1,674 research outputs found
Technician or artisan? Nurses’ experience of practising within a randomised controlled trial.
No full textService user involvement in mental health education: the interface of policy, practice and education
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Evaluation as adventure: taking that risk
No full textHelen Simons traces the values that underpin her preferred methodology of case study and democratic evaluation to the central values she gained from the land of her birth. She looks back to consider what early experiences may have influenced her deep commitment to these values and how they impacted on her professional world as a teacher, a psychologist, and an evaluator. Her interview transcript which was a stimulus for this article is here: http://onlinelibrary.wiley.com/wol1/doi/10.1002/ev.20302/suppinfo. Read only. This should not be used in any form without explicit permission from the author.</p
Developing values-based education through service user participation
No full textMental health education aims to develop valuesbased practice to support practitioners in clinical decision-making. Values-based practice requires high levels of cultural competence achieved through service user participation in professional preparation. The degree of service user participation remains dependent on the values of programme providers.In this paper, we consider whether strategies to involve service users in mental health professional education can support the principles of valuesbased practice. To do this, we have drawn on the findings from qualitative studies of educators' practices and their views regarding service user involvement. Values-based practice requires self-awareness of values impacting on decisions and knowledge derived from service users' personal accounts. The studies suggest that while opportunities exist for service users to present their accounts, few examples of service user involvement facilitated deeper examination of values underpinning decision-making. Enabling service users to influence values-based practice development requires more authentic participatory approaches. Educators valued the contribution of service users' experiential knowledge to the learning process, but there was less evidence of educators' values base that would model commitment to the empowerment of service users
Patients’ and nurses’ experiences of treatment of common mental health problems in general practice
No full textCommunity mental health nurses' perspectives on the treatment of people with common mental health problems
No full textThe study was in two parts. In Part 1 the thematic content analysis of the nurses’ individual accounts of their trial experience revealed how the CMHNs’ aimed to be an agent of change in the nurse-patient encounters and how the trial setting contrasted with everyday practice. Following this, detailed micro-analysis of the narratives of nurse-patient encounters found that the nurses’ goal to be an agent of change was not always borne out when the construction of their accounts was examined. In Part 2 the thematic content analysis of group discussions about CMHN role illuminated the tensions in CMHNs’ everyday practice and their perceived role with people with CMHPs outside of the experimental setting. Overall, the treatment of people with CMHPs was exceptional in that the nurses interpreted their trial experience in the way it contrasted with their everyday practice. Further, in line with the results of the randomised controlled trial, CMHNs did not think that people with CMHPs should be treated by specialist nurses within community mental health services. The nurses suggested a range of methods in which individual, community and primary care resources could be augmented to support people with the aim of preventing referral to specialist services.The integration of the key findings from both parts of the study demonstrated how the nurses used and valued a range of types and sources of knowledge, both in their practice and when forming their views about CMHPs and service organisation. These knowledge sources were not those valued in contemporary healthcare. The dominant evidence-based practice movement champions research evidence of effectiveness above other forms of knowledge. Broadening the understanding of evidence and narrowing the claims of evidence-based practice is suggested to permit all forms of knowledge to be valued in healthcare decision-makin
The marriage record of Rojas, Jose Valdes and Jimemez, Lucy A
No full textMarriage license for Lucy A. Jimemez and Jose Valdes RoJames W.M. Simons was the officiant
Consideration of risk in hydraulic design of bank protection using Reno matresses and riprap
No full textThis report discusses channel stabilization design by erosion protection measures considering risk analysis. Although many different erosion protection measures have been used, this report only considers rip-rap and wire enclosed rock (in mattresses) which are two of the most widely used methods of erosion protection. The purpose of erosion protection and channel stabilization is, of course, to maintain a channel and its banks and/or bed in a relatively fixed location to protect property, structures or other development from erosion related damage. Because rivers are quite dynamic and development continues along rivers and other types of channels, the need for erosion protection and bank stabilization will continue. Chapter II discusses briefly the dynamic nature of rivers and the need for erosion protection and channel stabilization. Various types of engineering analysis are required in developing an erosion protection design. These include hydrology, hydraulics, geomorphic, erosion and sediment