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Sample records for spiritual assessment instruments

  1. The spiritual distress assessment tool: an instrument to assess spiritual distress in hospitalised elderly persons

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    Martin Estelle

    2010-12-01

    Full Text Available Abstract Background Although spirituality is usually considered a positive resource for coping with illness, spiritual distress may have a negative influence on health outcomes. Tools are needed to identify spiritual distress in clinical practice and subsequently address identified needs. This study describes the first steps in the development of a clinically acceptable instrument to assess spiritual distress in hospitalized elderly patients. Methods A three-step process was used to develop the Spiritual Distress Assessment Tool (SDAT: 1 Conceptualisation by a multidisciplinary group of a model (Spiritual Needs Model to define the different dimensions characterizing a patient's spirituality and their corresponding needs; 2 Operationalisation of the Spiritual Needs Model within geriatric hospital care leading to a set of questions (SDAT investigating needs related to each of the defined dimensions; 3 Qualitative assessment of the instrument's acceptability and face validity in hospital chaplains. Results Four dimensions of spirituality (Meaning, Transcendence, Values, and Psychosocial Identity and their corresponding needs were defined. A formalised assessment procedure to both identify and subsequently score unmet spiritual needs and spiritual distress was developed. Face validity and acceptability in clinical practice were confirmed by chaplains involved in the focus groups. Conclusions The SDAT appears to be a clinically acceptable instrument to assess spiritual distress in elderly hospitalised persons. Studies are ongoing to investigate the psychometric properties of the instrument and to assess its potential to serve as a basis for integrating the spiritual dimension in the patient's plan of care.

  2. The validity and reliability of an instrument to assess nursing competencies in spiritual care

    NARCIS (Netherlands)

    Leeuwen, R.R.; Tiesinga, L.J.; Middel, L.J.; Post, D.; Jochemsen, H.

    2009-01-01

    Aim. This study contributes to the development of a valid and reliable instrument, the spiritual care competence scale, as an instrument to assess nurses’ competencies in providing spiritual care. Background. Measuring these competencies and their development is important and the construction of a

  3. The validity and reliability of an instrument to assess nursing competencies in spiritual care

    NARCIS (Netherlands)

    van Leeuwen, Rene; Tiesinga, Lucas J.; Middel, Berrie; Post, Doeke; Jochemsen, Henk

    2009-01-01

    Aim. This study contributes to the development of a valid and reliable instrument, the spiritual care competence scale, as an instrument to assess nurses' competencies in providing spiritual care. Background. Measuring these competencies and their development is important and the construction of a

  4. Spiritual Assessments in Occupational Therapy

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    Barbara Hemphill

    2015-07-01

    Full Text Available Spirituality is recognized as an important concept in the study and practice of medicine, including occupational therapy. This aligns with occupational therapy’s core value of treating people holistically—mind, body, and spirit. Currently, the Joint Commission for the Accreditation of Hospital Organizations ( JCAHO requires that a spiritual assessment be given to patients on admission. To conduct effective spiritual assessments, occupational therapists must distinguish between religion and spirituality. They also must be aware of their own spiritual beliefs and practices and how those might influence their clinical interactions. This article presents spiritual assessment tools that occupational therapists can use in clinical practice; they range from history taking, to questionnaires, to observation scales. Guidelines are presented for selecting among several spiritual assessments. A case study is presented in which a patient’s faith tradition is being challenged, which could affect the outcome of therapy. Finally, treatment and intervention planning and ethical considerations are discussed.

  5. [Key issues in researching spirituality and religiosity in the light of the ASPIRES instrument (Assessment of Spirituality and Religious Sentiments) Developed by Ralph Piedmont].

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    Tomcsányi, Teodóra; Ittzés, András; Horváth-Szabó, Katalin; Martos, Tamás; Szabó, Tünde

    2010-01-01

    Our article reviews the major questions raised by the psychological research of spirituality and religion, as well as the historical background of this research area. In our view the scientific exploration of spirituality and religion constitutes a process that allows for both empirical and hermeneutical approaches and as such it is open for a dialogue with other branches of social sciences. The most important topics addressed by the article include: 1. possible conceptualizations of the terms spirituality and religion; the connection between the two; similarities and differences; 2. the interpretation of spirituality as a dimension of the personality; 3. the question of measurement of spirituality and tools of its measurement; 4. the effects of spirituality; and 5. the culture relatedness of research data. Finally we demonstrate how the ASPIRES scale recently developed by R. Piedmont, its theoretical approach, development process, and empirical results try to answer these key questions.

  6. Religion and spirituality: assessment and intervention.

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    Doka, Kenneth J

    2011-01-01

    In this article, the author explores the ways that an individual's spirituality influences responses to life-threatening illness and dying. He begins by differentiating between religion and spirituality, and then delineates the spiritual issues that arise in a life-threatening illness including the spiritual needs that arise in the final phases of illness. Recommendations for spiritual assessments and interventions are offered.

  7. Conducting Spiritual Assessments with Native Americans: Enhancing Cultural Competency in Social Work Practice Courses

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    Hodge, David R.; Limb, Gordon E.

    2010-01-01

    Developing competency in diversity and assessment are key educational priorities. With Native American clients a spiritual assessment is typically required because spirituality is often instrumental to health and wellness in Native cultures. In keeping with the movement toward competency-based education, this qualitative study sought to answer the…

  8. French-language version of the World Health Organization quality of life spirituality, religiousness and personal beliefs instrument

    OpenAIRE

    Mandhouj, Olfa; Etter, Jean-François; Courvoisier, Delphine; Aubin, Henri-Jean

    2012-01-01

    Abstract Background A valid assessment of spirituality and religiousness is necessary for clinical and research purposes. We developed and assessed the validity of a French-language version of the World Health Organization Quality of Life Spirituality, Religiousness and Personal Beliefs Instrument (WHOQOL-SRPB). Methods The SRPB was translated into French according to the methods recommended by the WHOQOL group. An Internet survey was conducted in 561 people in 2010, with follow-up 2 weeks la...

  9. Validation of the spiritual distress assessment tool in older hospitalized patients

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    Monod Stefanie

    2012-03-01

    Full Text Available Abstract Background The Spiritual Distress Assessment Tool (SDAT is a 5-item instrument developed to assess unmet spiritual needs in hospitalized elderly patients and to determine the presence of spiritual distress. The objective of this study was to investigate the SDAT psychometric properties. Methods This cross-sectional study was performed in a Geriatric Rehabilitation Unit. Patients (N = 203, aged 65 years and over with Mini Mental State Exam score ≥ 20, were consecutively enrolled over a 6-month period. Data on health, functional, cognitive, affective and spiritual status were collected upon admission. Interviews using the SDAT (score from 0 to 15, higher scores indicating higher distress were conducted by a trained chaplain. Factor analysis, measures of internal consistency (inter-item and item-to-total correlations, Cronbach α, and reliability (intra-rater and inter-rater were performed. Criterion-related validity was assessed using the Functional Assessment of Chronic Illness Therapy-Spiritual well-being (FACIT-Sp and the question "Are you at peace?" as criterion-standard. Concurrent and predictive validity were assessed using the Geriatric Depression Scale (GDS, occurrence of a family meeting, hospital length of stay (LOS and destination at discharge. Results SDAT scores ranged from 1 to 11 (mean 5.6 ± 2.4. Overall, 65.0% (132/203 of the patients reported some spiritual distress on SDAT total score and 22.2% (45/203 reported at least one severe unmet spiritual need. A two-factor solution explained 60% of the variance. Inter-item correlations ranged from 0.11 to 0.41 (eight out of ten with P Conclusions SDAT has acceptable psychometrics properties and appears to be a valid and reliable instrument to assess spiritual distress in elderly hospitalized patients.

  10. Measuring Spirituality and Religiosity in Clinical Settings: A Scoping Review of Available Instruments

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    Philip Austin

    2018-03-01

    Full Text Available Aims: Numerous measures exist that assess dimensions of spirituality and religiosity in health, theological and social settings. In this review, we aim to identify and evaluate measures assessing factors relating to spirituality and religiosity in clinical settings. Methods: A systematic literature search was conducted using PubMed, EMBASE and PsycINFO databases with search terms relating to spirituality, religiosity that also included well-being, needs, distress and beliefs used in self-reporting and clinician-administered measures. Only articles relating to the validation and subsequent administration of measures used in clinical settings were eligible for review. Results: Of 75 measures selected for initial screening, 25 had been validated and used in clinical settings and were reviewed for this study. Most measures were validated in oncological and palliative care settings where the Functional Assessment of Chronic Illness Therapy Spiritual Well-being (FACIT-Sp12 and the World Health Organization Quality of Life Spiritual, Religious and Personal Beliefs (WHOQOL-SRPB were most validated and frequently used. Only six measures were found that assessed spiritual distress and/or the needs of which only two had been investigated more than twice. Two measures assessing spirituality and religious beliefs in healthcare staff were also reviewed. Conclusions: This review provides a current summary of measures evaluating several dimensions of spirituality and religiosity used in clinical settings. Currently there is a lack of reliable measures evaluating spiritual needs and distress.

  11. Measuring spirituality and religiosity in clinical research: a systematic review of instruments available in the Portuguese language.

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    Lucchetti, Giancarlo; Lucchetti, Alessandra Lamas Granero; Vallada, Homero

    2013-01-01

    Despite numerous spirituality and/or religiosity (S/R) measurement tools for use in research worldwide, there is little information on S/R instruments in the Portuguese language. The aim of the present study was to map out the S/R scales available for research in the Portuguese language. Systematic review of studies found in databases. A systematic review was conducted in three phases. Phases 1 and 2: articles in Portuguese, Spanish and English, published up to November 2011, dealing with the Portuguese translation and/or validation of S/R measurement tools for clinical research, were selected from six databases. Phase 3: the instruments were grouped according to authorship, cross-cultural adaptation, internal consistency, concurrent and discriminative validity and test-retest procedures. Twenty instruments were found. Forty-five percent of these evaluated religiosity, 40% spirituality, 10% religious/spiritual coping and 5% S/R. Among these, 90% had been produced in (n = 3) or translated to (n = 15) Brazilian Portuguese and two (10%) solely to European Portuguese. Nevertheless, the majority of the instruments had not undergone in-depth psychometric analysis. Only 40% of the instruments presented concurrent validity, 45% discriminative validity and 15% a test-retest procedure. The characteristics of each instrument were analyzed separately, yielding advantages, disadvantages and psychometric properties. Currently, 20 instruments for measuring S/R are available in the Portuguese language. Most have been translated (n = 15) or developed (n = 3) in Brazil and present good internal consistency. Nevertheless, few instruments have been assessed regarding all their psychometric qualities.

  12. Measuring spirituality and religiosity in clinical research: a systematic review of instruments available in the Portuguese language

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    Giancarlo Lucchetti

    Full Text Available CONTEXT AND OBJECTIVES Despite numerous spirituality and/or religiosity (S/R measurement tools for use in research worldwide, there is little information on S/R instruments in the Portuguese language. The aim of the present study was to map out the S/R scales available for research in the Portuguese language. DESIGN AND SETTING Systematic review of studies found in databases. METHODS A systematic review was conducted in three phases. Phases 1 and 2: articles in Portuguese, Spanish and English, published up to November 2011, dealing with the Portuguese translation and/or validation of S/R measurement tools for clinical research, were selected from six databases. Phase 3: the instruments were grouped according to authorship, cross-cultural adaptation, internal consistency, concurrent and discriminative validity and test-retest procedures. RESULTS Twenty instruments were found. Forty-five percent of these evaluated religiosity, 40% spirituality, 10% religious/spiritual coping and 5% S/R. Among these, 90% had been produced in (n = 3 or translated to (n = 15 Brazilian Portuguese and two (10% solely to European Portuguese. Nevertheless, the majority of the instruments had not undergone in-depth psychometric analysis. Only 40% of the instruments presented concurrent validity, 45% discriminative validity and 15% a test-retest procedure. The characteristics of each instrument were analyzed separately, yielding advantages, disadvantages and psychometric properties. CONCLUSION Currently, 20 instruments for measuring S/R are available in the Portuguese language. Most have been translated (n = 15 or developed (n = 3 in Brazil and present good internal consistency. Nevertheless, few instruments have been assessed regarding all their psychometric qualities.

  13. [The assessment of spirituality and religiousness in patients with psychosis].

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    Huguelet, P; Brandt, P-Y; Mohr, S

    2016-06-01

    There is evidence that psychiatrists are rarely aware of how religion may intervene in their patient's life. That is particularly obvious concerning patients with psychosis. Yet, even for patients featuring delusions with religious content, religious activities and spiritual coping may have a favourable influence. Indeed, patients with psychosis can use religion to cope with life difficulties related to their psychotic condition, in a social perspective but also in order to gain meaning in their lives. Also, religion may be part of explanatory models about their disorder with, in some cases, a significant influence on treatment adhesion. This paper describes a prospective randomized study about a spiritual assessment performed by the psychiatrists of patients with schizophrenia. The outpatient clinics in which the sample was collected are affiliated with the department of psychiatry at the university hospitals of Geneva. Eighty-four outpatients with psychosis were randomized into two groups: an experimental group receiving both traditional treatment and spiritual assessment with their psychiatrist and a control group of patients receiving only their usual treatment. Psychiatrists were supervised by a clinician (PH) and a psychologist of religions (PYB) for each patient in the spiritual assessment group. Data were collected from both groups before and after 3 months of clinical follow-up. Spiritual assessment was well-tolerated by all patients. Moreover, their wish to discuss religious matters with their psychiatrist persisted following the spiritual assessment. Even though clinicians acknowledged the usefulness of the supervision for some patients, especially when religion was of importance for clinical care, they reported being moderately interested in applying spiritual assessments in clinical settings. Compared to the control group, there were no differences observed in the 3 months' outcome in terms of primary outcome measures for satisfaction with care, yet

  14. French-language version of the World Health Organization quality of life spirituality, religiousness and personal beliefs instrument.

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    Mandhouj, Olfa; Etter, Jean-François; Courvoisier, Delphine; Aubin, Henri-Jean

    2012-04-19

    A valid assessment of spirituality and religiousness is necessary for clinical and research purposes. We developed and assessed the validity of a French-language version of the World Health Organization Quality of Life Spirituality, Religiousness and Personal Beliefs Instrument (WHOQOL-SRPB). The SRPB was translated into French according to the methods recommended by the WHOQOL group. An Internet survey was conducted in 561 people in 2010, with follow-up 2 weeks later (n = 231, 41%), to assess reliability, factor structure, social desirability bias and construct validity of this scale. Tests were performed based on item-response theory. A modal score of 1 (all answers="not at all") was observed for Faith (in 34% of participants), Connectedness (27%), and Spiritual Strength (14%). All scales had test-retest reliability coefficients ≥0.7. Cronbach's alpha coefficients were high for all subscales (0.74 to 0.98) and very high (>0.9) for three subscales (Connectedness, Spiritual Strength and Faith). Scores of Faith, Connectedness, Spiritual Strength and Meaning of Life were higher for respondents with religious practice than for those who had no religious practice. No association was found between SRPB and age or sex. The Awe subscale had a low information function for all levels of the Awe latent trait and may benefit from inclusion of an additional item. The French language version of the SRPB retained many properties of the original version. However, the SRPB could be improved by trimming redundant items. The strength of SRPB relies on its multinational development and validation, allowing for cross-cultural comparisons.

  15. French-language version of the World Health Organization quality of life spirituality, religiousness and personal beliefs instrument

    Directory of Open Access Journals (Sweden)

    Mandhouj Olfa

    2012-04-01

    Full Text Available Abstract Background A valid assessment of spirituality and religiousness is necessary for clinical and research purposes. We developed and assessed the validity of a French-language version of the World Health Organization Quality of Life Spirituality, Religiousness and Personal Beliefs Instrument (WHOQOL-SRPB. Methods The SRPB was translated into French according to the methods recommended by the WHOQOL group. An Internet survey was conducted in 561 people in 2010, with follow-up 2 weeks later (n = 231, 41%, to assess reliability, factor structure, social desirability bias and construct validity of this scale. Tests were performed based on item-response theory. Results A modal score of 1 (all answers=”not at all” was observed for Faith (in 34% of participants, Connectedness (27%, and Spiritual Strength (14%. All scales had test-retest reliability coefficients ≥0.7. Cronbach’s alpha coefficients were high for all subscales (0.74 to 0.98 and very high (>0.9 for three subscales (Connectedness, Spiritual Strength and Faith. Scores of Faith, Connectedness, Spiritual Strength and Meaning of Life were higher for respondents with religious practice than for those who had no religious practice. No association was found between SRPB and age or sex. The Awe subscale had a low information function for all levels of the Awe latent trait and may benefit from inclusion of an additional item. Conclusions The French language version of the SRPB retained many properties of the original version. However, the SRPB could be improved by trimming redundant items. The strength of SRPB relies on its multinational development and validation, allowing for cross-cultural comparisons.

  16. Getting the Balance: Assessing Spirituality and Well-Being among Children and Youth

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    Fisher, John W.

    2009-01-01

    This paper provides a critique of available quantitative measures of spirituality and well-being that have been used with children and youth. These measures range in scope from single-item to complex multiple-item instruments. The four domain model of spiritual health and well-being has been used to classify each item in the spirituality measures…

  17. Does the spirituality of nurses interfere in the record of spiritual suffering diagnosis?

    OpenAIRE

    Amanda Ienne; Rosa Aurea Quintella Fernandes; Ana Claudia Puggina

    2017-01-01

    Abstract Objectives: To assess the spirituality of nurses and relate it to personal characteristics, sector of activity, and spiritual practices; to analyze the influence of spirituality of nurses in the record of a "spiritual suffering" diagnosis. Methods: Quantitative cross-sectional study, using the World Health Organization's Quality of Life Instrument-Spirituality, Religion and Personal Beliefs Module (WHOQOL-SRPB). Results: 132 nurses were included and most of them were women (81.8%)...

  18. Assessing the construction of spirituality: conceptualizing spirituality in health care settings.

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    Walton, Martin Neal

    2012-01-01

    Spirituality has become a popular term in chaplaincy and health care settings, but is defined in such a myriad of ways and in such broad terms that, as a term, it threatens to become unfit for clinical practice. Several prominent conceptualizations of spirituality are analyzed in an attempt to recover the distinctiveness of spirituality. An adequate understanding of spirituality for clinical use should run close to the lived spirituality of persons in their unique individuality, differing contexts and various persuasions. In the second place a distinct discourse on spirituality needs to be sensitive to characteristic experiences of that which is other.

  19. Native Americans and Brief Spiritual Assessment: Examining and Operationalizing the Joint Commission's Assessment Framework

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    Hodge, David R.; Limb, Gordon E.

    2010-01-01

    At the turn of the century, the Joint Commission--the nation's largest health care accrediting organization--began requiring spiritual assessments in hospitals and many other mental health settings frequented by Native Americans. Despite high levels of service use, culturally unique forms of spirituality, and a history of oppression in mainstream…

  20. Assessing and Promoting Spiritual Wellness as a Protective Factor in Secondary Schools

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    Briggs, Michele Kielty; Akos, Patrick; Czyszczon, Greg; Eldridge, Ashley

    2011-01-01

    Spiritual wellness, much like resilience, is a multidimensional protective factor for students. This article reviews the relevant literature linking spiritual wellness and thriving in the adolescent population. Assessment and intervention methods that can be used in secondary school settings to promote spiritual wellness are provided.

  1. Assess the Relationship between Workplace Spirituality and Organizational Commitment of Administrative Staff of Zahedan University of Medical Sciences

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    2015-07-01

    Full Text Available Introduction: One of the hidden factors, however, influences the behavior of employees, their commitment to the organization and their jobs. Thus, identifying factors affecting the organizational commitment is an important task of managers that in this study, the role of workplace spirituality in its occurrence are discussed. Methods: The present study was conducted to assess the relationship between workplace spirituality and organizational commitment. This is a descriptive - correlation study that 151 Administrative Staff of Zahedan University of Medical Sciences was selected by random sampling method in December. The study instruments included workplace spirituality Questionnaire (Milliman et al. 2003 and organizational commitment (Linz, 2003. The scores were analyzed using the Spearman correlation coefficient and multiple regression by Software SPSS17. Results: between workplace spirituality and its three components (meaningful work, a sense of solidarity and alignment values there was a significant positive correlation with the organizational commitment staff (p<0/01. Also, all three components of spirituality at work ability to predict organizational commitment staff (p<0/05. Conclusion: With the development of workplace spirituality, meaningful work, a sense of solidarity and alignment values in organizations, Can be accepted that organizational commitment of employees increases.

  2. A Database Management Assessment Instrument

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    Landry, Jeffrey P.; Pardue, J. Harold; Daigle, Roy; Longenecker, Herbert E., Jr.

    2013-01-01

    This paper describes an instrument designed for assessing learning outcomes in data management. In addition to assessment of student learning and ABET outcomes, we have also found the instrument to be effective for determining database placement of incoming information systems (IS) graduate students. Each of these three uses is discussed in this…

  3. Psychometric assessment of the Spiritual Climate Scale Arabic version for nurses in Saudi Arabia.

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    Cruz, Jonas Preposi; Albaqawi, Hamdan Mohammad; Alharbi, Sami Melbes; Alicante, Jerico G; Vitorino, Luciano M; Abunab, Hamzeh Y

    2017-12-07

    To assess the psychometric properties of the Spiritual Climate Scale Arabic version for Saudi nurses. Evidence showed that a high level of spiritual climate in the workplace is associated with increased productivity and performance, enhanced emotional intelligence, organisational commitment and job satisfaction among nurses. A convenient sample of 165 Saudi nurses was surveyed in this descriptive, cross-sectional study. Cronbach's α and intraclass correlation coefficient of the 2 week test-retest scores were computed to establish reliability. Exploratory factor analysis was performed to support the validity of the Spiritual Climate Scale Arabic version. The Spiritual Climate Scale Arabic version manifested excellent content validity. Exploratory factor analysis supported a single factor with an explained variance of 73.2%. The Cronbach's α values of the scale ranged from .79 to .88, while the intraclass correlation coefficient value was .90. The perceived spiritual climate was associated with the respondents' hospital, gender, age and years of experience. Findings of this study support the sound psychometric properties of the Spiritual Climate Scale Arabic version. The Spiritual Climate Scale Arabic version can be used by nurse managers to assess the nurses' perception of the spiritual climate in any clinical area. This process can lead to spiritually centred interventions, thereby ensuring a clinical climate that accepts and respects different spiritual beliefs and practices. © 2017 John Wiley & Sons Ltd.

  4. The Inventory of Complicated Spiritual Grief: Assessing Spiritual Crisis Following Loss

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    Laurie A. Burke

    2016-06-01

    Full Text Available Following the death of a loved one, many grievers endorse spirituality as a source of both solace and strain. Studies show that some grievers struggle significantly with both their relationship with God and their faith community, a condition known as complicated spiritual grief (CSG. However, researchers have lacked a simple, multidimensional, well-validated, grief-specific measure of CSG. In this brief report, we reviewed the psychometric validation process and clinical utility of a measure called the Inventory of Complicated Spiritual Grief (ICSG, which was tested with 304 Christian grievers. The 18-item ICSG was shown to have strong internal consistency, high test–retest reliability, and convergent and incremental validity and supported a two-factor model, measuring one’s insecurity with God and the disruption in one’s religious practice.

  5. State of the Science of Spirituality and Palliative Care Research Part II: Screening, Assessment, and Interventions.

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    Balboni, Tracy A; Fitchett, George; Handzo, George F; Johnson, Kimberly S; Koenig, Harold G; Pargament, Kenneth I; Puchalski, Christina M; Sinclair, Shane; Taylor, Elizabeth J; Steinhauser, Karen E

    2017-09-01

    The State of the Science in Spirituality and Palliative Care was convened to address the current landscape of research at the intersection of spirituality and palliative care and to identify critical next steps to advance this field of inquiry. Part II of the SOS-SPC report addresses the state of extant research and identifies critical research priorities pertaining to the following questions: 1) How do we assess spirituality? 2) How do we intervene on spirituality in palliative care? And 3) How do we train health professionals to address spirituality in palliative care? Findings from this report point to the need for screening and assessment tools that are rigorously developed, clinically relevant, and adapted to a diversity of clinical and cultural settings. Chaplaincy research is needed to form professional spiritual care provision in a variety of settings, and outcomes assessed to ascertain impact on key patient, family, and clinical staff outcomes. Intervention research requires rigorous conceptualization and assessments. Intervention development must be attentive to clinical feasibility, incorporate perspectives and needs of patients, families, and clinicians, and be targeted to diverse populations with spiritual needs. Finally, spiritual care competencies for various clinical care team members should be refined. Reflecting those competencies, training curricula and evaluation tools should be developed, and the impact of education on patient, family, and clinician outcomes should be systematically assessed. Published by Elsevier Inc.

  6. Using cognitive interviews to improve a Psychological-Social-Spiritual Healing instrument: Voices of aging African Americans with serious illness.

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    Coats, Heather; Rosenfeld, Anne G; Crist, Janice D; Sternberg, Esther; Berger, Ann

    2018-02-01

    The purpose of this study was to contribute to content validity, by providing input into the linguistic and pragmatic validities, of a 53 item Psychological-Social-Spiritual Healing instrument. Discovery of cultural values and beliefs from African American elders' experiences of illness provides insight for development of more culturally sensitive instruments. Through an exploratory descriptive design, this study used cognitive interviewing methods to examine linguistic and pragmatic validity of the Psychological-Social-Spiritual Healing instrument, from the perspectives of aging seriously ill AAs. Participants were recruited from urban Jackson, MS from community settings from October 2014 to January 2015. With a purposefully chosen sample of seriously ill African Americans elders (N=15), and using the method of cognitive interviewing, responses related to cultural relevance, clarity and meaning of the 53 items of the instrument were collected. This in-depth query of items was accomplished through the use of both verbal probing and think aloud methods of cognitive interviewing. Thirty-seven items were retained. Eight items were revised. Eight items were deleted. From the expert input of seriously ill African American elders, a systematic decision-making process of item retention, revision or deletion led to the development of a more culturally sensitive Psychological-Social-Spiritual Healing instrument. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Instruments to assess integrated care

    DEFF Research Database (Denmark)

    Lyngsø, Anne Marie; Godtfredsen, Nina Skavlan; Høst, Dorte

    2014-01-01

    INTRODUCTION: Although several measurement instruments have been developed to measure the level of integrated health care delivery, no standardised, validated instrument exists covering all aspects of integrated care. The purpose of this review is to identify the instruments concerning how to mea...... was prevalent. It is uncertain whether development of a single 'all-inclusive' model for assessing integrated care is desirable. We emphasise the continuing need for validated instruments embedded in theoretical contexts.......INTRODUCTION: Although several measurement instruments have been developed to measure the level of integrated health care delivery, no standardised, validated instrument exists covering all aspects of integrated care. The purpose of this review is to identify the instruments concerning how...... to measure the level of integration across health-care sectors and to assess and evaluate the organisational elements within the instruments identified. METHODS: An extensive, systematic literature review in PubMed, CINAHL, PsycINFO, Cochrane Library, Web of Science for the years 1980-2011. Selected...

  8. Assessing the Spiritual Leadership of Students: An Equanimity Study

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    Rozeboom, David; Frohardt, Russell; Carroll, Claudia; Sullivan, Tom; Phelps, Nick; Trevino, Nicole; Blair, David; Brown, Christy; Puglisi, James

    2016-01-01

    Researchers at a regional western university surveyed undergraduate students on the extent to which they identified themselves as spiritual leaders and, in particular, as having the quality of equanimity, one component of spiritual leadership. The results illustrate the role that equanimity plays in the development of a student's leadership…

  9. Brazilian validation of the Quality of Life Instrument/spirituality, religion and personal beliefs.

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    Panzini, Raquel Gehrke; Maganha, Camila; Rocha, Neusa Sica da; Bandeira, Denise Ruschel; Fleck, Marcelo P

    2011-02-01

    To analyze the psychometric properties of the World Health Organization's Quality of Life Instrument--Spirituality, Religion and Personal Beliefs module (WHOQOL-SRPB). The WHOQOL-SRPB, the Brief Spiritual/Religious Coping Scale (Brief-SRCOPE Scale), the WHOQOL-BREF and the Beck Depression Inventory (BDI) were consecutively applied in a convenience sample of 404 patients and workers of a university hospital and workers of a university, in the city of Porto Alegre, Southern Brazil, between 2006 and 2009. The sample was stratified by sex, age, health status and religion/belief. The retest of the two first instruments was conducted with 54 participants. Exploratory factorial analyses of the WHOQOL-SRPB with the method of main components were performed, without limiting the number of factors, and requiring eight factors concomitantly with the WHOQOL-BREF items. The Brazilian Portuguese version of the WHOQOL-SRPB (General SRPB-Domain) showed construct validity, with a discriminatory validity between believers and non-believers (t = 7.40; p = 0.0001); concurrent criterion-related validity, distinguishing depressed individuals from non-depressed ones (t = 5.03; p = 0.0001); convergent validity with the WHOQOL-BREF (physical r = 0.18; psychological r = 0.46; social r = 0.35; environmental r = 0.29; global r = 0.23; p = 0.0001) and with the SRPB-Domain of the WHOQOL-100 (r = 0.78; p = 0.0001); and convergent/discriminatory validity with the brief SRCOPE Scale (with positive SRCOPE r = 0.64; p = 0.0001/negative SRCOPE r = -0.03; p = 0.554). Excellent test-retest reliability (t = 0.74; p = 0.463) and internal consistency (α = 0.96; intrafactorial correlation 0.87 > r > 0.60; p = 0.0001) were observed. The exploratory factorial analyses performed corroborated the eight-factor structure of the WHOQOL-SRPB multicenter study. The Brazilian Portuguese version of the WHOQOL-SRPB showed good psychometric qualities and use valid and reliable in Brazil. It is suggested that new

  10. Spirituality and religion in modern medicine.

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    Singh, Darpan Kaur Mohinder; Ajinkya, Shaunak

    2012-10-01

    Man has always yearned for a higher sense of belonging in life. Since ancient ages, human beings have tried to examine and evaluate the relationship between spirituality, religion and medicine. The interface of spirituality, quality of life and mental health is fascinating and sublime. Religion and spirituality play an essential role in the care giving of patients with terminal illnesses and chronic medical conditions. Patient's needs, desires and perspectives on religion and spirituality should be addressed in standard clinical care. Ongoing research in medical education and curriculum design points towards the inclusion of competence, communication and training in spirituality. There are structured and reliable instruments available for assessing the relationship between spirituality, religion and health in research settings. Intervention based scientific studies in the arena of spirituality and modern medicine are needed. Further research should be directed towards making modern medicine more holistic.

  11. Spiritual assessment in healthcare practice Wilfred McSherry Spiritual assessment in healthcare practice and Linda Ross M&K Publishing £27 190pp 9781905539277 1905539274 [Formula: see text].

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    Russell, Phil

    2011-03-01

    OLD AGE, sickness and death were defining moments in Buddha's search for spiritual enlightenment, and so it is for many of us faced with suffering as we start to question life and our place in it. Healthcare workers are frequently the ones who find themselves supporting the troubled person and their family. This book explores the nature of spirituality, in particular spiritual assessment.

  12. Measuring spirituality and religiosity in clinical research: a systematic review of instruments available in the Portuguese language

    OpenAIRE

    Lucchetti,Giancarlo; Lucchetti,Alessandra Lamas Granero; Vallada,Homero

    2013-01-01

    CONTEXT AND OBJECTIVES Despite numerous spirituality and/or religiosity (S/R) measurement tools for use in research worldwide, there is little information on S/R instruments in the Portuguese language. The aim of the present study was to map out the S/R scales available for research in the Portuguese language. DESIGN AND SETTING Systematic review of studies found in databases. METHODS A systematic review was conducted in three phases. Phases 1 and ...

  13. Spiritual Assessment within Clinical Interventions Focused on Quality of Life Assessment in Palliative Care: A Secondary Analysis of a Systematic Review

    Directory of Open Access Journals (Sweden)

    Gianluca Catania

    2016-03-01

    Full Text Available One of the most crucial palliative care challenges is in determining how patients’ needs are defined and assessed. Although physical and psychological needs are commonly documented in patient’s charts, spiritual needs are less frequently reported. The aim of this review was to determine which explicit, longitudinal documentation of spiritual concerns would sufficiently affect clinical care to alleviate spiritual distress or promote spiritual wellbeing. A secondary analysis of a systematic review originally aimed at appraising the effectiveness of complex interventions focused on quality of life in palliative care was conducted. Five databases were searched for articles reporting interventions focused on QoL including at least two or more QoL dimensions. A narrative synthesis was performed to synthesize findings. In total, 10 studies were included. Only three studies included spiritual wellbeing assessment. Spirituality tools used to assess spiritual wellbeing were different between studies: Hospital QoL Index 14; Spiritual Needs Inventory; Missoula-Vitas QoL Index; and the Needs Assessment Tool: Progressive Disease-Cancer. Only one study reported a healthcare professional’s session training in the use of the QoL tool. Two out of three studies showed in participants an improvement in spiritual wellbeing, but changes in spiritual wellbeing scores were not significant. Overall patients receiving interventions focused on QoL assessment experienced both improvements in their QoL and in their spiritual needs. Although spiritual changes were not significant, the results provide evidence that a spiritual need exists and that spiritual care should be appropriately planned and delivered. Spiritual needs assessment precedes spiritual caring. It is essential that interventions focused on QoL assessment in palliative care include training on how to conduct a spiritual assessment and appropriate interventions to be offered to patients to address their

  14. Instruments to assess integrated care

    DEFF Research Database (Denmark)

    Lyngsø, Anne Marie; Godtfredsen, Nina Skavlan; Høst, Dorte

    2014-01-01

    to measure the level of integration across health-care sectors and to assess and evaluate the organisational elements within the instruments identified. METHODS: An extensive, systematic literature review in PubMed, CINAHL, PsycINFO, Cochrane Library, Web of Science for the years 1980-2011. Selected...

  15. Spiritual Well-Being and Spiritual Distress in Cancer Patients Undergoing Chemotherapy: Utilizing the SWBQ as Component of Holistic Nursing Diagnosis.

    Science.gov (United States)

    Caldeira, Sílvia; Timmins, Fiona; de Carvalho, Emília Campos; Vieira, Margarida

    2017-08-01

    Holistic nursing care requires attention to the spiritual dimension. This is particularly important when caring for patients with cancer. This research presents the results of the assessment of spiritual well-being using the Spiritual Well-Being Questionnaire (SWBQ) to validate the nursing diagnosis of spiritual distress. Structured interviews were conducted with 169 patients in one hospital in Portugal. We concluded that the SWBQ is a useful and reliable instrument to assess spiritual distress, which highlights the importance of listening to patients and questioning them about spiritual needs as well as the importance of differential diagnosis aimed at effective interventions.

  16. Multidimensional Assessment of Spirituality/Religion in Patients with HIV: Conceptual Framework and Empirical Refinement

    Science.gov (United States)

    Kudel, Ian; Cotton, Sian; Leonard, Anthony C.; Tsevat, Joel; Ritchey, P. Neal

    2011-01-01

    A decade ago, an expert panel developed a framework for measuring spirituality/religion in health research (Brief Multidimensional Measure of Religiousness/Spirituality), but empirical testing of this framework has been limited. The purpose of this study was to determine whether responses to items across multiple measures assessing spirituality/religion by 450 patients with HIV replicate this model. We hypothesized a six-factor model underlying a collective of 56 items, but results of confirmatory factor analyses suggested eight dimensions: Meaning/Peace, Tangible Connection to the Divine, Positive Religious Coping, Love/Appreciation, Negative Religious Coping, Positive Congregational Support, Negative Congregational Support, and Cultural Practices. This study corroborates parts of the factor structure underlying the Brief Multidimensional Measure of Religiousness/Spirituality and some recent refinements of the original framework. PMID:21136166

  17. Increasing the Number of Outpatients Receiving Spiritual Assessment: A Pain and Palliative Care Service Quality Improvement Project.

    Science.gov (United States)

    Gomez-Castillo, Blanca J; Hirsch, Rosemarie; Groninger, Hunter; Baker, Karen; Cheng, M Jennifer; Phillips, Jayne; Pollack, John; Berger, Ann M

    2015-11-01

    Spirituality is a patient need that requires special attention from the Pain and Palliative Care Service team. This quality improvement project aimed to provide spiritual assessment for all new outpatients with serious life-altering illnesses. Percentage of new outpatients receiving spiritual assessment (Faith, Importance/Influence, Community, Address/Action in care, psychosocial evaluation, chaplain consults) at baseline and postinterventions. Interventions included encouraging clinicians to incorporate adequate spiritual assessment into patient care and implementing chaplain covisits for all initial outpatient visits. The quality improvement interventions increased spiritual assessment (baseline vs. postinterventions): chaplain covisits (25.5% vs. 50%), Faith, Importance/Influence, Community, Address/Action in care completion (49% vs. 72%), and psychosocial evaluation (89% vs. 94%). Improved spiritual assessment in an outpatient palliative care clinic setting can occur with a multidisciplinary approach. This project also identifies data collection and documentation processes that can be targeted for improvement. Published by Elsevier Inc.

  18. Measures assessing spirituality as more than religiosity: a methodological review of nursing and health-related literature.

    Science.gov (United States)

    Sessanna, Loralee; Finnell, Deborah S; Underhill, Meghan; Chang, Yu-Ping; Peng, Hsi-Ling

    2011-08-01

    This paper is a report of a methodological review conducted to analyse, evaluate and synthesize the rigour of measures found in nursing and health-related literature used to assess and evaluate patient spirituality as more than religiosity. Holistic healthcare practitioners recognize important distinctions exist about what constitutes spiritual care needs and preferences and what constitutes religious care needs and preferences in patient care practice. Databases searched, limited to the years 1982 and 2009, included AMED, Alt Health Watch, CINAHL Plus with Full Text, EBSCO Host, EBSCO Host Religion and Philosophy, ERIC, Google Scholar, HAPI, HUBNET, IngentaConnect, Mental Measurements Yearbook Online, Ovid MEDLINE, Social Work Abstracts and Hill and Hood's Measures of Religiosity text. A methodological review was carried out. Measures assessing spirituality as more than religiosity were critically reviewed including quality appraisal, relevant data extraction and a narrative synthesis of findings. Ten measures fitting inclusion criteria were included in the review. Despite agreement among nursing and health-related disciplines that spirituality and religiosity are distinct and diverse concepts, the concept of spirituality was often used interchangeably with the concept religion to assess and evaluate patient spirituality. The term spiritual or spirituality was used in a preponderance of items to assess or evaluate spirituality. Measures differentiating spirituality from religiosity are grossly lacking in nursing and health-related literature. © 2011 Blackwell Publishing Ltd.

  19. Does the spirituality of nurses interfere in the record of spiritual suffering diagnosis?

    Directory of Open Access Journals (Sweden)

    Amanda Ienne

    2017-11-01

    Full Text Available Abstract Objectives: To assess the spirituality of nurses and relate it to personal characteristics, sector of activity, and spiritual practices; to analyze the influence of spirituality of nurses in the record of a "spiritual suffering" diagnosis. Methods: Quantitative cross-sectional study, using the World Health Organization's Quality of Life Instrument-Spirituality, Religion and Personal Beliefs Module (WHOQOL-SRPB. Results: 132 nurses were included and most of them were women (81.8%, married (56.8%, with an average age of 34 years (± 6.8. Most nurses believe in God or in a superior force (99.2% and have never recorded a "spiritual suffering" diagnosis (78.8%. There was no association of spirituality with the sector of activity; the variable "marital status" was significant in six out of the eight factors of spirituality, and the variable "willingness to talk about spirituality" was significant in seven out of the eight factors. Conclusion: The spirituality of nurses does not interfere with the recording of a "spiritual suffering" diagnosis.

  20. Association between Physician Trainee Self-Assessments in Discussing Religion and Spirituality and Their Patients' Reports.

    Science.gov (United States)

    Ford, Dee W; Downey, Lois; Engelberg, Ruth; Back, Anthony L; Curtis, J Randall

    2014-04-01

    Effective physician communication at the end-of-life is a cornerstone to providing patient-centered palliative care. Educational programs in physician communication often rely on self-assessments of physician knowledge and attitudes and seldom provide patients' reports. Thus, it is unclear whether physician self-assessments are associated with patient perspectives. To determine whether physician trainees' self-assessments of their communication skills in religious/spiritual discussions were associated with assessments obtained from patients under their care. Prospective, observational, survey-based study of internal medicine trainees' self-assessments matched with their patients' reports. Data were obtained from preintervention surveys prior to the trainees participating in a communication educational intervention. The study took place at two internal medicine training programs, one in the southeastern United States and one in the northwestern United States. Our subjects were 181 physician trainees in internal medicine and 541 patients with advanced medical illnesses under their care. The outcomes were patient reports of the occurrence of religious/spiritual communication and patient ratings of the quality of this communication. The primary predictor of interest was trainees' preintervention self-assessments of their competency in religious/spiritual communication. Using multiple variable and path analysis we found that trainees' self-assessments of their communication skills in religious/spiritual communication was significantly and positively associated with their patients' reports of the occurrence and ratings of religious/spiritual communication. Physician trainee self-assessments may be a valid surrogate for patient ratings of quality with respect to religious/spiritual communication. This specific domain of physician-patient communication should receive further investigation as our finding contrasts with reports of more general measures of physician

  1. Screening Patient Spirituality and Spiritual Needs in Oncology Nursing

    NARCIS (Netherlands)

    van Leeuwen, René; Schep-Akkerman, Annemiek; van Laarhoven, Hanneke W. M.

    2013-01-01

    Aim. To select 2 appropriate spiritual assessment tools and evaluate these by involving oncology nurses. Background. Spirituality is recognized as an important domain of cancer care. At admission, integration of spiritual assessment seems necessary. It is unclear what kind of spiritual assessment

  2. Screening patient spirituality and spiritual needs in oncology nursing

    NARCIS (Netherlands)

    Leeuwen, R. van; Schep-Akkerman, A.E.; Laarhoven, H.W.M. van

    2013-01-01

    AIM.: To select 2 appropriate spiritual assessment tools and evaluate these by involving oncology nurses. BACKGROUND.: Spirituality is recognized as an important domain of cancer care. At admission, integration of spiritual assessment seems necessary. It is unclear what kind of spiritual assessment

  3. Cultural considerations in the assessment and treatment of religious and spiritual problems.

    Science.gov (United States)

    Lukoff, D; Lu, F G; Turner, R

    1995-09-01

    the DSM-IV acknowledges that religious and spiritual issues can be the focus of psychiatric consultation and treatment. John McIntyre, MD, former APA President, and Harold Pincus, Director of the APA's Office of Research, observed that this new entry in DSM-IV was "a sign of the profession's growing sensitivity not only to religion but to cultural diversity generally." It is hoped that these developments will increase the accuracy of diagnostic assessments, reduce iatrogenic harm from misdiagnosis, and increase the mental health professional's respect for individual beliefs and values.

  4. To measure or not to measure? Reviewing the assessment of spirituality and religion in health-related quality of life.

    Science.gov (United States)

    O'Connell, Kathryn A; Skevington, Suzanne M

    2007-03-01

    Measures of quality of life have not conventionally or routinely included concepts of spirituality, religion, or existential wellbeing. Although spirituality has been seen as irrelevant, or difficult to measure, a growing body of peer-reviewed articles point to a positive and important relationship between spiritual beliefs and other domains of quality of life in health. Following a discussion of current theoretical issues surrounding the inclusion of these generic concepts, we select and review seven quality-of-life assessments in health that provide a spiritual and/or religious dimension, and evaluate each in psychometric terms. Such information could be useful to clinicians working in chronic illness, surgery and terminal care, who seek concept clarification before using an assessment that includes a spiritual domain.

  5. Spiritual Well-Being as a Component of Health-Related Quality of Life: The Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp

    Directory of Open Access Journals (Sweden)

    Jason M. Bredle

    2011-03-01

    Full Text Available The Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp-12 is a 12-item questionnaire that measures spiritual well-being in people with cancer and other chronic illnesses. Cancer patients, psychotherapists, and religious/spiritual experts provided input on the development of the items. It was validated with a large, ethnically diverse sample. It has been successfully used to assess spiritual well-being across a wide range of religious traditions, including those who identify themselves as “spiritual yet not religious.” Part of the larger FACIT measurement system that assesses multidimensional health related quality of life (HRQOL, the FACIT-Sp-12 has been translated and linguistically validated in 15 languages and has been used in dozens of studies examining the relationships among spiritual well-being, health, and adjustment to illness.

  6. Educational needs of hospice social workers: spiritual assessment and interventions with diverse populations.

    Science.gov (United States)

    Wesley, Carol; Tunney, Kathleen; Duncan, Ella

    2004-01-01

    Based on a national survey, this study analyzes the roles and educational needs of hospice social workers regarding assessment and intervention in spirituality, religion, and diversity of their patients. Sixty-two social workers responded to the survey. Results suggest that spiritual care is shared among hospice team members and that most social workers feel comfortable in addressing these issues. However, role conflict and role ambiguity also exist. Respondents to the survey often felt ill-prepared to deal with some complex faith-based conflicts related to diversity. They saw themselves in need of assessment models and end-of-life decision-making interventions regarding assisted suicide and euthanasia. This study provides recommendations for social work practice, education, and research.

