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The aim of the article is to review evaluations of distance learning programmes in health information management, in order to identify the critical success factors for such programmes and discuss future directions. The emphasis is on the UK experience, based partly on reflections on the experience of one programme at University of Wales Aberystwyth (now over 10 years old), and partly on a policy review conducted for the NHS Information Authority and the NHS Information Policy Unit. The methods are, as far as possible, those of a systematic review of existing research, with, additionally, an overview of relevant policy developments for lifelong learning. The topics covered include the aims, objectives and educational philosophies of the programmes. The evidence, combined with the UWA experience, indicates the importance of face-to-face interaction, to complement distance or virtual learning. A student-centred approach to curriculum design and delivery is essential.  相似文献   
63.
This study of graduate level archival education identifies core curricula and evaluates these programs in schools of library and information science as well as in history departments. It focuses on the idea of specialized knowledge and systematic theory where the knowledge and theories that educators have selected as an initial means of introducing new archivists to the profession has a significant bearing on what an educator considers ’x201C;core.’x201D; It presents data on programs, curricula, courses, and syllabi and by way of example, focuses on an in-depth analysis of introductory archives courses.  相似文献   
64.
BACKGROUND: Doctors need information skills to deliver health care in the 21st century. There is concern that those who trained before the 'information age' will be inadequately equipped for their work. OBJECTIVES: To assess doctors' use of computers for clinical tasks, and their knowledge and skills in health information management and technology. DESIGN: Questionnaire survey. SETTING: An acute NHS trust in the UK. PARTICIPANTS: 96 (83%) of all doctors in the trust responded. MAIN OUTCOME MEASURES: Proportion of respondents reporting the following: use of computer-based systems for clinical tasks, knowledge in eight health informatics topics, skills in using specific hardware and software applications. Also comparison of reported skills between senior and junior staff; proportion of doctors identifying specific training needs. RESULTS: All but one (1%) of the responding doctors used a computer regularly. Over three quarters of respondents reported they were semi-skilled or fully skilled in basic office applications, though the juniors scored significantly more highly than the seniors for some applications. However, 44% of doctors reported no skills in database software, identifying this as a training need. Around half of the doctors were unaware of health informatics topics, including electronic patient records, the Caldicott report and data protection law. In each case the senior doctors were significantly more aware than the juniors of the topic in question. CONCLUSION: Both junior and senior doctors have basic computer literacy, but nearly half of this population identify the use of database software as a training need. In addition, there are several health informatics topics of which a large proportion of doctors, particularly the juniors, have little knowledge, but which have not been identified as training needs. Some recommendations are made for provision of in-house health informatics education for doctors.  相似文献   
65.
This updated edition of Care Practice Paper #6 presents the evidence for the benefits of keeping mothers and babies together after birth. The normal physiology of the postpartum and early newborn periods is explained. The author reviews the influence of early and frequent skin-to-skin contact and rooming-in on breastfeeding and early attachment. Women are encouraged to choose a birth setting that does not routinely separate mothers and babies and to plan for early and frequent skin-to-skin contact and rooming-in.  相似文献   
66.
This updated edition of Care Practice Paper #4 presents the evidence for risks of routinely intervening in normal physiologic labor and birth. The authors review evidence related to the routine use of restrictions on oral intake, intravenous lines, continuous electronic fetal monitoring, artificial rupture of membranes, pharmacologic augmentation of labor, epidural analgesia, and episiotomy. Medical indications for each intervention are listed. Women are encouraged to avoid routine interventions in labor unless interventions are medically indicated.  相似文献   
67.
ABSTRACT

Research Findings: This article reports on family child care providers’ views about their engagement with professional development programs, including providers who were and were not participating in Quality Rating and Improvement Systems in Los Angeles, California. Most providers participating in the study were taking active steps to improve their work with children, but only a few providers described themselves as satisfied with the programs available. First, we report on why providers chose to engage (or not) in formal professional development activities; specifically, we explore the relationship between career phase and engagement and the levels of participation reported by seasoned providers. Second, we describe the way many providers strategically self-customized their quality improvement (QI) activities by drawing flexibly on available programs or by finding a coach who would work with them on their specific needs. Practice or Policy: Our findings suggest that in order to increase engagement with formal QI systems, designers of professional development supports must better align these supports with the needs and interests of family child care providers in terms of content and modes of delivery. We propose the concept of just-in-time professional development as 1 way to make QI offerings more responsive to some family child care providers’ needs.  相似文献   
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This is the third in a series of articles exploring international trends in health science librarianship in the first decade of the 21st century. The invited authors were asked to reflect on developments in their country--viz. Austria, Belgium, France and the Netherlands. Future issues will track trends in the Nordic countries, Southern Europe and Latin America. JM.  相似文献   
70.
ABSTRACT

Samples of conserved archaeological wood of different ages, origins, and conservation histories were aged in a climate chamber for seven months, while the humidity alternated between 30% RH for 12 hours and 80% RH for 12 hours at a constant temperature of 30°C. Photographs were taken once every hour, which enabled the creation of a time-lapse movie. Some samples degraded visibly, whereas others were unaffected. Most of the samples were robust and would be able to survive well even in a very poor museum climate. Among the sensitive samples, three types of degradation were identified, namely disintegration, pyrite oxidation, and efflorescence of white crystals. Disintegration was ascribed to dimensional changes caused by the RH alternations in very fragile wood. The white efflorescence was interpreted as the recrystallization of an alum-associated substance, possibly mercallite (KHSO4). The pyrite oxidation was observed as the efflorescence of a thick yellow, grey, and green powder. Characterization of selected samples was performed using X-ray fluorescence spectrometry, X-ray diffraction spectrometry, scanning electron microscopy with energy dispersive X-ray spectroscopy, inductively coupled plasma – optical emission spectroscopy, Fourier transform infrared spectroscopy, ionic conductivity – liquid chromatography, and pyrolysis-gas chromatography-mass spectrometry with in situ silylation using hexamethyldisilazane.  相似文献   
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