text linkThis chapter explores the transformative impact of Artificial Intelligence (AI) on adult education, drawing on the foundational work of Malcolm Knowles, who emphasized the necessity for adaptive and self-directed learning practices. It examines the rapid technological advancements since Knowles\u27 time, highlighting how modern AI technologies, particularly Generative AI, are reshaping the landscape of adult education. By aligning AI with andragogical principles, educators can enhance the learning experience while addressing potential challenges such as algorithmic bias and inequity. The chapter is structured into three sections: the first explores AI-based learning science and its congruence with Knowles\u27 principles; the second assesses the evolving nature of andragogy in the digital era; and the third projects future pathways for integrating AI in adult learning, emphasizing the implications for education delivery and knowledge productio
Assessment of Work Meaning: An Automotive Manufacturing Exploratory Survey Using Steger\u27s Model.
No full textThe study used a survey-based design relying on Steger\u27s three-factor Work and Meaning Inventory instrument in the hopes of producing a baseline method to measure work meaning levels within an automotive manufacturing site for operators. Data was collected from operators at the manufacturing research site during shift change with a paper survey, with a 63.6% participation rate. Included within the survey were demographic questions about race, job longevity, and education level. The data was subjected to chi-squared tests and an exploratory factor analysis. The main finding was that Steger\u27s three-factor model collapsed into two factors for the operator population. Greater good motivations remained intact; however, meaning-making through work and positive meaning joined to create one factor called individual motivation. The finding changed the conceptual framework where initially it showed connections greater good motivations to spirituality, meaning making through work to work and company, and positive meaning to personal motivation. The revised framework has the following connections: greater good motivations to spirituality and individual motivations to both work and company and personal motivation. The other findings were that work meaning did not have a relationship with either job longevity or education level. The finding will allow the removal of demographic questions for future surveys with operators. Job longevity and education level had a significant relationship. The finding points the facility toward understanding the connection and developing methods to increase longevity
Artificial Intelligence, Educational Leadership, and Knowledge Creation: A New Infrastructure
No full textReducing Patient Falls in a Behavioral Health Unit: Improvement through Audit Implementation
Full text linkProblem: Fall-related events are a significant source of harm, with more than 700,000 patients falling every year in U.S. hospitals. The project was implemented in a 41-bed acute inpatient adult behavioral health unit (BHU). Over the last eight quarters, the BHU experienced an average of 3.16 falls per 1,000 days, exceeding the benchmark\u27s median of 2.53 total falls.
Aim of the Project: The primary aim of this project was to decrease overall falls in an acute inpatient behavioral health unit.
Review of the Evidence: A comprehensive literature review identified intervention prevention bundles, compliance auditing, and staff education as effective ways to combat patient falls.
Project Design: This quality improvement project employed the Plan, Do, Study, and Act methodology to conduct rapid change cycles during implementation. The OhioHealth Change Management Model framework addressed barriers and provided planning and communication support.
Intervention: The intervention was a compliance audit tool containing all the existing fall prevention intervention criteria. Patient chart audits were completed using this tool, allowing for isolating underutilized bundle elements and guiding change opportunities.
Significant Findings/Outcomes: The number of falls during the eight-week project period was compared to those in the prior eight weeks. Using the number of falls divided by the number of occupied bed days in each eight weeks allowed a fall rate to be calculated. The number of falls during the project period dropped from six to two. The fall rate increased from 2.88 falls per 1,000 occupied bed days to 2.92 falls during the project. This rate increase is attributed to fewer occupied bed days. The overall reduction in the number of falls was considered clinically relevant.
Implications for Nursing: The impact of compliance with an existing fall prevention bundle to reduce patient falls has not been widely reported in behavioral health. There is an opportunity to continue to research and apply additional interventions that meet the needs of this vulnerable population. Fall prevention is not a universal solution without considering the needs of specialty units. This project demonstrated the success of monitoring compliance as a valid fall prevention measure. The project also highlighted the need to update the policy to reflect the complexities of this work in a behavioral health setting
Managerial Communications And Person-Environment Fits Impact On The Retention Of Those With A Remote Superior In The Aerospace Industry
No full textWith turnover a costly problem in the aerospace industry, businesses aim to maintain high-performing and skilled employees. The onset of the COVID-19 pandemic increased turnover in the field after experiencing changes to work settings, communications, managerial distance, and customer market. Critical functions and positions within aerospace remained necessary to protect the health, safety, and well-being of the public, employees, and government assets. How many aerospace workers had supervisors who transitioned to working from home was also unknown. Without a defined population, the impact of employees who faced multiple changes is speculative. This dissertation explored how internal communications satisfaction, person-environment fit, and work setting predict the turnover intent of 95 aerospace direct reports of pandemic-declared remote managers. Person-environment fit, social exchange, and leader-member-exchange theories were foundational in explaining employee behavior. This study used the Person-Environment Fit Scale for Creativity (PEFSC), the Internal Communications Survey Questionnaire (ICSQ), and the Turnover Intent Scale 6 (TIS-6). One’s work setting (remote, hybrid, or onsite was found to have a significant impact on employee turnover intent, while one’s fit with their environment was less significant
A Comparison of Strategies for Retention and Re-engagement for Medication Assisted Treatment Patients