  7. Early Grade Writing Assessment: An Instrument Model

    Science.gov (United States)

    Jiménez, Juan E.

    2017-01-01

    The United Nations Educational, Scientific, and Cultural Organization promoted the creation of a model instrument for individual assessment of students' foundational writing skills in the Spanish language that was based on a literature review and existing writing tools and assessments. The purpose of the "Early Grade Writing Assessment"…

  8. Providing guidance on the health effects of religious/spiritual involvement: a national assessment of university counseling professionals.

    Science.gov (United States)

    Mrdjenovich, Adam J; Dake, Joseph A; Price, James H; Jordan, Timothy R; Brockmyer, Jeanne H

    2012-03-01

    This study assessed the perceptions and practices of a national sample of university counseling professionals (n = 306) regarding their provision of guidance on the health effects of religious/spiritual involvement. Relatively few (21%) discussed the physical health effects of religiosity/spirituality with their clients. The majority (52%) were unsure that such discussions would result in lower health risks; however, nearly half (48%) indicated that these would promote recovery. Almost two-thirds (64%) indicated that discussions of religious/spiritual involvement and health "should occur only with clients who indicate that religion/spirituality is important to them." A plurality (36%) of the respondents had received no formal training on this topic. Implications for clinical training, university counseling centers, and future research are discussed.

  9. Iranian nurses' professional competence in spiritual care in 2014.

    Science.gov (United States)

    Adib-Hajbaghery, Mohsen; Zehtabchi, Samira; Fini, Ismail Azizi

    2017-06-01

    The holistic approach views the human as a bio-psycho-socio-spiritual being. Evidence suggests that among these dimensions, the spiritual one is largely ignored in healthcare settings. This study aimed to evaluate Iranian nurses' perceived professional competence in spiritual care, the relationship between perceived competence and nurses' personal characteristics, and barriers to provide spiritual care. A cross-sectional study was conducted in the year 2014. Participants and research context: The study population consisted of nurses working in teaching hospitals in Kashan city. Using a stratified, systematic random method, 250 samples were selected from a total of 1400 nurses. An indigenous instrument was used to assess the nurses' competencies in spiritual care. Ethical considerations: A research ethics committee approved the study. All the participants were briefed on the study aims, were assured of the confidentiality of their personal information, and signed a written informed consent. Among a total of 250 nurses, 239 answered the questionnaire completely, and in total, 23%, 51%, and 26% had poor, moderate, and favorable competence in spiritual care, respectively. No significant differences were found between the mean competence scores of spiritual care in terms of gender, marital status, employment status, and level of qualification. Significant difference was found between nurses' overall score of competence in spiritual care and receiving training on spiritual care, nurses' position, and the ward they worked in. Confirming the findings of the international literature, this study puts light on the situation of nurses' perceived competence and barriers to providing spiritual care in Iran as an eastern and Islamic context. Three-quarters of the nurses had moderate or unfavorable competence in spiritual care. Due to the crucial role of spiritual care in quality of care and patient satisfaction, nurses should be trained and supported to provide spiritual care.

  10. Psychometric properties of instruments for assessing depression ...

    African Journals Online (AJOL)

    Psychometric properties of instruments for assessing depression among African youth: A systematic review. ... Journal of Child and Adolescent Mental Health ... Studies examining the reliability and/or validity of depression assessment tools were selected for inclusion if they were based on data collected from youth (any ...

  11. Development and validation of a new tool for the assessment and spiritual care of palliative care patients.

    Science.gov (United States)

    Benito, Enric; Oliver, Amparo; Galiana, Laura; Barreto, Pilar; Pascual, Antonio; Gomis, Clara; Barbero, Javier

    2014-06-01

    Spiritual assessment tools and interventions based on holistic approaches are needed to promote healing. Such tools must be adapted to the wide cultural backgrounds of contemporary Western society. To develop and validate a new brief measure, simultaneously featuring clinical applicability and adequate psychometric properties. The tool uses six initial questions to establish a climate of trust with patients before they complete an eight-item, five-point Likert scale. The questionnaire is based on a model of spirituality generated by the Spanish Society of Palliative Care (SECPAL) Task Force on Spiritual Care (Grupo de Espiritualidad de la SECPAL), which aims to recognize, share, and assess the spiritual resources and needs of palliative care patients. Multidisciplinary professionals from 15 palliative care teams across Spain interviewed 108 patients using the Grupo de Espiritualidad de la SECPAL questionnaire. Confirmatory factor analysis techniques were used to study the new tool factor structure and reliability. Additionally, concurrent criterion validity coefficients were estimated considering spiritual well-being, anxiety, depression, resilience, and symptoms. Descriptive statistics on questionnaire applicability were reported. Analyses supported a three-factor structure (intrapersonal, interpersonal, transpersonal) with an underlying second-order factor representing a spirituality construct. Adequate reliability results and evidence for construct validity were obtained. The new questionnaire, based on empirical research and bedside experience, showed good psychometric properties and clinical applicability. Copyright © 2014 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  12. Spirituality and spiritual care in and around childbirth.

    Science.gov (United States)

    Crowther, Susan; Hall, Jennifer

    2015-06-01

    Emerging evidence points to childbirth as a spiritually felt meaningful occasion. Although growing literature and development of guidelines charge the midwife to provide spiritual care felt spiritual experiences are not addressed. There is need to revisit contemporary approaches to spiritual care in midwifery lest something of significance becomes lost in policy rhetoric. The aim of this discussion paper is to bring to the surface what is meant by spiritual care and spiritual experiences, to increase awareness about spirituality in childbirth and midwifery and move beyond the constraints of structured defined protocols. The authors' own studies and other's research that focuses on the complex contextual experiences of childbirth related to spirituality are discussed in relation to the growing interest in spiritual care assessments and guidelines. There is a growing presence in the literature about how spirituality is a concern to the wellbeing of human beings. Although spirituality remains on the peripheral of current discourse about childbirth. Spiritual care guidelines are now being developed. However spiritual care guidelines do not appear to acknowledge the lived-experience of childbirth as spiritually meaningful. Introduction of spiritual care guidelines into midwifery practice do not address the spiritual meaningful significance of childbirth. If childbirth spirituality is relegated to a spiritual care tick box culture this would be a travesty. The depth of spirituality that inheres uniquely in the experience of childbirth would remain silenced and hidden. Spiritual experiences are felt and beckon sensitive and tactful practice beyond words and formulaic questions. Copyright © 2015 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  13. MAIN: Multilingual Assessment Instrument for Narratives

    OpenAIRE

    Gagarina, Natalʹja Vladimirovna; Klop, Daleen; Kunnari, Sari; Tantele, Koula; Välimaa, Taina; Balčiūnienė, Ingrida; Bohnacker, Ute; Walters, Joel

    2016-01-01

    The Multilingual Assessment Instrument for Narratives (MAIN) was designed in order to assess narrative skills in children who acquire one or more languages from birth or from early age. MAIN is suitable for children from 3 to 10 years and evaluates both comprehension and production of narratives. Its design allows for the assessment of several languages in the same child, as well as for different elicitation modes: Model Story, Retelling, and Telling. MAIN contains four parallel stories, e...

  14. Assessment of the relationship of spiritual well-being to depression and quality of life for persons with spinal cord injury.

    Science.gov (United States)

    Wilson, Catherine S; Forchheimer, Martin; Heinemann, Allen W; Warren, Anne Marie; McCullumsmith, Cheryl

    2017-03-01

    This study sought to describe the association between spiritual well-being, demographic characteristics, quality of life (QOL) and depressive symptoms following spinal cord injury (SCI). We hypothesized QOL and depressed mood would both be explained by extent of spiritual well-being, and meaning-focused (M&P) spirituality would have a stronger impact than faith-focused spirituality. 210 individuals with SCI were screened as part of a randomized control trial of venlafaxine XR for major depressive disorder (MDD). 204 completed all measures: Patient Health Questionniare-9 (PHQ-9) assessed depression, the FACIT-Sp assessed spiritual well-being, the Neuro-QOL PAWB scale assessed QOL, and the PANAS assessed affect. Approximately 26% had major depression. Bivariate correlations of scores on PAWB and PANAS and FACIT-Sp showed that all four scales had strong associations with those on PAWB (p spirituality, as measured by the FACIT-Sp, is strongly associated with QOL and likelihood of MDD. Assessment of spirituality should be included along with more traditional psychological measurements to better inform treatment. Implications for Rehabilitation Spiritual beliefs can contribute to quality of life and may help moderate depressive symptoms that accompany chronic illness and disability, suggesting that rehabilitation professionals should address spirituality in working with their patients with spinal cord injury (SCI). While spiritual issues are often deferred to pastoral counselors during hospitalization, it is clear that addressing these is not the domain of one discipline and does not end upon inpatient discharge. In addressing spirituality, clinicians should tap the spiritual strengths present in their clients, whether meaning/peace-focused or religious, understanding that spirituality involves more than religiosity and also that having a sense of meaning and peace appears to be of great importance.

  15. Assessment for Learning Instrumentation in Higher Education

    Science.gov (United States)

    Akib, Erwin; Ghafar, Mohamad Najib Abdul

    2015-01-01

    This study explains assessment for learning instrumentation, especially in higher education. The population of this study was 100 lecturers of the Muhammadiyah Makassar University, Indonesia. A total of 50 items from six construct were analyzed and used to determine the reliability and validity of the questionnaire. The result shows that the…

  16. Evaluating the effectiveness of impact assessment instruments

    DEFF Research Database (Denmark)

    Cashmore, Matthew; Richardson, Tim; Hilding-Ryedvik, Tuija

    2010-01-01

    the contemporary research context, learning derived from analysing the meaning and implications of plural interpretations of effectiveness represents the most constructive strategy for advancing impact assessment and policy integration theory. Crown Copyright (C) 2010 Published by Elsevier Inc. All rights reserved.......The central role of impact assessment instruments globally in policy integration initiatives has been cemented in recent years. Associated with this trend, but also reflecting political emphasis on greater accountability in certain policy sectors and a renewed focus on economic competitiveness...... to sharpen effectiveness evaluation theory for impact assessment instruments this article critically examines the neglected issue of their political constitution. Analytical examples are used to concretely explore the nature and significance of the politicisation of impact assessment. It is argued...

  17. Instruments to assess stigmatization in dermatology.

    Science.gov (United States)

    Dimitrov, Dimitre; Szepietowski, Jacek C

    2017-11-03

    Stigmatization is the assignment of negative perceptions to an individual because of a perceived difference from the population at large. Skin conditions are frequently the reason of social rejection with a consequent negative influence on the personal and social life of patients. The aim of the current study was to review the available instruments that can be successfully utilized to measure the stigmatization level among dermatological patients. We performed our search on PubMed up to November 2016 and utilized combinations of key phrases containing such words as stigmatization, skin, dermatology, names of various skin conditions (psoriasis, vitiligo, acne, etc.), measurement. The search found a considerable number of articles - 548. After filtering them through a precise selection process, 58 articles remained. We concentrated only on the methodological aspects to assess stigmatization in various dermatoses. The review ascertained that there exist numerous instruments in the form of questionnaires. They were utilized in various researches in order to assess the stigmatization level in patients with skin problems. We divided them into two main groups: dermatology specific instruments (6 questionnaires) and dermatosis/disease specific ones (8 questionnaires). It is recommended to use dermatology-specific instruments to compare the stigmatization level in various skin conditions. They can be utilized as well as a first line tools to study the feeling of stigmatization in specific skin diseases; however, where it is possible, they should be supplemented with the disease-specific instrument for deeper analysis of both qualities of life and stigmatization.

  18. Workplace spirituality as a moderator in relation between stress and health: An exploratory empirical assessment.

    Science.gov (United States)

    Kumar, Vineet; Kumar, Sandeep

    2014-06-01

    The present study explores the role of workplace spirituality in moderating the relationship between occupational stress and the health of managerial personnel in India. A sample of 150 managers working in different public and private organizations was used to measure workplace spirituality, occupational stress, and health using the Spirituality at Work scale, the Occupational Stress Index and the 28-item General Health Questionnaire, respectively. The findings reveal that workplace spirituality moderates the negative relationship of stress and health. The study also found that stress has a negative impact on health while workplace spirituality positively correlated with health. The findings also support the practical importance of spirituality in the workplace for improving health conditions by providing a healthy atmosphere and meaningful work for employees. This exploratory study encourages future research to understand the role of spirituality in the workplace.

  19. Spiritual pain and suffering.

    Science.gov (United States)

    Brunjes, George B

    2010-01-01

    Spiritual pain/suffering is commonly experienced by persons with life-limiting illness and their families. Physical pain itself can be exacerbated by non-physical causes such as fear, anxiety, grief, unresolved guilt, depression and unmet spiritual meets. Likewise, the inability to manage physical pain well can be due to emotional and spiritual needs. This is why a holistic, interdisciplinary assessment of pain and suffering is required for each patient and family. The mind, body and spirit are understood in relationship to each other and, in those cases, in relationship to a deity or deities are important to understand. Cultural interpretations of pain and suffering may conflict with the goals of palliative care. Understanding the spiritual framework of the patient and family can help to assure that the physical and spiritual suffering of the patient can be eliminated to provide a peaceful death. Spiritual practices may help in the management of physical pain.

  20. Quality-of-life and spirituality.

    Science.gov (United States)

    Panzini, Raquel Gehrke; Mosqueiro, Bruno Paz; Zimpel, Rogério R; Bandeira, Denise Ruschel; Rocha, Neusa S; Fleck, Marcelo P

    2017-06-01

    Spirituality has been identified as an important dimension of quality-of-life. The objective of this study was to review the literature on quality-of-life and spirituality, their association, and assessment tools. A search was conducted of the keyterms 'quality-of-life' and 'spirituality' in abstract or title in the databases PsycINFO and PubMed/Medline between 1979-2005, complemented by a new search at PUBMED from 2006-2016. Quality-of-life is a new concept, which encompasses and transcends the concept of health, being composed of multiple domains: physical, psychological, environmental, among others. The missing measure in health has been defined as the individual's perception of their position in life in the context of culture and value system in which they live and in relation to their goals, expectations, standards, and concerns. There is consistent evidence of an association between quality-of-life and religiosity/spirituality (R/S), through studies with reasonable methodological rigour, using several variables to assess R/S (e.g. religious affiliation, religious coping, and prayer/spirituality). There are also several valid and reliable instruments to evaluate quality-of-life and spirituality. Further studies are needed, however, especially in Brazil. Such studies will provide empirical data to be used in planning health interventions based on spirituality, seeking a better quality-of-life. In the last 10 years, research is consistently growing about quality-of-life and spirituality in many countries, and also in many areas of health research.

  1. Spiritual Pain in Meals on Wheels’ Clients

    Directory of Open Access Journals (Sweden)

    Lisa Boss

    2015-10-01

    Full Text Available Background: Meals on Wheels’ clients are at risk for spiritual pain due to advanced age, social isolation, and failing health. They are also prone to stress, depression, and loneliness, placing them at risk for adverse biological disruptions and health outcomes. The purpose of the study was to examine associations of spiritual pain with psychosocial factors (stress, depression, loneliness, religious coping and salivary biomarkers of stress and inflammation (cortisol, IL-1β in Meals on Wheels’ clients. Methods: Data were collected cross-sectionally from 88 elderly (mean age 75.4. Spiritual pain, stress, depression, loneliness, and religious coping were measured with standardized instruments, and salivary biomarkers were assessed with enzyme immunoassays. Results: Spiritual pain was significantly and positively correlated with stress (r = 0.35, p ≤ 0.001, depression (r = 0.27, p = 0.01, and negative religious coping (r = 0.27, p = 0.01. Correlations with loneliness, positive religious coping, and salivary biomarkers were non-significant. Conclusion: Spiritual pain is an important concept in this population. Research should be expanded to understand the significance of spiritual pain in conjunction with psychosocial and biological variables and its potential impact on physical, mental, and cognitive health outcomes in the elderly.

  2. Assessment of wind turbine load measurement instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Morfiadakis, E.; Papadopoulos, K. [CRES (Greece); Borg, N. van der [ECN, Petten (Netherlands); Petersen, S.M. [Risoe, Roskilde (Denmark); Seifert, H. [DEWI, Wilhelmshaven (Germany)

    1999-03-01

    In the framework of Sub-Task3 `Wind turbine load measurement instrumentation` of EU-project `European Wind Turbine Testing Procedure Development`, the load measurement techniques have been assessed by laboratory, full scale and numerical tests. The existing methods have been reviewed with emphasis on the strain gage application techniques on composite materials and recommendations are provided for the optimisation of load measurement techniques. (au) EU. 14 refs.

  3. Spiritual Care Communication in Cancer Patients.

    Science.gov (United States)

    Ellington, Lee; Billitteri, Jacob; Reblin, Maija; Clayton, Margaret F

    2017-12-01

    To provide a definition of spirituality, define the scope and nature of spiritual care communication, describe how to initiate communication about, and elicit, a spiritual history, and introduce the AMEN protocol to support patient/family hopes for a miracle. Literature review. Spiritual communication is important throughout cancer care. Nurses can assess and integrate patient and family caregivers' spiritual needs in clinical care by practicing self-awareness and engaging in spiritual care communication strategies. Spirituality is recognized as an essential component of quality care. Spiritual conversations can increase patients' satisfaction with care and improve well-being. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. An assessment of US physicians' training in religion, spirituality, and medicine.

    Science.gov (United States)

    Rasinski, Kenneth A; Kalad, Youssef G; Yoon, John D; Curlin, Farr A

    2011-01-01

    This study examined US physicians' training in religion and medicine and its association with addressing religious and spiritual issues in clinical encounters. Reports of receiving training were higher for highly spiritual physicians, psychiatrists, and physicians with high numbers of critically ill patients. Discussing religion or spirituality with patients was associated with having received training through a book or CME literature or during Grand Rounds, through one's religious tradition and from other unspecified sources but not with having received such training in medical school.

  5. Assessment of Spirituality as a Function of Quality of Life In Prostate Cancer Patients

    Science.gov (United States)

    1999-10-01

    religion and spirituality on prostate cancer as a measure of quality of life (QOL). The specific aims addressed during the six month period included: (1...examine the influence of religion and spirituality on prostate cancer as a measure of quality of life (QOL). The specific aims addressed during the...influence on prostate cancer diagnosis, treatment and quality of life . " Religion and spirituality are significant personal and cultural resources

  6. Sexual Trauma, Spirituality, and Psychopathology

    Science.gov (United States)

    Krejci, Mark J.; Thompson, Kevin M.; Simonich, Heather; Crosby, Ross D.; Donaldson, Mary Ann; Wonderlich, Stephen A.; Mitchell, James E.

    2004-01-01

    This study assessed the association between spirituality and psychopathology in a group of sexual abuse victims and controls with a focus on whether spirituality moderated the association between sexual trauma and psychopathology. Seventy-one sexual trauma victims were compared to 25 control subjects on spiritual well-being, the Eating Disorder…

  7. Validation of the organizational culture assessment instrument.

    Directory of Open Access Journals (Sweden)

    Brody Heritage

    Full Text Available Organizational culture is a commonly studied area in industrial/organizational psychology due to its important role in workplace behaviour, cognitions, and outcomes. Jung et al.'s [1] review of the psychometric properties of organizational culture measurement instruments noted many instruments have limited validation data despite frequent use in both theoretical and applied situations. The Organizational Culture Assessment Instrument (OCAI has had conflicting data regarding its psychometric properties, particularly regarding its factor structure. Our study examined the factor structure and criterion validity of the OCAI using robust analysis methods on data gathered from 328 (females = 226, males = 102 Australian employees. Confirmatory factor analysis supported a four factor structure of the OCAI for both ideal and current organizational culture perspectives. Current organizational culture data demonstrated expected reciprocally-opposed relationships between three of the four OCAI factors and the outcome variable of job satisfaction but ideal culture data did not, thus indicating possible weak criterion validity when the OCAI is used to assess ideal culture. Based on the mixed evidence regarding the measure's properties, further examination of the factor structure and broad validity of the measure is encouraged.

  8. Validation of the Organizational Culture Assessment Instrument

    Science.gov (United States)

    Heritage, Brody; Pollock, Clare; Roberts, Lynne

    2014-01-01

    Organizational culture is a commonly studied area in industrial/organizational psychology due to its important role in workplace behaviour, cognitions, and outcomes. Jung et al.'s [1] review of the psychometric properties of organizational culture measurement instruments noted many instruments have limited validation data despite frequent use in both theoretical and applied situations. The Organizational Culture Assessment Instrument (OCAI) has had conflicting data regarding its psychometric properties, particularly regarding its factor structure. Our study examined the factor structure and criterion validity of the OCAI using robust analysis methods on data gathered from 328 (females = 226, males = 102) Australian employees. Confirmatory factor analysis supported a four factor structure of the OCAI for both ideal and current organizational culture perspectives. Current organizational culture data demonstrated expected reciprocally-opposed relationships between three of the four OCAI factors and the outcome variable of job satisfaction but ideal culture data did not, thus indicating possible weak criterion validity when the OCAI is used to assess ideal culture. Based on the mixed evidence regarding the measure's properties, further examination of the factor structure and broad validity of the measure is encouraged. PMID:24667839

  9. The association between adolescent spirituality and voluntary sexual activity.

    Science.gov (United States)

    Holder, D W; DuRant, R H; Harris, T L; Daniel, J H; Obeidallah, D; Goodman, E

    2000-04-01

    The purpose of this study was to describe the spectrum of adolescent spirituality and to determine the association between dimensions of spirituality and voluntary sexual activity (VSA) in adolescents. A sample of 141 consecutive youth aged 11-25 years presenting to an urban, hospital-based adolescent medicine clinic completed a 153-item instrument assessing sociodemographics, psychosocial parameters, and eight specific aspects of spirituality including: (1) religious attendance, (2) religious importance, (3) intrinsic and (4) extrinsic religious motivation, (5) belief in God, (6) belief in divine support, (7) existential aspects of spirituality, and (8) spiritual interconnectedness. Adolescents were also asked about VSA. Sixty-one percent of respondents were African-American and 67.4%, female; mean age was 16.0+/-2.4 years. Adolescent religious attendance was equally distributed across the categories from "none" to "weekly or greater" attendance. Over 90% felt religion was somewhat important in their lives. Over 85% reported belief in God. Fifty-six percent of respondents reported a history of VSA. Greater importance of religion (p = 0.035) and higher spiritual interconnectedness with friends (p = 0.033) were inversely associated with VSA. A multiple logistic regression model including age, gender, race, socioeconomic status, and specific denomination of religious faith, importance of religion, and spiritual interconnectedness found that spiritual interconnectedness with friends (OR = 0.92, 95% CI = 0.85, 0.99) and age (OR = 1.75, 95% CI = 1.34, 2.28) were independent predictors of VSA. Spirituality is a common facet of adolescents' lives. Younger age and higher spiritual interconnectedness, particularly interconnectedness among spiritual friends, are independently associated with a lower likelihood of VSA.

  10. Spirituality and spiritual care in Iran: nurses' perceptions and barriers.

    Science.gov (United States)

    Zakaria Kiaei, M; Salehi, A; Moosazadeh Nasrabadi, A; Whitehead, D; Azmal, M; Kalhor, R; Shah Bahrami, E

    2015-12-01

    effectively approach spiritual care as a beneficial component of holistic care. It is proposed that more emphasis is placed on integrating spirituality content into educational programmes to enable more effective clinical delivery. In addition, it would be beneficial to implement more widespread cultural assessment in order to further benefit spiritual care practices. © 2015 International Council of Nurses.

  11. Spiritual Assessment of Students at Conservative Wesleyan-Arminian Bible Colleges

    Science.gov (United States)

    Cooley, Timothy L., Sr.

    2011-01-01

    The current study proposed to determine the level of spiritual transformation in students at conservative Wesleyan-Arminian Bible colleges and the association of spiritual transformation with selected Bible college activities. A quantitative survey was designed, validated, and implemented to measure students' self-reported levels of spiritual…

  12. Recovery Spirituality

    Directory of Open Access Journals (Sweden)

    Ernest Kurtz

    2015-01-01

    Full Text Available There is growing interest in Alcoholics Anonymous (A.A. and other secular, spiritual, and religious frameworks of long-term addiction recovery. The present paper explores the varieties of spiritual experience within A.A., with particular reference to the growth of a wing of recovery spirituality promoted within A.A. It is suggested that the essence of secular spirituality is reflected in the experience of beyond (horizontal and vertical transcendence and between (connection and mutuality and in six facets of spirituality (Release, Gratitude, Humility, Tolerance, Forgiveness, and a Sense of Being-at-home shared across religious, spiritual, and secular pathways of addiction recovery. The growing varieties of A.A. spirituality (spanning the “Christianizers” and “Seculizers” reflect A.A.’s adaptation to the larger diversification of religious experience and the growing secularization of spirituality across the cultural contexts within which A.A. is nested.

  13. Register of Validated Short Dietary Assessment Instruments

    Science.gov (United States)

    The register contains descriptive information about the instruments identified (over 135) along with any associated validation studies and publications, and copies of the instruments themselves when available.

  14. Assessing third-year medical students' ability to address a patient's spiritual distress using an OSCE case.

    Science.gov (United States)

    McEvoy, Mimi; Schlair, Sheira; Sidlo, Zsuzsanna; Burton, William; Milan, Felise

    2014-01-01

    To inform curricular development by assessing the ability of third-year medical students to address a patient's spiritual distress during an acute medical crisis in the context of an objective structured clinical examination (OSCE) case. During March and April 2010, 170 third-year medical students completed an eight-station videotaped OSCE at Albert Einstein College of Medicine of Yeshiva University. One of the standardized patients (SPs) was a 65-year-old man with acute chest pain who mentioned his religious affiliation and fear of dying. If prompted, he revealed his desire to speak with a chaplain. The SP assessed students' history taking, physical examination, and communication skills. In a postencounter written exercise, students reported their responses to the patient's distress via four open-ended questions. Analysis of the postencounter notes was conducted by three coders for emergent themes. Clinical skills performance was compared between students who reported making chaplain referral and those who did not. A total of 108 students (64%) reported making a chaplain referral; 4 (2%) directly addressed the patient's religious/spiritual beliefs. Students' clinical performance scores showed no significant association with whether they made a chaplain referral. Findings suggest that the majority of medical students without robust training in addressing patients' spiritual needs can make a chaplain referral when faced with a patient in spiritual crisis. Yet, few students explicitly engaged the patient in a discussion of his beliefs. Thus, future studies are needed to develop more precise assessment measures that can inform development in spirituality and medicine curricula.

  15. Filipino Nurses' Spirituality and Provision of Spiritual Nursing Care.

    Science.gov (United States)

    Labrague, Leodoro J; McEnroe-Petitte, Denise M; Achaso, Romeo H; Cachero, Geifsonne S; Mohammad, Mary Rose A

    2016-12-01

    This study was to explore the perceptions of Filipino nurses' spirituality and the provision of spiritual nursing care. A descriptive, cross-sectional, and quantitative study was adopted for this study. The study was conducted in the Philippines utilizing a convenience sample of 245 nurses. Nurses' Spirituality and Delivery of Spiritual Care (NSDSC) was used as the main instrument. The items on NSDSC with higher mean scores related to nurses' perception of spirituality were Item 7, "I believe that God loves me and cares for me," and Item 8, "Prayer is an important part of my life," with mean scores of 4.87 (SD = 1.36) and 4.88 (SD = 1.34), respectively. Items on NSDSC with higher mean scores related to the practice of spiritual care were Item 26, "I usually comfort clients spiritually (e.g., reading books, prayers, music, etc.)," and Item 25, "I refer the client to his/her spiritual counselor (e.g., hospital chaplain) if needed," with mean scores of 3.16 (SD = 1.54) and 2.92 (SD = 1.59). Nurse's spirituality correlated significantly with their understanding of spiritual nursing care (r = .3376, p ≤ .05) and delivery of spiritual nursing care (r = .3980, p ≤ .05). Positive significant correlations were found between understanding of spiritual nursing care and delivery of spiritual nursing care (r = .3289, p ≤ .05). For nurses to better provide spiritual nursing care, they must care for themselves through self-awareness, self-reflection, and developing a sense of satisfaction and contentment. © The Author(s) 2015.

  16. Risk assessment instruments in clinical practice.

    Science.gov (United States)

    Côté, Gilles; Crocker, Anne G; Nicholls, Tonia L; Seto, Michael C

    2012-04-01

    To determine whether the items in one of the most widely validated instruments of violence risk assessment, the Historical-Clinical-Risk Management-20 (HCR-20), are used in review board hearings to assess the risk of violence by people found Not Criminally Responsible on account of Mental Disorder (NCRMD). This study was conducted from October 2004 to August 2006 in Quebec's sole forensic psychiatric hospital and 2 large civil psychiatric hospitals designated for the care of people declared NCRMD in the Montreal metropolitan area. The risk assessments presented by clinicians at annual review board hearings and the boards' rationale for the release or detention of people found NCRMD were contrasted with the risk assessments conducted by the research team using the HCR-20. The final sample was comprised of 96 men. Very few of the risk factors identified by prior research (HCR-20 items) were mentioned in the hearing process, whether in clinical reports, discussions during the hearing, or in the disposition justification. The findings confirm that there remains a significant gap between research evidence and risk assessment practice.

  17. [Assessment and assessment instruments in palliative care. Trail of an assessment of the significance of assessment instruments in Palliative Care].

    Science.gov (United States)

    Büche, Daniel J

    2012-02-01

    Assessment in palliative care is very important. The assessment is a structured and goal oriented procedure. Both is important - structure and goal - because of the patient's vulnerability and in respect to his life-threatening illness. Assessment instruments play a limited role in the process of assessment because many values in palliative care are individual, subjective and their comparison to each other and their measure are limited. It isn't scientific to measure values which aren't measureable. Values become less measureable when complexity grows. Complexity can't be simplified because simplification destroys complexity. It makes sense to ask oneself which outcome an assessment instrument will measure before we use it.

  18. Validation of a Novel Instrument to Measure Elements of Franciscan-Inspired Spirituality in a General Population and in Religious Persons

    Directory of Open Access Journals (Sweden)

    Arndt Büssing

    2017-09-01

    Full Text Available Today there are several approaches for bringing mindfulness, which conceptually refers to the Buddhist Vipassana tradition, into organizations. Programs referring to value-based attitudes and behaviors derived from specific Christian contexts are rarely evaluated. A prerequisite are reliable instruments for measuring the respective outcomes. We therefore performed a cross-sectional study among 418 participants to validate an instrument measuring specific aspects of Franciscan-inspired spirituality (FraSpir, particularly the core dimensions and transformative outcomes. Exploratory factor analysis of this FraSpir questionnaire with 26 items pointed to four main factors (i.e., “Live from Faith/Search for God”; “Peaceful attitude/Respectful Treatment”; “Commitment to Disadvantaged and Creation”; “Attitude of Poverty”. Their internal consistency (Cronbach’s alpha ranged from 0.79 to 0.97. With respect to convergent validity, there were sound correlations with engagement in religious practices, gratitude and awe, and prosocial-humanistic practices. The 26-item instrument was found to be a reliable and valid instrument for use in training and education programs. Interestingly, nuns and monks scored significantly higher on the Faith and Poverty subscales than others, but similarly on the two subscales addressing considerate action in the world. These attitudes and behaviors are not exclusively valued by those of religious faith, but by all.

  19. Acute care nurses' spiritual care practices.

    Science.gov (United States)

    Gallison, Barry S; Xu, Yan; Jurgens, Corrine Y; Boyle, Suzanne M

    2013-06-01

    The purpose of this study was to identify barriers in providing spiritual care to hospitalized patients. A convenience sample (N = 271) was recruited at an academic medical center in New York City for an exploratory, descriptive questionnaire. The Spiritual Care Practice (SCP) questionnaire assesses spiritual care practices and perceived barriers to spiritual care. The SCP determines the percentage that provides spiritual support and perceived barriers inhibiting spiritual care. The participation rate was 44.3% (N = 120). Most (61%) scored less than the ideal mean on the SCP. Although 96% (N = 114) believe addressing patients spiritual needs are within their role, nearly half (48%) report rarely participating in spiritual practices. The greatest perceived barriers were belief that patient's spirituality is private, insufficient time, difficulty distinguishing proselytizing from spiritual care, and difficulty meeting needs when spiritual beliefs were different from their own. Although nurses identify themselves as spiritual, results indicate spirituality assessments are inadequate. Addressing barriers will provide nurses opportunities to address spirituality. Education is warranted to improve nurses' awareness of the diversity of our society to better meet the spiritual needs of patients. Understanding these needs provide the nurse with opportunities to address spirituality and connect desires with actions to strengthen communication and the nurse-patient relationship.

  20. Instrumentation

    International Nuclear Information System (INIS)

    Decreton, M.

    2001-01-01

    SCK-CEN's research and development programme on instrumentation involves the assessment and the development of sensitive measurement systems used within a radiation environment. Particular emphasis is on the assessment of optical fibre components and their adaptability to radiation environments. The evaluation of ageing processes of instrumentation in fission plants, the development of specific data evaluation strategies to compensate for ageing induced degradation of sensors and cable performance form part of these activities. In 2000, particular emphasis was on in-core reactor instrumentation applied to fusion, accelerator driven and water-cooled fission reactors. This involved the development of high performance instrumentation for irradiation experiments in the BR2 reactor in support of new instrumentation needs for MYRRHA, and for diagnostic systems for the ITER reactor

  1. Instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Decreton, M

    2001-04-01

    SCK-CEN's research and development programme on instrumentation involves the assessment and the development of sensitive measurement systems used within a radiation environment. Particular emphasis is on the assessment of optical fibre components and their adaptability to radiation environments. The evaluation of ageing processes of instrumentation in fission plants, the development of specific data evaluation strategies to compensate for ageing induced degradation of sensors and cable performance form part of these activities. In 2000, particular emphasis was on in-core reactor instrumentation applied to fusion, accelerator driven and water-cooled fission reactors. This involved the development of high performance instrumentation for irradiation experiments in the BR2 reactor in support of new instrumentation needs for MYRRHA, and for diagnostic systems for the ITER reactor.

  2. Development process and psychometric testing of foot health assessment instrument.

    Science.gov (United States)

    Stolt, Minna; Suhonen, Riitta; Puukka, Pauli; Viitanen, Matti; Voutilainen, Päivi; Leino-Kilpi, Helena

    2013-05-01

    To describe the development process of the foot health assessment instrument for the assessment of foot health in older people and to evaluate the psychometric properties of the foot health assessment instrument. In clinical nursing, assessment of foot health and recognition of foot problems in older people is fundamental for maintain older persons' independent functional ability. However, valid and reliable nurse-administered foot health assessment instruments are lacking. A cross-sectional methodological design. The foot health assessment instrument was developed in 2008-2011 based on a literature review and expertise in podiatry and nursing. Content validity was evaluated in four expert panels. Inter-rater reliability between nurses' and researcher (MS) assessments was evaluated in the pilot test and in the empirical testing of the instrument with a sample of visiting home nurses. Inter-rater reliability was calculated with Cohen's kappa, internal consistency reliability was examined with Cronbach's alpha coefficients and item analysis, and construct validity was evaluated by principal component analysis with Varimax rotation and confirmatory factor analysis. Content validity was guaranteed by the expert analyses. Inter-rater reliability improved after pilot test. The Cronbach's alpha coefficient for the total foot health assessment instrument was satisfactory. Item-to-total correlations varied between but most of them were acceptable. Principal component analysis and confirmatory factor analysis supported the four component structure of the foot health assessment instrument. The 23-item foot health assessment instrument showed preliminary acceptable psychometric properties. However, further modifications and testing are needed to strengthen the psychometric properties of the foot health assessment instrument. The existence of a foot health assessment instrument and its application would considerably improve the assessment of foot health in daily nursing

  3. Counselor Competence, Performance Assessment, and Program Evaluation: Using Psychometric Instruments

    Science.gov (United States)

    Tate, Kevin A.; Bloom, Margaret L.; Tassara, Marcel H.; Caperton, William

    2014-01-01

    Psychometric instruments have been underutilized by counselor educators in performance assessment and program evaluation efforts. As such, we conducted a review of the literature that revealed 41 instruments fit for such efforts. We described and critiqued these instruments along four dimensions--"Target Domain," "Format,"…

  4. Development and Psychometric Assessment of a Spirituality Questionnaire for Indian Palliative Care Patients

    Science.gov (United States)

    Bhatnagar, Sushma; Noble, Simon; Chaturvedi, Santosh K; Gielen, Joris

    2016-01-01

    Introduction: There are only a few studies on spirituality among palliative care patients in India. This gap in research may be caused by the absence of relevant questionnaires and scales specifically designed for Indian palliative care populations. In this study, we describe the development of such a questionnaire and explain its psychometric characteristics. Methods: We designed a questionnaire on the basis of a systematic review of the literature. After a review of the questionnaire by specialists and a subsequent pilot study, the questionnaire was amended. The final questionnaire consisted of a list of 36 spirituality items. It was administered to a sample of 300 cancer patients attending the pain clinic of a tertiary hospital in New Delhi. Results: A factor analysis led to four factors explaining 54.6% of variance: Shifting moral and religious values (Factor 1), support from religious relationship (Factor 2), existential blame (Factor 3), and spiritual trust (Factor 4). The skewness and kurtosis for Factors 1, 3, and 4 were within a tolerable range for assuming a normal distribution, but Factor 2 was skewed. The alphas showed that the four factors have an acceptable internal consistency. Statistically significant associations were observed for age and Factor 3 (P = 0.004), gender and Factor 4 (P = 0.014), marital status and Factors 3 (P = 0.002) and 4 (P = 0.001), educational level and Factors 3 (P spirituality among palliative care patients in India. PMID:26962275

  5. Instrumentation

    International Nuclear Information System (INIS)

    Decreton, M.

    2002-01-01

    SCK-CEN's R and D programme on instrumentation involves the development of advanced instrumentation systems for nuclear applications as well as the assessment of the performance of these instruments in a radiation environment. Particular emphasis is on the use of optical fibres as umbilincal links of a remote handling unit for use during maintanance of a fusion reacor, studies on the radiation hardening of plasma diagnostic systems; investigations on new instrumentation for the future MYRRHA accelerator driven system; space applications related to radiation-hardened lenses; the development of new approaches for dose, temperature and strain measurements; the assessment of radiation-hardened sensors and motors for remote handling tasks and studies of dose measurement systems including the use of optical fibres. Progress and achievements in these areas for 2001 are described

  6. Instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Decreton, M

    2002-04-01

    SCK-CEN's R and D programme on instrumentation involves the development of advanced instrumentation systems for nuclear applications as well as the assessment of the performance of these instruments in a radiation environment. Particular emphasis is on the use of optical fibres as umbilincal links of a remote handling unit for use during maintanance of a fusion reacor, studies on the radiation hardening of plasma diagnostic systems; investigations on new instrumentation for the future MYRRHA accelerator driven system; space applications related to radiation-hardened lenses; the development of new approaches for dose, temperature and strain measurements; the assessment of radiation-hardened sensors and motors for remote handling tasks and studies of dose measurement systems including the use of optical fibres. Progress and achievements in these areas for 2001 are described.

  7. [Evolutionary Concept Analysis of Spirituality].

    Science.gov (United States)

    Ko, Il Sun; Choi, So Young; Kim, Jin Sook

    2017-04-01

    This study was done to clarify attributes, antecedents, and consequences of spirituality. Rodgers's evolutionary concept analysis was used to analyze fifty seven studies from the literature related to spirituality as it appears in systematic literature reviews of theology, medicine, counseling & psychology, social welfare, and nursing. Spirituality was found to consist of two dimensions and eight attributes: 1) vertical dimension: 'intimacy and connectedness with God' and 'holy life and belief', 2) horizontal dimension: 'self-transcendence', 'meaning and purpose in life', 'self-integration', and 'self-creativity' in relationship with self, 'connectedness' and 'trust' in relationship with others·neighbors·nature. Antecedents of spirituality were socio-demographic, religious, psychological, and health related characteristics. Consequences of spirituality were positive and negative. Being positive included 'life centered on God' in vertical dimension, and among horizontal dimension 'joy', 'hope', 'wellness', 'inner peace', and 'self-actualization' in relationship with self, 'doing in love' and 'extended life toward neighbors and the world' in relationship with others·neighbors·nature. Being negative was defined as having 'guilt', 'inner conflict', 'loneliness', and 'spiritual distress'. Facilitators of spirituality were stressful life events and experiences. Spirituality is a multidimensional concept. Unchangeable attributes of spirituality are 'connectedness with God', 'self-transcendence', 'meaning of life' and 'connectedness with others·nature'. Unchangeable consequences of spirituality are 'joy' and 'hope'. The findings suggest that the dimensional framework of spirituality can be used to assess the current spiritual state of patients. Based on these results, the development of a Korean version of the scale measuring spirituality is recommended. © 2017 Korean Society of Nursing Science

  8. Practical approaches to spiritual pain.

    Science.gov (United States)

    Brunjes, George B

    2010-01-01

    Spiritual pain/suffering is commonly experienced by persons with life-limiting illness and their families. Physical pain itself can be exacerbated by non-physical causes such as fear, anxiety, grief, unresolved guilt, depression and unmet spiritual meets. Likewise, the inability to manage physical pain well can be due to emotional and spiritual needs. This is why a holistic, interdisciplinary assessment of pain and suffering is required for each patient and family. The mind, body and spirit are understood in relationship to each other and, in those cases, in relationship to a deity or deities are important to understand. Cultural interpretations of pain and suffering may conflict with the goals of palliative care. Understanding the spiritual framework of the patient and family can help to assure that the physical and spiritual suffering of the patient can be eliminated to provide a peaceful death. Spiritual practices may help in the management of physical pain.

  9. OMPS Limb Profiler Instrument Performance Assessment

    Science.gov (United States)

    Jaross, Glen R.; Bhartia, Pawan K.; Chen, Grace; Kowitt, Mark; Haken, Michael; Chen, Zhong; Xu, Philippe; Warner, Jeremy; Kelly, Thomas

    2014-01-01

    Following the successful launch of the Ozone Mapping and Profiler Suite (OMPS) aboard the Suomi National Polar-orbiting Partnership (SNPP) spacecraft, the NASA OMPS Limb team began an evaluation of instrument and data product performance. The focus of this paper is the instrument performance in relation to the original design criteria. Performance that is closer to expectations increases the likelihood that limb scatter measurements by SNPP OMPS and successor instruments can form the basis for accurate long-term monitoring of ozone vertical profiles. The team finds that the Limb instrument operates mostly as designed and basic performance meets or exceeds the original design criteria. Internally scattered stray light and sensor pointing knowledge are two design challenges with the potential to seriously degrade performance. A thorough prelaunch characterization of stray light supports software corrections that are accurate to within 1% in radiances up to 60 km for the wavelengths used in deriving ozone. Residual stray light errors at 1000nm, which is useful in retrievals of stratospheric aerosols, currently exceed 10%. Height registration errors in the range of 1 km to 2 km have been observed that cannot be fully explained by known error sources. An unexpected thermal sensitivity of the sensor also causes wavelengths and pointing to shift each orbit in the northern hemisphere. Spectral shifts of as much as 0.5nm in the ultraviolet and 5 nm in the visible, and up to 0.3 km shifts in registered height, must be corrected in ground processing.

  10. Resident Assessment Instrument/Minimum Data Set (RAI/MDS)

    Data.gov (United States)

    Department of Veterans Affairs — The Resident Assessment Instrument/Minimum Data Set (RAI/MDS) is a comprehensive assessment and care planning process used by the nursing home industry since 1990 as...

  11. [Spiritual phenomena occurring in everybody and health].

    Science.gov (United States)

    Krsiak, M

    2008-01-01

    The past several years have seen an explosion of research in the area of spirituality and health. However, confusion and incomprehension of the conception of spirituality (e.g. confounding spirituality with various conventional views on religiousness) hampers better understanding in this area. The present paper proposes definition of spiritual phenomena in man based on natural epistemological and instrumental criteria (whether a certain phenomenon can be objectively known and evoked): spiritual phenomena in man are those, which cannot be objectively known nor evoked, but which act (e.g., love, idea). Spiritual phenomena can be really known only in the self ("in spirit"). Objectively known can be only manifestations of spiritual phenomena. Some attributes of love (e.g. its personal uniqueness) or ideas (e.g., sense of own life) whose satisfaction appears to be important for health are briefly outlined. A review of some frequently cited recent papers investigating the role of spirituality in health and discussion of frequent pitfalls in this area is given. Spirituality is a universal human phenomenon. All human beings, secular or religious, encounter with spiritual phenomena. Although the present conception of spirituality distances from some conventional views on religiousness, it is not atheistic. On the contrary, it accommodates the basic religious concept "God is love". Conceptual clarification is essential for further progress in the study of impact of spirituality on health.

