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Attributes of Effective Nurse Care Managers in Patient-Centered Medical Home
Get PDFThe burden of chronic disease on our medical system and on society is substantial and adds to the difficulty of managing ever-increasing amounts of patient information as care becomes more complex. It has placed the quality of health care in the United States (US) under scrutiny because of medical errors, lack of coordination, patient frustration and poor outcomes. In response to the many challenges, the Patient-Centered Medical Home (PCMH) model of care was developed and is designed to increase the value of our health care and to improve the experience for the patient. The role of the Nurse Care Manager (NCM) in PCMH to help patients with chronic disease is relatively new, but results in the literature are promising.
In this evaluation study, the literature on effective NCM interventions and attributes is reviewed and summarized. In addition, a small sample of NCMs was interviewed to determine the specific attributes and interventions used by NCMs in PCMH. NCMs are effective in assisting patients in managing chronic disease, engaging and activating the patient, transition of care management, and using electronic medical records (EMR) to track patient outcomes. Collaboration with other clinicians, evidence-based and advanced protocol interventions, advanced education and training, and understanding the social and environmental context of the patient were all found to improve patient care. The findings from the literature as well as the interviews explore the components of effective nurse care management and the challenges for the NCM as the role evolves
Building International Partnerships: Country to Country, School to School
Get PDFCreating effective, meaningful international partnerships is a major component of a comprehensive education for today’s students. Knowledge of different cultures and perspectives provides a richer and deeper educational experience for students growing up in a world brought closer together through modern technology and up to the minute communications. University School at East Tennessee State University and Colegio Americano from Guayaquil, Ecuador are two schools who embraced the myriad of challenges that accompany the process and have successfully established a global partnership that has provided for each school opportunities to visit one another, share ideas and establish friendships and relationships between students and adults. This article outlines some of the highlights of the partnership and addresses some of the challenges faced with establishing this type of program for students
Lessons Learned: Building a Better Laboratory School
Get PDFLaboratory schools serve an important function in the education and training of early educators as well as important sites for the development of new knowledge related to best practices in early care and education. To this end, it is important to determine how to promote and preserve Laboratory Schools in the United States. The following paper utilizes existing literature and field data to identify essential components of successful Laboratory schools and provides a case study of a relatively new Laboratory school serving infants and toddlers; both its successes and struggles
The Chameleon Clarinet Cultural and Historical Perspectives in America Through the 20th Century
Get PDFThe clarinet is unique in that depending on what setting it is performed in determines the character it can assume. Generally, these styles all sound completely different from one another despite the fact that the clarinet physically remains the same. However, is any one of these types of music so different from the other, or are they all related in some way? This paper determines how the genres of Dixieland and Swing Jazz, Jewish Klezmer, Avant-Garde, and Western European Classical Music are connected to each other through the use of the clarinet. Using twentieth century America as a backdrop, the clarinet\u27s pedagogy, techniques, music, and prominent figures are all explored to support this thesis
Before they enter school: A chasm of learning experiences
No full textA growing consensus in cognitive research points to the critical nature of the first five years of life. The National Research Councils’ landmark report, Neurons to Neighborhoods: The Science of Early Childhood Development (2000) demonstrates how the brain develops in direct response to learning experiences that occur during the earliest stages of development. “Skill begets skill as brains are built in a hierarchical fashion…increasingly complex circuits and skills build on simpler circuits and skills over time” (Shonkoff & Bales, 2011, p. 23). But, as Hart & Risley (1995) demonstrated, children living in families impacted by poverty heard 30 million fewer words before the age of four, than their more affluent peers. This difference is more chasm than deficit; and without intentional effort to build children’s receptive and expressive vocabulary, this chasm grows wider with each passing year. Vocabulary learning is cumulative and a sensitivity to word learning needs to be established early if it is to support children’s reading proficiency by third grade
Working-Class Students and Historical Inquiry
Get PDFFor the past twelve years, I have been teaching a lower division introductory historical methods course that uses active learning to introduce students to the issues and practices of historical methods, the how to of historical inquiry, research and writing. While there are many models for such a course, including the one described by Jeffrey Merrick in the February 2006 issue of this journal, the design of such a course at my institution requires consideration of an often-overlooked dimension. The student body at Rhode Island College (RIC) is primarily working class, mirroring a significant transformation in the traditional college student population prompted first by the 1944 GI Bill and then the 1964 Higher Education Act, the latter almost doubling the number of low-income students entering college. In 1999, the Department of Education estimated that forty-seven percent of all undergraduates were enrolled in community colleges. Sherry Lee Linkon, cofounder of the Center for Working Class Studies at Youngstown State University, contends that more college students attend \u27working-class institutions\u27 (schools that serve largely commuter populations, schools with students who are among the first in their families to attend college and who work at least part-time if not full time in jobs such as retail clerk, factory laborer, or waitress; many of those students have spouses and children) than attend \u27regular\u27 colleges. This definition aptly describes my students and my institution. In my methods course, I am working to take into account the perspectives and expectations of working-class students as well as the skills they bring to the classroom
Parent-Teacher Partnerships in Special Education
Get PDFThere is an old African proverb that says, “It takes a village to raise a child (Buzzell, 1996, p.1).” In today’s society, this saying is applicable to the idea of parent-teacher partnerships in education. The underlying assumption of such partnerships is that everyone who has a stake in a child’s life, including the parents, teachers, and community, should work together to give that child the best education possible. In reality, however, key stakeholders in a child’s life may have many different ideas and beliefs, and, as a result, a disconnect in communication and relationships among them can arise. In such situations, fluid partnerships between these stakeholders can be challenged and resulting tensions can emerge which, in turn, can affect a child’s educational experience (Staples & Dilberto, 2010)
Essential Ethics Education in Social Work Field Instruction: A Blueprint for Field Educators
Get PDFEthics content in field instruction is a vital component of social work education. Ethical standards and knowledge have expanded significantly in recent years. The author provides a comprehensive overview of core ethics content that should be incorporated into students’ internships, and also highlights key themes that should be addressed. Essential ethics content addresses core social work values, students’ personal and professional values, ethical dilemmas in field placements and social work practice, ethical decision-making frameworks and strategies to manage ethics risks
Gangs and Social Policy
Get PDFYouth involvement in gangs in urban areas is significantly increasing. These youth are at high risk for physical, mental, emotional, and behavioral disorders. Exposure to community violence is linked to aggressive behavior, lower academic performance, lower levels of social competence, and negative mental health outcomes. The purpose of this paper is to set the agenda on how to deal with gangs and gang members from a social policy perspective. This paper will outline the nature of the gang problem in Providence, Rhode Island from three different perspectives: Violence, Forgiveness, and Practice. Literature will be presented and discussed and recommendations for social policy using Ortiz\u27s (2007) Social Diagnosis will be presented
Distorsionados Por La Opresion
Get PDFThe investigation will be carried out through a detailed analysis of the Book: Retahilas by Carmen Martin Gaite and will show both the author\u27s affinity with the past and her rupture with it to demonstrate that it is only in self knowledge as the result of suffering that one can begin to authentically communicate with others