No full textThe problem associated with Medication Assisted Treatment (MAT) programs is the high rate of broken appointments for patients enrolled in and receiving treatment. Broken appointments have continued to be an issue in MAT programs which can impact the overall effectiveness of programs. Improving a patient’s treatment appointment compliance in treatment (MAT) programs has been an ongoing investigation phenomenon. Introducing interventions with pre-appointment reminders has been the focus of many researchers, however investigating the impact of a re-engagement intervention for those patients that have already missed an appointment has not been completed. This research study presented an alternative approach to addressing the issue of treatment compliance through post-broken-appointment re-engagement efforts. More specifically, this investigation compared the impact of an already established retention strategy to a new re-engagement strategy across two groups of patients in terms of impact on overall treatment compliance and satisfaction with communication specific to scheduling. The purpose of this quantitative study was to determine whether a new re-engagement strategy (vs. the old retention strategy) influenced the rate of compliance for attended appointments for 114 patients receiving the same MAT appointment frequency, relative to a standard retention strategy. Furthermore, the current study examined the relationship between patient satisfaction and communication specific to scheduling/arranging appointments
Enhancing Occupational Health Safety: A Qualitative Study Using Condition Reports
No full textHealthcare regulatory bodies require incident reporting and investigation as a way to identify operational hazards and shortcomings in safety. The goal of such reporting is to reduce factors that create unsafe conditions (OSHA, 2015). This often equates to finding problems and fixing them. Learning from errors is known to some researchers as Safety-I or improvement from learning from mistakes. Some research now suggests that there is more to be gained by learning from most healthcare episodes: the things that go right. The relationship between the old and new view of safety is sometimes proposed as one of substitution and sometimes as one of supplementation, but what is agreed upon is the underlying assumption that the complexity of current healthcare systems requires safety scientists to start thinking radically differently about how to create and sustain a safe and resilient healthcare system for patients (Pendersen, 2016). By emphasizing the importance of understanding the uncertainties and trade-offs in everyday work with its successes and failures, Safety-II offers a unique perspective on harm reduction in healthcare. Therefore, this qualitative study uses text data to examine and explore how condition reports advance Safety-II in occupational healthcare settings
Examining Patients’ Representativeness in HCAHPS Surveying: A Mixed-Method Approach in Healthcare
No full textThis study examined the representation of racial minorities in the demographic subpopulation of Hospital Consumers Assessment of Healthcare Providers and Services (HCAHPS) survey respondents. These survey scores are the basis for a substantial portion of financial compensation from the Centers for Medicare and Medicaid Services; they are used to drive the process improvement of patient-centered care. Considerable previous research has focused on factors that affect HCAHPS scores and made adjustments to the scores of many other demographic factors. However, none has focused specifically on race and representativeness, which is needed to ensure benefits for all health care consumers. Reliance on this mechanism as the single measure of patient experience on which financial decisions are made and improvement efforts are centered may be a further example of systemic racism in a system with an established history of racism. This study examined the use of a representative sample from a social justice perspective utilizing Rawls’ framework from A Theory of Justice. Following the logic of this work, most people would not choose failing to hear diverse patient voices at a representative rate when blinded to their own identity, as this would not represent the choice most likely to result in patient-centered care for all health care consumers. This mixed-method, convergent parallel design study compared the sample of patients returning HCAHPS surveys, the inpatient population, and contextualized those results with semi-structured interviews with patient experience professionals to provide context to the need for a representative sample
A Qualitative Examination of Higher Education\u27s Transformative Impact on Incarcerated Students
No full textThe United States of America currently holds the largest prison population in the world, making the expansion of successful reentry programs crucial for individuals returning to society after incarceration. Correctional education programs, including higher education, have been widely recognized for their role in offender rehabilitation, reducing recidivism rates, and improving post-release employability. While these programs have focused on enhancing the employment prospects and recidivism rates of returning citizens, there has been relatively little scholarship exploring the potential transformative impact of higher education on incarcerated students academically, socially, and personally. This research investigated the transformative effects of higher education on incarcerated students by examining their perceptions of how college has changed them. Employing a phenomenological qualitative design, the study amplified the voices of incarcerated students. As an educator in higher education within the prison system, the researcher observed that the sequestered and oppressive nature of the prison environment presents unique opportunities for learning and transformation among incarcerated students. The research provided firsthand accounts of incarcerated students\u27 experiences in higher education. The study revealed that despite numerous challenges and barriers, incarcerated college students demonstrate resilience, perseverance, and the ability to overcome obstacles with the support of teachers, the college, and their peers. The findings shed light on the multi-dimensional nature of their journey towards higher education, capturing both positive and negative aspects of their experiences. These insights, derived from the lived experiences of participants, have the potential to significantly shape the future of prison education programs and influence policy decisions. They underscore the role of education in personal transformation and societal reintegration, contributing to efforts to reduce recidivism. Based on the study\u27s outcomes, recommendations for future research are provided, addressing the need to improve the higher education experience for incarcerated college students and bridging the existing gap in understanding incarcerated students\u27 perspectives. These recommendations aim to enhance the impact and effectiveness of prison education programs, further supporting the goal of successful reentry and rehabilitation