  12. Religious attitudes and spiritual health among elderly inpatient adults in Shahrekord hospitals

    Directory of Open Access Journals (Sweden)

    Raziye Sadat hosseiny

    2016-06-01

    Full Text Available Background and Objectives: Human is a multidimensional creature and spiritual domain is the central dimension which has an undeniable effect on gaining health. The most important part of nursing care with family based approach is to help people in achieving optimal level of health. On the other hand, religious attitudes and spiritual health is an important domain of life in ageing period. Therefore, this study was conducted to assess the religious attitudes and spiritual health among elderly inpatients in Shahrekord hospitals. Methods: This descriptive correlational study was conducted in 1392 in Shahrekord hospitals. A total of 308 geriatric patients who were admitted to a surgical ward, were recruited through random sampling. Two sets of questionnaires regarding religious and spiritual health were used as the instruments. After collecting the data, descriptive (frequency, mean, variance, standard deviation and analytical (independent t test, Pearson correlation statistics were used by SPSS statistical software. Results: The results showed that 68.8% of patients possessed large religious attitude with an average of 140.68 ±30.14. Spiritual health in 51.3 percent of samples was described to be low while the obtained average score was 86.18 ± 16.61. However, Pearson test showed that there is a positive significant correlation between religious attitudes and spiritual health (r =0.83, P =0.05. Conclusions: The present study revealed that there is a significant relationship between religious attitudes and spiritual health and people with high religious attitudes have high spiritual health.

  13. Physiological and psychosocial factors in spiritual needs attainment for community-dwelling older adults.

    Science.gov (United States)

    Palmer, Jennifer A; Howard, Elizabeth P; Bryan, Margaret; Mitchell, Susan L

    Spiritual well-being enhances older persons' health status. Factors that optimize their spiritual well-being are not well-established. To describe spiritual needs attainment and identify factors associated with such attainment among community-dwelling older persons. Cross-sectional. Sixty-five U.S. continuing care retirement communities or independent housing facilities. 4077 persons entering the facilities between January 1, 2007 and November 30, 2016. Standardized Community Health Assessment and Wellness Survey instruments were used to determine the proportion of subjects reporting their spiritual needs were met. Multivariate logistic regression identified characteristics independently associated with this outcome. Among the 4077 subjects (mean age 81.6 ± 7.5; male, 28.8%; and White race, 70.7%), 93.4% stated their spiritual needs were met. Factors independently associated with a greater likelihood of spiritual needs attainment were: satisfaction with life (adjusted odds ratio (AOR) 2.81, 95% confidence interval (CI) 2.00, 3.96; p dwelling older persons reported their spiritual needs were met. Adequate sleep, pain relief, and having a person with whom to discuss death are potentially modifiable factors that may promote spiritual needs attainment in this population, which in turn, may improve their health outcomes. Published by Elsevier B.V.

  14. Faith and Belief, Importance, Community, Address in Care spiritual history tool by C. M. Puchalski as an instrument for an interdisciplinary team in patient car

    Directory of Open Access Journals (Sweden)

    Krakowiak Piotr

    2015-12-01

    Full Text Available Being aware of the tradition of research on spirituality in theology and the existence of detailed publications and research concerning psychology of religion and religiosity in psychology as well as other sciences in Poland, the authors propose the recognition and adaptation of the FICA tool for spirituality research. The belief in the importance of deepening the knowledge and providing tools to research spirituality of human existence results from a long practice of the authors in palliative and hospital care. Understanding a difficulty in operationalizing the category of spirituality, they attempted at searching for a method that would be applicable to persons at the end of their lives as well as to all the suffering. Having analyzed the research tools built by Polish science as well as available ones on religiosity and spirituality the following paper aims at presenting the unknown FICA tool (F – Faith and Believe, I – Importance, C – Community, A – Address in Care in Poland by Prof. Dr. Christina M. Puchalski, USA, being adapted to Polish practice. The tool presented allows for the evaluation of spiritual experience of persons taken medical and social care of by every member of multidisciplinary team of professionals. Since the FICA tool is a qualitative scale it does not need a normalization and standardization methodology. However, a cultural adaptation is crucial in order to make the practical tool become help in answering spiritual and existential questions posed by patients to workers and voluntaries engaged in the process of Care.

  15. Assessing the local windfield with instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Zambrano, T.G.

    1980-10-01

    This report concerns the development and testing of a technique for the initial screening and evaluation of potential sites for wind-energy conversion systems (WECS). The methodology was developed through a realistic siting exercise. The siting exercise involved measurements of winds along the surface and winds aloft using a relatively new instrument system, the Tethered Aerodynamic Lifting Anemometer (TALA) kite; notation of ecological factors such as vegetation flagging, soil erosion and site exposure, and verification of an area best suited for wind-energy development by establishing and maintaining a wind monitoring network. The siting exercise was carried out in an approximately 100-square-mile region of the Tehachapi Mountains of Southern California. The results showed that a comprehensive site survey involving field measurements, ecological survey, and wind-monitoring can be an effective tool for preliminary evaluation of WECS sites.

  16. [work motivation -- assessment instruments and their relevance for medical care].

    Science.gov (United States)

    Fiedler, Rolf G; Ranft, Andreas; Greitemann, Bernhard; Heuft, Gereon

    2005-11-01

    The relevance of work motivation for medical research and healthcare, in particular rehabilitation, is described. Four diagnostic instruments in the German language are introduced which can assess work motivation using a scale system: AVEM, JDS, LMI and FBTM. Their possible application and potential usage for the clinical area are discussed. Apart from the FBTM, none of these instruments can be directly used as a general instrument in a normal medical clinical setting. Finally, a current model for work motivation (compensatory model of work motivation and volition) is presented that contains basis concepts, which are judged as important for future research questions concerning the development of motivation diagnostic instruments.

  17. Continuity of care: a nursing needs assessment instrument.

    Science.gov (United States)

    Holland, D E; Hansen, D C; Matt-Hensrud, N N; Severson, M A; Wenninger, C R

    1998-01-01

    Based on testing of the Uniform Needs Assessment Instrument (UNAI), a nursing needs assessment tool for adult hospitalized patients was integrated into nursing practice. Some content and format changes to the UNAI occurred as a result of the research process. The revised assessment form is called the Nursing Needs Assessment Instrument (NNAI). Community providers, including nursing home and home health care personnel, use the NNAI to derive necessary admission data for assessing patients, planning care, and communicating with other staff regarding patient needs. Instituting an evidence-based practice change in hospital discharge forms enables the next care provider to consistently meet the patient's continuing needs.

  18. Frailty assessment instruments: Systematic characterization of the uses and contexts of highly-cited instruments

    Science.gov (United States)

    Buta, Brian J.; Walston, Jeremy D.; Godino, Job G.; Park, Minsun; Kalyani, Rita R.; Xue, Qian-Li; Bandeen-Roche, Karen; Varadhan, Ravi

    2016-01-01

    The medical syndrome of frailty is widely recognized, yet debate remains over how best to measure it in clinical and research settings. This study reviewed the frailty-related research literature by (a) comprehensively cataloging the wide array of instruments that have been utilized to measure frailty, and (b) systematically categorizing the different purposes and contexts of use for frailty instruments frequently cited in the research literature. We identified 67 frailty instruments total; of these, nine were highly-cited (≥200 citations). We randomly sampled and reviewed 545 English-language articles citing at least one highly-cited instrument. We estimated the total number of uses, and classified use into eight categories: risk assessment for adverse health outcomes (31% of all uses); etiological studies of frailty (22%); methodology studies (14%); biomarker studies (12%); inclusion/exclusion criteria (10%); estimating prevalence as primary goal (5%); clinical decision-making (2%); and interventional targeting (2%). The most common assessment context was observational studies of older community-dwelling adults. Physical Frailty Phenotype was the most used frailty instrument in the research literature, followed by the Deficit Accumulation Index and the Vulnerable Elders Survey. This study provides an empirical evaluation of the current uses of frailty instruments, which may be important to consider when selecting instruments for clinical or research purposes. We recommend careful consideration in the selection of a frailty instrument based on the intended purpose, domains captured, and how the instrument has been used in the past. Continued efforts are needed to study the validity and feasibility of these instruments. PMID:26674984

  19. the research quality plus (rq+) assessment instrument

    International Development Research Centre (IDRC) Digital Library (Canada)

    sclarke

    the research, and the extent to which attention to integrity is reflected in the research outputs. Ways of judging integrity will differ for qualitative, quantitative or mixed methods designs; care should be taken to ensure that appropriate standards are applied for each case. In making this assessment, external reviewers should ...

  20. Assessing hospitals' clinical risk management: Development of a monitoring instrument

    Directory of Open Access Journals (Sweden)

    Pfeiffer Yvonne

    2010-12-01

    Full Text Available Abstract Background Clinical risk management (CRM plays a crucial role in enabling hospitals to identify, contain, and manage risks related to patient safety. So far, no instruments are available to measure and monitor the level of implementation of CRM. Therefore, our objective was to develop an instrument for assessing CRM in hospitals. Methods The instrument was developed based on a literature review, which identified key elements of CRM. These elements were then discussed with a panel of patient safety experts. A theoretical model was used to describe the level to which CRM elements have been implemented within the organization. Interviews with CRM practitioners and a pilot evaluation were conducted to revise the instrument. The first nationwide application of the instrument (138 participating Swiss hospitals was complemented by in-depth interviews with 25 CRM practitioners in selected hospitals, for validation purposes. Results The monitoring instrument consists of 28 main questions organized in three sections: 1 Implementation and organizational integration of CRM, 2 Strategic objectives and operational implementation of CRM at hospital level, and 3 Overview of CRM in different services. The instrument is available in four languages (English, German, French, and Italian. It allows hospitals to gather comprehensive and systematic data on their CRM practice and to identify areas for further improvement. Conclusions We have developed an instrument for assessing development stages of CRM in hospitals that should be feasible for a continuous monitoring of developments in this important area of patient safety.

  1. Assessing hospitals' clinical risk management: Development of a monitoring instrument.

    Science.gov (United States)

    Briner, Matthias; Kessler, Oliver; Pfeiffer, Yvonne; Wehner, Theo; Manser, Tanja

    2010-12-13

    Clinical risk management (CRM) plays a crucial role in enabling hospitals to identify, contain, and manage risks related to patient safety. So far, no instruments are available to measure and monitor the level of implementation of CRM. Therefore, our objective was to develop an instrument for assessing CRM in hospitals. The instrument was developed based on a literature review, which identified key elements of CRM. These elements were then discussed with a panel of patient safety experts. A theoretical model was used to describe the level to which CRM elements have been implemented within the organization. Interviews with CRM practitioners and a pilot evaluation were conducted to revise the instrument. The first nationwide application of the instrument (138 participating Swiss hospitals) was complemented by in-depth interviews with 25 CRM practitioners in selected hospitals, for validation purposes. The monitoring instrument consists of 28 main questions organized in three sections: 1) Implementation and organizational integration of CRM, 2) Strategic objectives and operational implementation of CRM at hospital level, and 3) Overview of CRM in different services. The instrument is available in four languages (English, German, French, and Italian). It allows hospitals to gather comprehensive and systematic data on their CRM practice and to identify areas for further improvement. We have developed an instrument for assessing development stages of CRM in hospitals that should be feasible for a continuous monitoring of developments in this important area of patient safety.

  2. The spiritual environment in New Zealand hospice care: identifying organisational commitment to spiritual care.

    Science.gov (United States)

    Egan, Richard; MacLeod, Rod; Jaye, Chrystal; McGee, Rob; Baxter, Joanne; Herbison, Peter

    2014-09-01

    Spiritual matters naturally arise in many people who have either a serious illness or are nearing end-of-life. The literature shows many examples of spiritual assessments, interventions and care; however, there is a lack of focus on organisational support for spiritual care. We aimed to ascertain the structural and operational capacity of New Zealand's hospices to attend to the spiritual needs and concerns of patients, families and staff. As part of a larger study, a mail out cross-sectional survey was distributed to 25 New Zealand hospices and asked details from staff about facilities, practices and organisational aspects of spiritual care. Data were collated by creating a 'hospice setting spiritual score' based on an aggregate of eight items from the survey. There was a 66% response rate. Summary scores ranged from 2 to 7 indicating that while sites delivered a range of spiritual services, all could improve the level of spiritual care they provide. The two most common items missing were 'spiritual professional development' and 'formal spiritual assessment.' This simple setting spiritual score provides a snapshot of a hospice's commitment to spiritual care. It could be used as a preliminary auditing tool to assist hospices in identifying organisational and operational aspects that could be improved to enhance spiritual care delivery. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  3. An Awareness of Spirituality from Two Perspectives

    Science.gov (United States)

    Zweiback, Yoshi; Kaplan, Sandra N.; Manzone, Jessica

    2016-01-01

    This paper addresses the question of spirituality in a religious setting, and prayer as an expression of ultimate values, as a discipline which inspires empathy, as an instrument for connecting us with nature, and as a compass pointing us toward God, meaning, and purpose. Spirituality in the general education setting will also be discussed, as…

  4. Spirituality in nursing practice.

    Science.gov (United States)

    Rogers, Melanie; Wattis, John

    2015-05-27

    Spirituality is an important aspect of holistic care that is frequently overlooked. This is because of difficulties in conceptualising spirituality and confusion about how it should be integrated into nursing care. This article explores what is meant by spirituality and spiritually competent practice. It examines attitudes to spirituality, describes factors that might affect the integration of spirituality into nursing care and offers practical guidance to equip nurses to incorporate spirituality into their practice.

  5. Embodied Spirituality

    Science.gov (United States)

    Trousdale, Ann

    2013-01-01

    This article explores the concept of embodied spirituality from early Celtic traditions through the British medieval mystic Julian of Norwich to the present day. A "high theology" of the body in early Christianity and early Christian understandings of the relation among body, soul and spirit gave way to the influences of Greek thought with its…

  6. The use of dreams in spiritual care.

    Science.gov (United States)

    Stranahan, Susan

    2011-01-01

    This paper explores the use of dreams in the context of pastoral care. Although many people dream and consider their dreams to hold some significant spiritual meaning, spiritual care providers have been reluctant to incorporate patients' dreams into the therapeutic conversation. Not every dream can be considered insightful, but probing the meaning of some dreams can enhance spiritual care practice. Hill's Cognitive-Experimental Dream Interpretation Model is applied in the current article as a useful framework for exploring dreams, gaining insight about spiritual problems, and developing a therapeutic plan of action. Bulkeley's criteria for dream interpretation were used to furnish safeguards against inappropriate application of dream interpretation to spiritual assessment and interventions.

  7. Interprofessional education assessment and planning instrument for academic institutions.

    Science.gov (United States)

    Greer, Annette Grady; Clay, Maria C

    2010-01-01

    This article describes the creation, development, and peer review of an instrument for the assessment and improvement of interprofessional health educational programs in public and private health educational institutions nationally and internationally. The self-assessment is constructed with consideration of the following domains: educational venues, educational evaluation, programmatic participation, institutional support, and faculty incentives. The interprofessional education assessment and planning instrument for academic institutions can be a major aide in helping national and international leaders promoting IPE as the method to prepare future health professionals.

  8. Development of a spiritual self-care practice scale.

    Science.gov (United States)

    White, Mary L; Schim, Stephanie Myers

    2013-01-01

    Development of a valid, reliable instrument to measure spiritual self-care practices of patients with heart failure. African American patients (N = 142) with heart failure participated in the study. Spiritual advisors from several religious groups reviewed the Spiritual Self-Care Practices Scale (SSCPS) for content validity. Construct validity was determined using a principal components factor analysis. Reliability was established using Cronbach's alpha coefficients. Religious advisors provided suggestions to improve content validity. Four factors consistent with spiritual practices (personal spiritual practices, spiritual practices, physical spiritual practices, and interpersonal spiritual practices) emerged from the factor analysis. The alpha coefficient was moderate at 0.64. Results indicated the SSCPS was reliable and valid for measuring spiritual self-care practices among African Americans with heart failure. Additional testing is needed to confirm results in other patient groups with chronic illnesses.

  9. Using Longitudinal Scales Assessment for Instrumental Music Students

    Science.gov (United States)

    Simon, Samuel H.

    2014-01-01

    In music education, current assessment trends emphasize student reflection, tracking progress over time, and formative as well as summative measures. This view of assessment requires instrumental music educators to modernize their approaches without interfering with methods that have proven to be successful. To this end, the Longitudinal Scales…

  10. Advanced Practice Nursing Competency Assessment Instrument (APNCAI): clinimetric validation

    OpenAIRE

    Sastre-Fullana, Pedro; Morales-Asencio, Jose Miguel; Ses?-Abad, Albert; Bennasar-Veny, Miquel; Fern?ndez-Dom?nguez, Juan Carlos; De Pedro-G?mez, Joan

    2017-01-01

    Objective To describe the development and clinimetric validation of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) through several evidence sources about reliability and validity in the Spanish context. Design and setting APNCAI development was based on a multisequential and systematic process: literature review, instrument content consensus through qualitative Delphi method approach (a panel of 51 Advanced Practice in Nursing ?APN? experts was selected) and the clini...

  11. Towards Developing a Quantitative Literacy/Reasoning Assessment Instrument

    Directory of Open Access Journals (Sweden)

    Eric Gaze

    2014-07-01

    Full Text Available This article reports on the development and implementation of a non-proprietary assessment instrument for Quantitative Literacy/Reasoning. This instrument was based on prior work by Bowdoin College, Colby-Sawyer College, and Wellesley College and was piloted in 2012 and 2013. This article presents a discussion of its development as well as the results of the pilot implementation. This work was supported by a TUES Type 1 grant from the National Science Foundation.

  12. Workplace spirituality and organizational citizenship behavior: Evidence from banking industry

    Directory of Open Access Journals (Sweden)

    Mohammad Ghorbanifar

    2014-08-01

    Full Text Available This paper studies the relationship between workplace Spirituality and Organization Citizenship behavior (OCB in banks located in province of Sari, Iran. The statistical population of research includes the employees of Sari's Banks including Melli, Ghavamin, Saderat, Keshavarzi, Mellat,Tejarat, Saman, Parsian, Sarmaye, Pasargad and Karafarin. We used a questionnaire with 45 questions as an instrument for collecting research data. The questionnaire was designed based on workplace spirituality (Milliman et al., 2003 [Milliman, J., Czaplewski, A., & Ferguson, J. (2003. Workplace spirituality and employee work attitudes, an exploratory empirical assessment. Journal of Organizational Change Management, 16(4, 426-447.] and organizational citizenship behavior (Podsakoff et al., 1990 [Podsakoff, P., MacKenzie, S., Paine, J., & Bachrach, D. (2000. Organizational citizenship behaviors: A critical review of the theoretical and empirical literature and suggestions for future research. Journal of Management, 26(3, 513–563.]. Findings show that there was a meaningful relationship between workplace Spirituality and Organization Citizenship behavior. The results also indicated that there was a positive relationship between work spirituality and Organization Citizenship behavior in Sari's Bank.

  13. Creating a spiritual tapestry: nurses' experiences of delivering spiritual care to patients in an Irish hospice.

    LENUS (Irish Health Repository)

    Bailey, Maria E

    2009-01-01

    This study aims to describe nurses\\' experiences of delivering spiritual support in a palliative care setting in the Republic of Ireland. The authors conducted semi-structured interviews with 22 nurses working in the area of specialist palliative care. A content analysis of the transcriptions revealed five sub-themes: understanding spirituality; the art of nursing in spiritual care; education and learning; the challenge of spiritual caring; and the dimensions of time. The resulting creation of a spiritual tapestry provided an overall theme. Nurses in this study were spiritually self-aware and placed a high value on the spiritual element of their caring role. Nurses described their individual understanding of spirituality and discussed how they recognized and addressed a patient\\'s spiritual needs. Time was described as essential to the provision of spiritual support and appeared to be a significant resource challenge to the provision of spiritual care. The challenges of assessing spiritual needs and measuring outcomes of care were also reported. Participants in this study described the creation of a spiritual tapestry that \\'weaves\\' together care and compassion with skills and knowledge in their nursing practice.

  14. THE TRANSLATION, VALIDATION AND CULTURAL ADAPTATION OF FUNCTIONAL ASSESSMENT OF CHRONIC ILLNESS THERAPY - SPIRITUAL WELL-BEING 12 (FACIT-SP12) SCALE IN GREEK LANGUAGE.

    Science.gov (United States)

    Fradelos, Evangelos C; Tzavella, Foteini; Koukia, Evmorfia; Tsaras, Konstantinos; Papathanasiou, Ioanna V; Aroni, Adamantia; Alikari, Victoria; Ralli, Maria; Bredle, Jason; Zyga, Sofia

    2016-06-01

    According to World Health Organization (WHO), spirituality is an important domain of quality of life especially in terminal, life threatens chronic diseases. For many people spirituality and religion are not just very important dimensions of their existence, but also a source of support that contributes to wellbeing and coping with everyday difficulties of life. Aim of the study was the translation of the Facit Spiritual Well Being Scale (Facit-Sp12) in Greek language and the validation of the scale for the Greek population. The Facit-Sp12 questionnaire is an anonymous self-administered questionnaire that contains twelve, four point Likert scale, closed questions (0=Not at all, 1=A little bit, 2=Some-what, 3=Quite a bit, 4=Very Much). The questionnaire was translated into Greek language and then back translated in the English in order to be checked for any inconsistencies. The sample of the study was 183 chronic kidney disease patients, undergoing hemodialysis. Exploratory factor analysis, with principal components analysis with Varimax rotation was performed for checking the construct validity of the questionnaire. The test-retest reliability and the internal consistency were also examined. Statistical analysis performed by the use of SPSS 21.0. Statistical significance level was set at p=0.05. The final Greek version of the questionnaire includes all of the twelve questions. The mean age of the participants was 61.81±13.9. Three factors were exported from the statistical analysis. The Cronbach-α coefficient was 0.77 for the total questionnaire and for each subscale was 0.70 for "meaning", 0.73 for "peace" and 0.87 for "faith". Between the three subscales "meaning" had the highest score (mean 12.49, SD=2.865). The Facit Spiritual Wellbeing Scale-Facit-Sp12, is a valuable and reliable questionnaire of three dimensions that can be used for assessing spirituality and spiritual wellbeing in Greek population.

  15. Presenting a 4-Item Spiritual Well-Being Index (4-ISWBI

    Directory of Open Access Journals (Sweden)

    John Fisher

    2017-09-01

    Full Text Available Spiritual well-being is perceived to be reflected in the quality of relationships that people have in four areas, namely with God, others, nature, and self. Many spiritual well-being questionnaires exist, but not many provide an adequate assessment of these four relationships. As part of a survey of parental perceptions of holistic early childhood education in kindergartens in Hong Kong, 1383 parents and 165 teachers, from 22 kindergartens, completed a written survey questionnaire which helped to investigate the potential for a single question with four parts to provide a valid and reliable measure for spiritual well-being. Face, content, and construct validity were confirmed, together with Cronbach’s alpha providing a test for reliability. Similarity of findings from regression analysis of items in the 4-ISWBI with domains of spiritual well-being in the 20-item SHALOM, as well as partial discrimination by gender, reinforce the validity of the 4-ISWBI as a sound indicator of spiritual well-being and its four domains. In brief, the 4-Item Spiritual Well-Being Index (4-ISWBI promises to be a handy instrument to aid researchers looking for a convenient, concise, coherent indicator, but not an exhaustive measure, of spiritual well-being.

  16. EARLY READING ASSESSMENT INSTRUMENTS: ABILITIES AND PROCESSES INVOLVED

    Directory of Open Access Journals (Sweden)

    Ana Cláudia de Souza

    2017-04-01

    Full Text Available This study investigates the following early reading assessment instruments: “Bateria de Recepção e Produção da Linguagem Verbal” (SCLIAR-CABRAL, 2003a and “Teste de Competência de Leitura de Palavras e Pseudopalavras” (SEABRA; CAPOVILLA, 2010. The main research goal is to analyze in each one of these reading assessment instruments some of the multiple cognitive processes and basic low-level abilities involved in reading. In this sense, decoding, word recognition, lexical access, syntactic and textual processing, and comprehension are the cognitive processes taken into account. With regard to the basic reading abilities, accuracy and fluency (rhythm, prosody and speed are considered. The results indicate that each one of the analyzed reading assessment instruments assesses different aspects of the reading processes and abilities, mainly through off-line measures. ScliarCabral’s assessment battery allows the researcher or the teacher to evaluate the following processes: perception of the grapheme opposition in minimal pairs of words and in sentences, difficulties in sentence processing, skills in decoding the graphemic-phonemic relationship, and textual comprehension. In its turn, the reading assessment instrument proposed by Seabra e Capovilla allows one to evaluate student’s reading development level, by classifying the kind of processing as logographic, alphabetic or orthographic.

  17. Association between Spirituality and Adherence to Management in Outpatients with Heart Failure

    Directory of Open Access Journals (Sweden)

    Juglans Souto Alvarez

    2016-01-01

    Full Text Available Abstract Background: Spirituality may influence how patients cope with their illness. Objectives: We assessed whether spirituality may influence adherence to management of outpatients with heart failure. Methods: Cross sectional study enrolling consecutive ambulatory heart failure patients in whom adherence to multidisciplinary treatment was evaluated. Patients were assessed for quality of life, depression, religiosity and spirituality utilizing validated questionnaires. Correlations between adherence and psychosocial variables of interest were obtained. Logistic regression models explored independent predictors of adherence. Results: One hundred and thirty patients (age 60 ± 13 years; 67% male were interviewed. Adequate adherence score was observed in 38.5% of the patients. Neither depression nor religiosity was correlated to adherence, when assessed separately. Interestingly, spirituality, when assessed by both total score sum (r = 0.26; p = 0.003 and by all specific domains, was positively correlated to adherence. Finally, the combination of spirituality, religiosity and personal beliefs was an independent predictor of adherence when adjusted for demographics, clinical characteristics and psychosocial instruments. Conclusion: Spirituality, religiosity and personal beliefs were the only variables consistently associated with compliance to medication in a cohort of outpatients with heart failure. Our data suggest that adequately addressing these aspects on patient’s care may lead to an improvement in adherence patterns in the complex heart failure management.

  18. Association between Spirituality and Adherence to Management in Outpatients with Heart Failure.

    Science.gov (United States)

    Alvarez, Juglans Souto; Goldraich, Livia Adams; Nunes, Alice Hoefel; Zandavalli, Mônica Cristina Brugalli; Zandavalli, Rafaela Brugalli; Belli, Karlyse Claudino; Rocha, Neusa Sica da; Fleck, Marcelo Pio de Almeida; Clausell, Nadine

    2016-06-01

    Spirituality may influence how patients cope with their illness. We assessed whether spirituality may influence adherence to management of outpatients with heart failure. Cross sectional study enrolling consecutive ambulatory heart failure patients in whom adherence to multidisciplinary treatment was evaluated. Patients were assessed for quality of life, depression, religiosity and spirituality utilizing validated questionnaires. Correlations between adherence and psychosocial variables of interest were obtained. Logistic regression models explored independent predictors of adherence. One hundred and thirty patients (age 60 ± 13 years; 67% male) were interviewed. Adequate adherence score was observed in 38.5% of the patients. Neither depression nor religiosity was correlated to adherence, when assessed separately. Interestingly, spirituality, when assessed by both total score sum (r = 0.26; p = 0.003) and by all specific domains, was positively correlated to adherence. Finally, the combination of spirituality, religiosity and personal beliefs was an independent predictor of adherence when adjusted for demographics, clinical characteristics and psychosocial instruments. Spirituality, religiosity and personal beliefs were the only variables consistently associated with compliance to medication in a cohort of outpatients with heart failure. Our data suggest that adequately addressing these aspects on patient's care may lead to an improvement in adherence patterns in the complex heart failure management.

  19. Evaluation of using the Chinese version of the Spirituality Index of Well-Being (SIWB) scale in Taiwanese elders.

    Science.gov (United States)

    Lee, Yi-Hui; Salman, Ali

    2016-11-01

    Spirituality and spiritual well-being have emerged as important indicators for one's quality of life and health outcomes. Nursing as a profession is concerned with a holistic approach to improve health and overall well-being. To evaluate the outcomes of holistic nursing interventions, using valid and reliable instruments to assess spiritual well-being becomes necessary. There is a lack of instruments for measuring spiritual well-being in Chinese populations. Little has been known about the feasibility of using the Spirituality Index of Well-Being (SIWB) in Taiwanese elders. The purpose of this cross-sectional study was to evaluate the uses of the translated Chinese version of the Spirituality Index of Well-Being (SIWB-C) with Taiwanese elders. A total of 150 individual who were 65 years old or older and living in southern Taiwan were recruited from a public community center. A four-step procedure was used to translate the English version of the SIWB to the traditional Chinese language. Internal consistency, factor analysis, and correlation coefficient were conducted to evaluate the reliability and validity of the SIWB-C. The SIWB-C demonstrated a high internal consistency with Cronbach's alpha .95. The construct validity of SIWB-C was supported by factor analysis and by significant correlations with its subscales and the CES-D scale. The psychometric analysis indicates that the SIWB-C is a valid and reliable instrument for measuring spiritual well-being. This instrument provides a feasible and valid approach for assessing Taiwanese elders' spiritual well-being in the future. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Spiritual Dryness as a Measure of a Specific Spiritual Crisis in Catholic Priests: Associations with Symptoms of Burnout and Distress

    Directory of Open Access Journals (Sweden)

    Arndt Büssing

    2013-01-01

    Full Text Available Spirituality/religiosity is recognized as a resource to cope with burdening life events and chronic illness. However, less is known about the consequences of the lack of positive spiritual feelings. Spiritual dryness in clergy has been described as spiritual lethargy, a lack of vibrant spiritual encounter with God, and an absence of spiritual resources, such as spiritual renewal practices. To operationalize experiences of “spiritual dryness” in terms of a specific spiritual crisis, we have developed the “spiritual dryness scale” (SDS. Here, we describe the validation of the instrument which was applied among other standardized questionnaires in a sample of 425 Catholic priests who professionally care for the spiritual sake of others. Feelings of “spiritual dryness” were experienced occasionally by up to 40%, often or even regularly by up to 13%. These experiences can explain 44% of variance in daily spiritual experiences, 30% in depressive symptoms, 22% in perceived stress, 20% in emotional exhaustion, 19% in work engagement, and 21% of variance of ascribed importance of religious activity. The SDS-5 can be used as a specific measure of spiritual crisis with good reliability and validity in further studies.

  1. Spiritual Dryness as a Measure of a Specific Spiritual Crisis in Catholic Priests: Associations with Symptoms of Burnout and Distress

    Science.gov (United States)

    Günther, Andreas; Baumann, Klaus; Frick, Eckhard; Jacobs, Christoph

    2013-01-01

    Spirituality/religiosity is recognized as a resource to cope with burdening life events and chronic illness. However, less is known about the consequences of the lack of positive spiritual feelings. Spiritual dryness in clergy has been described as spiritual lethargy, a lack of vibrant spiritual encounter with God, and an absence of spiritual resources, such as spiritual renewal practices. To operationalize experiences of “spiritual dryness” in terms of a specific spiritual crisis, we have developed the “spiritual dryness scale” (SDS). Here, we describe the validation of the instrument which was applied among other standardized questionnaires in a sample of 425 Catholic priests who professionally care for the spiritual sake of others. Feelings of “spiritual dryness” were experienced occasionally by up to 40%, often or even regularly by up to 13%. These experiences can explain 44% of variance in daily spiritual experiences, 30% in depressive symptoms, 22% in perceived stress, 20% in emotional exhaustion, 19% in work engagement, and 21% of variance of ascribed importance of religious activity. The SDS-5 can be used as a specific measure of spiritual crisis with good reliability and validity in further studies. PMID:23843867

  2. Choosing Assessment Instruments for Bulimia Practice and Outcome Research

    Science.gov (United States)

    Sandberg, Katie; Erford, Bradley T.

    2013-01-01

    Six commonly used instruments for assessment of eating disorders were analyzed. Effect size results from Erford et al.'s (2013) meta-analysis for the treatment of bulimia nervosa were used to compare each scale's ability to measure treatment outcomes for bulimia nervosa. Effect size comparisons indicated higher overall effect sizes using the…

  3. Creation and Validation of a Sabbatical Assessment Instrument.

    Science.gov (United States)

    Miller, Michael T.

    Personal narratives provide typically unabashed enthusiasm for sabbatical leave programs, but few studies have explored the results of sabbaticals and the impact that these sabbaticals can and do have on the department and the university. This paper reports on the creation of an assessment instrument to measure the impact of a faculty member's…

  4. Facet Analysis of the Client Needs Assessment Instrument.

    Science.gov (United States)

    Dancer, L. Suzanne; Stanley, Lawrence R.

    The structure of the revised Client Needs Assessment Instrument (CNAI) is examined. In 1978-79, the Texas Department of Human Resources (DHR) developed the CNAI to provide an index of applicants' and clients' capacity for self-care by measuring the respondents' levels of functioning in: (1) physical health; (2) daily living activities; (3) mental…

  5. development and validation of an instrument for assessing junior ...

    African Journals Online (AJOL)

    PROF. BARTH EKWEME

    school Mathematics classroom environment as it affects teaching and learning of Mathematics in Enugu. State. ... plays a significant role in computer technology. ... classroom. The main purpose of this study was to develop and validate an instrument for assessing junior secondary school Mathematics classroom learning ...

  6. Geriatric assessment with focus on instrument selectivity for outcomes.

    Science.gov (United States)

    Extermann, Martine

    2005-01-01

    More than one half of all cancers in developed countries occur in patients aged 70 years and older. Therefore, in recent years, there has been a growing interest in integrating a comprehensive geriatric assessment into the management of these patients with cancer. This review article emphasizes the data gathered so far on the correlation between such an assessment and outcome in patients with cancer. The most developed data relate to functional status and comorbidity. Geriatric instruments appear more sensitive than classic oncological instruments in measuring functional status. There is also good evidence that as a patient's age advances, comorbidity affects in an increasing fashion their survival and cancer management. Some evidence is beginning to appear as to the impact a comprehensive geriatric assessment could have on the oncologic management of older patients with cancer.

  7. Development and Validation of an Instrument to Assess Secondary School Students' Perceptions of Assessment Tasks

    Science.gov (United States)

    Dorman, Jeffrey P.; Knightley, Wendy M.

    2006-01-01

    Research aimed at developing and validating an instrument to assess secondary school students' perceptions of assessment tasks was conducted. Following a review of literature, a five-scale instrument of 40 items was trialled with a sample of 658 science students in 11 English secondary schools. Based on internal consistency reliability data and…

  8. Competences, competences assessment, validity of instruments, Preschool Education

    Directory of Open Access Journals (Sweden)

    Rigoberto Marín Uribe

    2012-05-01

    Full Text Available The purpose of this article is to describe the design process, validation and assurance of an instrument for the assessment of the success level of competences in preschool children. Initially is presented a theoretical and contextual framework of the competences in preschool. With this, it is problematized about the absence of tools for that the educators could perform the diagnostic evaluation of competences required in the reform of preschool education 2004. In the design of the instrument, the concept of “situation” is central. The validation and assurance included a process of pilotage with 512 preschool children with the implementing in practice of three different ways of application of the instrument. The results show high levels of assurance and power of discrimination that allow to distinguish significantly people by age and socioeconomic level, not finding differences by genre.

  9. Religion, Spirituality and Speech-Language Pathology: A Viewpoint for Ensuring Patient-Centred Holistic Care.

    Science.gov (United States)

    Mathisen, Bernice; Carey, Lindsay B; Carey-Sargeant, Christa L; Webb, Gwendalyn; Millar, CaraJane; Krikheli, Lilli

    2015-12-01

    This paper presents a viewpoint concerning the largely neglected clinical relevance of spirituality and religious belief in speech-language pathology (SLP) assessments, interventions and outcomes across the lifespan. An overview of the refereed SLP literature is presented with regard to religion and spirituality. It was found that while there is increasing research with regard to spirituality, health and well-being, there is very little specific to SLP. What is available and clinically relevant, generally relates to holistic care and/or cultural and linguistic diversity. Amidst the health care literature, however, there is a growing number of recommended instruments (for religious/spiritual screening) sensitive to intercultural and interfaith issues that are currently available to medical, nursing, allied health and chaplaincy practitioners. These instruments can also be of value to SLPs to ensure holistic assessments and interventions. It would seem timely for SLPs (and other allied health practitioners) to consider including spiritual screenings/assessments as part of their clinical practice so as to ensure appropriate holistic care. This would also mean undertaking research and including relevant education within tertiary institutions and professional development programs.

  10. Spirituality: an overlooked predictor of placebo effects?

    Science.gov (United States)

    Kohls, Nikola; Sauer, Sebastian; Offenbächer, Martin; Giordano, James

    2011-06-27

    Empirical findings have identified spirituality as a potential health resource. Whereas older research has associated such effects with the social component of religion, newer conceptualizations propose that spiritual experiences and the intrapersonal effects that are facilitated by regular spiritual practice might be pivotal to understanding potential salutogenesis. Ongoing studies suggest that spiritual experiences and practices involve a variety of neural systems that may facilitate neural 'top-down' effects that are comparable if not identical to those engaged in placebo responses. As meaningfulness seems to be both a hallmark of spirituality and placebo reactions, it may be regarded as an overarching psychological concept that is important to engaging and facilitating psychophysiological mechanisms that are involved in health-related effects. Empirical evidence suggests that spirituality may under certain conditions be a predictor of placebo response and effects. Assessment of patients' spirituality and making use of various resources to accommodate patients' spiritual needs reflect our most current understanding of the physiological, psychological and socio-cultural aspects of spirituality, and may also increase the likelihood of eliciting self-healing processes. We advocate the position that a research agenda addressing responses and effects of both placebo and spirituality could therefore be (i) synergistic, (ii) valuable to each phenomenon on its own, and (iii) contributory to an extended placebo paradigm that is centred around the concept of meaningfulness.

  11. Spirituality: an overlooked predictor of placebo effects?

    Science.gov (United States)

    Kohls, Nikola; Sauer, Sebastian; Offenbächer, Martin; Giordano, James

    2011-01-01

    Empirical findings have identified spirituality as a potential health resource. Whereas older research has associated such effects with the social component of religion, newer conceptualizations propose that spiritual experiences and the intrapersonal effects that are facilitated by regular spiritual practice might be pivotal to understanding potential salutogenesis. Ongoing studies suggest that spiritual experiences and practices involve a variety of neural systems that may facilitate neural ‘top-down’ effects that are comparable if not identical to those engaged in placebo responses. As meaningfulness seems to be both a hallmark of spirituality and placebo reactions, it may be regarded as an overarching psychological concept that is important to engaging and facilitating psychophysiological mechanisms that are involved in health-related effects. Empirical evidence suggests that spirituality may under certain conditions be a predictor of placebo response and effects. Assessment of patients' spirituality and making use of various resources to accommodate patients' spiritual needs reflect our most current understanding of the physiological, psychological and socio-cultural aspects of spirituality, and may also increase the likelihood of eliciting self-healing processes. We advocate the position that a research agenda addressing responses and effects of both placebo and spirituality could therefore be (i) synergistic, (ii) valuable to each phenomenon on its own, and (iii) contributory to an extended placebo paradigm that is centred around the concept of meaningfulness. PMID:21576141

  12. Spiritual Politics

    Directory of Open Access Journals (Sweden)

    Frédéric Rambeau

    2015-01-01

    Full Text Available According to Foucault, the uprising of the Iranian people in the seventies reveals how much the political force of Islam is due precisely to the fact that it is not principally located in the field of politics, but in that of ethics. Religion (Shiite Islam appears as the guarantee of real change in the very mode of existence. This spiritual politics is marginalized by Marxism, where it is understood as a discontinuity in relation to proper politics, given that the latter is necessarily linked to a strategic rationalization. By indicating, at this juncture of what is intolerable, the living source and the critical impulse of the Foucauldian ethics, this spiritual politics also leads to recognize in the concept of “subjectivation” a dimension that might escape the circle of freedom as determined by a total immanence to power. This conceptual possibility is highly present in the aporias of the Foucauldian concept of the “relation to oneself”, both as a first condition of governmentality and the ultimate point of resistance against any governmentality. It thus reveals the difficulties in relating political to ethical subjectivation.

  13. On Spirituality and Education

    Science.gov (United States)

    Hogan, Michael J.

    2009-01-01

    It is a mistake to ignore the scientific study of spirituality. Research examining the structure and function of concepts such as "spirit" and "spirituality" is likely to reveal new insights into the relationship between a functional spirituality and other thinking skills, including creativity. The study of spirituality should not stand alone as a…

  14. Metacognition Assessment Interview: Instrument description and factor structure

    Directory of Open Access Journals (Sweden)

    Giovanni Pellecchia

    2015-12-01

    Full Text Available Objective: Metacognition is a multi-component psychological construct, characterised by the ability to identify and describe one’s own mental states and those of others. Evidence has been found for an association between deficits in metacognitive abilities and poor social functioning, low quality of life, psychopathology, and symptoms in Personality Disorders (PDs. However, to date, there are few psychometrically validated instruments available for assessing the different components of metacognition. A semi-structured interview, the Metacognition Assessment Interview (MAI, has been developed to evaluate different domains of metacognition. In the present study, we investigated the psychometric properties of the MAI in an outpatient clinical sample. Method: The MAI was administered to a clinical population of 306 outpatients attending a private clinical centre. Exploratory factor analysis, confirmatory factor analysis and correlation with instruments assessing alexithymia and interpersonal problems were carried out to examine the dimensionality and validity of the MAI. Result: Explorative and confirmatory factor analyses revealed a good fit for both a two-factor model and a four-factor model of metacognition. The two-factor model yielded two main dimensions, which we named: Self domain, defined as self-reflection, and Other domain, defined as critical distancing from one’s own mental state and that of others. The four-factor solution is composed of four sub-domains: monitoring, integration, differentiation and decentration. Moreover, the MAI showed good convergent validity, with significant correlations with both alexithymia and interpersonal problems. Conclusions: These results confirm that the MAI is a reliable instrument for measuring metacognition and its different sub-domains. In particular, the MAI represents a useful and flexible instrument for the assessment of metacognition impairments in different psychopathologies and it can provide

  15. Meaning of spiritual care: Iranian nurses' experiences.

    Science.gov (United States)

    Tirgari, Batool; Iranmanesh, Sedigheh; Ali Cheraghi, Mohammad; Arefi, Ali

    2013-01-01

    Spiritual care is an essential component in nursing practice and strongly influenced by the sociocultural context. This article aimed to elucidate the meaning of nurses' experiences of giving spiritual care in southeast of Iran. A phenomenological hermeneutic approach influenced by Ricoeur was used. Eleven staff nurses who were currently working in the 3 major hospitals under the umbrella of the Kerman University of Medical Sciences were interviewed. The meaning of spiritual care was comprehensively understood as meeting patient as a unique being. This can be divided into 3 themes: meeting patient as a being in relationship, meeting patient as a cultural being, and meeting patient as a religious being. The results in this study suggest that education about spirituality and spiritual care should be included in the continuous and in-service education of registered nurses. Spiritual and cultural assessment criteria should be included in this education to improve the provision of holistic care.

  16. Spiritually and religiously integrated group psychotherapy

    DEFF Research Database (Denmark)

    Viftrup, Dorte Toudal; Hvidt, Niels Christian; Buus, Niels

    2013-01-01

    WE SYSTEMATICALLY REVIEWED THE RESEARCH LITERATURE ON SPIRITUALLY AND RELIGIOUSLY INTEGRATED GROUP PSYCHOTHERAPY TO ANSWER THE FOLLOWING THREE QUESTIONS: first, how are spirituality and religiosity defined; second, how are spiritual and religious factors characterized and integrated into group...... for spiritually or religiously integrated group psychotherapy and conducting research in this field are propounded....... psychotherapy; and, third, what is the outcome of the group psychotherapies? We searched in two databases: PsycINFO and PubMed. Inclusion and exclusion criteria and checklists from standardized assessment tools were applied to the research literature. Qualitative and quantitative papers were included. In total...