transport. Where ship or barge traffic is of concern, ship-generated waves and other related impacts should also be accounted for. Chapter III discusses the data and analysis required for designing erosion protection and channel stabilization projects. This is by no means a comprehensive discussion of these topics but is meant to serve as an introduction and guide to the subject. The reader is encouraged to refer to the references given on these topics for further information. Chapter IV discusses common failure modes of erosion protection projects. There are a number of distinct and independent causes of failure. Each one alone can be sufficient to induce failure or they may, in some cases, act in concert to induce failure. A fairly comprehensive list of potential modes of failure is included ranging from the obvious to the more obscure and often overlooked. Flowing water causes forces or stresses to act on the bed and banks of a river. These are the forces that cause erosion and attempt to damage any erosion protection. They basically include shear, lift and drag forces acting on each individual particle on the bed and banks. The beginning portion of Chapter V analyzes the hydrodynamic forces due to flowing water acting on erosion protection works. Then based on the most important or frequent modes of failure and an evaluation of the forces acting on rip-rap or wire enclosed rock, methods to evaluate the probability of failure for each of the selected modes were developed. The remqinder of Chapter V covers this topic. The methods presented can be used either directly in a design application or as a tool in evaluating an existing design. Chapter VI outlines these methodologies in step by step format and then gives an example to follow for each procedure. Because the individual modes of failure can be treated independently, the total probability of failure is obtained by summing the individual probabilities. If the probability of failure thus obtained is too high for the given event, redesign is required. The next chapter (Chapter VII) is called "Risk Analysis." This type of an analysis actually is an economic optimization procedure but it has been previously called risk analysis in the literature. Risk analysis consists basically of designing a structure or whatever in order to minimize overall costs. These overall costs include both the initial construction costs as well as long term maintenance and repair costs. It is based on the logic that one may design something that can withstand the forces of a 1,000 year flood but the initial cost and therefore the total cost would be unreasonably high. One may also design a project to withstand the forces of a two year event which would have a very low initial cost but again the overall cost would be very high because of the frequency of maintenance and/or repair and replacement costs. The purpose of risk analysis is to find the minimum overall cost by varying the hydrologic return period of a project and associated designs and their costs in order to minimize the overall project cost. The design is selected that then gives this minimum cost or at least is in the range where costs are near the minimum. Chapter VIII contains the summary and conclusions. References and an appendix of terminology follows the final chapter
Analysis of watersheds and river systems: short course
No full textShort course: Analysis of Watersheds and River Systems, Session I and II, held on May 28-June 1, 1979 and June 4-June 8, 1979 at Colorado State University, Fort Collins, Colorado.Speakers: Dr. E. V. Richardson, Dr. David Duttweiller, Mr. Lee Mulkey, Dr. Stanley A. Schumm, Dr. Daryl B. Simons, Dr. Ross Carder.Includes bibliographical references.This short course is designed for individuals dealing with the analysis of watersheds and rivers. Practical applications concerning physical processes will be emphasized.Chapter 1. General introduction / Daryl B. Simons and Ruh-Ming Li -- Chapter 2. Introduction to watershed and river analysis / Daryl B. Simons and Ruh-Ming Li -- Chapter 3. Physical processes governing response of watersheds and rivers / Daryl B. Simons, Timothy J. Ward and Ruh-Ming Li -- Chapter 4. Sediment transport / H. W. Shen -- Chapter 5. Alluvial bed roughness / H. W. Shen -- Chapter 6. Overview of flood routing methods / Ruh-Ming Li and V. Miguel Ponce -- Chapter 7. Water routing and yield from watersheds, Part I and II / Ruh-Ming Li, Daryl B. Simons, and Kenneth G. Eggert -- Chapter 8. Water routing in rivers / Yung-Hai Chen -- Chapter 9. Stage discharge relations / Robert K. Simons, Ruh-Ming Li, and Daryl B. Simons -- Chapter 10. Watershed sediment yield / Ruh-Ming Li, Daryl B. Simons, and Timothy J. Ward -- Chapter 11. Unsteady sediment routing models in rivers / Yung-Hai Chen and Daryl B. Simons -- Chapter 12. Known discharge sediment routing / Glenn O. Brown and Ruh-Ming Li -- Chapter 13. Landslide potential delineation / Timothy J. Ward, Ruh-Ming Li, and Daryl B. Simons -- Chapter 14. Application of Kalman filtering in watershed and river analysis / Nguyen Duong -- Chapter 15. Handheld calculator programs for analysis / Kenneth G. Eggert, Ruh-Ming Li, and Daryl B. Simons -- Chapter 16. Overview of case studies and data management / Daryl B. Simons, Ruh-Ming Li, and Nguyen Duong -- Chapter 17. Canal and channel design and river response analysis / Daryl B. Simons, Ruh-Ming Li, and Yung-Hai Chen -- Chapter 18. Degradation and aggradation analysis / Ruh-Ming Li and Daryl B. Simons -- Chapter 19. Watershed best management analysis / Ruh-Ming Li, Timothy J. Ward, and Daryl B. Simons -- Chapter 20. Large river basin analysis: Yazoo River Sedimentation Study / Daryl B. Simons and Ruh-Ming Li
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