  17. The psychometric properties of a shortened corporate entrepreneurship assessment instrument

    Directory of Open Access Journals (Sweden)

    Renier Steyn

    2017-08-01

    Aim: The aim of this research was to evaluate the psychometric properties of a measure of entrepreneurial climate. Entrepreneurial climate was measured using a shortened version of the Hornsby, Kuratko and Zahra (2002 instrument, called the Corporate Entrepreneurship Assessment Instrument (CEAI. Making information on the psychometric properties of the instrument available directly relates to its utility. Setting: The setting was medium to large South African companies. A random sample of employees was drawn from 53 selected companies across South Africa, with 60 respondents per company (N = 3 180. Methods: A cross-sectional survey design was used. Several instruments were administered, including the shortened version of the CEAI. Cronbach’s alpha was used to test for reliability and several methods were used to test for validity. Correlation analysis was used to test for concurrent validity, convergent validity and divergent validity. Principle component factor analysis was used to test for factorial validity and a t-test to test for known-group validity. Results: The results showed that the reliability for the total score of the shortened version of the CEAI was acceptable at 0.758. The results also showed some evidence of concurrent validity, as well as homogeneity among the items. With regard to factorial validity, all items loaded in accordance with the subscales of the instrument. The measure was able to distinguish, as expected, between government organisations and private business entities, suggesting known-group validity. Convergent validity and divergent validity were also assessed. Interesting to note was that entrepreneurship climate correlates more with general employee attitude (e.g. employee engagement; R= 0.420, p < 0.001 and organisational commitment, R = 0.331, p < 0.001 than with self-reported innovation (R = 0.277, p < 0.001 and R = 0.267, p < 0.001. Contribution: This paper not only provided information on the reliability

  18. Instrumentation

    International Nuclear Information System (INIS)

    Prieur, G.; Nadi, M.; Hedjiedj, A.; Weber, S.

    1995-01-01

    This second chapter on instrumentation gives little general consideration on history and classification of instrumentation, and two specific states of the art. The first one concerns NMR (block diagram of instrumentation chain with details on the magnets, gradients, probes, reception unit). The first one concerns precision instrumentation (optical fiber gyro-meter and scanning electron microscope), and its data processing tools (programmability, VXI standard and its history). The chapter ends with future trends on smart sensors and Field Emission Displays. (D.L.). Refs., figs

  19. Primordial Spirituality

    Directory of Open Access Journals (Sweden)

    Kees Waaijman

    2010-11-01

    Full Text Available This article explores the primordial spirituality of the Bible, as expressed in names, narratives and prayers. It looks at the nomadic families of Abraham and Sarah, Isaac and Rebecca, Jacob, Lea and Rachel, moving around from Mesopotamia via Canaan into Egypt and vice versa (see Gn 11:31–32; 12:4–5; 27:43; 28:10; 29:4; Gn 24 and 29–31. It analyses their experiences, covering the span between birth and death and listens to their parental concerns about education as survival. It also follows their journeys along the margins of the deserts. It shares their community life as it takes shape in mutual solidarity, mercy and compassion.

  20. Intelligence Assessment Instruments in Adult Prison Populations: A Systematic Review.

    Science.gov (United States)

    van Esch, A Y M; Denzel, A D; Scherder, E J A; Masthoff, E D M

    2017-10-01

    Detection of intellectual disability (ID) in the penitentiary system is important for the following reasons: (a) to provide assistance to people with ID in understanding their legal rights and court proceedings; (b) to facilitate rehabilitation programs tailored to ID patients, which improves the enhancement of their quality of life and reduces their risk of reoffending; and (c) to provide a reliable estimate of the risk of offence recidivism. It requires a short assessment instrument that provides a reliable estimation of a person's intellectual functioning at the earliest possible stage of this process. The aim of this systematic review is (a) to provide an overview of recent short assessment instruments that provide a full-scale IQ score in adult prison populations and (b) to achieve a quality measurement of the validation studies regarding these instruments to determine which tests are most feasible in this target population. The Preferred Reporting Items for Systematic reviews and Meta-Analyses Statement is used to ensure reliability. The Satz-Mögel, an item-reduction short form of the Wechsler Adult Intelligence Scale, shows the highest correlation with the golden standard and is described to be most reliable. Nevertheless, when it comes to applicability in prison populations, the shorter and less verbal Quick Test can be preferred over others. Without affecting these conclusions, major limitations emerge from the present systematic review, which give rise to several important recommendations for further research.

  1. Cross-Institutional Evaluation of a Mastoidectomy Assessment Instrument.

    Science.gov (United States)

    Kerwin, Thomas; Hittle, Brad; Stredney, Don; De Boeck, Paul; Wiet, Gregory

    2017-10-24

    The objective of this work is to obtain validity evidence for an evaluation instrument used to assess the performance level of a mastoidectomy. The instrument has been previously described and had been formulated by a multi-institutional consortium. Mastoidectomies were performed on a virtual temporal bone system and then rated by experts using a previously described 15 element task-based checklist. Based on the results, a second, similar checklist was created and a second round of rating was performed. Twelve otolaryngological surgical training programs in the United States. In all, 65 mastoidectomy performances were evaluated coming from 37 individuals with a variety of temporal bone dissection experience, from medical students to attending physicians. Raters were attending surgeons from 12 different institutions. Intraclass correlation scores varied greatly between items in the checklist with some being low and some being high. Percentage agreement scores were similar to previous rating instruments. There is strong evidence that a high score on the task-based checklist is necessary for a rater to consider a mastoidectomy to be performed at the level of an expert but a high score is not a sufficient condition. Rewording of the instrument items to focus on safety does not result in increased reliability of the instrument. The strong result of the Necessary Condition Analysis suggests that going beyond simple correlation measures can give extra insight into grading results. Additionally, we suggest using a multiple point scale instead of a binary pass/fail question combined with descriptive mastery levels. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  2. Measuring spirituality and religiosity in clinical research: a systematic review of instruments available in the Portuguese language Aferindo espiritualidade e religiosidade na pesquisa clínica: uma revisão sistemática dos instrumentos disponíveis para a língua portuguesa

    Directory of Open Access Journals (Sweden)

    Giancarlo Lucchetti

    2013-04-01

    Full Text Available CONTEXT AND OBJECTIVES Despite numerous spirituality and/or religiosity (S/R measurement tools for use in research worldwide, there is little information on S/R instruments in the Portuguese language. The aim of the present study was to map out the S/R scales available for research in the Portuguese language. DESIGN AND SETTING Systematic review of studies found in databases. METHODS A systematic review was conducted in three phases. Phases 1 and 2: articles in Portuguese, Spanish and English, published up to November 2011, dealing with the Portuguese translation and/or validation of S/R measurement tools for clinical research, were selected from six databases. Phase 3: the instruments were grouped according to authorship, cross-cultural adaptation, internal consistency, concurrent and discriminative validity and test-retest procedures. RESULTS Twenty instruments were found. Forty-five percent of these evaluated religiosity, 40% spirituality, 10% religious/spiritual coping and 5% S/R. Among these, 90% had been produced in (n = 3 or translated to (n = 15 Brazilian Portuguese and two (10% solely to European Portuguese. Nevertheless, the majority of the instruments had not undergone in-depth psychometric analysis. Only 40% of the instruments presented concurrent validity, 45% discriminative validity and 15% a test-retest procedure. The characteristics of each instrument were analyzed separately, yielding advantages, disadvantages and psychometric properties. CONCLUSION Currently, 20 instruments for measuring S/R are available in the Portuguese language. Most have been translated (n = 15 or developed (n = 3 in Brazil and present good internal consistency. Nevertheless, few instruments have been assessed regarding all their psychometric qualities. CONTEXTO E OBJETIVOS Apesar do grande número de escalas sobre espiritualidade e religiosidade (E/R para uso em pesquisas internacionais, ainda existem poucas informações sobre essas escalas na l

  3. Spiritual Assessment in Healthcare Practice Wilfred McSherry Spiritual Assessment in Healthcare Practice Linda Ross M&K Publishing £27 190pp 9781905539277 9781905539277 [Formula: see text].

    Science.gov (United States)

    2011-02-01

    THE SPIRITUAL needs of patients are often skirted around as if nurses do not know what to do with them. after all, we pride ourselves on being practical, and sometimes can become embarrassed by the possibility of there being something 'other' in our patients.

  4. 77 FR 25457 - Applications for New Awards; Enhanced Assessment Instruments Grants Program-Enhanced Assessment...

    Science.gov (United States)

    2012-04-30

    ... least an annual measure of English proficiency and student progress in learning English for English... English proficiency and student progress in learning English (including data disaggregated by English... Program--Enhanced Assessment Instruments (English Language Proficiency (ELP) Competition) AGENCY: Office...

  5. Instrumented toys for assessing spatial cognition in infants

    Science.gov (United States)

    Campolo, Domenico; Taffoni, Fabrizio; Formica, Domenico; Keller, Flavio; Guglielmelli, Eugenio

    2011-03-01

    This paper describes an interdisciplinary approach to the assessment on infants' behavior, with a focus on the technology. The goal is an objective, quantitative analysis of concurrent maturation of sensory, motor and cognitive abilities in young children, in relation to the achievement of developmental milestones. An instrumented block-box toy specifically developed to assess the ability to insert objects into holes is presented. The functional specifications are derived from experimental protocols devised by neuroscientists to assess spatial cognition skills. Technological choices are emphasized with respect to ecological requirements. An ad hoc calibration procedure is also presented which is suitable to unstructured environments. Finally, preliminary tests carried out at a local day-care with 12-24 months old infants are presented which prove the in-field usability of the proposed technology.

  6. Religious and Spiritual Change in College: Assessing the Effect of a Science Education

    Science.gov (United States)

    Scheitle, Christopher P.

    2011-01-01

    A long line of research has attempted to examine an assumed conflict between religious belief and scientific knowledge by assessing the religious beliefs of individuals with a high level of scientific training and education, such as faculty at universities. This research has established that there are differences in levels of religious belief…

  7. Spirituality and adherence to antiretroviral drugs among HIV positive ...

    African Journals Online (AJOL)

    Poor drug adherence is a major problem in the care of HIV patients on antiretroviral treatment. Spirituality is one of the several factors that affects ... The Functional Assessment of Chronic Illness Therapy- Spirituality (FACIT-Sp) tool was used to determine their level of spirituality. Participants were classified as having high or ...

  8. Effects of Spirituality on Health-Related Quality of Life in Men with HIV/AIDS: Implications for Counseling

    Science.gov (United States)

    Frame, Marsha Wiggins; Uphold, Constance R.; Shehan, Constance L.; Reid, Kimberly J.

    2005-01-01

    This study examined the association of spirituality and health-related quality of life among 226 HIV-positive men. Two measures of spirituality were used: the Spiritual Growth subscale from the Health-Promoting Lifestyle Profile II (S. N. Walker, K. R. Sechrist, & N. J. Pender, 1987) and the Spirituality subscale of the HIV Coping Instrument (L.…

  9. Development of the Test Of Astronomy STandards (TOAST) Assessment Instrument

    Science.gov (United States)

    Slater, Timothy F.; Slater, S. J.

    2008-05-01

    Considerable effort in the astronomy education research (AER) community over the past several years has focused on developing assessment tools in the form of multiple-choice conceptual diagnostics and content knowledge surveys. This has been critically important in advancing the AER discipline so that researchers could establish the initial knowledge state of students as well as to attempt measure some of the impacts of innovative instructional interventions. Unfortunately, few of the existing instruments were constructed upon a solid list of clearly articulated and widely agreed upon learning objectives. This was not done in oversight, but rather as a result of the relative youth of AER as a discipline. Now that several important science education reform documents exist and are generally accepted by the AER community, we are in a position to develop, validate, and disseminate a new assessment instrument which is tightly aligned to the consensus learning goals stated by the American Astronomical Society - Chair's Conference on ASTRO 101, the American Association of the Advancement of Science's Project 2061 Benchmarks, and the National Research Council's National Science Education Standards. In response, researchers from the Cognition in Astronomy, Physics and Earth sciences Research (CAPER) Team at the University of Wyoming's Science & Math Teaching Center (UWYO SMTC) have designed a criterion-referenced assessment tool, called the Test Of Astronomy STandards (TOAST). Through iterative development, this instrument has a high degree of reliability and validity for instructors and researchers needing information on students’ initial knowledge state at the beginning of a course and can be used, in aggregate, to help measure the impact of course-length duration instructional strategies for courses with learning goals tightly aligned to the consensus goals of our community.

  10. Advanced Practice Nursing Competency Assessment Instrument (APNCAI): clinimetric validation.

    Science.gov (United States)

    Sastre-Fullana, Pedro; Morales-Asencio, Jose Miguel; Sesé-Abad, Albert; Bennasar-Veny, Miquel; Fernández-Domínguez, Juan Carlos; De Pedro-Gómez, Joan

    2017-02-23

    To describe the development and clinimetric validation of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) through several evidence sources about reliability and validity in the Spanish context. APNCAI development was based on a multisequential and systematic process: literature review, instrument content consensus through qualitative Delphi method approach (a panel of 51 Advanced Practice in Nursing -APN- experts was selected) and the clinimetric validation process based on a sample of 600 nurses from the Balearic Islands public healthcare setting. An initial step for tool's content development process based on Delphi method approach of expert consensus was implemented. A subsequent phase of tool validation started from the analysis of APN core competencies latent measurement model, including exploratory and confirmatory techniques. Reliability evidence for each latent factor was also obtained. Items' scores were submitted to descriptive analysis, plus univariate and multivariate normality tests. An eight-factor competency assessment latent model obtained adequate fit, and it was composed by 'Research and Evidence-Based Practice', 'Clinical and Professional Leadership', 'Interprofessional Relationship and Mentoring', 'Professional Autonomy', 'Quality Management', 'Care Management', 'Professional Teaching and Education' and 'Health Promotion'. Adequate empirical evidence of reliability and validity for APNCAI makes it useful for application in healthcare policy programmes for APN competency assessment in Spain. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  11. Accuracy assessment of ALOS optical instruments: PRISM and AVNIR-2

    Science.gov (United States)

    Tadono, Takeo; Shimada, Masanobu; Iwata, Takanori; Takaku, Junichi; Kawamoto, Sachi

    2017-11-01

    This paper describes the updated results of calibration and validation to assess the accuracies for optical instruments onboard the Advanced Land Observing Satellite (ALOS, nicknamed "Daichi"), which was successfully launched on January 24th, 2006 and it is continuously operating very well. ALOS has an L-band Synthetic Aperture Radar called PALSAR and two optical instruments i.e. the Panchromatic Remotesensing Instrument for Stereo Mapping (PRISM) and the Advanced Visible and Near Infrared Radiometer type-2 (AVNIR-2). PRISM consists of three radiometers and is used to derive a digital surface model (DSM) with high spatial resolution that is an objective of the ALOS mission. Therefore, geometric calibration is important in generating a precise DSM with stereo pair images of PRISM. AVNIR-2 has four radiometric bands from blue to near infrared and uses for regional environment and disaster monitoring etc. The radiometric calibration and image quality evaluation are also important for AVNIR-2 as well as PRISM. This paper describes updated results of geometric calibration including geolocation determination accuracy evaluations of PRISM and AVNIR-2, image quality evaluation of PRISM, and validation of generated PRISM DSM. These works will be done during the ALOS mission life as an operational calibration to keep absolute accuracies of the standard products.

  12. Instrument development and evaluation for patient-related outcomes assessments

    Directory of Open Access Journals (Sweden)

    Farnik M

    2012-03-01

    Full Text Available Małgorzata Farnik, Władysław PierzchałaDepartment of Pneumonology, Silesian University of Medicine, Katowice, PolandAbstract: Patient-related outcomes measures could provide important information for the current state of the art in medical care and even have an impact on macrodecisions in the health care system. Patient-related outcomes were initially defined as subjective health indicators that allow disability and illness to be assessed, based on patient, caregiver, or physician self-reports. As illness involves psychological and behavioral complex processes of care, a multidisciplinary approach in measuring patient-reported outcomes should be recommended, such as quality of life questionnaires. Patient-related outcomes measures should correspond to specific clinical situations and bring opportunities to improve quality of care. Objective measurements enable quantitative data to be collected and analyzed. Depending on the aim of the research, investigators can use existing methods or develop new tools. This publication presents a methodology for developing patient-related outcomes measures, based on a multistage procedure. The proper definition of specific study objectives and the methodology of instrument development are crucial for successfully transferring the study concept. The model of instrument development is the process of starting from the preliminary phase and includes questionnaire design and scaling, pilot testing (cognitive debriefing, revision of the preliminary version, evaluation of the new tool, and implementation. Validation of the new instrument includes reliability, reproducibility, internal consistency, and responsiveness. The process of designing the new tool should involve a panel of experts, including clinicians, psychologists (preliminary phase, and statisticians (scale development and scoring, and patients (cognitive debriefing. Implementation of a new tool should be followed by evaluation study – assessment of

  13. Instrumentation

    International Nuclear Information System (INIS)

    Umminger, K.

    2008-01-01

    A proper measurement of the relevant single and two-phase flow parameters is the basis for the understanding of many complex thermal-hydraulic processes. Reliable instrumentation is therefore necessary for the interaction between analysis and experiment especially in the field of nuclear safety research where postulated accident scenarios have to be simulated in experimental facilities and predicted by complex computer code systems. The so-called conventional instrumentation for the measurement of e. g. pressures, temperatures, pressure differences and single phase flow velocities is still a solid basis for the investigation and interpretation of many phenomena and especially for the understanding of the overall system behavior. Measurement data from such instrumentation still serves in many cases as a database for thermal-hydraulic system codes. However some special instrumentation such as online concentration measurement for boric acid in the water phase or for non-condensibles in steam atmosphere as well as flow visualization techniques were further developed and successfully applied during the recent years. Concerning the modeling needs for advanced thermal-hydraulic codes, significant advances have been accomplished in the last few years in the local instrumentation technology for two-phase flow by the application of new sensor techniques, optical or beam methods and electronic technology. This paper will give insight into the current state of instrumentation technology for safety-related thermohydraulic experiments. Advantages and limitations of some measurement processes and systems will be indicated as well as trends and possibilities for further development. Aspects of instrumentation in operating reactors will also be mentioned.

  14. The efficacy of integrating spirituality into undergraduate nursing curricula.

    Science.gov (United States)

    Yilmaz, Meryem; Gurler, Hesna

    2014-12-01

    Attention to patients' spirituality, as a moral obligation of care, is now widely accepted in nursing practice. However, until recently, many nursing programs have paid little attention to spirituality. The objective of this study was to identify the impact of two different curricula, used to teach undergraduate nursing students, on increasing nursing student awareness of spirituality in the care of patients. A quasi-experimental post-intervention two-group design was conducted in 2009-2010 and 2010-2011 academic years. The study included a total of 130 volunteer senior-year students. The students were assigned as "the intervention group/integrated system" that were informed about spirituality or as "the control group/traditional system" that received no information on spirituality. Data were collected via a personal information form and the Spirituality and Spiritual Care Rating Scale was used to assess responses. The study was conducted at the Department of Nursing of the Faculty of Health Sciences, Cumhuriyet University, in Central Anatolia/Turkey. Permission to conduct the study at the nursing school was obtained from the schools' management teams. The rights of the participants were protected in this study by obtaining informed consent. The results revealed that the intervention group had a higher mean score on the Spirituality and Spiritual Care Rating Scale than did the control group. The students in the intervention group defined the terms of spirituality and spiritual care more accurately than did the control group students. Nurses are professionally and ethically responsible for providing spiritual care. Nurses' competence in meeting the spiritual needs of their patients should be improved by undergraduate education on spiritual care. Nursing scholars reported a significant difference in the knowledge and attitudes toward spirituality of nursing students as a result of the integration of spirituality into the undergraduate nursing curriculum. Spirituality

  15. Gait assessment with solesound instrumented footwear in spinal muscular atrophy.

    Science.gov (United States)

    Montes, Jacqueline; Zanotto, Damiano; Dunaway Young, Sally; Salazar, Rachel; De Vivo, Darryl C; Agrawal, Sunil

    2017-08-01

    Gait impairment is common in spinal muscular atrophy (SMA) and is described using clinical assessments and instrumented walkways. Continuous over-ground walking has not been studied. Nine SMA participants completed the 6-minute walk test (6MWT) and 10-meter walk/run wearing instrumented footwear (SoleSound). Data were simultaneously collected using a reference system (GAITRite). The root-mean-square error (RMSE) indicated criterion validity. The decrease in walking speed represented fatigue. Foot loading patterns were evaluated using force sensors. The RMSE for stride time, length, and velocity ranged from 1.3% to 1.7%. Fatigue was 11.6 ± 9.1%, which corresponded to an average deceleration of 0.37 ± 0.28 mm/s 2 . Participants spent most of their stance without heel contact. Forefoot contact occurred early in the gait cycle. These results suggest that footwear-based devices are an alternative to specialized equipment for gait assessment. Better understanding of gait disturbances should inform ongoing treatment efforts and provide a more sensitive outcome measure. Muscle Nerve 56: 230-236, 2017. © 2016 Wiley Periodicals, Inc.

  16. Development of a software security assessment instrument to reduce software security risk

    Science.gov (United States)

    Gilliam, D. P.; Kelly, J. C.; Powell, J. D.; Bishop, M.

    2001-01-01

    This paper discusses development of a security assessment instrument for the software development and maintenance life cycle. The assessment instrument is a collection of tools and procedures to support development of secure software.

  17. Capturing the essence of developing endovascular expertise for the construction of a global assessment instrument

    DEFF Research Database (Denmark)

    Bech, Bo; Lönn, L; Schroeder, T V

    2010-01-01

    To explore what characterises the development of endovascular expertise and to construct a novel global assessment instrument.......To explore what characterises the development of endovascular expertise and to construct a novel global assessment instrument....

  18. Instruments

    Energy Technology Data Exchange (ETDEWEB)

    Buehrer, W. [Paul Scherrer Inst. (PSI), Villigen (Switzerland)

    1996-12-31

    The present paper mediates a basic knowledge of the most commonly used experimental techniques. We discuss the principles and concepts necessary to understand what one is doing if one performs an experiment on a certain instrument. (author) 29 figs., 1 tab., refs.

  19. 77 FR 4553 - Proposed Revision to Selection Criteria-Enhanced Assessment Instruments

    Science.gov (United States)

    2012-01-30

    ... Selection Criteria--Enhanced Assessment Instruments AGENCY: Office of Elementary and Secondary Education... Education proposes to amend the selection criteria under the Enhanced Assessment Instruments Grant program... assessment instruments and systems used by States for measuring the academic achievement of elementary and...

  20. PEMENUHAN KEBUTUHAN SPIRITUAL BERHUBUNGAN DENGAN STATUS KECEMASAN

    Directory of Open Access Journals (Sweden)

    Evi Nugraheni

    2014-04-01

    Full Text Available Background:All employees of the company or government employees will in time retire. Upon enteringthe age of 56 years, the employee or civil servant to retire. Retirement is a stage of life characterized bythe presence of transition and change in psychosocial rolethat causes stress. Retirement impact on thephysical, social and spiritual individual. Physical disorders includes activity inhibited activity. Socialproblems cause individuals less participate in social activities. Less of spiritual needs fulfillment are morelikely to cause the individual less activity in religious.Objective:To identify the correlation between spiritual fulfillment and civil servants retirement anxiety inSleman.Methods:This study was a cross cectional design study. Statistical tests using correlationKendal Tauwith significance level p=0.05. Samples were taken using simple random sampling involved 55respondents. The research instrument used questionnaires spiritual needs and anxiety questionnaires.Results:The results showed that the civils servant unmet spiritual needs (98.2% and 68.4% retirementin the category of moderate anxiety. Kendal Tau test showed p=0.042, indicating there was a relationshipbetween the spiritual fulfillment with retirement anxiety indicating on civil servant with r=-0.274 showedweak relationship.Conclusion:civil servant who had fulfilled spiritual needs would have moderate to mild levels of anxiety.

  1. Understanding Spiritual Experience in Christian Spirituality ...

    African Journals Online (AJOL)

    A spiritual experience for some means a mere fabrication of the mind. For others it is pathological and the consequence of psychiatric disturbances and psychological disorders. Others acknowledge that certain role-players are present when spiritual experiences occur. However, the identification of the involvement of these ...

  2. Spirituality and business

    NARCIS (Netherlands)

    Nandram, S.S.

    2009-01-01

    In Chap. 2, Sharda Nandram provides an overview of issues on spirituality and some definitions of spirituality in both nonacademic settings and academic literature. She makes a distinction between inner and outer spirituality. She explains the types of knowledge based on the work of Sri Aurobindo

  3. Spiritual Development with Youth

    Science.gov (United States)

    Ponds, Kenneth T.

    2014-01-01

    Research on positive psychology indicates that spiritual strengths can be important in helping individuals overcome crisis and loss. Encounters with difficult challenges of life inspire people to think more deeply about their spiritual and religious beliefs and the meaning of life. Spirituality, faith, and religious roots have been shown to be…

  4. The Danger Assessment: Validation of a Lethality Risk Assessment Instrument for Intimate Partner Femicide

    Science.gov (United States)

    Campbell, Jacquelyn C.; Webster, Daniel W.; Glass, Nancy

    2009-01-01

    The Danger Assessment (DA) is an instrument designed to assess the likelihood of lethality or near lethality occurring in a case of intimate partner violence. This article describes the development, psychometric validation, and suggestions for use of the DA. An 11-city study of intimate partner femicide used multivariate analysis to test the…

  5. Instruments for the assessment of physical balance in the elderly

    Directory of Open Access Journals (Sweden)

    Ricardo Oliveira Guerra

    2007-12-01

    Full Text Available Esse trabalho objetivou identifi car os instrumentos mais utilizados para avaliação do equilíbrio corporal estático, dinâmico e risco de quedas em idosos no âmbito internacional e no Brasil. O estudo foi do tipo revisão sistemática qualitativa da literatura, os trabalhos consultados foram localizados por meio de pesquisa eletrônica nas bases de dados LILACS e MEDLINE e a partir das referências bibliográfi cas citadas em artigos científi cos. Uma vez escolhidos os instrumentos, realizou-se a investigação do histórico, utilização e adaptação transcultural dos mesmos. Vários testes têm sido desenvolvidos com o objetivo de medir funcionalmente o equilíbrio e estabelecer parâmetros para identificação de idosos com maior suscetibilidade de cair. De acordo com os critérios de seleção desse trabalho, chegou-se a escolha de cinco instrumentos com as propriedades psicométricas bem estabelecidas, o Teste de Alcance Funcional (FRT, o teste “Timed Up and Go” (TUG, o Teste de Performance Física (PPT, a Escala de Equilíbrio de Berg e a porção do equilíbrio da Avaliação da Mobilidade Orientada pelo Desempenho (POMA, tendo sido apenas esses dois últimos adaptados para a língua portuguesa. Diante disso, conclui-se que focalizar a atenção apenas em sinais e sintomas dos pacientes é extremamente limitado quando se deseja decidir qual intervenção melhorará a condição funcional do idoso, portanto, a avaliação funcional é o ponto de partida para uma reabilitação efetiva nessa população. Sendo necessária a existência de instrumentos de medida adaptados e validados para a população brasileira que avaliem o domínio do equilíbrio e contribuam para uma intervenção eficaz. ABSTRACT The objective of this study was to identify the instruments that are most often used to assess seniors for static and dynamic physical balance and risk of falling, both internationally and in Brazil. This was a systematic

  6. Social representations about religion and spirituality.

    Science.gov (United States)

    Borges, Moema da Silva; Santos, Marília Borges Couto; Pinheiro, Tiago Gomes

    2015-01-01

    to identify the social representations about the concepts of spirituality and religion of of health teachers. exploratory and descriptive study, based on a qualitative approach. 25 subjects participated in it. The following instruments were used to collect data: questionnaire to identify the profile; questionnaire of free association, whose inducing words were religion and spirituality, and an interview based on the scale FICA (Puchalski, 2006). the representations about religion and spirituality, for professors, are forged around the faith in God and it gives them meaning and purpose to deal with the challenges of personal and professional living. there are still barriers that need to be overcome with a view to a comprehensive care. For this, it is essential to incorporate spirituality in the process in the curricula of health courses.

  7. Peer-Assessment Debriefing Instrument (PADI): Assessing Faculty Effectiveness in Simulation Education.

    Science.gov (United States)

    Saylor, Jennifer L; Wainwright, Susan F; Herge, E A; Pohlig, Ryan T

    2016-01-01

    Evaluating the debriefing skill of faculty in simulations is essential but often challenging. The Peer Assessment Debriefing Instrument (PADI) is a self and peer assessment designed to assess a debriefers' effectiveness and is grounded in current scientific debriefing literature and peer review methodology. This pilot study tested the PADI at three institutions during 10 different healthcare debriefing sessions. The PADI is useful to faculty and administrators of simulation centers by demonstrating ongoing quality improvement and as a guide to train new debriefers.

  8. Palliative care and spirituality

    Directory of Open Access Journals (Sweden)

    Narayanasamy Aru

    2007-01-01

    Full Text Available Critical junctures in patients′ lives such as chronic illnesses and advanced diseases may leave the persons in a state of imbalance or disharmony of body, mind and spirit. With regard to spirituality and healing, there is a consensus in literature about the influence of spirituality on recovery and the ability to cope with and adjust to the varying and demanding states of health and illness. Empirical evidence suggests that spiritual support may act as an adjunct to the palliative care of those facing advanced diseases and end of life. In this article, the author draws from his empirical work on spirituality and culture to develop a discourse on palliative care and spirituality in both secular and non-secular settings. In doing so, this paper offers some understanding into the concept of spirituality, spiritual needs and spiritual care interventions in palliative care in terms of empirical evidence. Responding to spiritual needs could be challenging, but at the same time it could be rewarding to both healthcare practitioner (HCP and patient in that they may experience spiritual growth and development. Patients may derive great health benefits with improvements in their quality of life, resolutions and meaning and purpose in life. It is hoped that the strategies for spiritual support outlined in this paper serve as practical guidelines to HCPs for development of palliative care in South Asia.

  9. The role of religion and spirituality in mental health.

    Science.gov (United States)

    Weber, Samuel R; Pargament, Kenneth I

    2014-09-01

    There has been increased interest in the relationship between religion and spirituality and mental health in recent years. This article reviews recent research into the capacity of religion and spirituality to benefit or harm the mental health of believers. We also examine the implications this may have for assessment and treatment in psychiatric settings. Studies indicate that religion and spirituality can promote mental health through positive religious coping, community and support, and positive beliefs. Research also shows that religion and spirituality can be damaging to mental health by means of negative religious coping, misunderstanding and miscommunication, and negative beliefs. Tools for the assessment of patients' spiritual needs have been studied, and incorporation of spiritual themes into treatment has shown some promise. Religion and spirituality have the ability to promote or damage mental health. This potential demands an increased awareness of religious matters by practitioners in the mental health field as well as ongoing attention in psychiatric research.

  10. Characteristics of Spirituality and Religion Among Suicide Attempters.

    Science.gov (United States)

    Mandhouj, Olfa; Perroud, Nader; Hasler, Roland; Younes, Nadia; Huguelet, Philippe

    2016-11-01

    Spirituality and religiousness are associated with a lower risk of suicide. A detailed assessment of spirituality among 88 suicide attempters hospitalized after a suicide attempt was performed. Factors associated with the recurrence of suicide attempts over 18 months were looked into. Spirituality was low among most suicide attempters in comparison with the general population. Two groups were identified: those with a high score of depression who featured "low" in spirituality and those with a more heterogeneous profile, for example, involving personality disorders, characterized by a "high" spirituality. At the follow-up, the "meaning in life" score appeared to correlate with recurrence of suicide. Clinical implications are discussed herein.

  11. Nursing and spirituality.

    Science.gov (United States)

    Hussey, Trevor

    2009-04-01

    Those matters that are judged to be spiritual are seen as especially valuable and important. For this reason it is claimed that nurses need to be able to offer spiritual care when appropriate and, to aid them in this, nurse theorists have discussed the nature of spirituality. In a recent debate John Paley has argued that nurses should adopt a naturalistic stance which would enable them to employ the insights of modern science. Barbara Pesut has criticized this thesis, especially as it is applied to palliative care. This paper re-examines this debate with particular attention to the meaning of 'spirituality' and the justification for accepting spiritual and religious theories. It is argued that when we take into consideration the great diversity among religious and spiritual ideas, the lack of rational means of deciding between them when they conflict, and the practicalities of nursing, we find that a spiritual viewpoint is less useful than a naturalistic one, when offering palliative care.

  12. Equipping Social Workers to Address Spirituality in Practice Settings: AModel Curriculum

    Directory of Open Access Journals (Sweden)

    David R. Hodge

    2002-12-01

    Full Text Available While there is growing interest in incorporating clients’ spiritual beliefs and values into social work practice, several studies have shown that social workers lack the necessary training to address spiritual issues in a culturally competent manner. This paper addresses this need by providing an annotated spirituality training course for use in various settings. Topics or domains covered in the curriculum include ethics and values, research and theory on spirituality, the nation’s spiritual demographics, the cultures of major spiritual traditions, value conflicts, spiritual interventions, assessment approaches, and the rights of spiritual believers. A number of potential assignments are offered,which are designed to promote practitioner self-awareness, respect for spiritual diversity, and an enhanced ability to assess and operationalize spiritual strengths to ameliorate problems in practice settings.

  13. How Christian nurses converse with patients about spirituality.

    Science.gov (United States)

    Pfeiffer, Jane Bacon; Gober, Carla; Taylor, Elizabeth Johnston

    2014-10-01

    To describe the experience of conversing with clients to provide spiritual care from the perspective of Christian nurses identified as exemplary spiritual caregivers. More specifically, findings presented here describe the goals and strategies of these nurses when conversing with patients about spirituality. Although verbal communication is pivotal to most spiritual care interventions recognised in the nursing literature, there is scant empirical evidence to inform such spiritual care. There is evidence, however, that many nurses have discomfort and difficulty with conversations about spirituality. Cross-sectional, descriptive, qualitative design framed by phenomenology. Semi-structured interviews were conducted with 14 southern California registered nurses working in varied clinical settings. Data were coded and thematically analysed by three researchers who established equivalency. Methods to support the trustworthiness of the findings were employed. Themes providing structure to the description of how nurses converse with patients about spirituality included assessing and establishing connection, overt introductions of spirituality, finding spiritual commonality, self-disclosure, spiritual encouragement, spiritual advice or religious teaching, and prayer. Requisite to any spiritual care conversation, however, was 'allowing them (patients) to talk'. Informants tread 'gently and softly' in approaching spiritual discourse, assessing for any patient resistance, and not pushing further if any was met. Findings illustrate compassionate nursing with specifiable goals and strategies for conversations about spirituality; they also raise questions about how nurse religious beliefs are to ethically inform these conversations. The Invitation, Connection, Attentive care, Reciprocity mnemonic is offered as a means for nurses to remember essentials for communication with patients about spirituality. © 2014 John Wiley & Sons Ltd.

  14. The Spiritual Journey of Infertile Couples: Discussing the Opportunity for Spiritual Care

    Directory of Open Access Journals (Sweden)

    Joana Romeiro

    2017-04-01

    Full Text Available Infertility is a worldwide public health issue that exerts an in-depth impact on couples, families, communities and the individual. This reproductive health condition, along with fertility treatments, often forces couples to question their purpose and meaning in life, and to begin a spiritual journey. Nursing and midwifery literature describes the care of those living with infertility, but often lacks a clear approach of the spiritual dimension, and diagnosis and interventions may not be effectively addressed. In this paper, we present a discussion about spirituality and the assessment of spiritual needs such as hope, beliefs, meaning and satisfaction in life. In addition, spiritual needs are defined, for both nurses and midwives, and spiritual interventions are proposed for promoting couples’ resilience and spiritual well-being. Spirituality should be considered from the beginning to the end of life. It is necessary to translate this into the development and implementation of both specific policies regarding a spiritual approach and advanced education and training programs for nurses and midwives who care for infertile couples.

  15. Spirituality at the end of life: conceptualization of measurable aspects-a systematic review

    NARCIS (Netherlands)

    Gijsberts, M.J.H.E.; Echteld, M.A.; van der Steen, J.T.; Muller, M.T.; Otten, R.H.J.; Ribbe, M.W.; Deliens, L.

    2011-01-01

    Although spiritual caregiving is a key domain of palliative care, it lacks a clear definition, which impedes both caregiving and research in this domain. The aim of this study was to conceptualize spirituality by identifying dimensions, based on instruments measuring spirituality in end-of-life

  16. Assessment of physician competency in patient education: reliability and validity of a model-based instrument

    NARCIS (Netherlands)

    Wouda, Jan C.; Zandbelt, Linda C.; Smets, Ellen M. A.; van de Wiel, Harry B. M.

    2011-01-01

    Establish the inter-rater reliability and the concept, convergent and construct validity of an instrument for assessing the competency of physicians in patient education. Three raters assessed the quality of patient education in 30 outpatient consultations with the CELI instrument. This instrument

  17. Singing voice handicap mapped by different self-assessment instruments.

    Science.gov (United States)

    Paoliello, Karla; Oliveira, Gisele; Behlau, Mara

    2013-01-01

    To map voice handicap of popular singers with a general voice and two singing voice self-assessment questionnaires. Fifty singers, 25 male and 25 female, 23 with vocal complaint and 27 without vocal complaint answered randomly the questionnaires. For the comparison of data, the following statistical tests were performed: Mann-Whitney, Friedman, Wilcoxon, Spearman and Correlation. Data showed that the VHI yielded a smaller handicap when compared to the other two questionnaires (VHI x S-VHI - p=0.001; VHI x MSVH - p=0.004). The S-VHI and MSVH produced similar results (p=0.723). Singers with vocal complaint had a VHI total score of 17.5. The other two instruments showed more deviated scores (S-VHI - 24.9; MSVH - 25.2). There was no relationship between gender and singing style with the handicap perceived. A weak negative correlation between the perceived handicap and the time of singing experience was found (-37.7 to -13.10%), that is, the smaller the time of singing experience, the greater the handicap is. The questionnaires developed for the assessment of singing voice, S-VHI and MSVH, showed to be more specific and correspondent to each other for the evaluation of vocal handicap in singers. Findings showed that the more the time of singer's singing experience, the smaller the handicap is. Gender and singing styles did not influence the perception of the handicap.

  18. Performance assessment instrument to assess the senior high students' psychomotor for the salt hydrolysis material

    Science.gov (United States)

    Nahadi, Firman, Harry; Yulina, Erlis

    2016-02-01

    The purposes of this study were to develop a performance assessment instrument for assessing the competence of psychomotor high school students on salt hydrolysis concepts. The design used in this study was the Research & Development which consists of three phases: development, testing and application of instruments. Subjects in this study were high school students in class XI science, which amounts to 93 students. In the development phase, seven validators validated 17 tasks instrument. In the test phase, we divided 19 students into three-part different times to conduct performance test in salt hydrolysis lab work and observed by six raters. The first, the second, and the third groups recpectively consist of five, six, and eight students. In the application phase, two raters observed the performance of 74 students in the salt hydrolysis lab work in several times. The results showed that 16 of 17 tasks of performance assessment instrument developed can be stated to be valid with CVR value of 1,00 and 0,714. While, the rest was not valid with CVR value was 0.429, below the critical value (0.622). In the test phase, reliability value of instrument obtained were 0,951 for the five-student group, 0,806 for the six-student group and 0,743 for the eight-student group. From the interviews, teachers strongly agree with the performance instrument developed. They stated that the instrument was feasible to use for maximum number of students were six in a single observation.

  19. Spirituality in childhood cancer care

    Directory of Open Access Journals (Sweden)

    Lima NN

    2013-10-01

    Full Text Available Nádia Nara Rolim Lima,1 Vânia Barbosa do Nascimento,1 Sionara Melo Figueiredo de Carvalho,1 Modesto Leite Rolim Neto,2 Marcial Moreno Moreira,2 Aline Quental Brasil,2 Francisco Telésforo Celestino Junior,2 Gislene Farias de Oliveira,2 Alberto Olavo Advíncula Reis3 1Health Sciences Postgraduate Program, ABC Region Medical School, Santo André, São Paulo, Brazil; 2Department of Medicine, Federal University of Ceará, Barbalha, Ceará, Brazil; 3Public Health Postgraduate Program, University of São Paulo, São Paulo, Brazil Abstract: To deal with the suffering caused by childhood cancer, patients and their families use different coping strategies, among which, spirituality appears a way of minimizing possible damage. In this context, the purpose of the present study was to analyze the influence of spirituality in childhood cancer care, involving biopsychosocial aspects of the child, the family, and the health care team facing the disease. To accomplish this purpose, a nonsystematic review of literature of articles on national and international electronic databases (Scientific Electronic Library Online [SciELO], PubMed, and Latin American and Caribbean Health Sciences Literature [LILACS] was conducted using the search terms “spirituality,” “child psychology,” “child,” and “cancer,” as well as on other available resources. After the search, 20 articles met the eligibility criteria and were included in the final sample. Our review showed that the relation between spirituality and health has lately become a subject of growing interest among researchers, as a positive influence of spirituality in the people's welfare was noted. Studies that were retrieved using the mentioned search strategy in electronic databases, independently assessed by the authors according to the systematic review, showed that spirituality emerges as a driving force that helps pediatric patients and their families in coping with cancer. Health care workers

  20. A framework for assessing Health Economic Evaluation (HEE) quality appraisal instruments

    Science.gov (United States)

    2012-01-01

    Background Health economic evaluations support the health care decision-making process by providing information on costs and consequences of health interventions. The quality of such studies is assessed by health economic evaluation (HEE) quality appraisal instruments. At present, there is no instrument for measuring and improving the quality of such HEE quality appraisal instruments. Therefore, the objectives of this study are to establish a framework for assessing the quality of HEE quality appraisal instruments to support and improve their quality, and to apply this framework to those HEE quality appraisal instruments which have been subject to more scrutiny than others, in order to test the framework and to demonstrate the shortcomings of existing HEE quality appraisal instruments. Methods To develop the quality assessment framework for HEE quality appraisal instruments, the experiences of using appraisal tools for clinical guidelines are used. Based on a deductive iterative process, clinical guideline appraisal instruments identified through literature search are reviewed, consolidated, and adapted to produce the final quality assessment framework for HEE quality appraisal instruments. Results The final quality assessment framework for HEE quality appraisal instruments consists of 36 items organized within 7 dimensions, each of which captures a specific domain of quality. Applying the quality assessment framework to four existing HEE quality appraisal instruments, it is found that these four quality appraisal instruments are of variable quality. Conclusions The framework described in this study should be regarded as a starting point for appraising the quality of HEE quality appraisal instruments. This framework can be used by HEE quality appraisal instrument producers to support and improve the quality and acceptance of existing and future HEE quality appraisal instruments. By applying this framework, users of HEE quality appraisal instruments can become aware

  1. 78 FR 31359 - Applications for New Awards; Ehanced Assessment Instruments Grants Program-Enhanced Assessment...

    Science.gov (United States)

    2013-05-23

    ... instruments, such as performance- and technology-based academic assessments. Absolute Priority 5--Kindergarten... history of unsatisfactory performance; has a financial or other management system that does not meet the... final performance report, including financial information, as directed by the Secretary. If you receive...

  2. Spirituality, Religion, and Suicidality Among Veterans: A Qualitative Study.

    Science.gov (United States)

    Lusk, Jaimie; Dobscha, Steven K; Kopacz, Marek; Ritchie, Mary Frances; Ono, Sarah

    2018-01-01

    This qualitative study explores the relationship between veterans' spirituality/religion and suicide ideation and attempts. Qualitative semi-structured interviews were conducted with 30 veterans who either endorsed chronic suicidal ideation or had made suicide attempt(s). Interviews explored the bi-directional relationship between spirituality/religion (e.g., beliefs, practices, and experiences), and suicide ideation and behaviors. Interviews were analyzed using thematic analysis. Veterans' responses indicate that spirituality/religion can discourage or permit suicidal ideation, help in coping with ideation, and facilitate meaning making and coping in the presence of self-perceived suffering. Veterans who survived a suicide attempt explored the impact of their spirituality/religion on their recovery. Findings highlight a complex and diverse relationship between spirituality/religion and suicidality. These findings may inform further research on treatment strategies that assess the function of spirituality/religion, and incorporate protective aspects of spirituality/religion into mental health treatment.

  3. Content validity of the Geriatric Health Assessment Instrument.

    Science.gov (United States)

    Pedreira, Rhaine Borges Santos; Rocha, Saulo Vasconcelos; Santos, Clarice Alves Dos; Vasconcelos, Lélia Renata Carneiro; Reis, Martha Cerqueira

    2016-01-01

    Assess the content validity of the Elderly Health Assessment Tool with low education. The data collection instrument/questionnaire was prepared and submitted to an expert panel comprising four healthcare professionals experienced in research on epidemiology of aging. The experts were allowed to suggest item inclusion/exclusion and were asked to rate the ability of individual items in questionnaire blocks to encompass target dimensions as "not valid", "somewhat valid" or "valid", using an interval scale. Percent agreement and the Content Validity Index were used as measurements of inter-rater agreement; the minimum acceptable inter-rater agreement was set at 80%. The mean instrument percent agreement rate was 86%, ranging from 63 to 99%, and from 50 to 100% between and within blocks respectively. The Mean Content Validity Index score was 93.47%, ranging from 50 to 100% between individual items. The instrument showed acceptable psychometric properties for application in geriatric populations with low levels of education. It enabled identifying diseases and assisted in choice of strategies related to health of the elderly. Avaliar a validade de conteúdo do Instrumento de Avaliação da Saúde do Idoso com baixa escolaridade. Após a elaboração do instrumento de coleta de dados, o questionário foi submetido à avaliação de um comitê de especialistas, formado por quatro profissionais da área da saúde com experiência em pesquisas da epidemiologia do envelhecimento. Os especialistas puderam sugerir questões a serem incluídas/excluídas do instrumento, e avaliar cada bloco do questionário, observando se as dimensões a serem avaliadas foram abrangidas pelos itens do instrumento, em escala intervalar, como "não válida", "pouco válida" e "válida". Como medidas para avaliar o grau de concordância do instrumento, foram utilizados o porcentual de concordância e o Índice de Validade de Conteúdo. Considerou-se uma taxa aceitável de concordância o valor de

  4. Incorporating Spirituality into Health Sciences Education.

    Science.gov (United States)

    Schonfeld, Toby L; Schmid, Kendra K; Boucher-Payne, Deborah

    2016-02-01

    Researchers are beginning to collect empiric data about coping mechanisms of health science students. Yet, there is an important aspect of coping with stress that is only partially addressed in health sciences curricula: students' spiritual well-being. In this essay, we describe a course in spirituality and health care that we offered to fourth-year medical students, as well as a small empirical study we conducted to assess students' spiritual needs and practices. We then offer reflections on the broad applicability of this work to students in the health sciences more generally, including suggestions for curriculum interventions that may ensure students' success.

  5. The development of an integrated assessment instrument for measuring analytical thinking and science process skills

    Science.gov (United States)

    Irwanto, Rohaeti, Eli; LFX, Endang Widjajanti; Suyanta

    2017-05-01

    This research aims to develop instrument and determine the characteristics of an integrated assessment instrument. This research uses 4-D model, which includes define, design, develop, and disseminate. The primary product is validated by expert judgment, tested it's readability by students, and assessed it's feasibility by chemistry teachers. This research involved 246 students of grade XI of four senior high schools in Yogyakarta, Indonesia. Data collection techniques include interview, questionnaire, and test. Data collection instruments include interview guideline, item validation sheet, users' response questionnaire, instrument readability questionnaire, and essay test. The results show that the integrated assessment instrument has Aiken validity value of 0.95. Item reliability was 0.99 and person reliability was 0.69. Teachers' response to the integrated assessment instrument is very good. Therefore, the integrated assessment instrument is feasible to be applied to measure the students' analytical thinking and science process skills.

  6. Scoping review of pediatric tonsillectomy quality of life assessment instruments.

    Science.gov (United States)

    Kao, Stephen Shih-Teng; Peters, Micah D J; Dharmawardana, Nuwan; Stew, Benjamin; Ooi, Eng Hooi

    2017-10-01

    Sleep-disordered breathing or recurrent tonsillitis have detrimental effects on the child's physical health and quality of life. Tonsillectomy is commonly performed to treat these common conditions and improve the child's quality of life. This scoping review aims to present a comprehensive and descriptive analysis of quality of life questionnaires as a resource for clinicians and researchers when deciding which tool to use when assessing the quality of life effects after tonsillectomy. A comprehensive search strategy was undertaken across MEDLINE (PubMed), CINAHL, Embase, and Cochrane CENTRAL. Quality of life questionnaires utilized in studies investigating pediatric patients undergoing tonsillectomy for chronic tonsillitis or sleep-disordered breathing were included. Methodological quality and data extraction were conducted as per Joanna Briggs Institute methodology. Ten questionnaires were identified, consisting of six generic and four disease-specific instruments. The Pediatric Quality of Life Inventory was the most commonly utilized generic questionnaire. The Obstructive Sleep Apnea-18 was the most commonly utilized disease-specific questionnaire. This review identified a range of generic and disease-specific quality of life questionnaires utilized in pediatric patients who have undergone tonsillectomy with or without adenoidectomy for sleep-disordered breathing or chronic tonsillitis. Important aspects of each questionnaire have been summarized to aid researchers and clinicians in choosing the appropriate questionnaire when evaluating the quality of life effects of tonsillectomy. NA Laryngoscope, 127:2399-2406, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  7. Experiences of patients with cancer and their nurses on the conditions of spiritual care and spiritual interventions in oncology units.

    Science.gov (United States)

    Rassouli, Maryam; Zamanzadeh, Vahid; Ghahramanian, Akram; Abbaszadeh, Abbas; Alavi-Majd, Hamid; Nikanfar, Alireza

    2015-01-01

    Although nurses acknowledge that spiritual care is part of their role, in reality, it is performed to a lesser extent. The purpose of the present study was to explore nurses' and patients' experiences about the conditions of spiritual care and spiritual interventions in the oncology units of Tabriz. This study was conducted with a qualitative conventional content analysis approach in the oncology units of hospitals in Tabriz. Data were collected through purposive sampling by conducting unstructured interviews with 10 patients and 7 nurses and analyzed simultaneously. Robustness of data analysis was evaluated by the participants and external control. Three categories emerged from the study: (1) "perceived barriers for providing spiritual care" including "lack of preparation for spiritual care," "time and space constraints," "unprofessional view," and "lack of support"; (2) "communication: A way for Strengthening spirituality despite the limitations" including "manifestation of spirituality in the appearances and communicative behaviors of nurses" and "communication: Transmission of spiritual energy"; and (3) "religion-related spiritual experiences" including "life events as divine will and divine exam," "death as reincarnation," "trust in God," "prayer/recourse to Holy Imams," and "acceptance of divine providence." Although nurses had little skills in assessing and responding to the patients' spiritual needs and did not have the organizational and clergymen's support in dealing with the spiritual distress of patients, they were the source of energy, joy, hope, and power for patients by showing empathy and compassion. The patients and nurses were using religious beliefs mentioned in Islam to strengthen the patients' spiritual dimension. According to the results, integration of spiritual care in the curriculum of nursing is recommended. Patients and nurses can benefit from organizational and clergymen's support to cope with spiritual distress. Researchers should

  8. Development and Validation of an Instrument for Assessing Junior ...

    African Journals Online (AJOL)

    The instrument covered nine dimensions as follows: Involvement, Affiliation, Teacher Support, Task- Orientation, Cooperation, Competition, Order and organization, Teacher Control and innovation. The instrument has two sections: students' actual and students' preferred forms. These items will enable students to provide ...

  9. Spirituality in adolescent patients.

    Science.gov (United States)

    Weaver, Meaghann S; Wratchford, Dale

    2017-07-01

    Adolescence, the transition between childhood and adulthood, represents a time of rapid biological, neurocognitive, and psychosocial changes. These changes have important implications for the development and evolution of adolescent spirituality, particularly for adolescents with chronic or life-limiting illnesses. To contribute positively to adolescent spiritual formation, palliative care teams benefit from understanding the normative changes expected to occur during adolescence. This paper provides a narrative review of adolescent spirituality while recognizing the role of religious, familial, and cultural influences on spiritual development during the teenage years. By giving explicit attention to the contextual norms surrounding adolescence and still recognizing each adolescent-aged patient as unique, palliative care teams can help adolescents transition toward meaningful and sustainable spiritual growth. This paper reviews the clinical and research implications relevant to integrating adolescent spiritual health as part of comprehensive palliative care.

  10. "As a Shepherd Divideth His Sheep from the Goats": Does the Daily Spiritual Experiences Scale Encapsulate Separable Theistic and Civility Components?

    Science.gov (United States)

    Schuurmans-Stekhoven, James Benjamin

    2013-01-01

    Numerous studies suggest spirituality and subjective well-being (SWB) are positively associated. However, critics argue that popular spirituality instruments--including the Daily Spiritual Experiences Scale (DSES)--contain items that conflate religiosity/spirituality (R/S), prosociality and SWB. Advocates of the DSES retort that, despite this…

  11. [Assessment of the instrument Edmonton Symptom Assessment System in hospice care: an integrative review].

    Science.gov (United States)

    Monteiro, Daiane da Rosa; Kruse, Maria Henriqueta Luce; Almeida, Miriam de Abreu

    2010-12-01

    Hospice Care (HC) is given to patients out of therapeutic possibilities of cure,focusing on symptoms control and life quality. The Edmonton Symptom Assessment System (ESAS) is an instrument to assess and monitor nine physical and psychological symptoms in patients in HC. The study aims to perform an integrative review on the assessment of health professionals and/or patients regarding the use of ESAS in cancer patients in Hospice Care. Eight papers have been localized at Medical Literature Analysis and Retrieval System Online (MEDLINE) between 1998 and 2009. The results displayed that although there are few studies on this topic, the ESAS is a valid instrument to detect and monitor symptoms in HC, presenting some limitations. The results led to the importance of the study continuity in translation and cross-cultural adaptation of this scale to Brazilian Portuguese.

  12. Education to spirituality

    OpenAIRE

    Novotný, Miroslav

    2012-01-01

    The aim of this work is to create a pedagogical concept of the education for spirituality. I try to map the various views of human spirituality. The spirituality is one of the important philosophy topics, so I dedicated this view most. Next is the psychology, within witch I strive to grab this term in a scientific way. I also notice the changes in the perception of the term spirituality, namely in the relation to the religion, as well as to the usage of this term, which is equivalent to the p...

  13. Spirituality in education

    Directory of Open Access Journals (Sweden)

    Kirsi Tirri

    2009-01-01

    Full Text Available In this article the concept of spirituality in the educational framework is discussed. The concepts of religion and spirituality are compared. The psychological view of spirituality is presented with a new suggested intelligence type: spiritual intelligence. The educational view emphasizes spiritual sensitivity as a universal human ability that needs to be developed through education. The sociological view of spirituality explores it as an expression of postsecular religiosity. Empirical studies indicate that an increasing number of people­ now prefer to call themselves ‘spiritual’ rather than ‘religious’. This trend seems to be more present in some European countries, for example, in the Netherlands, the United Kingdom and Finland. Empirical studies on spirituality are reviewed and discussed. A special emphasis is given to the Finnish research findings related to the spirituality of a new generation or young adults. It is argued that understanding spirituality as an expression of postsecular religiosity gives more room for young adults to participate in communicative action concerning religion. This would promote a discursive religiousness in the spirit of Jürgen Habermas, in which a plurality of religious beliefs and practices are acknowledged and a dialogical and inter-religious approach is advocated.

  14. Impedance e-tongue instrument for rapid liquid assessment

    International Nuclear Information System (INIS)

    Cabral, Flavio P. A.; Bergamo, Bruno B.; Dantas, Cleber A. R.; Giacometti, Jose A.; Riul, A. Jr

    2009-01-01

    We present a compact and easy to handle instrument developed to perform rapid analysis of liquids utilizing an 'electronic tongue' system. Briefly, the e-tongue used here is based on impedance measurements of an array of sensing units fabricated with ultrathin films of different materials deposited onto gold interdigitated electrodes. The instrument has the capability of measuring up to eight different sensor sets, each comprising an array of eight sensing units, and can perform a series of measurements in less than half of an hour. Additionally, there is a user-friendly software interface for instrument control, allowing the statistical correlation of samples using principal component analysis.

  15. Project W-314 DST and DCRT instrument and control systems, initial assessment

    International Nuclear Information System (INIS)

    Acree, C.D.

    1996-01-01

    This report contains an assessment of the instrument and control systems in the Double Shell Tank Farms and the 244-A DCRT. The assessment report contains data from physical inspection activities and an overall engineering assessment of the instruments and control systems in use in the Double Shell Tanks

  16. Higher Education and Disability: A Systematic Review of Assessment Instruments Designed for Students, Faculty, and Staff

    Science.gov (United States)

    Lombardi, Allison; Gelbar, Nicholas; Dukes, Lyman L., III; Kowitt, Jennifer; Wei, Yan; Madaus, Joseph; Lalor, Adam R.; Faggella-Luby, Michael

    2018-01-01

    In this study, the literature in disability and higher education was examined, with a specific focus on assessment instruments. Published articles (n = 203) on development of new or refinement of existing instruments were reviewed for traits measured and psychometric rigor reported. Findings showed instruments are intended for professionals and…

  17. Assessment of Multiple Scattering Errors of Laser Diffraction Instruments

    National Research Council Canada - National Science Library

    Strakey, Peter

    2003-01-01

    The accuracy of two commercial laser diffraction instruments was compared under conditions of multiple scattering designed to simulate the high droplet number densities encountered in liquid propellant rocket combustors...

  18. Clinical implications of spirituality to mental health: review of evidence and practical guidelines

    Directory of Open Access Journals (Sweden)

    Alexander Moreira-Almeida

    2014-04-01

    Full Text Available Objective: Despite empirical evidence of a relationship between religiosity/spirituality (R/S and mental health and recommendations by professional associations that these research findings be integrated into clinical practice, application of this knowledge in the clinic remains a challenge. This paper reviews the current state of the evidence and provides evidence-based guidelines for spiritual assessment and for integration of R/S into mental health treatment. Methods: PubMed searches of relevant terms yielded 1,109 papers. We selected empirical studies and reviews that addressed assessment of R/S in clinical practice. Results: The most widely acknowledged and agreed-upon application of R/S to clinical practice is the need to take a spiritual history (SH, which may improve patient compliance, satisfaction with care, and health outcomes. We found 25 instruments for SH collection, several of which were validated and of good clinical utility. Conclusions: This paper provides practical guidelines for spiritual assessment and integration thereof into mental health treatment, as well as suggestions for future research on the topic.

  19. Validity of evaluation instrument on the implementation of performance assessment to measure science process skills

    OpenAIRE

    Marina Ramadani; Supahar Supahar; Dadan Rosana

    2017-01-01

    This study aims to develop an evaluation instrument CIPP (context, input, process, product) model that suitable at implementation of performance assessment instrument to measure students' science process skills of junior high school. Methods in this study are research and development (R & D) which is adopted by model Borg & Gall model. This evaluation instrument used one of evaluation CIPP model with context, input, process, and product components. The evaluation instrument is used to determi...

  20. Prevalence and associated factors of spiritual needs among patients with cancer and family caregivers.

    Science.gov (United States)

    Taylor, Elizabeth Johnston

    2006-07-01

    To measure the prevalence of spiritual needs and identify factors associated with spiritual needs among patients with cancer and family caregivers. Descriptive, cross-sectional, quantitative. Inpatients and outpatients at a university medical center in the southwestern United States. 156 patients with cancer and 68 family caregivers who were primarily white and Christian and mostly perceived their cancer as not life threatening. Self-report questionnaires, including the Spiritual Interests Related to Illness Tool and Information About You. Statistical analysis involved analyses of variance, correlations, and factor analysis. Spiritual needs and desire for nursing help with spiritual needs. The most important spiritual needs included being positive, loving others, finding meaning, and relating to God. The least important were needing to ask "why" questions and preparing for dying. Desire for nursing assistance with spiritual needs was moderate and varied. Variables correlated with spiritual needs and desire for nurse help included religiosity, being an inpatient, and perceiving the cancer as incurable. Desire for nurse help and importance of spiritual needs were directly correlated. Distressing spiritual needs were reported least frequently. Certain factors appear to be associated with how much spiritual need is perceived and how much nurse help with those needs is wanted. Patients with cancer and family caregivers have similar spiritual needs that may require care. Spiritual assessment and therapeutics can target specific types of spiritual needs. A nurse's help with spiritual needs, however, is not always wanted.

  1. Freedom and Spirituality

    NARCIS (Netherlands)

    Vintges, K.; Taylor, D.

    2011-01-01

    Spirituality is an idiosyncratic concept in the work of Foucault, which might best be characterized as an "intensity without a ‘spirit’". To understand Foucault's specific concept of spirituality, we have to take into account some basic themes of his oeuvre, especially of his later work, that is,

  2. Spirituality in Logotherapy

    Directory of Open Access Journals (Sweden)

    Nesrullah Okan

    2017-08-01

    Full Text Available Frankl wrote that he needed to find meaning in his life so that he could sustain his life physically, psychologically, and spiritually. In other words, when an individual understands meaning in life, these three dimensions will be in a healthy interaction. The spiritual dimension and the other two dimensions have healing power. Therefore, it will become even easier for a person who is aware of the spiritual side and acts with this consciousness to find meaning. One of the most effective elements in finding meaning is spirituality. Studies have shown that spirituality helps people find meaning in their lives and even has an important effect in defeating the fear of death. In this respect, logotherapy does not reject spirituality and religion but rather encourages their use. This study examines the perspective of religion and spirituality in logotherapy and touches on the work done in this area. The spiritual point of view and applications of logotherapy, which center on finding meaning in the final analysis, are included in this study.

  3. PENGETAHUAN SPIRITUAL YOGA

    Directory of Open Access Journals (Sweden)

    I Nyoman Dayuh

    2016-08-01

    Full Text Available The education paradigm emhasizes the complete balance of intelectual, emotional, and spiritual potencies. The spiritual one becomes more importantwhen the influence of materialism, hedonism, and pragmatism have becoming significant. To face it self-control as taught in Yogasutra Patanjali is crucial.

  4. An attempt to recalibrate instrumental criteria for intensity assessment

    Directory of Open Access Journals (Sweden)

    Horea SANDI

    2014-12-01

    Full Text Available The authors contributed during a quite long period of time to the development of comprehensive and flexible system of estimating seismic intensity on the basis of instrumental (accelerographic data on earthquake ground motion. The system makes it possible to determine for a record, according to needs, global intensities, intensities corresponding to definite frequencies, intensities averaged upon a spectral band, continuous or discrete intensity spectra. Moreover, the intensity measures developed may rely, according to choice, on different outcomes of processing of primary instrumental data. A problem to which the paper is devoted is represented by the calibration of an important parameter, namely the logarithm base adopted in view of conversing instrumental information to intensity measures. After the attempts of the past, new sources are used this time to solve the problem. Alternative solutions are examined and discussed in this view.

  5. Understanding the Differences Between Oncology Patients and Oncology Health Professionals Concerning Spirituality/Religiosity: A Cross-Sectional Study.

    Science.gov (United States)

    Camargos, Mayara Goulart de; Paiva, Carlos Eduardo; Barroso, Eliane Marçon; Carneseca, Estela Cristina; Paiva, Bianca Sakamoto Ribeiro

    2015-11-01

    This study investigated whether spirituality/religiosity (S/R) plays an important role in the lives of cancer patients and in the work of health professionals who provide care for these patients. The correlations between spiritual quality of life (QOL) and the other QOL domain scores of patients and health professionals were also assessed. Moreover, QOL domain scores were compared between patients and health professionals. In this cross-sectional study, 1050 participants (525 oncology patients and 525 health professionals) were interviewed. Quality of life was assessed with the World Health Organization quality of life spiritual, religious, and personal beliefs (WHOQOL-SRPB). To compare the groups with respect to the instruments' domains, a quantile regression and an analysis of covariance model were used. The WHOQOL-Bref and WHOQOL-SRPB domains were correlated by performing Pearson and partial correlation tests. It was demonstrated that 94.1% of patients considered it important that health professionals addressed their spiritual beliefs, and 99.2% of patients relied on S/R to face cancer. Approximately, 99.6% of the patients reported that S/R support is necessary during cancer treatment; 98.3% of health professionals agreed that spiritual and religious support was necessary for oncology patients. Positive correlations between spiritual QOL and the other QOL domains were observed. When compared among themselves, patients exhibited significantly higher levels of spiritual QOL. In conclusion, S/R was an important construct in the minds of cancer patients and health professionals. Both groups often use S/R resources in their daily lives, which seems to positively affect their perceptions of QOL. Further studies are needed to determine how health professionals effectively address S/R during oncology practice.

  6. The Utility of Risk Assessment Instruments for the Prediction of Recidivism in Sexual Homicide Perpetrators

    Science.gov (United States)

    Hill, Andreas; Rettenberger, Martin; Habermann, Niels; Berner, Wolfgang; Eher, Reinhard; Briken, Peer

    2012-01-01

    To examine the predictive accuracy of four well established risk assessment instruments (PCL-R, HCR-20, SVR-20, and Static-99) in an important subgroup of sexual offenders, these instruments were assessed retrospectively based on information from forensic psychiatric court reports in a sample of 90 released male sexual homicide offenders (out of…

  7. A Review of Instruments for Assessing Body Image in Preschoolers

    Science.gov (United States)

    Cuesta-Zamora, Cristina; Navas, Leandro

    2017-01-01

    Society has produced many idealized and unattainable standards of beauty. These may be internalized by young children, increasing the risk of body dissatisfaction, which is the strongest predictor of eating disorders. Prompted by this concern, the aim of the present research was to identify and analyze the instruments that have been used to…

  8. Policy instruments for energy conservation: A multidimensional assessment

    International Nuclear Information System (INIS)

    Giraudet, Louis-Gaetan

    2011-01-01

    This thesis evaluates the effectiveness of various forms of taxes, subsidies and regulations implemented to correct for market failures that may prevent energy savings. It builds on various approaches, with gradual complexity. First, a standard micro-economic model is developed to compare the static performances of these instruments. Second, the representation of consumer behaviour is strengthened in a model of the residential energy demand for space heating in France, which allows to identify the dynamic mechanisms by which instruments can correct for the main market failures. Third, an empirical evaluation of 'white certificate' schemes - tradable energy saving obligations imposed on energy operators - is made from the comparison between the British, Italian and French experiences, taking into account national institutions. The following conclusions can be drawn from these various approaches: (i) energy taxes, by encouraging both energy efficiency investment and sufficiency behaviour, are particularly effective; (ii) energy efficiency regulations have a significant impact on the diffusion of efficient technologies; (iii) subsidies to energy efficiency induce a large rebound effect; (iv) depending on the institutional environment in which they operate, white certificate schemes combine different properties of these instruments. Applied to the French residential building sector, the most effective combination of these instruments does not allow to reach the energy saving target set by the Government. (author)

  9. Selecting Suicide Ideation Assessment Instruments: A Meta-Analytic Review

    Science.gov (United States)

    Erford, Bradley T.; Jackson, Jessica; Bardhoshi, Gerta; Duncan, Kelly; Atalay, Zumra

    2018-01-01

    Psychometric meta-analyses and reviews were provided for four commonly used suicidal ideation instruments: the Beck Scale for Suicide Ideation, the Suicide Ideation Questionnaire, the Suicide Probability Scale, and Columbia--Suicide Severity Rating Scale. Practical and technical issues and best use recommendations for screening and outcome…

  10. Instrumental vaginal delivery - an assessment of use in a tertiary ...

    African Journals Online (AJOL)

    Background: Majority of women in sub-Saharan Africa expect to achieve spontaneous vaginal delivery at the end of pregnancy. This is usually possible, but, a few women will receive one form of assistance or another (forceps or vacuum) to avert maternal or foetal morbidity or mortality. Training and research in instrumental ...

  11. Spirituality, quality of life, psychological adjustment in terminal cancer patients in hospice.

    Science.gov (United States)

    Bovero, A; Leombruni, P; Miniotti, M; Rocca, G; Torta, R

    2016-11-01

    The purpose of this study was to show the different components of spirituality in the last few weeks of life for advanced cancer patients admitted to hospice and to evaluate quality of life (QoL), pain, anxiety, depression and psychological adjustment to cancer. One hundred and fifteen patients were interviewed with a series of rating scales: the Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being Scale, the Hospital Anxiety and Depression Scale, the Visual Analogue Scale for pain, the Brief Coping Orientation to Problem Experienced and the Functional Assessment of Cancer Therapy Scale - General Measure. Workers and single patients with higher education level showed a worse QoL. Moreover, anxiety and pain were negatively associated with QoL, while spirituality and 'Instrumental Support' coping style were positively associated with QoL. In the Italian sample, it was observed that when patients are close to death, faith is a more important component of spirituality than meaning/peace. This study confirms that QoL could be related to physical and psychological symptoms, and this reiterates the importance of faith in end-of-life care. © 2015 John Wiley & Sons Ltd.

  12. Spiritual Competency Scale: Further Analysis

    Science.gov (United States)

    Dailey, Stephanie F.; Robertson, Linda A.; Gill, Carman S.

    2015-01-01

    This article describes a follow-up analysis of the Spiritual Competency Scale, which initially validated ASERVIC's (Association for Spiritual, Ethical and Religious Values in Counseling) spiritual competencies. The study examined whether the factor structure of the Spiritual Competency Scale would be supported by participants (i.e., ASERVIC…

  13. Assessment of instruments in facilitating investment in off-grid renewable energy projects

    International Nuclear Information System (INIS)

    Shi, Xunpeng; Liu, Xiying; Yao, Lixia

    2016-01-01

    Renewable off-grid solution plays a critical role in supporting rural electrification. However, off-grid Renewable Energy (OGRE) project financing faces significant challenges due to limited financing access, low affordability of consumers, high transactions costs and etc. Various supporting instruments have been implemented to facilitate OGRE investment. This study assesses the effectiveness of those instruments with a framework consists of three dimensions: feasibility, sustainability and replicability. The weights of each dimension in the framework and the scores of each instrument are assessed by expert surveys based on the Delphi method. It is suggested that all the three dimensions should be taken into consideration while assessing the instruments, among which feasibility and sustainability are considered as the most important dimensions in the assessment framework. Furthermore, the top-5 most effective instruments in facilitating OGRE investment are local engagement in operation and maintenance, loan guarantee, start-up grant, end user financing, and concessional finance. Developing countries that need to increase electrification, such as most of the ASEAN member states, could use these top scored instruments despite of their limited amount of public finance. - Highlights: •Assess the effectiveness of instruments for promoting financing for OGRE projects. •A three-dimension assessment framework: feasibility, sustainability, replicability. •Use online surveys and the Delphi method to collect experts’ assessment. •The most effective instruments: local engagement, loan guarantee, and start-up grant.

  14. Media Lityeracy of Teachers: An Instrument for Assessing Their Competence

    Directory of Open Access Journals (Sweden)

    Vicent Gozálvez Pérez

    2014-10-01

    Full Text Available This article describes the process to elaborate and validate a survey that aims to identify and evaluate the media literacy level of non-university teachers.Currently, in a highly connected environment where media and communication technologies are increasingly relevant in the educational scope, it is essential to design an instrument that allows us to measure teachers media literacy level. This survey may support the enhancement of pedagogical proposals in order to improve teachers practice as well as teacher professional training. To validate the survey content, Delphi methodology was used by experts of seven Spanish universities. Converging validation has been done on the basis of a sample of 906 teachers from nine Spanish Autonomous Communities. The conclusion after survey psychometric analysis is that this instrument is adequate to measure media literacy level of non-university teachers.

  15. Characterizing Change in Religious and Spiritual Identity among a National Sample of African American Adults.

    Science.gov (United States)

    Williams, Beverly Rosa; Holt, Cheryl L; Le, Daisy; Shultz, Emily

    We explore changes in self-reported religious/spiritual identity in 313 African American adults over an average period of 2.5 years. Changes in religious and spiritual identity were reported by half of the participants and were associated with age, education, and income. The least stability was observed among respondents identifying as religious/not spiritual at baseline but shifting to religious and spiritual at follow-up. This trend was significant for respondents age 55 and over. Faith-based interventions for African Americans should consider viewing religious and spiritual identity as a fluid rather than fixed characteristic assessing changes in spiritual and religious attributes over time.

  16. Spiritually Integrated Treatment of Depression: A Conceptual Framework

    Science.gov (United States)

    Peteet, John R.

    2012-01-01

    Many studies have found an inverse correlation between religious/spiritual involvement and depression. Yet several obstacles impede spiritually integrated treatment of depressed individuals. These include specialization and fragmentation of care, inexperience of clinicians and spiritual care providers, ideological bias, boundary and ethical concerns, and the lack of an accepted conceptual framework for integrated treatment. Here I suggest a framework for approaching these obstacles, constructed from a unified view of human experience (having emotional, existential, and spiritual dimensions); spirituality seen as a response to existential concerns (in domains such as identity, hope, meaning/purpose, morality, and autonomy in relation to authority, which are frequently distorted and amplified in depression); a rationale for locating spiritually oriented approaches within a clinician's assessment, formulation, and treatment plan; and recognition of the challenges and potential pitfalls of integrated treatment. PMID:22577530

  17. Spiritually Integrated Treatment of Depression: A Conceptual Framework

    Directory of Open Access Journals (Sweden)

    John R. Peteet

    2012-01-01

    Full Text Available Many studies have found an inverse correlation between religious/spiritual involvement and depression. Yet several obstacles impede spiritually integrated treatment of depressed individuals. These include specialization and fragmentation of care, inexperience of clinicians and spiritual care providers, ideological bias, boundary and ethical concerns, and the lack of an accepted conceptual framework for integrated treatment. Here I suggest a framework for approaching these obstacles, constructed from a unified view of human experience (having emotional, existential, and spiritual dimensions; spirituality seen as a response to existential concerns (in domains such as identity, hope, meaning/purpose, morality, and autonomy in relation to authority, which are frequently distorted and amplified in depression; a rationale for locating spiritually oriented approaches within a clinician's assessment, formulation, and treatment plan; and recognition of the challenges and potential pitfalls of integrated treatment.

  18. Parental spirituality in life-threatening pediatric cancer.

    Science.gov (United States)

    Nicholas, David B; Barrera, Maru; Granek, Leeat; D'Agostino, Norma Mammone; Shaheed, Jenny; Beaune, Laura; Bouffet, Eric; Antle, Beverley

    2017-01-01

    This study addressed parental spirituality in the context of pediatric cancer with a poor prognosis. Drawing upon previous research implementing a longitudinal grounded theory design examining parental hope, 35 parents were interviewed regarding their experiences with an emergent description of the role of spirituality in parents' daily lives. Spirituality included religious beliefs and practices, notions of a higher force or cosmos, relationship with a divine being, as well as elements emerging from meaning-making and relationships. Parental expectations of spirituality remained relatively constant across data collection time points (3-9 months postdiagnosis), although limited variation occurred relative to shifting circumstance (e.g., deterioration of the child's condition). Spirituality appeared to offer: greater acceptance of parents' inability to protect their child from harm related to her/his life-threatening illness, guidance and emotion decompression, and support from one's faith community. Recommendations for integrating spiritual assessment in clinical care practice are offered.

  19. Perceived Spirituality, Mindfulness and Quality of Life in Psychiatric Patients.

    Science.gov (United States)

    Da Silva, João P; Pereira, Anabela M S

    2017-02-01

    There is some evidence of the relationship between spirituality and quality of life, but there are few bibliographic references on these constructs for patients suffering from mental illness; thus, this study was aimed at revealing the possible role of spiritual outlooks as a protective factor in these individuals. The sample consisted of 96 Portuguese psychiatric patients, selected from a psychiatric hospital and assessed based on parameters for quality of life, spirituality and mindfulness. The data support some theories about the nature of the spirituality. Spiritual beliefs are poorly correlated with the quality of life index, and there is a moderate association between these beliefs and some aspects of mindfulness. It is suggested that a spiritual outlook of psychiatric patients should be taken into account in psychological interventions.

  20. Development of an instrument to assess learning strategies.

    Science.gov (United States)

    Chissom, B; Iran-Nejad, A

    1992-12-01

    Items to measure learning strategies were extracted from students' written narratives about their study and learning habits. A resulting 79-item instrument was administered to 321 graduate and undergraduate students. From factor analysis of the correlation matrix four factors were identified: (I) reflective metacognition, (II) procedural metacognition, (III) rote memorization, and (IV) procrastination. There were significant positive correlations between GPA and Factors I and II and a significant negative correlation between Factor IV and GPA.

  1. First-year Student Pharmacists' Spirituality and Perceptions Regarding the Role of Spirituality in Pharmacy Education.

    Science.gov (United States)

    Jacob, Bobby; White, Annesha; Shogbon, Angela

    2017-08-01

    Objective: To measure student pharmacists' spirituality utilizing validated survey instruments and to determine perceptions regarding the anticipated role of spirituality in academic course work and professional practice. Methods: This was a cross-sectional, descriptive study. The survey was offered to all first-year student pharmacists during the first week of the fall semester (2012-2015). Descriptive and inferential statistics were used to analyze data. Results: A total of 580 students (98%) participated. The majority of students reported having each of the spiritual experiences on most days of the week or more frequently (58% to 89% based on individual item). Furthermore, 57% of students anticipate that matters of spirituality would be significant components of academic course work and 75% anticipate they would be incorporated into eventual professional practice settings. These perceptions were positively correlated to measures of spirituality and religiosity. Conclusion: These findings suggest that faculty should evaluate current and future incorporation of topics related to spirituality and health in pharmacy curriculum.

  2. First-year Student Pharmacists’ Spirituality and Perceptions Regarding the Role of Spirituality in Pharmacy Education

    Science.gov (United States)

    White, Annesha; Shogbon, Angela

    2017-01-01

    Objective: To measure student pharmacists’ spirituality utilizing validated survey instruments and to determine perceptions regarding the anticipated role of spirituality in academic course work and professional practice. Methods: This was a cross-sectional, descriptive study. The survey was offered to all first-year student pharmacists during the first week of the fall semester (2012-2015). Descriptive and inferential statistics were used to analyze data. Results: A total of 580 students (98%) participated. The majority of students reported having each of the spiritual experiences on most days of the week or more frequently (58% to 89% based on individual item). Furthermore, 57% of students anticipate that matters of spirituality would be significant components of academic course work and 75% anticipate they would be incorporated into eventual professional practice settings. These perceptions were positively correlated to measures of spirituality and religiosity. Conclusion: These findings suggest that faculty should evaluate current and future incorporation of topics related to spirituality and health in pharmacy curriculum. PMID:28970609

  3. MODERN TECHNIQUES OF CERVICAL INSTRUMENTATION IN IMMATURE SKELETON: VIABILITY ASSESSMENT

    Directory of Open Access Journals (Sweden)

    Ayrana Soares Aires

    Full Text Available ABSTRACT Objective: This study describes the use of materials for modern cervical instrumentation, evaluating its viability in children and adolescents, and the techniques used in different cases. The efficacy of the techniques was analyzed through improvement of pain, maintenance of cervical range of motion, recovery of craniocervical stability, bone consolidation, and spinal stenosis in the postoperative follow-up. Method: Retrospective study of the clinical and radiological parameters of 27 patients aged two to 16 years with cervical spine diseases. Results: Two patients had chronic dislocation in C1-C2, one had congenital axis spondylolisthesis, two had congenital dislocation in C1-C2, three had tumors, one had kyphosis after laminectomy, one had post-infection kyphosis, one had fracture, 11 were syndromic with instabilities, and five had congenital cervical scoliosis. As to surgical approaches, two patients were transorally operated, three by anterior approach, 15 by posterior approach, two by anterior and posterior approaches, and five were treated in three stages (anterior, posterior and anterior approaches. Regarding the technique of cervical stabilization, seven patients were treated by Goel-Harms technique, two received Goel’s facet distraction, and three, Wright translaminar screws. There were complications in four cases. Two patients in the instrumentation of C1 lateral mass due to poor positioning, one with cerebrospinal fluid fistula and one with surgical wound infection. Conclusion: Modern cervical instrumentation in pediatric patients is a safe and effective technique for the treatment of cervical instability.

  4. Process Skill Assessment Instrument: Innovation to measure student’s learning result holistically

    Science.gov (United States)

    Azizah, K. N.; Ibrahim, M.; Widodo, W.

    2018-01-01

    Science process skills (SPS) are very important skills for students. However, the fact that SPS is not being main concern in the primary school learning is undeniable. This research aimed to develop a valid, practical, and effective assessment instrument to measure student’s SPS. Assessment instruments comprise of worksheet and test. This development research used one group pre-test post-test design. Data were obtained with validation, observation, and test method to investigate validity, practicality, and the effectivenss of the instruments. Results showed that the validity of assessment instruments is very valid, the reliability is categorized as reliable, student SPS activities have a high percentage, and there is significant improvement on student’s SPS score. It can be concluded that assessment instruments of SPS are valid, practical, and effective to be used to measure student’s SPS result.

  5. Instruments to assess self-care among healthy children: A systematic review of measurement properties.

    Science.gov (United States)

    Urpí-Fernández, Ana-María; Zabaleta-Del-Olmo, Edurne; Montes-Hidalgo, Javier; Tomás-Sábado, Joaquín; Roldán-Merino, Juan-Francisco; Lluch-Canut, María-Teresa

    2017-12-01

    To identify, critically appraise and summarize the measurement properties of instruments to assess self-care in healthy children. Assessing self-care is a proper consideration for nursing practice and nursing research. No systematic review summarizes instruments of measurement validated in healthy children. Psychometric review in accordance with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) panel. MEDLINE, CINAHL, PsycINFO, Web of Science and Open Grey were searched from their inception to December 2016. Validation studies with a healthy child population were included. Search was not restricted by language. Two reviewers independently assessed the methodological quality of included studies using the COSMIN checklist. Eleven studies were included in the review assessing the measurement properties of ten instruments. There was a maximum of two studies per instrument. None of the studies evaluated the properties of test-retest reliability, measurement error, criterion validity and responsiveness. Internal consistency and structural validity were rated as "excellent" or "good" in four studies. Four studies were rated as "excellent" in content validity. Cross-cultural validity was rated as "poor" in the two studies (three instruments) which cultural adaptation was carried out. The evidence available does not allow firm conclusions about the instruments identified in terms of reliability and validity. Future research should focus on generate evidence about a wider range of measurement properties of these instruments using a rigorous methodology, as well as instrument testing on different countries and child population. © 2017 John Wiley & Sons Ltd.

  6. Developing Instrumentation for Assessing Creativity in Engineering Design

    Science.gov (United States)

    Denson, Cameron D.; Buelin, Jennifer K.; Lammi, Matthew D.; D'Amico, Susan

    2015-01-01

    A perceived inability to assess creative attributes of students' work has often precluded creativity instruction in the classroom. The Consensual Assessment Technique (CAT) has shown promise in a variety of domains for its potential as a valid and reliable means of creativity assessment. Relying upon an operational definition of creativity and a…

  7. Attention to gender in communication skills assessment instruments in medical education: a review.

    Science.gov (United States)

    Dielissen, Patrick; Bottema, Ben; Verdonk, Petra; Lagro-Janssen, Toine

    2011-03-01

    Gender is increasingly regarded as an important factor in doctor-patient communication education. This review aims to assess if and how gender is addressed by current assessment instruments for communication skills in medical education. In 2009 at Radboud University Nijmegen Medical Centre, an online search was conducted in the bibliographic databases PubMed, PsycINFO and ERIC for references about communication skills assessment instruments designed to be completed by trained faculty staff and used in medical education. The search strategy used the following search terms: 'consultation skills'; 'doctor-patient communication'; 'physician-patient relations'; 'medical education'; 'instruments'; 'measurement', and 'assessment'. Papers published between January 1999 and June 2009 were included. The assessment instruments identified were analysed for gender-specific content. The search yielded 21 communication skills assessment instruments. Only two of the 17 checklists obtained explicitly considered gender as a communication-related issue. Only six of 21 manuals considered gender in any way and none gave specific details to explain which aspects of communication behaviour should be assessed with regard to gender. Very few communication assessment instruments in medical education focus on gender. Nevertheless, interest exists in using gender in communication skills assessment. The criteria for and purpose of assessing gender in communication skills in medical education are yet to be clarified. © Blackwell Publishing Ltd 2011.

  8. Spiritual needs of patients with chronic pain diseases and cancer - validation of the spiritual needs questionnaire

    Directory of Open Access Journals (Sweden)

    Büssing A

    2010-06-01

    Full Text Available Abstract Purpose For many patients confronted with chronic diseases, spirituality/religiosity is a relevant resource to cope. While most studies on patients' spiritual needs refer to the care of patients at the end of life, our intention was to develop an instrument to measure spiritual, existential and psychosocial need of patients with chronic diseases. Methods In an anonymous cross-sectional survey, we applied the Spiritual Needs Questionnaire (SpNQ version 1.2. to 210 patients (75% women, mean age 54 ± 12 years with chronic pain conditions (67%, cancer (28%, other chronic conditions (5%. Patients were recruited at the Community Hospital Herdecke, the Institute for Complementary Medicine (University of Bern, and at a conference of a cancer support group in Herten. Results Factor analysis of the 19-item instrument (Cronbach's alpha = .93 pointed to 4 factors which explain 67% of variance: Religious Needs, Need for Inner Peace, Existentialistic Needs (Reflection/Meaning, and Actively Giving. Within the main sample of patients with chronic pain and cancer, Needs for Inner Peace had the highest scores, followed by Self competent Attention; Existentialistic Needs had low scores, while the Religious Needs scores indicate no interest. Patients with cancer had significantly higher SpNQ scores than patients with chronic pain conditions. There were just some weak associations between Actively Giving and life satisfaction (r = .17; p = .012, and negatively with the symptom score (r = -.29; p Need for Inner Peace was weakly associated with satisfaction with treatment efficacy (r = .24; p Conclusion The preliminary results indicate that spiritual needs are conceptually different from life satisfaction, and can be interpreted as the patients' longing for spiritual well-being. Methods how health care professionals may meet their patients' spiritual needs remain to be explored.

  9. Student nurses' perspectives of spirituality and spiritual care.

    Science.gov (United States)

    Tiew, Lay Hwa; Creedy, Debra K; Chan, Moon Fai

    2013-06-01

    To investigate nursing students' perceptions of spirituality and spiritual care. Spirituality is an essential part of holistic care but often neglected in practice. Barriers to spiritual care include limited educational preparation, negative attitudes towards spirituality, confusion about nurses' role, perceptions of incompetence and avoidance of spiritual matters. There is limited knowledge about students' perspectives of spirituality and spiritual care. Previous studies have predominantly focused on educational approaches to enhance spirituality. The next generation of clinicians may have different worldviews, cultural beliefs and values about spirituality and spiritual care from current nurses. There is a need to understand students' views and how their spiritual development is shaped in order to inform pre-registration education. A cross-sectional survey of final-year students from three educational institutions in Singapore was conducted from April to August 2010. Data included demographic details and responses on a new composite tool, the Spiritual Care Giving Scale (SCGS). A response rate of 61.9% (n=745 out of 1204) was achieved. The lowest mean score was item 9, "Without spirituality, a person is not considered whole". Highest mean was item 2, "Spirituality is an important aspect of human being". Factor 5 (Spiritual Care Values) had the lowest mean with Factor 2 (Spirituality Perspectives) the highest. Participants considered spirituality as essential to being human; developmental in nature; and vital for individuals' state of well-being. Attributes important for spiritual care were identified. Multivariate analyses showed positive association between participants' scores and institution but not with other variables. Participating student nurses reported a high level of spiritual awareness that was not constrained by age. Students affirmed the importance of spiritual awareness in order to address the spiritual needs of patients. There was some congruence

  10. Developing formative authentic assessment instruments based on learning trajectory for elementary school

    Directory of Open Access Journals (Sweden)

    Anesa Surya

    2016-06-01

    Full Text Available This research aims to (1 develop research formative authentic assessment instruments based on learning trajectory that is eligible for the fourth grade students of elementary schools; and (2 develop formative authentic assessment instruments based on learning trajectory that is effective for the fourth grade students of elementary schools. This developmental study refers to the model developed by Borg & Gall. The developmental design was grouped into four development procedures, consisting of: (a Exploration, (b development of the draft/prototype, (c product testing and revisions, and (d final validation. The experimental subjects are some pilot project elementary schools which used Curriculum 2013 in Ngawi Regency. The data were collected using interview guides, documentation, assessment sheets of the product instrument of authentic assessment, observation sheets of the students, achievement test, questionnaire responses of teachers and students. The data of the instrument reliability were analyzed in terms of item discrimination and item difficulty, and the agreement index was employed for the reliability of the instrument. The research finding reveals that the research instrument in terms of attitude assessment, assessment of knowledge and skills according to subject-matter experts and experts in evaluation is categorized as ‘very good’. The results of the item discrimination analysis show that nonnegative and item difficulties  range from easy to hard. The formative authentic assessment instruments are categorized as ‘reliable’ by the agreement index of ≥ 0.75.

  11. Spiritual Fitness for Military Veterans: A Curriculum Review and Impact Evaluation Using the Duke Religion Index (DUREL).

    Science.gov (United States)

    Thomas, Kate H; McDaniel, Justin T; Albright, David L; Fletcher, Kari L; Koenig, Harold G

    2018-06-01

    Suicide rates among military veterans exceed those found in the general population. While the exact reasons for these high rates are unknown, contributing factors may include the military's perceived rejection of patient identities, creating barriers to mental health care within the clinical sector and a mandate for prevention programs. Spiritual fitness has emerged over the last decade as an important concept in human performance optimization and is included among holistic approaches to developing and maintaining mentally fit fighting forces. In attempts to better understand the role that spiritual fitness and religion play in mitigating and/or reducing suicide risk among veterans, the aims of this study were twofold (1) to assess the utility of the Duke Religion Index as a psychometric instrument for use with veterans completing spiritual fitness training and (2) to offer a post-intervention process evaluation of the spiritual fitness module from one resilience program offered to military veterans of Iraq and Afghanistan in 2016. Twenty-eight attendees at the JRWI Wellness Resilient Leadership Retreat completed post-retreat surveys to assess their satisfaction with the coursework and specifically, to assess the spiritual fitness module of the resiliency retreat's curriculum. In total, the research team reviewed 25 completed post-intervention survey responses (89.3% response rate). Descriptive statistics indicated that respondents (n = 25) were subjectively religious, defined as belief in a higher power practiced in ritualized ways. Over half of program participants indicated they (a) attended religious meetings at least once a week and (b) engaged in private religious activity-such as meditation-at least once a day. Results showed that most program participants reported that the spiritual fitness skills learned during the resilient leadership program were useful (88%) (Z = 3.000, p fitness are indicated for use in veteran outreach and well

  12. A systematic review of instruments to assess organizational readiness for knowledge translation in health care.

    Directory of Open Access Journals (Sweden)

    Marie-Pierre Gagnon

    Full Text Available The translation of research into practices has been incomplete. Organizational readiness for change (ORC is a potential facilitator of effective knowledge translation (KT. However we know little about the best way to assess ORC. Therefore, we sought to systematically review ORC measurement instruments.We searched for published studies in bibliographic databases (Pubmed, Embase, CINAHL, PsychINFO, Web of Science, etc. up to November 1st, 2012. We included publications that developed ORC measures and/or empirically assessed ORC using an instrument at the organizational level in the health care context. We excluded articles if they did not refer specifically to ORC, did not concern the health care domain or were limited to individual-level change readiness. We focused on identifying the psychometric properties of instruments that were developed to assess readiness in an organization prior to implementing KT interventions in health care. We used the Standards for Educational and Psychological Testing to assess the psychometric properties of identified ORC measurement instruments.We found 26 eligible instruments described in 39 publications. According to the Standards for Educational and Psychological Testing, 18 (69% of a total of 26 measurement instruments presented both validity and reliability criteria. The Texas Christian University -ORC (TCU-ORC scale reported the highest instrument validity with a score of 4 out of 4. Only one instrument, namely the Modified Texas Christian University - Director version (TCU-ORC-D, reported a reliability score of 2 out of 3. No information was provided regarding the reliability and validity of five (19% instruments.Our findings indicate that there are few valid and reliable ORC measurement instruments that could be applied to KT in the health care sector. The TCU-ORC instrument presents the best evidence in terms of validity testing. Future studies using this instrument could provide more knowledge on its

  13. Micro-dosemeter instrument (MIDN) for assessing risk in space

    International Nuclear Information System (INIS)

    Pisacane, V. L.; Dolecek, Q. E.; Malak, H.; Cucinotta, F. A.; Zaider, M.; Rosenfeld, A. B.; Rusek, A.; Sivertz, M.; Dicello, J. F.

    2011-01-01

    Radiation in space generally produces higher dose rates than that on the Earth's surface, and contributions from primary galactic and solar events increase with altitude within the magnetosphere. Presently, no personnel monitor is available to astronauts for real-time monitoring of dose, radiation quality and regulatory risk. This group is developing a prototypic instrument for use in an unknown, time-varying radiation field. This micro-dosemeter-dosemeter nucleon instrument is for use in a space-suit, spacecraft, remote rover and other applications. It provides absorbed dose, dose rate and dose equivalent in real time so that action can be taken to reduce exposure. Such a system has applications in health physics, anti-terrorism and radiation-hardening of electronics as well. The space system is described and results of ground-based studies are presented and compared with predictions of transport codes. An early prototype in 2007 was successfully launched, the only solid-state micro-dosemeter to have flown in space. Published by Oxford Univ. Press on behalf of the US Government 2011. (authors)

  14. Aging assessment of reactor instrumentation and protection system components

    International Nuclear Information System (INIS)

    Gehl, A.C.; Hagen, E.W.

    1992-07-01

    A study of the aging-related operating experiences throughout a five-year period (1984--1988) of six generic instrumentation modules (indicators, sensors, controllers, transmitters, annunciators, and recorders) was performed as a part of the Nuclear Plant Aging Research Program. The effects of aging from operational and environmental stressors were characterized from results depicted in Licensee Event Reports (LERs). The data are graphically displayed as frequency of events per plant year for operating plant ages from 1 to 28 years to determine aging-related failure trend patterns. Three main conclusions were drawn from this study: (1) Instrumentation and control (I ampersand C) modules make a modest contribution to safety-significant events: 17% of LERs issued during 1984--1988 dealt with malfunctions of the six I ampersand C modules studied, and 28% of the LERs dealing with these I ampersand C module malfunctions were aging related (other studies show a range 25--50%); (2) Of the six modules studied, indicators, sensors, and controllers account for the bulk (83%) of aging-related failures; and (3) Infant mortality appears to be the dominant aging-related failure mode for most I ampersand C module categories (with the exception of annunciators and recorders, which appear to fail randomly)

  15. Study of Association between Spiritual Well-Being and Happiness in Male Students in Firouzabad County, Iran

    OpenAIRE

    Parvaneh Doodman; Hajar Safari

    2017-01-01

    Background and Objectives: Currently, People worldwide are increasingly turning to spirituality and spiritual issues. Religion and spirituality are considered one of the determinants of happiness in psychology. This study was conducted to investigate the association between spiritual well-being and happiness in male students of Firouzabad County. Methods: Study samples were 200 students in Firouzabad professional schools who were selected by random cluster sampling. Research instruments we...

  16. Study of Spiritual Intelligence and Adjustment Among Arts and Science College Students.

    Science.gov (United States)

    Devi, R Kalpana; Rajesh, Nakulan V; Devi, M Anisha

    2017-06-01

    A study to evaluate the relationship between the spiritual intelligence and adjustment among the college students was conducted on a sample of 250 students in six various colleges of Tuticorin district, Tamil Nadu, India. Gender, religion, community, major subject, educational qualification of father and mother, student locality, college type, father and mother's occupation and monthly family income (n = 11 variables) were chosen for the study. Test of significance for spiritual intelligence and adjustment was studied and found them nonsignificant except student locality, found to be significant. Two valid and reliable instruments were used to assess student's spiritual intelligence and adjustment. Correlation and Chi-square analysis using structural equation model were used to analyze these data. Correlation analysis showed significant relationship between the variables among the college students (n = 250). Chi-square analysis of association between adjustments of college students showed that most variables are nonsignificant unlike father's educational qualification and mother's occupation. The results disclosed the significant positive relationship with spiritual intelligence and adjustment among adolescents.

  17. Validity of evaluation instrument on the implementation of performance assessment to measure science process skills

    Directory of Open Access Journals (Sweden)

    Marina Ramadani

    2017-10-01

    Full Text Available This study aims to develop an evaluation instrument CIPP (context, input, process, product model that suitable at implementation of performance assessment instrument to measure students' science process skills of junior high school. Methods in this study are research and development (R & D which is adopted by model Borg & Gall model. This evaluation instrument used one of evaluation CIPP model with context, input, process, and product components. The evaluation instrument is used to determine the implementation of performance assessment instrument to measure junior high school students' science process skills in excretion system topic. This development study involves some experts to give validation of the development of feasibility products. Experts involved, they are two lecturers of evaluation expert, two junior high school science teachers, and four peers. The validity of evaluation instruments was analyzed using V'aiken formula. The results of this study are evaluation instrument of CIPP model of the implementation of performance assessment to measure junior high school students' science process skills of grade VIII in excretion system topic. The results of the validity of this product indicates that this evaluation instruments are eligible in using with V'eiken coefficient of 0.86. It indicates that the evaluation instruments are valid in substance, construction, and language aspects.

  18. WATCH: Warwick Assessment insTrument for Clinical teacHing: Development and testing.

    Science.gov (United States)

    Haider, Sonia Ijaz; Johnson, Neil; Thistlethwaite, Jill Elizabeth; Fagan, Gay; Bari, Muhammad Furqan

    2015-03-01

    Medical education and teaching skills are core competencies included in the generic curriculum for specialty training. To support the development of these skills, there is need for a validated instrument. This study aims to develop and test an instrument to measure the attributes of specialty trainees as effective teachers. The study was conducted in two phases. In first phase, the content of the instrument was generated from the literature and tested using the Delphi technique. In second phase, the instrument was field tested for validity and reliability using factor analysis and generalizability study. Feasibility was calculated by the time taken to complete the instrument. Acceptability and educational impact were determined by qualitative analysis of written feedback. Attributes of specialty trainees were assessed by clinical supervisors, peers, and students. The Delphi study produced consensus on 15 statements which formed the basis of the instrument. In field study, a total of 415 instruments were completed. Factor analysis demonstrated a three-factor solution ('learning-teaching milieu', 'teaching skills', and 'learner-orientated'). A generalizability coefficient was 0.92. Mean time to complete the instrument was five minutes. Feedback indicated that it was an acceptable and useful method of assessment. This new instrument provides valid, reliable, feasible, and acceptable assessment of clinical teaching.

  19. [Recovery Self Assessment: Translation and cultural adaption of a recovery oriented assessment instrument].

    Science.gov (United States)

    Zuaboni, Gianfranco; Degano Kieser, Luciana; Kozel, Bernd; Glavanovits, Katharina; Utschakowski, Jörg; Behrens, Johann

    2015-08-01

    The recovery approach is becoming increasingly important in mental health services and research. In English-speaking countries, its practical implementation as well as the scientific discussion is far more advanced. To support the approach, assessment instruments are required. A widespread and recognised tool is the Recovery Self Assessment Scale {RSA}. This includes four versions of a questionnaire, which cover the perspectives of users, providers, family members and management. In this article, the development of the instrument and the system atictranslation process are presented. Two independent research groups applied different translation. The Swiss research group {AGS} used the ISOPR principles, the German research group (AGN} the Guidelines of the European Social Survey Programme for survey translations TRAPD. The methods differ in the fact,that TRAPD uses focus groups. The results of both groups were combined by means of a consensus process. Within the translation and cultural adjustment of the RSA-D, the the oretical framework of the RSA as well as the transferability into the German speaking context has been ensured. Before the RSA-D c~n beused in practice and research, further studies towards psychometric testing should be conducted.

  20. Development and validation of an instrument to assess perceived social influence on health behaviors

    Science.gov (United States)

    HOLT, CHERYL L.; CLARK, EDDIE M.; ROTH, DAVID L.; CROWTHER, MARTHA; KOHLER, CONNIE; FOUAD, MONA; FOUSHEE, RUSTY; LEE, PATRICIA A.; SOUTHWARD, PENNY L.

    2012-01-01

    Assessment of social influence on health behavior is often approached through a situational context. The current study adapted an existing, theory-based instrument from another content domain to assess Perceived Social Influence on Health Behavior (PSI-HB) among African Americans, using an individual difference approach. The adapted instrument was found to have high internal reliability (α = .81–.84) and acceptable testretest reliability (r = .68–.85). A measurement model revealed a three-factor structure and supported the theoretical underpinnings. Scores were predictive of health behaviors, particularly among women. Future research using the new instrument may have applied value assessing social influence in the context of health interventions. PMID:20522506

  1. Instruments for the assessment of suicide risk: A systematic review evaluating the certainty of the evidence.

    Directory of Open Access Journals (Sweden)

    Bo Runeson

    Full Text Available Instruments have been developed to facilitate suicide risk assessment. We aimed to evaluate the evidence for these instruments including assessment of risk of bias and diagnostic accuracy for suicide and suicide attempt.PubMed (NLM, PsycInfo, Embase, Cinahl and the Cochrane Library databases were searched until December 2014. We assessed risk of bias with QUADAS-2. The average sensitivity and specificity of each instrument was estimated and the certainty of the evidence was assessed with GRADE. We considered instruments with a sensitivity > 80% and a specificity > 50% to have sufficient diagnostic accuracy.Thirty-five relevant studies were identified but 14 were considered to have high risk of bias, leaving 21 studies evaluating altogether 15 risk assessment instruments. We could carry out meta-analyses for five instruments. For the outcome suicide attempt SAD PERSONS Scale had a sensitivity of 15% (95% CI 8-24 and specificity of 97% (96-98, and the Manchester Self-Harm Rule (MSHR a sensitivity of 97% (97-97 and a specificity of 20% (20-21. ReACT, which is a modification of MSHR, had a similar low specificity, as did the Sodersjukhuset Self Harm Rule. For the outcome suicide, the Beck Hopelessness Scale had a sensitivity of 89% (78-95 and specificity of 42% (40-43.Most suicide risk assessment instruments were supported by too few studies to allow for evaluation of accuracy. Among those that could be evaluated, none fulfilled requirements for sufficient diagnostic accuracy.

  2. Development of Assessment Instrument of Critical Thinking in Physics at Senior High School

    Science.gov (United States)

    Sugiarti, T.; Kaniawati, I.; Aviyanti, L.

    2017-02-01

    The result of preliminary study shows that the assessment of physics in school did not train students’ critical thinking skill. The assessment instrument just measured low cognitive aspects. Supposedly, critical thinking skill is trained in the assessment activity. The study aims to determine the characteristics and the quality of critical thinking skill instrument. It employs descriptive-qualitative method with research and development as the research design. The research participants are 35 students involved in the limited trial and 188 students in the wider trial from three public senior high school in Ciamis which in high level school. The data was collected through expert validation, tests and interviews. The results indicate that the characteristics of the assessment instrument of critical thinking skill is open-ended. The instrument fulfills some indicators namely analyzing argument, deduction, induction, and display information in the form of scenario, text, graphic and table. In addition, the data processing through V4 Anates program shows that the instrument reliability achieves 0.67 with high interpretation of 0.67 and the validity is 0.47 with enough interpretation. Thus, the assessment instrument of critical thinking skill in the form of open-ended essay meets the criteria of quality test, so it can use as instrument of assessment critical thinking skill.

  3. The Role of Spirituality versus Religiosity in Adolescent Psychosocial Adjustment

    Science.gov (United States)

    Good, Marie; Willoughby, Teena

    2006-01-01

    This study investigated the interaction between religiosity (defined as church attendance) and spirituality (defined as personal beliefs in God or a higher power) on psychosocial adjustment. Four groups were created capturing 4 different religious/spiritual orientations. Differences were assessed between the groups on a wide range of psychosocial…

  4. A systematic review on assessment instruments for dementia in persons with intellectual disabilities.

    Science.gov (United States)

    Zeilinger, Elisabeth L; Stiehl, Katharina A M; Weber, Germain

    2013-11-01

    This work describes an extensive systematic literature review on assessment instruments for dementia in persons with intellectual disability (ID). Existing instruments for the detection of dementia in persons with ID were collected and described systematically. This allows a direct and quick overview of available tools. Additionally, it contributes to the availability and usability of information about these instruments, thus enhancing further developments in this field. A systematic literature search in five databases (CINAHL, PsycInfo, PubMed, Scopus, and Web of Science) was conducted. In order to include gray literature an invisible college approach was used. Relevant studies were identified and selected using defined inclusion and exclusion criteria. After the selection process all instruments were coded and classified. It was determined which concepts they assess, whether they were especially developed or adapted for persons with ID, and whether they were designed to assess dementia. The selection of relevant papers, as well as the coding of instruments was done independently by two researchers. In total, 97 records met the search criteria. Out of these, 114 different instruments were extracted. There were 79 instruments to be completed by the person with ID, and 35 informant-based instruments. Additionally, four test batteries were found. Some of these instruments were neither designed for the assessment of dementia, nor for persons with ID. There are a variety of different tools used for the assessment of dementia in ID. Nevertheless, an agreed-upon approach or instrument is missing. Establishing this would improve the quality of assessment in clinical practice, and benefit research. Data collected would become comparable and combinable, and allow research to have more informative value. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Development and Validation of an Instrument to Assess Youth Motivation to Participate in Career Development Events

    Science.gov (United States)

    Knobloch, Neil A.; Brady, Colleen M.; Orvis, Kathryn S.; Carroll, Natalie J.

    2016-01-01

    Career development events develop career and life skills in youth, but limited work has been done to assess the motivation of students who participate in these events. The purpose of this study was to validate an instrument developed to measure youth motivation to participate in career development events. An instrument grounded in expectancy-value…

  6. Developing evaluation instrument based on CIPP models on the implementation of portfolio assessment

    Science.gov (United States)

    Kurnia, Feni; Rosana, Dadan; Supahar

    2017-08-01

    This study aimed to develop an evaluation instrument constructed by CIPP model on the implementation of portfolio assessment in science learning. This study used research and development (R & D) method; adapting 4-D by the development of non-test instrument, and the evaluation instrument constructed by CIPP model. CIPP is the abbreviation of Context, Input, Process, and Product. The techniques of data collection were interviews, questionnaires, and observations. Data collection instruments were: 1) the interview guidelines for the analysis of the problems and the needs, 2) questionnaire to see level of accomplishment of portfolio assessment instrument, and 3) observation sheets for teacher and student to dig up responses to the portfolio assessment instrument. The data obtained was quantitative data obtained from several validators. The validators consist of two lecturers as the evaluation experts, two practitioners (science teachers), and three colleagues. This paper shows the results of content validity obtained from the validators and the analysis result of the data obtained by using Aikens' V formula. The results of this study shows that the evaluation instrument based on CIPP models is proper to evaluate the implementation of portfolio assessment instruments. Based on the experts' judgments, practitioners, and colleagues, the Aikens' V coefficient was between 0.86-1,00 which means that it is valid and can be used in the limited trial and operational field trial.

  7. The development of a self-assessment learning style instrument for ...

    African Journals Online (AJOL)

    A process of analysing existing instruments and adaptation was used to construct a new self-assessment learning-style instrument, based on the Kolb model of experiential learning, which should be used by all students and educators in order to improve the quality of teaching and learning. It is further recommended that the ...

  8. Vocational Education Students' Generic Working Life Competencies: Developing a Self-Assessment Instrument

    Science.gov (United States)

    Kyndt, Eva; Janssens, Ine; Coertjens, Liesje; Gijbels, David; Donche, Vincent; Van Petegem, Peter

    2014-01-01

    The current study reports on the process of developing a self-assessment instrument for vocational education students' generic working life competencies. The instrument was developed based on a competence framework and in close collaboration with several vocational education teachers and intermediary organisations offering various human…

  9. Exploring Nurse Communication About Spirituality.

    Science.gov (United States)

    Wittenberg, Elaine; Ragan, Sandra L; Ferrell, Betty

    2017-07-01

    Although spiritual care is considered one of the pillars of palliative care, many health-care providers never receive formal training on how to communicate about spirituality with patients and families. The aim of this study was to explore the spiritual care experiences of oncology nurses in order to learn more about patient needs and nurse responses. A survey was circulated at a communication training course for oncology nurses in June 2015. Nurses recalled a care experience that included the initiation of a spiritual care topic and their response to the patient/family. Data were analyzed using thematic analysis. Nurses reported that communication about spirituality was primarily initiated by patients, rather than family members, and spiritual topics commonly emerged during the end of life or when patients experienced spiritual distress. Nurses' experiences highlighted the positive impact spiritual conversations had on the quality of patient care and its benefit to families. Spiritual communication was described as an important nursing role at the end of patients' lives, and nonverbal communication, listening, and discussing patients' emotions were emphasized as important and effective nurse communication skills during spiritual care conversations. Approximately one-third of nurses in the sample reported sharing their own personal spiritual or religious backgrounds with patients, and they reported that these sharing experiences strengthened their own faith. It is evident that patients want to discuss spiritual topics during care. Study findings illustrate the need to develop a spiritual communication curriculum and provide spiritual care communication training to clinicians.

  10. In vitro assessment of cutting efficiency and durability of zirconia removal diamond rotary instruments.

    Science.gov (United States)

    Kim, Joon-Soo; Bae, Ji-Hyeon; Yun, Mi-Jung; Huh, Jung-Bo

    2017-06-01

    Recently, zirconia removal diamond rotary instruments have become commercially available for efficient cutting of zirconia. However, research of cutting efficiency and the cutting characteristics of zirconia removal diamond rotary instruments is limited. The purpose of this in vitro study was to assess and compare the cutting efficiency, durability, and diamond rotary instrument wear pattern of zirconia diamond removal rotary instruments with those of conventional diamond rotary instruments. In addition, the surface characteristics of the cut zirconia were assessed. Block specimens of 3 mol% yttrium cation-doped tetragonal zirconia polycrystal were machined 10 times for 1 minute each using a high-speed handpiece with 6 types of diamond rotary instrument from 2 manufacturers at a constant force of 2 N (n=5). An electronic scale was used to measure the lost weight after each cut in order to evaluate the cutting efficiency. Field emission scanning electron microscopy was used to evaluate diamond rotary instrument wear patterns and machined zirconia block surface characteristics. Data were statistically analyzed using the Kruskal-Wallis test, followed by the Mann-Whitney U test (α=.05). Zirconia removal fine grit diamond rotary instruments showed cutting efficiency that was reduced compared with conventional fine grit diamond rotary instruments. Diamond grit fracture was the most dominant diamond rotary instrument wear pattern in all groups. All machined zirconia surfaces were primarily subjected to plastic deformation, which is evidence of ductile cutting. Zirconia blocks machined with zirconia removal fine grit diamond rotary instruments showed the least incidence of surface flaws. Although zirconia removal diamond rotary instruments did not show improved cutting efficiency compared with conventional diamond rotary instruments, the machined zirconia surface showed smoother furrows of plastic deformation and fewer surface flaws. Copyright © 2016 Editorial Council

  11. Concepts of spirituality prevailing among undergraduate medical students in Delhi

    Directory of Open Access Journals (Sweden)

    Shantanu Sharma

    2017-01-01

    Full Text Available Background: Spirituality is considered one of the determinants of health. Various studies have documented its role in the management of psychological illnesses such as schizophrenia, and anxiety disorders. Doctors often lack skills to do spiritual assessment of the patients. Aim: The current study was conducted among the 1st year undergraduate medical students to find out their ideas and thoughts about spirituality using self-administered questionnaire. Methodology: This was a college based cross sectional study wherein 168 students were interviewed using semistructured, self administered questionnaire. Ethical clearance was obtained from Institutional ethical committee.Results: Most of the students (93.5% believed in spirituality, but only about half (49% of them had complete knowledge about it. Only psychological disorders and chronic diseases were labeled by students who need spirituality as a modality of treatment. Girls linked spirituality with God more than boys. A formal training in spirituality is not essential according to 43% of the subjects. Conclusion: The undergraduates need to understand the importance of this dimension of health. A mere gain in knowledge about spiritual strength available in some of the textbooks would not be able to orient doctors sufficiently to apply it in their practice. Future Direction: Skill building and practicing the culture of spiritual counseling among health workers is the need of hour.

  12. Spirituality and uncertainty at the end of life.

    Science.gov (United States)

    Stephenson, Pam Shockey; Berry, Devon M

    2014-01-01

    To examine the theoretical congruency between uncertainty and spirituality at the end of life (EOL). Relevant empirical and theoretical articles using the key words spirituality, uncertainty, terminal illness, and similar derivatives were drawn from the databases of CINAHL®, MEDLINE®, PsycINFO, and SocINDEX. Spirituality and uncertainty were compared for theoretical congruency based on five general categories: prevalence, temporality, interpretation, quality, and directionality. The categories were drawn from the uncertainty literature and looked at the ability of spirituality and uncertainty to contribute to or detract from health. This article presents an innovative way of viewing how spirituality is experienced at the EOL. The likelihood that uncertainty and spirituality can coexist as a simultaneous and even blended construct that influences the EOL is supported and warrants additional exploration. Health professionals must recognize the prevalence of spiritual uncertainty in the lives of their patients and understand the need to frequently assess for spiritual uncertainty. Specific recommendations are provided to guide professionals in addressing spiritual uncertainty with patients.

  13. Performance of the Duke Religion Index and the spiritual well-being scale in online samples of men who have sex with men.

    Science.gov (United States)

    Wilkerson, J Michael; Smolensk, Derek J; Brady, Sonya S; Rosser, B R Simon

    2013-06-01

    Religiosity is associated with behaviors that reduce the risk of HIV/STI infection among general-population and heterosexual-specific samples. Whether this association is similar to homosexual persons is unknown. Measures of religiosity have not been evaluated psychometrically among men who have sex with men (MSM), a population who, because of stigma, experience religiosity differently than heterosexual persons. We assessed the duke religion index and the spiritual well-being in two samples of MSM. Neither instrument produced adequate model fit. To study the association between religiosity and HIV/STI risk behaviors among MSM, scales are needed that measure the religious and spiritual experiences of MSM.

  14. Spirituality and religion in patients with HIV/AIDS.

    Science.gov (United States)

    Cotton, Sian; Puchalski, Christina M; Sherman, Susan N; Mrus, Joseph M; Peterman, Amy H; Feinberg, Judith; Pargament, Kenneth I; Justice, Amy C; Leonard, Anthony C; Tsevat, Joel

    2006-12-01

    Spirituality and religion are often central issues for patients dealing with chronic illness. The purpose of this study is to characterize spirituality/religion in a large and diverse sample of patients with HIV/AIDS by using several measures of spirituality/religion, to examine associations between spirituality/religion and a number of demographic, clinical, and psychosocial variables, and to assess changes in levels of spirituality over 12 to 18 months. We interviewed 450 patients from 4 clinical sites. Spirituality/religion was assessed by using 8 measures: the Functional Assessment of Chronic Illness Therapy-Spirituality-Expanded scale (meaning/peace, faith, and overall spirituality); the Duke Religion Index (organized and nonorganized religious activities, and intrinsic religiosity); and the Brief RCOPE scale (positive and negative religious coping). Covariates included demographics and clinical characteristics, HIV symptoms, health status, social support, self-esteem, optimism, and depressive symptoms. The patients' mean (SD) age was 43.3 (8.4) years; 387 (86%) were male; 246 (55%) were minorities; and 358 (80%) indicated a specific religious preference. Ninety-five (23%) participants attended religious services weekly, and 143 (32%) engaged in prayer or meditation at least daily. Three hundred thirty-nine (75%) patients said that their illness had strengthened their faith at least a little, and patients used positive religious coping strategies (e.g., sought God's love and care) more often than negative ones (e.g., wondered whether God has abandoned me; Pself-esteem, greater life satisfaction, and lower overall functioning (R2=.16 to .74). Mean levels of spirituality did not change significantly over 12 to 18 months. Most patients with HIV/AIDS belonged to an organized religion and use their religion to cope with their illness. Patients with greater optimism, greater self-esteem, greater life satisfaction, minorities, and patients who drink less alcohol tend

  15. Nepal and the Americas: Can Electromagnetic Field (EMF) Signals Be Detected There That Yield Information About Culturally Dictated Spiritual Values, and Can Computers Interface Their Assessment?

    Science.gov (United States)

    Aryal, Sanjita; Mc Leod, Roger D.; Mc Leod, David M.

    2002-10-01

    Nepal has a particularly rich tradition of culturally developed views on the material and spiritual worlds, and also has a powerful natural environment that may generate EMFs in conjunction with natural phenomena. We have an interest in determining whether these can be detected by portable technological means, and recording such data on notebook-type computers for analysis and evaluation. One goal is to assess whether historic Native Americans, such as Maine's and New Hampshire's Molly Ockett, may have been motivated in their selection of special, and perhaps, to them, "sacred" sites for their attention and as possible burial sites. Some of these may have been chosen on the basis of the EMFs that seem to emanate from them, and their assessment of what they meant to their worldviews. Do some Amerindians consider the EMF and reincarnation as requiring their rejection of material aspects of existence? Could other traditional cultures, or even suicidal terrorists, be sensitive to "information" they may receive from the EMF?

  16. Spiritual End-of-Life Care in Dutch Nursing Homes: An Ethnographic Study

    NARCIS (Netherlands)

    Gijsberts, M.J.H.E.; van der Steen, J.T.; Muller, M.T.; Hertogh, C.M.P.M.; Deliens, L.

    2013-01-01

    Objectives: The aim of this study was to explore if and how spiritual needs are assessed and if spiritual care is provided to Dutch nursing home residents, including residents suffering from dementia, and if and how caregivers communicate and collaborate regarding the residents' spiritual needs.

  17. Spirituality in Nursing: Filipino Elderly's Concept of, Distance from, and Involvement with God

    Science.gov (United States)

    de Guzman, Allan B.; Dalay, Naihra Jae Z.; De Guzman, Anthony Joe M.; de Jesus, Luigi Lauren E.; de Mesa, Jacqueline Barbara C.; Flores, Jan Derick D.

    2009-01-01

    Spirituality is an aspect of holistic care delivery by health team members. However, despite the established relationship of spirituality and health, there had been little evidence of ways of assessing spirituality for nurses' clinical practice in Asia, particularly in regard to geriatric patients. This study aimed to establish an eiditic…

  18. An Assessment Of Bias And Fairness Of The Culture Assessment Instrument

    Directory of Open Access Journals (Sweden)

    Themba J. Nkosi

    2004-11-01

    Full Text Available The aim of this study was to investigate the bias and fairness of the Culture Assessment Instrument (CAI, that is, to assess whether the mean culture scores of different groups (race, gender, age and language discriminate on a total score and an item level. The sample consisted of 4066 respondents from five different companies, originating from various industries. The scores of the 56 CAI-items were factor analysed on two levels, followed by an iterative item analyses. Significant differences between race and language mean scores were identified on a total score and item level. Where differences on an item level were detected, such item-wordings were scrutinized to ensure that they were fair, non-prejudiced and not stereotyping any group. Based on these findings, it was concluded that the CAI in its current form is not biased against any particular group and is therefore fair. OpsommingDie doel van hierdie studie was om die sydigheid en billikheid van die Culture Assessment Instrument (CAI te ondersoek, dit is om te bepaal of gemiddelde kultuurtellings van verskillende groepe (ras, geslag, ouderdom en taal diskrimineer op ’n totaaltelling en itemvlak. Die steekproef het bestaan uit 4066 respondente uit vyf verskillende organisasies, afkomstig uit verskillende bedrywe. Die tellings van die 56 CAI-items is op twee vlakke gefaktoranaliseer, gevolg deur ’n iteratiewe itemontleding. Beduidende verskille tussen gemiddelde tellings van rasen taalgroepe is identifiseer, maar slegs ’n klein proporsie van die variansie kon aan kultuurverskille toegeskryf word. In gevalle waar verskille op itemvlak geïdentifiseer is, is sulke item-bewoordings ondersoek vir billikheid, bevooroordeling en die nie-stereotipering van enige groep. Gebaseer op hierdie bevindinge, is daar tot die gevolgtrekking gekom dat die CAI in sy huidige vorm nie sydig teenoor enige groep is nie en gevolglik billik is.

  19. Shadows Along the Spiritual Pathway.

    Science.gov (United States)

    Humphrey, Caroline

    2015-12-01

    Contemporary spirituality discourses tend to assume that a canopy of light and love overarches all spiritual pathways. Unfortunately, the dark side of humanity cannot be spirited away so easily, and aberrations of personal spiritual development, interpersonal spiritual relationships and new spiritual movements can often be traced to the denial, repression and return of our dark side. Transpersonal psychology offers a way of approaching, reframing and redeeming the unconscious depths of our psyche, with its metaphors of shadows and daimons on the one hand, and its therapeutic practices for symbolically containing and transcending polarities on the other. In its absence, any spirituality which eulogises holistic growth is likely to engender the reverse effect.

  20. Spirituality and distress in palliative care consultation.

    Science.gov (United States)

    Hills, Judith; Paice, Judith A; Cameron, Jacqueline R; Shott, Susan

    2005-08-01

    One's spirituality or religious beliefs and practices may have a profound impact on how the individual copes with the suffering that so often accompanies advanced disease. Several previous studies suggest that negative religious coping can significantly affect health outcomes. The primary aim of this study was to explore the relationship between spirituality, religious coping, and symptoms of distress among a group of inpatients referred to the palliative care consult service. Pilot study. The study was conducted in a large academic medical center with a comprehensive Palliative Care and Home Hospice Program. (1) National Comprehensive Cancer Network Distress Management Assessment Tool; (2) Pargament Brief Religious Coping Scale (Brief RCOPE); (3) Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp); (4) Puchalski's FICA; and (5) Profile of Mood States-Short Form (POMS-SF). The 31 subjects surveyed experienced moderate distress (5.8 +/- 2.7), major physical and psychosocial symptom burden, along with reduced function and significant caregiving needs. The majority (87.2%) perceived themselves to be at least somewhat spiritual, with 77.4% admitting to being at least somewhat religious. Negative religious coping (i.e., statements regarding punishment or abandonment by God) was positively associated with distress, confusion, depression, and negatively associated with physical and emotional well-being, as well as quality of life. Palliative care clinicians should be alert to symptoms of spiritual distress and intervene accordingly. Future research is needed to identify optimal techniques to address negative religious coping.

  1. Self-report family assessment instruments: an evaluative review [see comment].

    Science.gov (United States)

    Halvorsen, J G

    1991-03-01

    Family medicine is challenged to document the impact of family systems on health and physiologic function. For this research investigators must measure family system variables with instruments that are both valid and reliable. In this context, eight self-report measures of total family functioning are reviewed and assessed according to a standardized approach to instrument design. The instruments evaluated include the Family Assessment Device, the Family Assessment Measure, the Family Adaptability and Cohesion Evaluation Scales, the Family Environment Scale, the Family Functioning Index, the Self-Report Family Inventory, the Family APGAR, and the Family Functioning Questionnaire. The analysis indicates two major problems with these instruments. First, there is disagreement on key concepts and definitions. Second, there is inconsistency in design and attention to detail in empirical analysis and psychometic evaluation. Family assessment techniques need further development and remain a fertile research field for family medicine investigation.

  2. Advanced reactor instrumentation and control reliability and risk assessment

    International Nuclear Information System (INIS)

    Fullwood, R.; Gunther, W.; Valente, J.; Azarm, M.A.

    1991-01-01

    Advanced nuclear power reactors will used different approaches to achieving a higher level of safety than the first generation. One approach used the technological developments in computation and electronics in the form of digital instrumentation and control (I ampersand C) to enhance the reliability, and accuracy of information for plant control, responding to the information, and controlling the plant and its systems under normal and upset environments in various states of degradation. Evaluating the reliability and safety of advanced I ampersand C systems requires determining the reliability of the I ampersand C used in the advanced reactors which involves distributed processing, data pile-up, interactive systems, the man-machine interface, various forms of automatic control, and systems interactions. From these analyses will come an understanding of the potential of the new I ampersand C, and protection from its vulnerabilities to enhance the safe operation of the new plants. Technological, safety, reliability, and regulatory issues associated with advanced I ampersand C for the new reactors are discussed herein. The issues are presented followed by suggested approaches to their resolution

  3. Review of risk assessment instruments for juvenile sex offenders: What is next?

    NARCIS (Netherlands)

    Hempel, I.S.; Buck, N.M.; Cima, M.; Marle, H.J.C. van

    2013-01-01

    Risk assessment is considered to be a key element in the prevention of recidivism among juvenile sex offenders (JSOs), often by imposing long-term consequences based on that assessment. The authors reviewed the literature on the predictive accuracy of six well-known risk assessment instruments used

  4. Review of risk assessment instruments for juvenile sex offenders : What is next?

    NARCIS (Netherlands)

    Hempel, I.; Buck, N.M.L.; Cima-Knijff, M.J.; van Marle, H.

    2013-01-01

    Risk assessment is considered to be a key element in the prevention of recidivism among juvenile sex offenders (JSOs), often by imposing long-term consequences based on that assessment. The authors reviewed the literature on the predictive accuracy of six well-known risk assessment instruments used

  5. Types of childhood trauma and spirituality in adult patients with depressive disorders.

    Science.gov (United States)

    Song, Jun-Mi; Min, Jung-Ah; Huh, Hyu-Jung; Chae, Jeong-Ho

    2016-08-01

    The aim of this study was to investigate the differences in spirituality among adult patients with depressive disorders, who had suffered various types of abuse or neglect in childhood. A total of 305 outpatients diagnosed with depressive disorders completed questionnaires on socio-demographic variables, childhood trauma history, and spirituality. We used the Childhood Trauma Questionnaire-Short Form (CTQ-SF) to measure five different types of childhood trauma (emotional abuse, physical abuse, sexual abuse, emotional neglect, and physical neglect) and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp-12) to assess spirituality. Depressive symptoms and total CTQ-SF scores showed a negative correlation with spirituality. In the regression model, being older and belonging to a religion significantly predicted greater spirituality. Depressive symptoms significantly predicted lower spirituality. From among the five types of childhood trauma assessed by the CTQ-SF, only emotional neglect significantly predicted lower spirituality. A history of childhood emotional neglect was significantly related to lower spirituality, especially in the case of the Meaning aspect of spirituality. This finding suggests the potential harmful influence of childhood emotional neglect on the development of spirituality in psychiatric patients. Investigating different aspects of childhood trauma might be important in order to develop a more comprehensive psychiatric intervention that aids in the development of spirituality. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Standardised assessment of patients' capacity to manage medications: a systematic review of published instruments

    Directory of Open Access Journals (Sweden)

    Elliott Rohan A

    2009-07-01

    Full Text Available Abstract Background Older people are commonly prescribed complex multi-drug regimens while also experiencing declines in the cognitive and physical abilities required for medication management, leading to increased risk of medication errors and need for assisted living. The purpose of this study was to review published instruments designed to assess patients' capacity to self-administer medications. Methods Searches of Medline, EMBASE, CINAHL, PsycINFO, International Pharmaceutical Abstracts, Health and Psychosocial Instruments, Google, and reference lists of identified publications were conducted to identify English-language articles describing development and validation of instruments designed to assess patients' capacity to self-administer medications. Methodological quality of validation studies was rated independently against published criteria by two reviewers and reliability and validity data were reviewed. Results Thirty-two instruments were identified, of which 14 met pre-defined inclusion criteria. Instruments fell into two categories: those that used patients' own medications as the basis for assessment and those that used a simulated medication regimen. The quality of validation studies was generally low to moderate and few instruments were subjected to reliability testing. Most instruments had some evidence of construct validity, through associations with tests of cognitive function, health literacy, activities of daily living or measures of medication management or adherence. Only one instrument had sensitivity and specificity data with respect to prediction of medication-related outcomes such as adherence to therapy. Only three instruments had validity data from more than one independent research group. Conclusion A number of performance-based instruments exist to assess patients' capacity to manage their own medications. These may be useful for identifying physical and cognitive barriers to successful medication management, but

  7. Development of the Leadership Influence Self-Assessment (LISA©) instrument.

    Science.gov (United States)

    Shillam, Casey R; Adams, Jeffrey M; Bryant, Debbie Chatman; Deupree, Joy P; Miyamoto, Suzanne; Gregas, Matt

    2017-11-15

    This study aims to describe the development and psychometric evaluation of the Leadership Influence Self-Assessment (LISA©) tool. LISA© was designed to help nurse leaders assess and enhance their influence capacity by measuring influence traits and practices and identifying areas of strength and weakness. Concepts identified in the Adams Influence Model and input from content experts guided the development of 145 items for testing. Administered to 165 nurse leaders, the assessment was subjected to exploratory factor analysis (EFA). EFA yielded a four-factor solution that comprised 80 items. Cronbach's alpha for factors ranged between 0.912 and 0.938. All factor loadings were >0.4; the smallest factor contained 14 items. Items grouped together in the theoretical model also clustered together in the EFA. Preliminary psychometric testing supports validity and reliability of the LISA© and its potential use as a tool to assess influence capacity for purposes of leadership development and research. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Associations among Spirituality, Health-Related Quality of Life, and Depression in Pre-Dialysis Chronic Kidney Disease Patients: An Exploratory Analysis in Thai Buddhist Patients

    Directory of Open Access Journals (Sweden)

    Waraporn Saisunantararom

    2015-10-01

    Full Text Available There are numerous studies of quality of life (QOL in chronic kidney disease (CKD patients; however, there are a few studies of spirituality and its association with QOL. Previous studies were done focusing on Western cultures; thus, the study of CKD patients in Eastern cultures would reveal interesting insights. This study was conducted to explore the spirituality, QOL, and depression of Thai CKD patients, and the associations between spirituality, QOL, and depression. This cross-sectional descriptive study using structured questionnaires was approved by the Khon Kaen University Ethics Committee in Human Research, Thailand. A total of 63 pre-dialysis CKD stage V patients who visited the kidney diseases clinic as appointed at the outpatient department in a community hospital in northeastern Thailand were recruited. The patients were asked for consent and then interviewed. Spirituality was assessed by using the WHOQOL Spirituality, Religiousness and Personal Beliefs (WHOQOL-SRPB and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp. The 9-item Thai Health Status Assessment Instrument (9-THAI was used to assess QOL. The Beck Depression Inventory-II (BDI-II was used to evaluate the depression. The study patients had high WHOQOL-SRPB and FACIT-Sp spirituality scores (median = 18.0, and 44.0, respectively. The 9-THAI QOL scores were within the normal range of the Thai general, healthy population (physical health score [PHS]; median = 48.0, mental health score [MHS]; median = 32.0. Based on BDI-II scores, most patients were in the minimal depression group (63.5%. The Spearman rho correlation coefficients (rs of PHS and WHOQOL-SRPB and FACIT-Sp were moderate with 0.34 for both spirituality measures. Similarly, also the mental health scores (MHS correlated moderately with WHOQOL-SRPB (rs = 0.46 and FACIT-Sp (rs = 0.37. Depressive symptoms (BDI-II strongly negatively correlated with WHOQOL-SRPB (rs = −0.58 and

  9. Financial and testamentary capacity evaluations: procedures and assessment instruments underneath a functional approach.

    Science.gov (United States)

    Sousa, Liliana B; Simões, Mário R; Firmino, Horácio; Peisah, Carmelle

    2014-02-01

    Mental health professionals are frequently involved in mental capacity determinations. However, there is a lack of specific measures and well-defined procedures for these evaluations. The main purpose of this paper is to provide a review of financial and testamentary capacity evaluation procedures, including not only the traditional neuropsychological and functional assessment but also the more recently developed forensic assessment instruments (FAIs), which have been developed to provide a specialized answer to legal systems regarding civil competencies. Here the main guidelines, papers, and other references are reviewed in order to achieve a complete and comprehensive selection of instruments used in the assessment of financial and testamentary capacity. Although some specific measures for financial abilities have been developed recently, the same is not true for testamentary capacity. Here are presented several instruments or methodologies for assessing financial and testamentary capacity, including neuropsychological assessment, functional assessment scales, performance based functional assessment instruments, and specific FAIs. FAIs are the only specific instruments intended to provide a specific and direct answer to the assessment of financial capacity based on legal systems. Considering the need to move from a diagnostic to a functional approach in financial and testamentary capacity evaluations, it is essential to consider both general functional examination as well as cognitive functioning.

  10. Teaching spirituality and spiritual care in health sciences education ...

    African Journals Online (AJOL)

    However, educators seemed to be unprepared and have insufficient knowledge about how to include spirituality in teaching. This review aimed to systematically review previous literature from 2000 to 2013 regarding the content knowledge and teaching strategies used to teach spirituality and spiritual care in health ...

  11. spirituality and contextuality 1. the historiography of spirituality

    African Journals Online (AJOL)

    The contextuality or historicity of spirituality is not self-evident. Not until modern times, in Europe, did it become more or less normal to look at spirituality from a historical perspective. It is thus not strange that the historiography of spirituality arose from the nineteenth century. In that time, the historical perspective was ...

  12. Mysticism and spirituality

    Directory of Open Access Journals (Sweden)

    Nils G. Holm

    2009-01-01

    Full Text Available How does the popular correspond to the grand terms of the title? Are not mysticism and spirituality something very exclusive, reserved for a few individuals? No they are not, as this presentation of both the author's own studies and the research of others will provide a different picture of these two concepts. Mysticism and spirituality are notions that are very difficult to define. Traditionally mysticism has been regarded as a way to reach the inner dimensions of human life, dimensions where man even achieves unity with the Divine Being. Such traditions have been found in all the major religions, and since the times of William James a hundred years ago, the features of mysticism in various religions have been analysed. Spirituality is a concept that can hold various meanings. It has often been associated with religious traditions where inner life and its growth are emphasized. These include, in particular, various schools, orders and movements that aim at cultivating a deeper spiritual life. In its more recent use, the term spirituality has, to a fairly large extent, been dissociated from religion and has become a notion that seeks to grasp the searching of modern man for ethics and norms in a globalised world, where pollution is accelerating and where stress and entertainment disrupt the inner harmony of people. Keywords

  13. [Psychometric properties of an instrument for assessing cyber-sex addiction].

    Science.gov (United States)

    Ballester Arnal, Rafael; Gil Llario, Ma Dolores; Gómez Martínez, Sandra; Gil Juliá, Beatriz

    2010-11-01

    Psychometric properties of an instrument for assessing cyber-sex addiction. Cyber-sex addiction is a «new pathology» whose prevalence has grown rapidly in recent years. Therefore, it is important to have validated assessment instruments. The aim of this study was the adaptation and validation of the Internet Sex Screening Test (ISST) for its use in a Spanish population. The instrument was administered to 1239 Spanish college students. The results yielded five components that account for 47.5% of the variance. Internal consistency was .88 and temporal stability was .84. Moreover, the instrument had adequate convergent and discriminant validity and was related to other behaviors such as the use of pornography, internet addiction, number of hours online and sexual frequency. Therefore, this tool is proposed as an appropriate measure to assess cyber-sex addiction.

  14. Warrior culture, spirituality, and prayer.

    Science.gov (United States)

    Malmin, Mark

    2013-09-01

    Research has shown an increase in suicides by military veterans and law enforcement officers in the United States. Etiologic research elucidates warrior culture and subculture as contributing factors of this pathology. This paper examines the idiosyncratic nature and influence of warrior culture and subculture and offers recommendations to promote culture change. Faith-based spirituality and prayer are examined as adjunct modalities for stress management and emotional healing. Further research is recommended to assess the associated hidden cost factors and long-term financial impact of warrior culture on society.

  15. ENHANCING SPIRITUALISM IN VIRTUAL WORLD

    Directory of Open Access Journals (Sweden)

    Kiran Lata DANGWAL

    2012-04-01

    Full Text Available Spiritualism is one word which puts man on the highest plinth of life. Spirituality is the way we find meaning, hope, comfort and inner peace in life. Spirituality in the virtual World is generally known as Virtual Spirituality. A goldmine of wisdom from all kinds of religious and spiritual philosophies, traditions and practices can be found in virtual World now. Technology and Spirituality together forms the material to which man can incline on to and work for the development of a globe in which war will be considered a taboo and violence a rejected dogma. Therefore there is an urgent nee to made the world a safe place to live in and the spiritual reconstruction can help us in achieving this.Spiritualism, Virtual World, Online Technology.

  16. Cultural Competence of Healthcare Providers: A Systematic Review of Assessment Instruments.

    Science.gov (United States)

    Lin, Chia-Jung; Lee, Chia-Kuei; Huang, Mei-Chih

    2017-06-01

    Few articles in the literature identify and describe the instruments that are regularly used by scholars to measure cultural competence in healthcare providers. This study reviews the psychometric properties of the several instruments that are used regularly to assess the cultural competence of healthcare providers. Researchers conducted a systematic review of the relevant articles that were published between 1983 and 2013 and listed on academic and government Web sites or on one or more of the following databases: CINAHL, MEDLINE, ERIC, PsycINFO, Psyc ARTICLES, PubMed, Cochrane, Pro Quest, Google Scholar, CNKI (China), and the National Digital Library of Theses and Dissertations (Taiwan). This study included 57 articles. Ten instruments from these articles were identified and analyzed. These instruments included five that were presented in English and five that were presented in Chinese. All were self-administered and based on respondent perceptions. Five of the 10 instruments were designed to measure cultural competence, two were designed to measure cultural sensitivity, two were designed to measure transcultural self-efficacy, and one was designed to measure cultural awareness. The six cultural dimensions addressed by these instruments were attitudes, knowledge, skills, behaviors, desires, and encounters. An expert panel validated the content of the 10 instruments. The subscales explained 33%-90% of the variance in scores for eight of the instruments. The reliability of the 10 instruments was estimated based on the internal consistency, which ranged from .57 to .97. This systematic review may assist researchers to choose appropriate instruments to assess the cultural competence of healthcare providers. The findings of this review indicate that no single instrument is adequate to evaluate cultural competence in all contexts.

  17. How students measure up: An assessment instrument for introductory computer science

    Science.gov (United States)

    Decker, Adrienne

    This dissertation presents an assessment instrument specifically designed for programming-first introductory sequences in computer science as given in Computing Curricula 2001: Computer Science Volume. The first-year computer science course has been the focus of many recent innovations and many recent debates in the computer science curriculum. There is significant disagreement as to effective methodology in the first year of computing, and there has been no shortage of ideas as to what predicts student success in the first year of the computing curriculum. However, most investigations into predictors of success lack an appropriately validated assessment instrument to support or refute their findings. This is presumably due to the fact that there are very few validated assessment instruments available for assessing student performance in the first year of computing instruction. The instrument presented here is not designed to test particular language constructs, but rather the underlying principles of the first year of computing instruction. It has been administered to students at the end of their first year of an introductory computer science curriculum. Data needed for analysis of the instrument for reliability and validity was collected and analyzed. Use of this instrument enables validated assessment of student progress at the end of their first year, and also enables the study of further innovations in the curriculum for the first year computer science courses.

  18. The quality of instruments to assess the process of shared decision making: A systematic review

    Science.gov (United States)

    Bomhof-Roordink, Hanna; Smith, Ian P.; Scholl, Isabelle; Stiggelbout, Anne M.; Pieterse, Arwen H.

    2018-01-01

    Objective To inventory instruments assessing the process of shared decision making and appraise their measurement quality, taking into account the methodological quality of their validation studies. Methods In a systematic review we searched seven databases (PubMed, Embase, Emcare, Cochrane, PsycINFO, Web of Science, Academic Search Premier) for studies investigating instruments measuring the process of shared decision making. Per identified instrument, we assessed the level of evidence separately for 10 measurement properties following a three-step procedure: 1) appraisal of the methodological quality using the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist, 2) appraisal of the psychometric quality of the measurement property using three possible quality scores, 3) best-evidence synthesis based on the number of studies, their methodological and psychometrical quality, and the direction and consistency of the results. The study protocol was registered at PROSPERO: CRD42015023397. Results We included 51 articles describing the development and/or evaluation of 40 shared decision-making process instruments: 16 patient questionnaires, 4 provider questionnaires, 18 coding schemes and 2 instruments measuring multiple perspectives. There is an overall lack of evidence for their measurement quality, either because validation is missing or methods are poor. The best-evidence synthesis indicated positive results for a major part of instruments for content validity (50%) and structural validity (53%) if these were evaluated, but negative results for a major part of instruments when inter-rater reliability (47%) and hypotheses testing (59%) were evaluated. Conclusions Due to the lack of evidence on measurement quality, the choice for the most appropriate instrument can best be based on the instrument’s content and characteristics such as the perspective that they assess. We recommend refinement and validation of

  19. Wind galleries: an instrument for environmental impact assessment

    International Nuclear Information System (INIS)

    Zunino, C.

    1998-01-01

    In the last decades wind galleries for non-aeronautic utilisation have proved to be a useful investigation tool in various fields, such as studies on environmental impact and risk assessment, associated with permanent or incidental release of harmful substances. In this framework the feasibility of a new installation has been evaluated in Italy, having as main target the reproduction of thermal stratification phenomena. The great deal of 'hazardous' industries, often in areas having a complex orography, as well as the high pollution levels in Italian cities, lead to the conclusion that a thermally stratified wind gallery might be an economically viable investment [it

  20. Development of esMOCA RULA, Motion Capture Instrumentation for RULA Assessment

    Science.gov (United States)

    Akhmad, S.; Arendra, A.

    2018-01-01

    The purpose of this research is to build motion capture instrumentation using sensors fusion accelerometer and gyroscope to assist in RULA assessment. Data processing of sensor orientation is done in every sensor node by digital motion processor. Nine sensors are placed in the upper limb of operator subject. Development of kinematics model is done with Simmechanic Simulink. This kinematics model receives streaming data from sensors via wireless sensors network. The output of the kinematics model is the relative angular angle between upper limb members and visualized on the monitor. This angular information is compared to the look-up table of the RULA worksheet and gives the RULA score. The assessment result of the instrument is compared with the result of the assessment by rula assessors. To sum up, there is no significant difference of assessment by the instrument with an assessment by an assessor.

  1. The Health Technology Assessment-disease management instrument reliably measured methodologic quality of health technology assessments of disease management.

    Science.gov (United States)

    Steuten, L M G; Vrijhoef, H J M; van Merode, G G; Severens, J L; Spreeuwenberg, C

    2004-09-01

    Systematic reviews aim to summarize the evidence in a particular topic area, giving attention to the identified methodologic quality of published research. Because research in a specific area may be susceptible to specific biases, it is assumed that the methodologic quality of Health Technology Assessment (HTA) of disease management cannot properly be measured with the existing methodologic quality assessment instruments. The purpose of this study was to describe to what extent existing instruments are useful in assessing the methodologic quality of HTA of disease management. An inventory was made of the problems that arise when assessing the methodologic quality of six HTAs of disease management with three different instruments. Based on these findings, a new instrument is proposed and validated. Problems mainly concern the items related to the study design, criteria for selection and restriction of patients, baseline and outcome measures, blinding of patients and providers, and the description of (co)-interventions. With its more specific characteristics, the HTA-DM addresses the problems mentioned. The HTA-DM is a reliable instrument for methodologic quality assessment of HTA of disease management in comparison with the other three instruments.

  2. Spirituality in the Healthcare Workplace

    OpenAIRE

    Donia Baldacchino

    2017-01-01

    Spirituality involves a sense of connectedness, meaning making and transcendence. There is abundant published research that focuses on the importance of spirituality to patients and their families during times of illness and distress. However over the last decade there has also been a growing awareness about the importance of considering the need to address peoples’ spiritual needs in the workplace. Engaging in ones own personal spirituality involves connecting with the inner self, becoming m...

  3. An exploration of the extent of inclusion of spirituality and spiritual care concepts in core nursing textbooks.

    Science.gov (United States)

    Timmins, Fiona; Murphy, Maryanne; Neill, Freda; Begley, Thelma; Sheaf, Greg

    2015-01-01

    Holistic care that encompasses a spiritual dimension is an expectation in modern healthcare (Rothman, 2009). Increasing attention is being paid to the role of nurses in providing spiritual care to patients. However nurses lack specific skills and expertise in this area (Lundmark, 2006; Timmins, 2010; RCN, 2011), and the extent to which their undergraduate education prepares them for this role is unclear. There is often an absence of clear direction about what to teach undergraduate nursing students. The extent to which core textbooks direct student studies in this area is not known. There is some evidence that some of these fundamental core textbooks provide insufficient direction (Pesut, 2008), thus gaps in knowledge and care provision in this field could be exacerbated. The aim of this study is to examine the extent to which spiritual care concepts are addressed in core nursing textbooks. Five hundred and forty three books were sampled from the Nursing and Midwifery Core Collection list (UK) (Tomlinsons, 2010) representing 94% of the total (n=580). A survey, the Spirituality Textbook Analysis Tool (STAT), was developed and used to collect data. One hundred and thirty of the books included content related to spirituality and religion. However there was little consistency in the core nursing textbooks with regard to direction for providing spiritual care. Thirty eight percent of the books defined spiritual care and 36% provided an outline of the role of the nurse in providing this. While some books advocated the assessment of patients' spiritual needs (32%) few referred specifically to assessment tools. It is essential that nurses are adequately prepared to address the spiritual needs of patients. While there are numerous spiritual care texts that deal solely with this issue for nurses, there is an argument emerging that core nursing texts used by nursing students ought to encompass spiritual care elements. Lack of specific focus on this field, by these key

  4. DEVELOPMENT OF PERFORMANCE ASSESSMENT INSTRUMENT FOR NURSES BASED ON WEB IN INPATIENT UNIT

    Directory of Open Access Journals (Sweden)

    Aprilia Nuryanti

    2017-06-01

    Full Text Available Introduction: Performance assessment instrument will be problematic when it is not representative in describing the competency because it is not obvious indicators and inappropriate performance standard to nursing’s task. The purpose of this study is to develop nurses’ performance assessment instrument based on the web from multi sources assessment inpatient unit at SMC Hospital. Methods: This study had two phases. The first phase was an explanatory overview of the performance assessment system using questionnaires completed by 53 respondents of nurses, selected by purposive sampling. Instrument development based on FGD with six decision makers in the hospital. Validity was tested by Pearson Product Moment Correlation and reliability of instrument’s was tested by alpha Cronbach. The second phase was socialization and instrument test to observe the quality of instrument using a questionnaire by 47 respondents and recommendations made by 8 participants of FGD. The samples were selected by purposive sampling technique. Performance assessment system was moderate at 58.49%. All questions which aimed to measure the performance of nurses were valid and reliable. The quality of nurses’ performance assessment instruments based on the web was a good category, which was functionality: 81.60; reliability: 78.16; efficiency: 80.85; usability: 81.70 and portability: 81.70. Results: The result was a web-based assessment format, scoring with Likert scale, resource assessment by the direct supervisor which was a multisource evaluator, the development of performance graph, and confidentiality of data on the database server. Discussion: Recommendations for hospital is to make policy based on the final value of the performance assessment by the supervisor which was multisource feedback and it needs a global writing on a form of performance assessment result.

  5. The importance of spirituality among gay and lesbian individuals.

    Science.gov (United States)

    Tan, P Philip

    2005-01-01

    Religion is a conduit for expressing spirituality. Since most mainstream religions condemn any form of homosexuality one would expect that gay men and lesbians would have little to do with spirituality. Experts, however, believe that gay and lesbian individuals would especially benefit from spiritual nourishment because of the oppression they face. Using an instrument that measures spiritual well-being, this study investigated the spirituality of 93 gay and lesbian individuals. The findings revealed that respondents espoused high levels of spiritual well-being: how one relates to God (religious well-being) and how one feels about life (existential well-being). Those who identified with a formal religion and who attended religious services frequently espoused higher religious well-being. Respondents with a diagnosis of depression, on the other hand, espoused lower existential well-being. Multiple regression analyses revealed that existential well-being was a significant predictor of adjustment: having high self-esteem, accepting one's homosexual orientation, and feeling less alienated. In contrast, religious well-being was not a significant predictor of any measure of adjustment. These findings point to the importance of the existential aspect of spirituality among gay and lesbian individuals in determining adjustment. They also suggest that being well-adjusted does not entail being reconciled with a traditional religion or with a theistic belief.

  6. Are pedometers adequate instruments for assessing energy expenditure?

    Science.gov (United States)

    Kumahara, H; Tanaka, H; Schutz, Y

    2009-12-01

    Assessing energy expenditure (EE) is important for the control of obesity. Daily step counts have become popular and constitute one practical technique for evaluating the physical activity (PA) in large population studies. However, information on the capacity of pedometers to track EE in free-living conditions remains scanty. The 24-h EE of 71 healthy adults was measured by indirect calorimetry in a large respiratory chamber. Two accelerometers were attached to the waist, one for counting the total daily steps (ACC(STEP)) and another for measuring the anteroposterior whole body acceleration calculated as the root mean square of the acceleration signal at every second (ACC(RMS)). The ACC(STEP) was not associated with PA-related EE (PAEE) or 24-h EE. Body weight (BW) was the main determinant of both the values (explaining 30 and 75% of the variance, respectively). Approximately 8% (P<0.001) of the variance in PAEE was attributed to the ACC(RMS) after BW was accounted for, whereas the ACC(STEP) did not explain any additional variance. A multiple stepwise regression analysis revealed that BW, height and ACC(RMS) were highly significant determinants of 24-h EE and accounted for as much as 83% of the total variance. Recording the number of steps per day does not provide accurate information on EE, and at best is only a crude predictor of the general PA in terms of displacement. In contrast, accelerometry signals are considered to be a more meaningful factor in the assessment of EE rather than step counts under sedentary conditions.

  7. Spiritual Bypass: A Preliminary Investigation

    Science.gov (United States)

    Cashwell, Craig S.; Glosoff, Harriet L.; Hammond, Cheree

    2010-01-01

    The phenomenon of spiritual bypass has received limited attention in the transpersonal psychology and counseling literature and has not been subjected to empirical inquiry. This study examines the phenomenon of spiritual bypass by considering how spirituality, mindfulness, alexithymia (emotional restrictiveness), and narcissism work together to…

  8. Corporate spirituality as organizational praxis

    NARCIS (Netherlands)

    drs. Eelco van den Dool

    2009-01-01

    A methodology for doing research into corporate spirituality should enable us to deal with the religious component of spirituality instead of trying to separate spirituality from religious beliefs, as the positivist school proposes. Waaijman’s phenomenological-dialogical research cycle enables us to

  9. Afrikaner spirituality: A complex mixture

    African Journals Online (AJOL)

    UPuser

    Afrikaner spirituality: A complex mixture. Erna Oliver. Department of Christian Spirituality. Church History and Missiology. University of South Africa. Abstract. The article argues that the perception that Afrikaner spirituality is and has always been founded mainly or only upon the Calvinistic tradition is a misconception.

  10. Spiritual wellbeing, Attitude toward Spiritual Care and its Relationship with Spiritual Care Competence among Critical Care Nurses.

    Science.gov (United States)

    Azarsa, Tagie; Davoodi, Arefeh; Khorami Markani, Abdolah; Gahramanian, Akram; Vargaeei, Afkham

    2015-12-01

    Nurses' spiritual wellbeing and their attitude toward spirituality and competence of nurses in providing of spiritual care can affect the quality of care in nursing. The aim of this study was to evaluate spiritual wellbeing, attitude toward spiritual care and its relationship with the spiritual care competence among nurses. This was a correlational descriptive study conducted on 109 nurses working in the Intensive Care Units of Imam Reza and Madani hospitals in 2015, Tabriz, Iran. Data collection tools were a demographic data form and three standard questionnaires including Spiritual Wellbeing Scale, Spirituality and Spiritual Results: The mean score of the spiritual wellbeing was 94.45 (14.84), the spiritual care perspective was 58.77 (8.67), and the spiritual care competence was 98.51 (15.44). The linear regression model showed 0.42 variance between the spiritual care competence scores which were explained by the two aspects of spiritual wellbeing (religious health, existential health) and three aspects of spiritual care perspective (spirituality, spiritual care, personalized care). The spiritual care competence had a positive relationship with spiritual wellbeing and spiritual care perspective. Because of the nature of nursing and importance of close interaction of nurses with patients in ICUs, the higher nurses' SW and the more their positive attitude toward spiritual care, the more they can provide spiritual care to their patients.

  11. The design of an instrumented rebar for assessment of corrosion in cracked reinforced concrete

    DEFF Research Database (Denmark)

    Pease, Bradley Justin; Geiker, Mette Rica; Stang, Henrik

    2011-01-01

    rebar with 17 electronically isolated corrosion sensors. Instrumented and standard rebars were cast into concrete beams and bending cracks were induced and held open using steel frames. Epoxy impregnation was used to assess and compare cracks in the concrete around the instrumented and standard rebar...... between the steel and concrete. Cracked beams with cast-in instrumented and standard rebars were ponded with a 10\\% chloride solution and the open circuit corrosion potential (OCP) of the 17 sensors was measured for up to 62 days. Measurements from the individual sensors indicate when and where active....... As bending-induced cracks reached the reinforcement, slip and separation occurred along the concrete-reinforcement interface. Cracks in the concrete surrounding standard and instrumented rebars are largely similar in appearance; however, sensors protruding from the instrumented rebar reduced the separation...

  12. Development and validation of an instrument to assess job satisfaction in eye-care personnel.

    Science.gov (United States)

    Paudel, Prakash; Cronjé, Sonja; O'Connor, Patricia M; Khadka, Jyoti; Rao, Gullapalli N; Holden, Brien A

    2017-11-01

    The aim was to develop and validate an instrument to measure job satisfaction in eye-care personnel and assess the job satisfaction of one-year trained vision technicians in India. A pilot instrument for assessing job satisfaction was developed, based on a literature review and input from a public health expert panel. Rasch analysis was used to assess psychometric properties and to undertake an iterative item reduction. The instrument was then administered to vision technicians in vision centres of Andhra Pradesh in India. Associations between vision technicians' job satisfaction and factors such as age, gender and experience were analysed using t-test and one-way analysis of variance. Rasch analysis confirmed that the 15-item job satisfaction in eye-care personnel (JSEP) was a unidimensional instrument with good fit statistics, measurement precisions and absence of differential item functioning. Overall, vision technicians reported high rates of job satisfaction (0.46 logits). Age, gender and experience were not associated with high job satisfaction score. Item score analysis showed non-financial incentives, salary and workload were the most important determinants of job satisfaction. The 15-item JSEP instrument is a valid instrument for assessing job satisfaction among eye-care personnel. Overall, vision technicians in India demonstrated high rates of job satisfaction. © 2016 Optometry Australia.

  13. Developing and Assessing Curriculum on the Physics of Medical Instruments

    Science.gov (United States)

    Christensen, Warren; Johnson, James K.; Van Ness, Grace R.; Mylott, Elliot; Dunlap, Justin C.; Anderson, Elizabeth A.; Widenhorn, Ralf

    2013-01-01

    Undergraduate educational settings often struggle to provide students with authentic biologically or medically relevant situations and problems that simultaneously improve their understanding of physics. Through exercises and laboratory activities developed in an elective Physics in Biomedicine course for upper-level biology or pre–health majors at Portland State University, we aim to teach fundamental physical concepts, such as light absorption and emission and atomic energy levels, through analysis of biological systems and medical devices. The activities address the properties of electromagnetic waves as they relate to the interaction with biological tissue and make links between physics and biomedical applications such as microscopy or laser eye surgery. We report on the effect that engaging students in tasks with actual medical equipment has had on their conceptual understanding of light and spectroscopy. These initial assessments indicate that students’ understanding improves in some areas as a result of taking the course, but gains are not uniform and are relatively low for other topics. We also find a promising “nonshift” in student attitudes toward learning science as a result of taking the course. A long-term goal of this work is to develop these materials to the extent that they can eventually be imported into an introductory curriculum for life sciences majors. PMID:23737632

  14. Developing and assessing curriculum on the physics of medical instruments.

    Science.gov (United States)

    Christensen, Warren; Johnson, James K; Van Ness, Grace R; Mylott, Elliot; Dunlap, Justin C; Anderson, Elizabeth A; Widenhorn, Ralf

    2013-06-01

    Undergraduate educational settings often struggle to provide students with authentic biologically or medically relevant situations and problems that simultaneously improve their understanding of physics. Through exercises and laboratory activities developed in an elective Physics in Biomedicine course for upper-level biology or pre-health majors at Portland State University, we aim to teach fundamental physical concepts, such as light absorption and emission and atomic energy levels, through analysis of biological systems and medical devices. The activities address the properties of electromagnetic waves as they relate to the interaction with biological tissue and make links between physics and biomedical applications such as microscopy or laser eye surgery. We report on the effect that engaging students in tasks with actual medical equipment has had on their conceptual understanding of light and spectroscopy. These initial assessments indicate that students' understanding improves in some areas as a result of taking the course, but gains are not uniform and are relatively low for other topics. We also find a promising "nonshift" in student attitudes toward learning science as a result of taking the course. A long-term goal of this work is to develop these materials to the extent that they can eventually be imported into an introductory curriculum for life sciences majors.

  15. FACT: taking a spiritual history in a clinical setting.

    Science.gov (United States)

    Larocca-Pitts, Mark A

    2008-01-01

    Healthcare clinicians need a good tool for taking spiritual histories in a clinical setting. A spiritual history provides important clinical information and any properly trained clinician can take one. Professionally trained chaplains follow-up with more in-depth spiritual assessments if indicated. A spiritual history tool's effectiveness depends on five criteria: brevity, memorability, appropriateness, patient-centeredness, and credibility (Koenig, 2007). The chaplain-developed FACT stands for: F-Faith (and/or Belief); A-Active (and/or Available, Accessible, Applicable); C-Coping (and/or Comfort)/Conflict (and/or Concern); and T-Treatment. FACT compares favorably, if not better in some categories, with three physician-developed spiritual history tools: Koenig's (2007) CSI-MEMO, American College of Physicians' tool (Lo, Quill, & Tulsky, 1999), and Puchalski's and Romer's (2000) FICA.

  16. On "spirituality," "religion," and "religions": a concept analysis.

    Science.gov (United States)

    Lazenby, J Mark

    2010-12-01

    With increasing research on the role of religion and spirituality in the well-being of cancer patients, it is important to define distinctly the concepts that researchers use in these studies. Using the philosophies of Frege and James, this essay argues that the terms "religion" and "spirituality" denote the same concept, a concept that is identified with the Peace/Meaning subscale of the Functional Assessment of Chronic Illness Therapy--Spiritual Well-being Scale (FACIT-Sp). The term "Religions" denotes the concept under which specific religious systems are categorized. This article shows how muddling these concepts causes researchers to make claims that their findings do not support, and it ends in suggesting that future research must include universal measures of the concept of religion/spirituality in order to investigate further the role of interventions in the spiritual care of people living with cancer.

  17. Assessing Student Outcomes of Undergraduate Research with URSSA, the Undergraduate Student Self-Assessment Instrument

    Science.gov (United States)

    Laursen, S. L.; Weston, T. J.; Thiry, H.

    2012-12-01

    URSSA is the Undergraduate Research Student Self-Assessment, an online survey instrument for programs and departments to use in assessing the student outcomes of undergraduate research (UR). URSSA focuses on what students learn from their UR experience, rather than whether they liked it. The online questionnaire includes both multiple-choice and open-ended items that focus on students' gains from undergraduate research. These gains include skills, knowledge, deeper understanding of the intellectual and practical work of science, growth in confidence, changes in identity, and career preparation. Other items probe students' participation in important research-related activities that lead to these gains (e.g. giving presentations, having responsibility for a project). These activities, and the gains themselves, are based in research and thus constitute a core set of items. Using these items as a group helps to align a particular program assessment with research-demonstrated outcomes. Optional items may be used to probe particular features that are augment the research experience (e.g. field trips, career seminars, housing arrangements). The URSSA items are based on extensive, interview-based research and evaluation work on undergraduate research by our group and others. This grounding in research means that URSSA measures what we know to be important about the UR experience The items were tested with students, revised and re-tested. Data from a large pilot sample of over 500 students enabled statistical testing of the items' validity and reliability. Optional items about UR program elements were developed in consultation with UR program developers and leaders. The resulting instrument is flexible. Users begin with a set of core items, then customize their survey with optional items to probe students' experiences of specific program elements. The online instrument is free and easy to use, with numeric results available as raw data, summary statistics, cross-tabs, and

  18. Instrument validation for assessing critically ill patients on mechanical ventilation according to the ABCDE

    Directory of Open Access Journals (Sweden)

    Percival Vitorino Guimarães

    2015-03-01

    Full Text Available The objective of this study was to validate the content of an instrument aimed at guiding the nursing care provided to patients on artificial respiration. An instrument was created with five indicators, inspired on the mnemonic ABCDE method, used in the Advanced Trauma Life Support course, namely: A – Airway maintenance, with 38 items; B – Breathing and ventilation, 11 items; C – Circulation with hemorrhage control, 16 items; D – Disability/neurologic assessment, 08 items; and E – Exposure and environmental control, 08 items. The Content Validity Index (CVI was used to calculate the degree of agreement among the experts for the general analysis of the instrument and the analysis of the set of items. In conclusion, this instrument works as an assessment tool for patients on artificial respiration, especially when they are in adapted environments to intensive care, as it guides the nurse to observe aspects that may cause harm to the patient.

  19. Assessing the performance of renewable electricity support instruments

    International Nuclear Information System (INIS)

    Verbruggen, Aviel; Lauber, Volkmar

    2012-01-01

    The performance of feed-in tariffs and tradable certificates is assessed on criteria of efficacy, efficiency, equity and institutional feasibility. In the early stage of transition to an energy system based entirely on renewable energy supplies, renewable electricity can only thrive if support takes into account the specific technical, economic and political problems which result from embedding this electricity in conventional power systems whose technology, organizational structure, environmental responsibility and general mission differ profoundly from the emerging, renewable-based system. Support schemes need to capture the diversity of power supplies, the variable nature of some renewable supplies, and their different attributes for the purposes of public policy. They must take into account the variety of generators – including small, decentralized generation – emerging in a renewable-based system, and the new relationships between generators and customers. Renewable energy policies need a clear point of reference: because the incumbent power systems are not sustainable they must adapt to the requirements of the renewable ones, not the other way round. Incumbent systems carry the responsibility of paying the transition, something that corresponds best with the polluter pays principle. - Highlights: ► Present power systems must adapt to the requirements of growing renewable ones, not the opposite. ► Well performing support systems capture the diversity of renewable sources and technologies. ► Feed-in Tariffs are superior in addressing the renewables' diversity and in promoting innovation. ► Feed-in Tariffs put transition burdens on incumbents and stimulate independent producers.

  20. Assessment of Customer Service in Academic Health Care Libraries (ACSAHL): an instrument for measuring customer service.

    Science.gov (United States)

    Crossno, J E; Berkins, B; Gotcher, N; Hill, J L; McConoughey, M; Walters, M

    2001-04-01

    In a pilot study, the library had good results using SERVQUAL, a respected and often-used instrument for measuring customer satisfaction. The SERVQUAL instrument itself, however, received some serious and well-founded criticism from the respondents to our survey. The purpose of this study was to test the comparability of the results of SERVQUAL with a revised and shortened instrument modeled on SERVQUAL. The revised instrument, the Assessment of Customer Service in Academic Health Care Libraries (ACSAHL), was designed to better assess customer service in academic health care libraries. Surveys were sent to clients who had used the document delivery services at three academic medical libraries in Texas over the previous twelve to eighteen months. ACSAHL surveys were sent exclusively to clients at University of Texas (UT) Southwestern, while the client pools at the two other institutions were randomly divided and provided either SERVQUAL or ACSAHL surveys. Results indicated that more respondents preferred the shorter ACSAHL instrument to the longer and more complex SERVQUAL instrument. Also, comparing the scores from both surveys indicated that ACSAHL elicited comparable results. ACSAHL appears to measure the same type of data in similar settings, but additional testing is recommended both to confirm the survey's results through data replication and to investigate whether the instrument applies to different service areas.

  1. Development of the evaluation instrument use CIPP on the implementation of project assessment topic optik

    Science.gov (United States)

    Asfaroh, Jati Aurum; Rosana, Dadan; Supahar

    2017-08-01

    This research aims to develop an evaluation instrument models CIPP valid and reliable as well as determine the feasibility and practicality of an evaluation instrument models CIPP. An evaluation instrument models CIPP to evaluate the implementation of the project assessment topic optik to measure problem-solving skills of junior high school class VIII in the Yogyakarta region. This research is a model of development that uses 4-D. Subject of product trials are students in class VIII SMP N 1 Galur and SMP N 1 Sleman. Data collection techniques in this research using non-test techniques include interviews, questionnaires and observations. Validity in this research was analyzed using V'Aikens. Reliability analyzed using ICC. This research uses 7 raters are derived from two lecturers expert (expert judgment), two practitioners (science teacher) and three colleagues. The results of this research is the evaluation's instrument model of CIPP is used to evaluate the implementation of the implementation of the project assessment instruments. The validity result of evaluation instrument have V'Aikens values between 0.86 to 1, which means a valid and 0.836 reliability values into categories so well that it has been worth used as an evaluation instrument.

  2. Particularizing spirituality in points of tension: enriching the discourse.

    Science.gov (United States)

    Pesut, Barbara; Fowler, Marsha; Reimer-Kirkham, Sheryl; Taylor, Elizabeth Johnston; Sawatzky, Rick

    2009-12-01

    The tremendous growth in nursing literature about spirituality has garnered proportionately little critique. Part of the reason may be that the broad generalizing claims typical of this literature have not been sufficiently explicated so that their particular implications for a practice discipline could be evaluated. Further, conceptualizations that attempt to encompass all possible views are difficult to challenge outside of a particular location. However, once one assumes a particular location in relation to spirituality, then the question becomes how one resolves the tension between what are essentially theological or philosophical commitments and professional commitments. In this study, we discuss the tension between these perspectives using the idea of a responsible nursing response to spiritual pluralism. We then problematize three claims about spirituality in nursing discourse based upon our location as scholars influenced by Christian theological understandings: (i) the claim that all individuals are spiritual; (ii) the claim that human spirituality can be assessed and evaluated; and (iii) the claim that spirituality is a proper domain of nursing's concern and intervention. We conclude by suggesting that the widely shared values of social justice, compassion and human dignity may well serve as a grounding for the critique of spiritual discourses in nursing across particularized positions.

  3. Spiritually and Religiously Integrated Group Psychotherapy: A Systematic Literature Review

    Science.gov (United States)

    2013-01-01

    We systematically reviewed the research literature on spiritually and religiously integrated group psychotherapy to answer the following three questions: first, how are spirituality and religiosity defined; second, how are spiritual and religious factors characterized and integrated into group psychotherapy; and, third, what is the outcome of the group psychotherapies? We searched in two databases: PsycINFO and PubMed. Inclusion and exclusion criteria and checklists from standardized assessment tools were applied to the research literature. Qualitative and quantitative papers were included. In total, 8 articles were considered eligible for the review. Findings from the evaluation suggested that the concepts of spirituality and religiosity were poorly conceptualized and the way in which spiritual and religious factors were integrated into such group psychotherapies, which distinguished it from other types of group psychotherapies, was not fully conceptualized or understood either. However, clear and delimited conceptualization of spiritual and religious factors is crucial in order to be able to conclude the direct influences of spiritual or religious factors on outcomes. Implications for spiritually or religiously integrated group psychotherapy and conducting research in this field are propounded. PMID:24288557

  4. Spirituality in the Healthcare Workplace

    Directory of Open Access Journals (Sweden)

    Donia Baldacchino

    2017-11-01

    Full Text Available Spirituality involves a sense of connectedness, meaning making and transcendence. There is abundant published research that focuses on the importance of spirituality to patients and their families during times of illness and distress. However over the last decade there has also been a growing awareness about the importance of considering the need to address peoples’ spiritual needs in the workplace. Engaging in ones own personal spirituality involves connecting with the inner self, becoming more self aware of ones humanity and limitations. Engaging with ones personal spirituality can also mean that people begin to greater find meaning and purpose in life and at work. This may be demonstrated in the workplace by collegial relationships and teamwork. Those who engage with their own spirituality also engage more easily with others through a connectedness with other staff and by aligning their values with the respective organization if they fit well with ones personal values. Workplace spirituality is oriented towards self-awareness of an inner life which gives meaning, purpose and nourishment to the employees’ dynamic relationships at the workplace and is eventually also nourished by meaningful work. Exercising ones personal spirituality contributes towards generating workplace spirituality. Essentially acting from ones own personal spirituality framework by being in doing can contribute towards a person becoming a healing and therapeutic presence for others, that is nourishing in many workplaces. Personal spirituality in healthcare can be enhanced by: reflection in and on action; role-modeling; taking initiative for active presence in care; committing oneself to the spiritual dimension of care; and, integrating spirituality in health caregivers’ education. As spirituality is recognized as becoming increasingly important for patients in healthcare, increasing educational opportunities are now becoming available for nurses internationally that

  5. Developing an instrument model to assess teachers’ creativity in designing and teaching music subject

    Directory of Open Access Journals (Sweden)

    Udi Utomo

    2017-08-01

    Full Text Available This paper aims at developing an instrument model to assess teacher’s creativity in designing and teaching music at school. The study was conducted by adapting the approach of Research and Development (R&D from the model designed by Borg and Gall and the cycle model design developed by Cenamo & Kalk. The development comprises two stages; the model development and dissemination. The model development encompassed of model planning, model designing, as well as the try out. While, the dissemination stage was done by presenting the research result at a conference. At the end of the study, it was proven that the assessment instrument model used to assess teachers’ creativity in designing and teaching music subject at school had met with the research aim. It was shown from the try out test on the assessment instrument model development that: (1 the assessment material, assessment technique, rater criteria, assessment object, units of observation, competence test process, time allotment, observation process, measurement criteria, as well as the measurement rubric had been considered appropriate and had provenly matched from one to another so that it can be applied well; (2 the reliability of the assessment instrument based on Intraclass Correlation Coefficients/ICC test on consistency and absolute agreement definition type as well as the Generalizability Coefficient had met the criteria.

  6. A Comparison of Two Instruments for the Assessment of Legibility of ...

    African Journals Online (AJOL)

    Purpose: To compare the utility of a rating and visual analogue scale for the assessment of legibility in prescriptions Methods: A sample of fifty randomly selected ... Conclusion: The findings support the utility of both instruments in the assessment of handwriting but suggest that there may be important differences between ...

  7. Assessment of physician competency in patient education : Reliability and validity of a model-based instrument

    NARCIS (Netherlands)

    Wouda, Jan C.; Zandbelt, Linda C.; Smets, Ellen M. A.; van de Wiel, Harry B. M.

    2011-01-01

    Objective: Establish the inter-rater reliability and the concept, convergent and construct validity of an instrument for assessing the competency of physicians in patient education. Methods: Three raters assessed the quality of patient education in 30 outpatient consultations with the CELI

  8. Bridging the Educational Research-Teaching Practice Gap: Tools for Evaluating the Quality of Assessment Instruments

    Science.gov (United States)

    Anderson, Trevor R.; Rogan, John M.

    2010-01-01

    Student assessment is central to the educational process and can be used for multiple purposes including, to promote student learning, to grade student performance and to evaluate the educational quality of qualifications. It is, therefore, of utmost importance that assessment instruments are of a high quality. In this article, we present various…

  9. A Comparison of Two Instruments for the Assessment of Legibility of ...

    African Journals Online (AJOL)

    Erah

    there have to be reliable means to assess legibility in the absence of computer software. This study compared the utility of two instruments - a rating scale and a visual analogue scale - for the assessment of legibility of handwriting in prescriptions written in a tertiary health institution in a developing country. EXPERIMENTAL.

  10. A systematic review of instruments that assess the implementation of hospital quality management systems.

    NARCIS (Netherlands)

    Groene, O.; Botje, D.; Suñol, R.; Lopez, M.A.; Wagner, C.

    2013-01-01

    Purpose: Health-care providers invest substantial resources to establish and implement hospital quality management systems. Nevertheless, few tools are available to assess implementation efforts and their effect on quality and safety outcomes. This review aims to (i) identify instruments to assess

  11. The caries assessment spectrum and treatment (CAST) instrument: its reproducibility in clinical studies

    NARCIS (Netherlands)

    Souza, A.L. de; Bronkhorst, E.M.; Creugers, N.H.; Leal, S.C.; Frencken, J.E.

    2014-01-01

    A new caries assessment instrument, the Caries Assessment Spectrum and Treatment (CAST), was developed. It covers carious lesion progression from no lesion, sealants and restorations to lesions in enamel and dentine, advanced stages in pulpal and tooth-surrounding tissues, and tooth loss owing to

  12. Attention to gender in communication skills assessment instruments in medical education: a review.

    NARCIS (Netherlands)

    Dielissen, P.W.; Bottema, B.J.A.M.; Verdonk, P.; Lagro-Janssen, T.

    2011-01-01

    CONTEXT: Gender is increasingly regarded as an important factor in doctor-patient communication education. This review aims to assess if and how gender is addressed by current assessment instruments for communication skills in medical education. METHODS: In 2009 at Radboud University Nijmegen

  13. A Combined XRD/XRF Instrument for Lunar Resource Assessment

    Science.gov (United States)

    Vaniman, D. T.; Bish, D. L.; Chipera, S. J.; Blacic, J. D.

    1992-01-01

    Robotic surface missions to the Moon should be capable of measuring mineral as well as chemical abundances in regolith samples. Although much is already known about the lunar regolith, our data are far from comprehensive. Most of the regolith samples returned to Earth for analysis had lost the upper surface, or it was intermixed with deeper regolith. This upper surface is the part of the regolith most recently exposed to the solar wind; as such it will be important to resource assessment. In addition, it may be far easier to mine and process the uppermost few centimeters of regolith over a broad area than to engage in deep excavation of a smaller area. The most direct means of analyzing the regolith surface will be by studies in situ. In addition, the analysis of the impact-origin regolith surfaces, the Fe-rich glasses of mare pyroclastic deposits, are of resource interest, but are inadequately known; none of the extensive surface-exposed pyroclastic deposits of the Moon have been systematically sampled, although we know something about such deposits from the Apollo 17 site. Because of the potential importance of pyroclastic deposits, methods to quantify glass as well as mineral abundances will be important to resource evaluation. Combined x ray diffraction (XRD) and x ray fluorescence (XRF) analysis will address many resource characterization problems on the Moon. XRF methods are valuable for obtaining full major-element abundances with high precision. Such data, collected in parallel with quantitative mineralogy, permit unambiguous determination of both mineral and chemical abundances where concentrations are high enough to be of resource grade. Collection of both XRD and XRF data from a single sample provides simultaneous chemical and mineralogic information. These data can be used to correlate quantitative chemistry and mineralogy as a set of simultaneous linear equations, the solution of which can lead to full characterization of the sample. The use of

  14. A combined XRD/XRF instrument for lunar resource assessment

    Science.gov (United States)

    Vaniman, D. T.; Bish, D. L.; Chipera, S. J.; Blacic, J. D.

    1992-12-01

    Robotic surface missions to the Moon should be capable of measuring mineral as well as chemical abundances in regolith samples. Although much is already known about the lunar regolith, our data are far from comprehensive. Most of the regolith samples returned to Earth for analysis had lost the upper surface, or it was intermixed with deeper regolith. This upper surface is the part of the regolith most recently exposed to the solar wind; as such it will be important to resource assessment. In addition, it may be far easier to mine and process the uppermost few centimeters of regolith over a broad area than to engage in deep excavation of a smaller area. The most direct means of analyzing the regolith surface will be by studies in situ. In addition, the analysis of the impact-origin regolith surfaces, the Fe-rich glasses of mare pyroclastic deposits, are of resource interest, but are inadequately known; none of the extensive surface-exposed pyroclastic deposits of the Moon have been systematically sampled, although we know something about such deposits from the Apollo 17 site. Because of the potential importance of pyroclastic deposits, methods to quantify glass as well as mineral abundances will be important to resource evaluation. Combined x ray diffraction (XRD) and x ray fluorescence (XRF) analysis will address many resource characterization problems on the Moon. XRF methods are valuable for obtaining full major-element abundances with high precision. Such data, collected in parallel with quantitative mineralogy, permit unambiguous determination of both mineral and chemical abundances where concentrations are high enough to be of resource grade. Collection of both XRD and XRF data from a single sample provides simultaneous chemical and mineralogic information. These data can be used to correlate quantitative chemistry and mineralogy as a set of simultaneous linear equations, the solution of which can lead to full characterization of the sample. The use of

  15. Development of an instrument to assess professional behaviour of foreign medical graduates.

    OpenAIRE

    Tromp, F.; Rademakers, J.J.D.J.M.; Cate, Th.J. ten

    2007-01-01

    BACKGROUND: Foreign medical graduates have to overcome challenges such as language proficiency and cultural differences. Several studies indicate that foreign medical graduates show deficiencies in professional behaviour. For the assessment of foreign medical graduates' professional behaviour, a more specific and sensitive instrument was needed. The aim of this study was to develop such an instrument. The starting point was the Amsterdam Attitudes and Communications Scale (AACS). Two research...

  16. Assessing patient‐centred communication in teaching: a systematic review of instruments

    OpenAIRE

    Brouwers, Marianne; Rasenberg, Ellemieke; van Weel, Chris; Laan, Roland; van Weel‐Baumgarten, Evelyn

    2017-01-01

    Context Patient‐centred communication is a key component of patient centredness in medical care. Therefore, adequate education in and assessment of patient‐centred communication skills are necessary. In general, feedback on communication skills is most effective when it is provided directly and is systematic. This calls for adequate measurement instruments. Objectives The aim of this study was to provide a systematic review of existing instruments that measure patient centredness in doctor–pa...

  17. Developments in spiritual care education in German--speaking countries.

    Science.gov (United States)

    Paal, Piret; Roser, Traugott; Frick, Eckhard

    2014-06-05

    This article examines spiritual care training provided to healthcare professionals in Germany, Austria and Switzerland. The paper reveals the current extent of available training while defining the target group(s) and teaching aims. In addition to those, we will provide an analysis of delivered competencies, applied teaching and performance assessment methods. In 2013, an anonymous online survey was conducted among the members of the International Society for Health and Spiritual Care. The survey consisted of 10 questions and an open field for best practice advice. SPSS21 was used for statistical data analysis and the MAXQDA2007 for thematic content analysis. 33 participants participated in the survey. The main providers of spiritual care training are hospitals (36%, n = 18). 57% (n = 17) of spiritual care training forms part of palliative care education. 43% (n = 13) of spiritual care education is primarily bound to the Christian tradition. 36% (n = 11) of provided trainings have no direct association with any religious conviction. 64% (n = 19) of respondents admitted that they do not use any specific definition for spiritual care. 22% (n = 14) of available spiritual care education leads to some academic degree. 30% (n = 19) of training form part of an education programme leading to a formal qualification. Content analysis revealed that spiritual training for medical students, physicians in paediatrics, and chaplains take place only in the context of palliative care education. Courses provided for multidisciplinary team education may be part of palliative care training. Other themes, such as deep listening, compassionate presence, bedside spirituality or biographical work on the basis of logo-therapy, are discussed within the framework of spiritual care. Spiritual care is often approached as an integral part of grief management, communication/interaction training, palliative care, (medical) ethics, psychological or religious counselling

  18. Incorporating Spirituality in Primary Care.

    Science.gov (United States)

    Isaac, Kathleen S; Hay, Jennifer L; Lubetkin, Erica I

    2016-06-01

    Addressing cultural competency in health care involves recognizing the diverse characteristics of the patient population and understanding how they impact patient care. Spirituality is an aspect of cultural identity that has become increasingly recognized for its potential to impact health behaviors and healthcare decision-making. We consider the complex relationship between spirituality and health, exploring the role of spirituality in primary care, and consider the inclusion of spirituality in existing models of health promotion. We discuss the feasibility of incorporating spirituality into clinical practice, offering suggestions for physicians.

  19. Spirituality in the Addiction Treatment

    OpenAIRE

    Kárová, Lydie

    2011-01-01

    Spiritualita při léčbě závislosti Spirituality in the Addiction Treatment Lydie Kárová In my work, Spirituality in the Addiction Treatment, I focus on spirituality as a component of personality, which is involved in its formation and development. The work falls into three parts, in the first one I place spirituality into the Czech environment and present its definition, in the second part I look for the role of spirituality in the conception and treatment of addiction and in the third one I p...

  20. Doctors discussing religion and spirituality: A systematic literature review.

    Science.gov (United States)

    Best, Megan; Butow, Phyllis; Olver, Ian

    2016-04-01

    Discussion of religion and/or spirituality in the medical consultation is desired by patients and known to be beneficial. However, it is infrequent. We aimed to identify why this is so. We set out to answer the following research questions: Do doctors report that they ask their patients about religion and/or spirituality and how do they do it? According to doctors, how often do patients raise the issue of religion and/or spirituality in consultation and how do doctors respond when they do? What are the known facilitators and barriers to doctors asking their patients about religion and/or spirituality? A mixed qualitative/quantitative review was conducted to identify studies exploring the physician's perspective on discussion of religion and/or spirituality in the medical consultation. We searched nine databases from inception to January 2015 for original research papers reporting doctors' views on discussion of religion and/or spirituality in medical consultations. Papers were assessed for quality using QualSyst and results were reported using a measurement tool to assess systematic review guidelines. Overall, 61 eligible papers were identified, comprising over 20,044 physician reports. Religion and spirituality are discussed infrequently by physicians although frequency increases with terminal illness. Many physicians prefer chaplain referral to discussing religion and/or spirituality with patients themselves. Such discussions are facilitated by prior training and increased physician religiosity and spirituality. Insufficient time and training were the most frequently reported barriers. This review found that physician enquiry into the religion and/or spirituality of patients is inconsistent in frequency and nature and that in order to meet patient needs, barriers to discussion need to be overcome. © The Author(s) 2015.

  1. Longitudinal spiritual coping with trauma in people with HIV: implications for health care.

    Science.gov (United States)

    Kremer, Heidemarie; Ironson, Gail

    2014-03-01

    This 10-year study (N=177) examines how people with HIV use spirituality to cope with life's trauma on top of HIV-related stress (e.g., facing death, stigma, poverty, limited healthcare) usual events. Spirituality, defined as a connection to a higher presence, is independent from religion (institutionalized spirituality). As a dynamic adaptive process, coping requires longitudinal studying. Qualitative content-analysis of interviews/essays yielded a coding of specific aspects and a longitudinal rating of overall spiritual coping. Most participants were rated as spiritual, using spiritual practices, about half experienced comfort, empowerment, growth/transformation, gratitude, less than one-third meaning, community, and positive reframing. Up to one-fifth perceived spiritual conflict, struggle, or anger, triggering post-traumatic stress, which sometimes converted into positive growth/transformation later. Over time, 65% used spiritual coping positively, 7% negatively, and 28% had no significant use. Spirituality was mainly beneficial for women, heterosexuals, and African Americans (pspirituality is a major source of positive and occasionally negative coping (e.g., viewing HIV as sin). We discuss how clinicians can recognize and prevent when spirituality is creating distress and barriers to HIV treatment, adding a literature review on ways of effective spiritual assessment. Spirituality may be a beneficial component of coping with trauma, considering socio-cultural contexts.

  2. Effect of spiritual counseling on spiritual well-being in Iranian women with cancer: A randomized clinical trial.

    Science.gov (United States)

    Sajadi, Mahbobeh; Niazi, Naimeh; Khosravi, Sharareh; Yaghobi, Abolghasem; Rezaei, Mahboubeh; Koenig, Harold G

    2018-02-01

    This study examined the effect of spiritual counseling on the spiritual well-being of Iranian women with cancer. a randomized clinical trial was conducted on 42 female cancer patients who were randomized to either an 8-week spiritual counseling intervention (n = 21) or a control group that received routine education/care (n = 21). Spiritual well-being (SWB) was assessed before and after the 8-week spiritual counseling program using Paloutzian and Ellison's (1983) Spiritual Well-Being Scale (SWBS). There were no significant differences on SWBS and its two subscales scores (RWB and EWB) between intervention and control groups at baseline (p > .05). After intervention, there was a significant mean difference in SWB (p = .001), RWB (p = .013) and EWB (p = .001) in two groups. Spiritual counseling is associated with significant improvements in SWB in Iranian women with cancer. Interventions that acknowledge the spiritual needs of these patients should be incorporated into conventional treatments. Copyright © 2017. Published by Elsevier Ltd.

  3. Assessment of informal caregiver's needs by self-administered instruments: a literature review.

    Science.gov (United States)

    Lefranc, Anne; Pérol, David; Plantier, Morgane; Chatelain, Pierre; de Rohan-Chabot, Henri; Schell, Matthias

    2017-10-01

    Clinicians, researchers and politicians are seeking to better assess caregiver's needs. Challenges exist in broadly implementing this so as to provide appropriate support. The aim of this review was to compile self-administered instruments for assessment of caregiver's needs that are deemed to be scientifically robust. The Medline database was searched for publications reporting self-administered instruments assessing caregiver's needs with acceptable psychometric properties. These instruments were analyzed in terms of the development context, target population, concept, purpose, structure, content and psychometric properties. The dimensions of the needs were listed and categorized. A total of nine self-administered instruments were analyzed. They averaged 32 items, they were specifically developed for a targeted subpopulation of caregivers and dedicated to epidemiological research. Response devices were based on Likert scales. The main dimensions of the needs identified were 'Health and Care', 'Psychological - Emotional Support', 'Information-Knowledge', 'Social Life-Work-Finance'. None was specifically geared toward caregivers for the elderly, children or teenagers. In the absence of transcultural validation, no instrument was directly usable in Europe. Assessing caregivers' needs is a key part in providing caregivers with appropriate support. The development of self-administered instruments constitutes a complex field that is still underexplored at the international level; strict specifications with psychometric validation are essential. To be efficient, the instrument should be integrated in a larger process including: upstream, recognition, identification and assessment of the overall situation of the caregiver; and downstream, guidance, establishment and follow-up of a suitable action plan. © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  4. A Reliability and Validity of an Instrument to Evaluate the School-Based Assessment System: A Pilot Study

    Science.gov (United States)

    Ghazali, Nor Hasnida Md

    2016-01-01

    A valid, reliable and practical instrument is needed to evaluate the implementation of the school-based assessment (SBA) system. The aim of this study is to develop and assess the validity and reliability of an instrument to measure the perception of teachers towards the SBA implementation in schools. The instrument is developed based on a…

  5. Spiritual-Intelligence/-Quotient

    Science.gov (United States)

    Selman, Victor; Selman, Ruth Corey; Selman, Jerry; Selman, Elsie

    2005-01-01

    Drawing on the "new" [c. 2000], upgraded science of the human brain with its three different kinds of neural structures--mental, emotional and spiritual--Zohar [14] offers a model for structure, leadership and learning within an organization that allows them to thrive on uncertainty, deal creatively with rapid change, and realize the full…

  6. Spiritual-based Leadership

    DEFF Research Database (Denmark)

    Pruzan, Peter

    2015-01-01

    Although far from mainstream, the concept of spiritual-based leadership is emerging as an inclusive and yet highly personal approach to leadership that integrates a leader’s inner perspectives on identity, purpose, responsibility and success with her or his decisions and actions in the outer worl...

  7. Developing an assessment instrument of junior high school students’ higher order thinking skills in mathematics

    Directory of Open Access Journals (Sweden)

    Samritin Samritin

    2016-06-01

    Full Text Available This study is a research and development study. It aims to produce an instrument for assessing junior high school (JHS students’ higher order thinking skills (HOTS in mathematics. Its procedure consists of nine steps: (1 Constructing the test specification; (2 writing test items; (3 analyzing test items; (4 conducting the first tryout; (5 analyzing the results of the first try out; (6 revising the test; (7 assembling the test; (8 conducting the second tryout; and (9 analyzing the results of the second tryout. The instrument content validity was obtained through the focus group discussion (FGD forum, and Delphi technique. The construct validity was found out through the tryout data analysis. The instrument tryout was conducted twice involving 264 participants in the first tryout and 821 participants in the second tryout. The results of the study indicate that the instrument for assessing JHS students’ HOTS in mathematics has met the validity and reliability criteria. From the results of the content validity analysis, it can be concluded that the instrument is valid, and it was supported by the items validity indices above  0.79. From the results of the construct validity analysis, it can be concluded that the instrument is valid, as indicated by the value of χ2 = 67.69, with p-value = 0.10, Root Mean Square Error of Approximation (RMSEA = 0.03, supported by Goodness of Fit Index (GFI of 0.97, Normed Fit Index (NFI of 0.95, and Adjusted Goodness of Fit Index (AGFI of 0.95. The instrument reliability is 0.88. The developed instrument for assessing HOTS in mathematics consists of 12 items, each of which is of essay test type. The test items have difficulty indices in a range of 0.30 ≤ Pi ≤ 0.7.

  8. Spirituality aspects in patients with epilepsy.

    Science.gov (United States)

    Tedrus, Glória Maria Almeida Souza; Fonseca, Lineu Corrêa; Höehr, Gabriela Chaves

    2014-01-01

    Do epilepsy and spirituality interact? This study aimed to determine whether an easy-to-administer scale, such as the spirituality self-rating scale (SSRS), could detect increased religiousness in people with epilepsy and verify how epilepsy influences spirituality. A total of 196 consecutive patients with epilepsy (epilepsy group, EG) with a mean age and standard deviation of 46.5 ± 14.8 years and 66 subjects with no history of neurological or other chronic disorders (control group, CG) were assessed by the SSRS and neurologically. The SSRS scores of the EG and CG did not differ significantly (22.8 ± 5.1 and 22.0 ± 5.7, respectively). Patients with mesial temporal lobe epilepsy with hippocampal sclerosis (MTLE-HS) had significantly higher SSRS scores than those with other epileptic syndromes and, than in individuals of the CG. Multiple regression showed that the factors significantly associated with greater spirituality (greater SSRS score) for the EG, were lower education level, abnormal background EEG activity, and MTLE-HS. Other relationships with the clinical features of epilepsy and with the presence of psychiatric co-morbidity were not found. The present findings do not confirm a specific role of epilepsy in spirituality or of "epileptic hyperreligiosity," but suggest that spirituality in people with epilepsy is influenced by education level, and may also stem from epilepsy-related factors such as abnormal background EEG activity and the presence of MTLE-HS. Copyright © 2013 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

  9. The patient assessment questionnaire: a new instrument for evaluating the interpersonal skills of vocational dental practitioners.

    Science.gov (United States)

    Hurst, Y K; Prescott-Clements, L E; Rennie, J S

    2004-10-23

    This paper describes a pilot study aimed at evaluating a new instrument, the patient assessment questionnaire (PAQ), which uses patient ratings for the assessment of communication skills and professionalism in vocational practitioners (VDPs). The PAQ was developed as part of an assessment system designed to address all round competence. Acohort of 99 VDPs took part in the study. Questionnaires were distributed to consecutive patients in the general dental service at two time points in the training year. Data from the pilot study was analysed to determine whether the PAQ fulfilled the criteria for robust assessment. Results provide evidence of high levels of reliability, validity and feasibility of the PAQ instrument. All indications to date suggest that the PAQ will prove to be a valuable assessment tool. It is currently being evaluated as part of the system used to assess the all round competence of dental graduates undertaking vocational training in Scotland.

  10. Assessing Social Networks in Patients with Psychotic Disorders: A Systematic Review of Instruments.

    Science.gov (United States)

    Siette, Joyce; Gulea, Claudia; Priebe, Stefan

    2015-01-01

    Evidence suggests that social networks of patients with psychotic disorders influence symptoms, quality of life and treatment outcomes. It is therefore important to assess social networks for which appropriate and preferably established instruments should be used. To identify instruments assessing social networks in studies of patients with psychotic disorders and explore their properties. A systematic search of electronic databases was conducted to identify studies that used a measure of social networks in patients with psychotic disorders. Eight instruments were identified, all of which had been developed before 1991. They have been used in 65 studies (total N of patients = 8,522). They assess one or more aspects of social networks such as their size, structure, dimensionality and quality. Most instruments have various shortcomings, including questionable inter-rater and test-retest reliability. The assessment of social networks in patients with psychotic disorders is characterized by a variety of approaches which may reflect the complexity of the construct. Further research on social networks in patients with psychotic disorders would benefit from advanced and more precise instruments using comparable definitions of and timescales for social networks across studies.

  11. Development of an assessment instrument to evaluate performance of the skill of decontamination.

    Science.gov (United States)

    Farra, Sharon; Smith, Sherrill; French, DeAnne; Gillespie, Gordon

    2015-10-01

    Nurses must competently demonstrate psychomotor skills. Few reliable and valid instruments are available for psychomotor evaluation for disaster skills, including the skill of decontamination. The purpose of this study was to develop and refine an instrument to measure the skill of decontamination. A seven step instrument development design was implemented that included content validity and reliability as well as inter-rater reliability analysis. A convenience sample of approximately 140 participants was drawn from two colleges of nursing at two large academic universities. The sample included senior nursing students in either their community or final practicum nursing course. Based on a sample of 140 students who participated in a decontamination training experience using virtual reality simulation, a seven step established process for assessment of reliability and validity was implemented to develop a checklist for the skill of decontamination. The final instrument statistics: Content Validity Index for the overall instrument score was 0.94, Internal consistency coefficient=0.607(KR-20) and Inter-rater reliability=0.9114. This instrument provides a reliable and valid assessment of nurses' competency in performing the skill of decontamination offering a template for educators to develop similar tools. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. Challenges and changes in spirituality among doctors who become patients.

    Science.gov (United States)

    Klitzman, Robert L; Daya, Shaira

    2005-12-01

    Though spirituality can help patients cope with illness, several studies have suggested that physicians view spirituality differently than do patients. These issues have not been systematically investigated among doctors who become patients, and who may be able to shed critical light on this area. We interviewed fifty doctors from major urban US centers who had become patients due to serious illnesses about their experiences and views relating to religion and spirituality before and after diagnosis, and we explore the range of issues that emerged. These physician-patients revealed continua of forms and contents of spirituality. The forms ranged from being spiritual to start with; to being spiritual, but not thinking of themselves as such; to wanting but being unable to believe. Some continued to doubt and, perhaps relatedly, appeared depressed. The contents of beliefs ranged from established religious traditions, to mixing beliefs, or having non-specific beliefs (e.g., concerning the power of nature). One group of doctors felt wary of organized religion, which could prove an obstacle to belief. Others felt that symptoms could be reduced through prayer. At times, self-assessments of spirituality were difficult to make or inaccurate. Questions surfaced concerning whether and how medical education could best address these issues, and how spirituality may affect clinical work. This study is the first that we know of to examine spirituality among physicians when they become patients. Obstacles to physicians' attentiveness to the potential role of spirituality arose that need to be further explored in medical education and future research. Increased awareness of these areas could potentially have clinical relevance, strengthening doctor-patient relationships and communication, and patient satisfaction.

  13. Customisation of an instrument to assess anaesthesiologists' non-technical skills.

    Science.gov (United States)

    Jepsen, Rikke M H G; Spanager, Lene; Lyk-Jensen, Helle T; Dieckmann, Peter; Østergaard, Doris

    2015-02-22

    The objectives of the study were to identify Danish anaesthesiologists' non-technical skills and to customise the Scottish-developed Anaesthetists' Non-Technical Skills instrument for Danish anaesthesiologists. Six semi-structured group interviews were conducted with 31 operating room team members: anaes-thesiologists, nurse anaesthetists, surgeons, and scrub nurses. Interviews were transcribed verbatim and analysed using directed content analysis. Anaesthesiologists' non-technical skills were identified, coded, and sorted using the original instrument as a basis. The resulting prototype instrument was discussed with anaesthesiologists from 17 centres to ensure face validity. Interviews lasted 46-67 minutes. Identified examples of anaesthesiologists' good or poor non-technical skills fit the four categories in the original instrument: situation awareness; decision making; team working; and task management. Anaesthesiologists' leadership role in the operating room was emphasised: the original 'Task Management' category was named 'Leadership'. One new element, 'Demonstrating self-awareness' was added under the category 'Situation Awareness'. Compared with the original instrument, half of the behavioural markers were new, which reflected that being aware of and communicating one's own abilities to the team; working systematically; and speaking up to avoid adverse events were important skills. The Anaesthetists' Non-Technical Skills instrument was customised to a Danish setting using the identified non-technical skills for anaesthesiologists and the original instrument as basis. The customised instrument comprises four categories and 16 underpinning elements supported by multiple behavioural markers. Identifying non-technical skills through semi-structured group interviews and analysing them using direct content analysis proved a useful method for customising an assessment instrument to another setting.

  14. Spiritual Care Training Provided to Healthcare Professionals: A Systematic Review.

    Science.gov (United States)

    Paal, Piret; Helo, Yousef; Frick, Eckhard

    2015-03-01

    This systematic review was conducted to assess the outcomes of spiritual care training. It outlines the training outcomes based on participants' oral/written feedback, course evaluation and performance assessment. Intervention was defined as any form of spiritual care training provided to healthcare professionals studying/working in an academic and/or clinical setting. An online search was conducted in MEDLINE, EMBASE, CINAHL, Web of Science, ERIC, PsycINFO, ASSIA, CSA, ATLA and CENTRAL up to Week 27 of 2013 by two independent investigators to reduce errors in inclusion. Only peer-reviewed journal articles reporting on training outcomes were included. A primary keyword-driven search found 4912 articles; 46 articles were identified as relevant for final analysis. The narrative synthesis of findings outlines the following outcomes: (1) acknowledging spirituality on an individual level, (2) success in integrating spirituality in clinical practice, (3) positive changes in communication with patients. This study examines primarily pre/post-effects within a single cohort. Due to an average study quality, the reported findings in this review are to be seen as indicators at most. Nevertheless, this review makes evident that without attending to one'the repeliefs and needs, addressing spirituality in patients will not be forthcoming. It also demonstrates that spiritual care training may help to challenge the spiritual vacuum in healthcare institutions. © The Author(s) 2015 Reprints and permissions:sagepub.co.uk/journalsPermissions.nav.

  15. Evaluating the effectiveness of impact assessment instruments: Theorising the nature and implications of their political constitution

    International Nuclear Information System (INIS)

    Cashmore, Matthew; Richardson, Tim; Hilding-Ryedvik, Tuija; Emmelin, Lars

    2010-01-01

    The central role of impact assessment instruments globally in policy integration initiatives has been cemented in recent years. Associated with this trend, but also reflecting political emphasis on greater accountability in certain policy sectors and a renewed focus on economic competitiveness in Western countries, demand has increased for evidence that these instruments are effective (however defined). Resurgent interest in evaluation has not, however, been accompanied by the conceptual developments required to redress longstanding theoretical problems associated with such activities. In order to sharpen effectiveness evaluation theory for impact assessment instruments this article critically examines the neglected issue of their political constitution. Analytical examples are used to concretely explore the nature and significance of the politicisation of impact assessment. It is argued that raising awareness about the political character of impact assessment instruments, in itself, is a vital step in advancing effectiveness evaluation theory. Broader theoretical lessons on the framing of evaluation research are also drawn from the political analysis. We conclude that, at least within the contemporary research context, learning derived from analysing the meaning and implications of plural interpretations of effectiveness represents the most constructive strategy for advancing impact assessment and policy integration theory.

  16. Spirituality and religion in oncology.

    Science.gov (United States)

    Peteet, John R; Balboni, Michael J

    2013-01-01

    Despite the difficulty in clearly defining and measuring spirituality, a growing literature describes its importance in oncology and survivorship. Religious/spiritual beliefs influence patients' decision-making with respect to both complementary therapies and aggressive care at the end of life. Measures of spirituality and spiritual well-being correlate with quality of life in cancer patients, cancer survivors, and caregivers. Spiritual needs, reflective of existential concerns in several domains, are a source of significant distress, and care for these needs has been correlated with better psychological and spiritual adjustment as well as with less aggressive care at the end of life. Studies show that while clinicians such as nurses and physicians regard some spiritual care as an appropriate aspect of their role, patients report that they provide it infrequently. Many clinicians report that their religious/spiritual beliefs influence their practice, and practices such as mindfulness have been shown to enhance clinician self-care and equanimity. Challenges remain in the areas of conceptualizing and measuring spirituality, developing and implementing training for spiritual care, and coordinating and partnering with chaplains and religious communities. Copyright © 2013 American Cancer Society, Inc.

  17. Psychometric properties of assessment instruments for autism spectrum disorder: a systematic review of Brazilian studies

    Directory of Open Access Journals (Sweden)

    Bárbara Backes

    2014-07-01

    Full Text Available Objective To systematically review the scientific literature on the psychometric properties of international instruments for the assessment of autism spectrum disorder (ASD in the Brazilian population. Methods A search of bibliographic references was conducted in six electronic databases: PsycINFO, PubMed, IndexPsi, Lilacs, Capes (theses and dissertations and SciELO. The studies were selected by two independent researchers. Results The procedure identified 11 studies of the Brazilian population that encompassed six ASD assessment tools. Given the information provided, the adaptation of the M-CHAT, a screening instrument, was the best conducted. All steps of the adaptation process were described and the changes made to the final version of the instrument were presented, which was not addressed in other studies. In terms of reliability, all of the instruments that assessed internal consistency showed adequate values. In addition, the ADI-R and the CARS adaptations also satisfactorily contemplated inter-rater reliability and test-retest indices, respectively. Finally, all studies aiming to validate instruments showed evidence of validity and sensitivity, and specificity values above 0.90 were observed in the ASQ, ADI-R and ABC. Conclusion Considering both the psychometric aspects and the copyright information, the screening instrument that currently appears to be best indicated for clinical and research use is the M-CHAT. It was also noticed that there are still no specific ASD diagnostic tools available for use in Brazil. This lack of diagnostic instruments consists in a critical situation for the improvement of clinical practice and the development of research in this area.

  18. Social and emotional wellbeing assessment instruments for use with Indigenous Australians: A critical review.

    Science.gov (United States)

    Le Grande, M; Ski, C F; Thompson, D R; Scuffham, P; Kularatna, S; Jackson, A C; Brown, A

    2017-08-01

    There is growing recognition that in addition to universally recognised domains and indicators of wellbeing (such as population health and life expectancy), additional frameworks are required to fully explain and measure Indigenous wellbeing. In particular, Indigenous Australian wellbeing is largely determined by colonisation, historical trauma, grief, loss, and ongoing social marginalisation. Dominant mainstream indicators of wellbeing based on the biomedical model may therefore be inadequate and not entirely relevant in the Indigenous context. It is possible that "standard" wellbeing instruments fail to adequately assess indicators of health and wellbeing within societies that have a more holistic view of health. The aim of this critical review was to identify, document, and evaluate the use of social and emotional wellbeing measures within the Australian Indigenous community. The instruments were systematically described regarding their intrinsic properties (e.g., generic v. disease-specific, domains assessed, extent of cross-cultural adaptation and psychometric characteristics) and their purpose of utilisation in studies (e.g., study setting, intervention, clinical purpose or survey). We included 33 studies, in which 22 distinct instruments were used. Three major categories of social and emotional wellbeing instruments were identified: unmodified standard instruments (10), cross-culturally adapted standard instruments (6), and Indigenous developed measures (6). Recommendations are made for researchers and practitioners who assess social and emotional wellbeing in Indigenous Australians, which may also be applicable to other minority groups where a more holistic framework of wellbeing is applied. It is advised that standard instruments only be used if they have been subject to a formal cross-cultural adaptation process, and Indigenous developed measures continue to be developed, refined, and validated within a diverse range of research and clinical settings

  19. Spiritual Pathology: The Case of Adolf Hitler

    OpenAIRE

    W. George Scarlett

    2012-01-01

    Hitler had a noble purpose (to save the world) and a strong faith in the laws of Nature as he understood Nature. He was, then, a spiritual person, though his spirituality was pathological and destructive. Here, the example of Hitler, his faith, and his spiritual pathology is given to both understand spiritual pathology in general and, through contrast, to understand positive spiritual development.

  20. Spiritual and ceremonial plants in North America: an assessment of Moerman's ethnobotanical database comparing Residual, Binomial, Bayesian and Imprecise Dirichlet Model (IDM) analysis.

    Science.gov (United States)

    Turi, Christina E; Murch, Susan J

    2013-07-09

    Ethnobotanical research and the study of plants used for rituals, ceremonies and to connect with the spirit world have led to the discovery of many novel psychoactive compounds such as nicotine, caffeine, and cocaine. In North America, spiritual and ceremonial uses of plants are well documented and can be accessed online via the University of Michigan's Native American Ethnobotany Database. The objective of the study was to compare Residual, Bayesian, Binomial and Imprecise Dirichlet Model (IDM) analyses of ritual, ceremonial and spiritual plants in Moerman's ethnobotanical database and to identify genera that may be good candidates for the discovery of novel psychoactive compounds. The database was queried with the following format "Family Name AND Ceremonial OR Spiritual" for 263 North American botanical families. Spiritual and ceremonial flora consisted of 86 families with 517 species belonging to 292 genera. Spiritual taxa were then grouped further into ceremonial medicines and items categories. Residual, Bayesian, Binomial and IDM analysis were performed to identify over and under-utilized families. The 4 statistical approaches were in good agreement when identifying under-utilized families but large families (>393 species) were underemphasized by Binomial, Bayesian and IDM approaches for over-utilization. Residual, Binomial, and IDM analysis identified similar families as over-utilized in the medium (92-392 species) and small (Binomial analysis when separated into small, medium and large families. The Bayesian, Binomial and IDM approaches identified different genera as potentially important. Species belonging to the genus Artemisia and Ligusticum were most consistently identified and may be valuable in future studies of the ethnopharmacology. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  1. Preschool language assessment instrument, second edition, in Brazilian Portuguese-speaking children.

    Science.gov (United States)

    Lindau, Tâmara Andrade; Rossi, Natalia Freitas; Giacheti, Célia Maria

    2014-01-01

    To present a brief report on the initial results of the application of Preschool Language Assessment Instrument, second edition, in Brazilian Portuguese-speaking children. The study included 300 children with typical language development, from both genders, aged from 3 to 5 years and 11 months, as proposed by the original test version. After translation, back-translation, and adaptation of the second edition of the Preschool Language Assessment Instrument, the instrument was administered to investigate the receptive and expressive language skills. There was a significant difference between the average gross scores of the three groups for both "receptive" and "expressive" language skills, and a growing tendency of scores according to age. After analysis, we found that versions translated and adapted for Brazilian Portuguese speakers allow one to evaluate and discriminate the performance of children in receptive and expressive language skills, according to age group, as well as the original version.

  2. Reliability assessment of a peer evaluation instrument in a team-based learning course

    Directory of Open Access Journals (Sweden)

    Wahawisan J

    2016-03-01

    Full Text Available Objective: To evaluate the reliability of a peer evaluation instrument in a longitudinal team-based learning setting. Methods: Student pharmacists were instructed to evaluate the contributions of their peers. Evaluations were analyzed for the variance of the scores by identifying low, medium, and high scores. Agreement between performance ratings within each group of students was assessed via intra-class correlation coefficient (ICC. Results: We found little variation in the standard deviation (SD based on the score means among the high, medium, and low scores within each group. The lack of variation in SD of results between groups suggests that the peer evaluation instrument produces precise results. The ICC showed strong concordance among raters. Conclusions: Findings suggest that our student peer evaluation instrument provides a reliable method for peer assessment in team-based learning settings.

  3. Changes in spirituality and quality of life in patients undergoing radiation therapy.

    Science.gov (United States)

    Samuelson, Bethany T; Fromme, Erik K; Thomas, Charles R

    2012-09-01

    Investigations into the role of spirituality in cancer confirm the association of good spiritual well-being with many positive outcomes. This study aimed to evaluate potential changes in spirituality over the course of radiation therapy (RT). The Functional Assessment of Chronic Illness Therapy-Spiritual questionnaire measuring spiritual well-being and quality of life (QOL) was administered to adult patients undergoing RT. Scores were compared using student t tests and chi-square analysis. Despite statistically significant declines in QOL measures such as physical well-being (P spirituality for all comers. A significant increase in the Sp-12 spirituality measure (P = .001) was noted in patients with breast cancer, independent of age, gender, and purpose of treatment. Sp-12 scores were positively correlated with overall QOL scores (P < .001).

  4. A qualitative descriptive study of spirituality guided by the Neuman systems model.

    Science.gov (United States)

    Lowry, Lois W

    2012-10-01

    The purposes of this qualitative descriptive study were to explore the meaning of spirituality as described by aging adults in various states of health, to describe the relationship between spirituality and health, and to explain client expectations for healthcare providers related to spirituality. All identified meanings and themes were compared to the characteristics of spirituality proposed by Betty Neuman in the Neuman systems model to determine the credibility of the model for assessing and guiding holistic nursing practice. Three themes were formulated: a) Spirituality is an individual, conscious, committed connection to God, requiring a human response; b) positive spirituality contributes to personal wholeness and health; and c) spirituality sustains and comforts in times of stress.

  5. The role of spiritual intelligence in employees’ withdrawal behaviors in physical education organization

    Directory of Open Access Journals (Sweden)

    Davoud Noroozi

    2015-03-01

    Full Text Available Spiritual intelligence is the mind’s capacity to handle substantial and spiritual aspects of life. According to previous studies, spiritual intelligence can be effective in reducing the withdrawal behavior of employees. This study investigated the effect of spiritual intelligence on employees’ withdrawal behavior in Ardabil Physical Education organization. The statistical population of this study included all the employees of Physical Education organization of Ardabil (N=60. Descriptive Statistics, Pearson Correlation, and Linear Regression Analyses were used to assess the association between spiritual intelligence and withdrawal behaviors. The results of the study revealed that spiritual intelligence had positive and significant effect on reducing employees’ withdrawal behavior. The findings supported that spiritual intelligence training as a new psychological and religious construction may reduce psychological and physical withdrawal behaviors and improve the employees’ perception of themselves.

  6. Do you want some spiritual support? Different rates of positive response to chaplains' versus nurses' offer.

    Science.gov (United States)

    Martinuz, Marco; Dürst, Anne-Véronique; Faouzi, Mohamed; Pétremand, Daniel; Reichel, Virginie; Ortega, Barbara; Waeber, Gérard; Vollenweider, Peter

    2013-01-01

    Access to spiritual support appears to be important in the hospital setting. The offer of spiritual support can be done by different providers such as doctors, nurses or chaplains. Who should initiate or coordinate this spiritual care. This study addresses the following questions: 1) How many patients accept spiritual proposition? 2) What is the better mode of proposition? The study's objectives are the assessment and comparison of the rates of acceptance to an offer of spiritual support made by nurses and chaplains. Two hundred twenty-three consecutive hospitalized patients hospitalized received a proposal of spiritual support and were randomly assigned to one of two conditions. Results revealed that 85.8% of patients accepted the offer in the chaplains' group and 38.5% in the nurses' group. Acceptance of the offer of spiritual support was positively associated with the proposal being made by the chaplains by the frequency of meditation and age, and negatively related to physical well-being.

  7. Development of an instrument to measure medical students' perceptions of the assessment environment: initial validation.

    Science.gov (United States)

    Sim, Joong Hiong; Tong, Wen Ting; Hong, Wei-Han; Vadivelu, Jamuna; Hassan, Hamimah

    2015-01-01

    Assessment environment, synonymous with climate or atmosphere, is multifaceted. Although there are valid and reliable instruments for measuring the educational environment, there is no validated instrument for measuring the assessment environment in medical programs. This study aimed to develop an instrument for measuring students' perceptions of the assessment environment in an undergraduate medical program and to examine the psychometric properties of the new instrument. The Assessment Environment Questionnaire (AEQ), a 40-item, four-point (1=Strongly Disagree to 4=Strongly Agree) Likert scale instrument designed by the authors, was administered to medical undergraduates from the authors' institution. The response rate was 626/794 (78.84%). To establish construct validity, exploratory factor analysis (EFA) with principal component analysis and varimax rotation was conducted. To examine the internal consistency reliability of the instrument, Cronbach's α was computed. Mean scores for the entire AEQ and for each factor/subscale were calculated. Mean AEQ scores of students from different academic years and sex were examined. Six hundred and eleven completed questionnaires were analysed. EFA extracted four factors: feedback mechanism (seven items), learning and performance (five items), information on assessment (five items), and assessment system/procedure (three items), which together explained 56.72% of the variance. Based on the four extracted factors/subscales, the AEQ was reduced to 20 items. Cronbach's α for the 20-item AEQ was 0.89, whereas Cronbach's α for the four factors/subscales ranged from 0.71 to 0.87. Mean score for the AEQ was 2.68/4.00. The factor/subscale of 'feedback mechanism' recorded the lowest mean (2.39/4.00), whereas the factor/subscale of 'assessment system/procedure' scored the highest mean (2.92/4.00). Significant differences were found among the AEQ scores of students from different academic years. The AEQ is a valid and reliable

  8. Development of an instrument to measure medical students’ perceptions of the assessment environment: initial validation

    Directory of Open Access Journals (Sweden)

    Joong Hiong Sim

    2015-10-01

    Full Text Available Introduction: Assessment environment, synonymous with climate or atmosphere, is multifaceted. Although there are valid and reliable instruments for measuring the educational environment, there is no validated instrument for measuring the assessment environment in medical programs. This study aimed to develop an instrument for measuring students’ perceptions of the assessment environment in an undergraduate medical program and to examine the psychometric properties of the new instrument. Method: The Assessment Environment Questionnaire (AEQ, a 40-item, four-point (1=Strongly Disagree to 4=Strongly Agree Likert scale instrument designed by the authors, was administered to medical undergraduates from the authors’ institution. The response rate was 626/794 (78.84%. To establish construct validity, exploratory factor analysis (EFA with principal component analysis and varimax rotation was conducted. To examine the internal consistency reliability of the instrument, Cronbach's α was computed. Mean scores for the entire AEQ and for each factor/subscale were calculated. Mean AEQ scores of students from different academic years and sex were examined. Results: Six hundred and eleven completed questionnaires were analysed. EFA extracted four factors: feedback mechanism (seven items, learning and performance (five items, information on assessment (five items, and assessment system/procedure (three items, which together explained 56.72% of the variance. Based on the four extracted factors/subscales, the AEQ was reduced to 20 items. Cronbach's α for the 20-item AEQ was 0.89, whereas Cronbach's α for the four factors/subscales ranged from 0.71 to 0.87. Mean score for the AEQ was 2.68/4.00. The factor/subscale of ‘feedback mechanism’ recorded the lowest mean (2.39/4.00, whereas the factor/subscale of ‘assessment system/procedure’ scored the highest mean (2.92/4.00. Significant differences were found among the AEQ scores of students from different

  9. Incorporating spiritual beliefs into a cognitive model of worry.

    Science.gov (United States)

    Rosmarin, David H; Pirutinsky, Steven; Auerbach, Randy P; Björgvinsson, Thröstur; Bigda-Peyton, Joseph; Andersson, Gerhard; Pargament, Kenneth I; Krumrei, Elizabeth J

    2011-07-01

    Cognitive theory and research have traditionally highlighted the relevance of the core beliefs about oneself, the world, and the future to human emotions. For some individuals, however, core beliefs may also explicitly involve spiritual themes. In this article, we propose a cognitive model of worry, in which positive/negative beliefs about the Divine affect symptoms through the mechanism of intolerance of uncertainty. Using mediation analyses, we found support for our model across two studies, in particular, with regards to negative spiritual beliefs. These findings highlight the importance of assessing for spiritual alongside secular convictions when creating cognitive-behavioral case formulations in the treatment of religious individuals. © 2011 Wiley Periodicals, Inc.

  10. Mixed-realism simulation of adverse event disclosure: an educational methodology and assessment instrument.

    Science.gov (United States)

    Matos, Francisco M; Raemer, Daniel B

    2013-04-01

    Physicians have an ethical duty to disclose adverse events to patients or families. Various strategies have been reported for teaching disclosure, but no instruments have been shown to be reliable for assessing them.The aims of this study were to report a structured method for teaching adverse event disclosure using mixed-realism simulation, develop and begin to validate an instrument for assessing performance, and describe the disclosure practice of anesthesiology trainees. Forty-two anesthesiology trainees participated in a 2-part exercise with mixed-realism simulation. The first part took place using a mannequin patient in a simulated operating room where trainees became enmeshed in a clinical episode that led to an adverse event and the second part in a simulated postoperative care unit where the learner is asked to disclose to a standardized patient who systematically moves through epochs of grief response. Two raters scored subjects using an assessment instrument we developed that combines a 4-element behaviorally anchored rating scale (BARS) and a 5-stage objective rating scale. The performance scores for elements within the BARS and the 5-stage instrument showed excellent interrater reliability (Cohen's κ = 0.7), appropriate range (mean range for BARS, 4.20-4.47; mean range for 5-stage instrument, 3.73-4.46), and high internal consistency (P realism simulation that engages learners in an adverse event and allows them to practice disclosure to a structured range of patient responses. We have developed a reliable 2-part instrument with strong psychometric properties for assessing disclosure performance.

  11. Velopharyngeal dysfunction: a systematic review of major instrumental and auditory-perceptual assessments

    Directory of Open Access Journals (Sweden)

    Paniagua, Lauren Medeiros

    2014-01-01

    Full Text Available Introduction: Velopharyngeal dysfunction may cause impaired verbal communication skills in individuals with cleft lip and palate; thus, patients with this disorder need to undergo both instrumental and auditory-perceptual assessments. Objective: To investigate the main methods used to evaluate velopharyngeal function in individuals with cleft lip and palate and to determine whether there is an association between videonasoendoscopy results and auditory-perceptual assessments. Method: We conducted a systematic review of the literature on instrumental and auditory-perceptual assessments. We searched the PubMed, Medline, Lilacs, Cochrane, and SciELO databases from October to November 2012. Summary of findings: We found 1,300 studies about the topic of interest published between 1990 and 2012. Of these, 56 studies focused on velopharyngeal physiology; 29 studies presented data on velopharyngeal physiology using at least 1 instrumental assessment and/or 1 auditory-perceptual assessment, and 12 studies associated the results of both types of assessments. Only 3 studies described in detail the analysis of both methods of evaluating velopharyngeal function; however, associations between these findings were not analyzed. Conclusion: We found few studies clearly addressing the criteria chosen to investigate velopharyngeal dysfunction and associations between videonasoendoscopy results and auditory-perceptual assessments.

  12. The spiritual experience index: A measure of spiritual maturity.

    Science.gov (United States)

    Genia, V

    1991-12-01

    The Spiritual Experience Index was developed to measure spiritual maturity in persons of diverse religious and spiritual beliefs. The scale was constructed from a developmental rather than a multidimensional conceptualization of faith. Initial findings from a religiously heterogeneous college sample indicated good reliability for the SEI and supported its use as a unidimensional measure. Higher scores on the SEI were significantly related to lower dogmatism and intolerance of ambiguity. The SEI was also moderately related to higher religious participation and positively correlated with intrinsicness and quest. However, compared with the intrinsic and quest scales, the SEI emerged as the strongest indicator of adaptive spiritual functioning. Directions for future research are suggested.

  13. Questionnaire surveys on health and working conditions: development of an instrument for risk assessment in companies

    NARCIS (Netherlands)

    Weel, A. N.; Broersen, J. P.; van Dijk, F. J.

    2000-01-01

    Periodic Occupational Health Surveys (POHS) are frequently used by occupational health and safety services in the Netherlands as a risk assessment instrument. These surveys include a questionnaire on work and health. Systematic attention is paid in this questionnaire to a broad range of working

  14. Food Sanitation and Safety Self-Assessment Instrument for School Nutrition Programs.

    Science.gov (United States)

    California State Dept. of Education, Sacramento.

    Like food-service establishments, child nutrition programs are responsible for preserving the quality and wholesomeness of food. Proper food-handling practices prevent contamination and job-related accidents. Application of the evaluation instrument presented in this document to individual programs helps to define proper practices, assess the…

  15. Development of an Instrument to Assess Parent-College Child Communication Regarding Alcohol Use Behaviors

    Science.gov (United States)

    Chaney, Beth H.; Cremeens, Jennifer

    2013-01-01

    Background: Past research suggests that parent-child communication can serve as protective factors to reduce alcohol misuse among college-aged children. Purpose: This article presents the methodology used and preliminary findings for developing and validating an instrument to assess parent-college student communication regarding alcohol use.…

  16. Reliability and sources of validity evidences for a instrument assessing the quality of concept maps

    Directory of Open Access Journals (Sweden)

    Beatriz Lucas-Molina

    2017-05-01

    Full Text Available Several authors have noticed the interest and relevance of concept mapping as a tool for promoting meaningful learning. However, the current literature highlights the lack of procedures for the assessment of concept mapping using objective criteria, as well as the complexity of the existing ones. The aim of this study was to develop an instrument for assessing concept maps through a rubric format. It is expected to provide the students with a tool that allows, through precise indicators, the assessment of the quality of their and others’ performance. A rubric that includes the most widely accepted criteria in the literature is presented and examined. Two pilot studies with a group of pre-service teacher students each one (n = 31 and n = 18, respectively were conducted through a four hours training program. The results indicated that the designed instrument shows good indicators of interrater reliability and discriminant validity. It is then concluded that the designed instrument shows adequate psychometric properties. The instrument allows both the use of objective criteria in the assessment of concept maps, and the comparison between different executions.

  17. Validation and Exploration of Instruments for Assessing Public Knowledge of and Attitudes toward Nanotechnology

    Science.gov (United States)

    Lin, Shu-Fen; Lin, Huann-shyang; Wu, Yi-ying

    2013-01-01

    The purposes of this study were to develop instruments that assess public knowledge of nanotechnology (PKNT), public attitudes toward nanotechnology (PANT) and conduct a pilot study for exploring the relationship between PKNT and PANT. The PKNT test was composed of six scales involving major nanotechnology concepts, including size and scale,…

  18. Identifying Promising Items: The Use of Crowdsourcing in the Development of Assessment Instruments

    Science.gov (United States)

    Sadler, Philip M.; Sonnert, Gerhard; Coyle, Harold P.; Miller, Kelly A.

    2016-01-01

    The psychometrically sound development of assessment instruments requires pilot testing of candidate items as a first step in gauging their quality, typically a time-consuming and costly effort. Crowdsourcing offers the opportunity for gathering data much more quickly and inexpensively than from most targeted populations. In a simulation of a…

  19. Technological Pedagogical Content Knowledge (TPACK): The Development and Validation of an Assessment Instrument for Preservice Teachers

    Science.gov (United States)

    Schmidt, Denise A.; Baran, Evrim; Thompson, Ann D.; Mishra, Punya; Koehler, Matthew J.; Shin, Tae S.

    2009-01-01

    Based in Shulman's idea of Pedagogical Content Knowledge, Technological Pedagogical Content Knowledge (TPACK) has emerged as a useful frame for describing and understanding the goals for technology use in preservice teacher education. This paper addresses the need for a survey instrument designed to assess TPACK for preservice teachers. The paper…

  20. Assessment of asymmetric leg loading before and after total hip arthroplasty using instrumented shoes.

    Science.gov (United States)

    Martínez-Ramírez, Alicia; Weenk, Dirk; Lecumberri, Pablo; Verdonschot, Nico; Pakvis, Dean; Veltink, Peter H

    2014-02-28

    Total hip arthroplasty is a successful surgical treatment in patients with osteoarthritis of the hip. Different questionnaires are used by the clinicians to assess functional capacity and the patient's pain, despite these questionnaires are known to be subjective. Furthermore, many studies agree that kinematic and kinetic parameters are crucial to evaluate and to provide useful information about the patient's evolution for clinicians and rehabilitation specialists. However, these quantities can currently only be obtained in a fully equipped gait laboratory. Instrumented shoes can quantify gait velocity, kinetic, kinematic and symmetry parameters. The aim of this study was to investigate whether the instrumented shoes is a sufficiently sensitive instrument to show differences in mobility performance before and after total hip arthroplasty. In this study, patients undergoing total hip arthroplasty were measured before and 6-8 months after total hip arthroplasty. Both measurement sessions include 2 functional mobility tasks while the subject was wearing instrumented shoes. Before each measurement the Harris Hip Score and the Traditional Western Ontario and McMaster Universities osteoarthritis index were administered as well. The stance time and the average vertical ground reaction force measured with the instrumented shoes during walking, and their symmetry index, showed significant differences before and after total hip arthroplasty. However, the data obtained with the sit to stand test did not reveal this improvement after surgery. Our results show that inter-limb asymmetry during a walking activity can be evaluated with the instrumented shoes before and after total hip arthroplasty in an outpatient clinical setting.

  1. Three instruments for assessment of WBGT and a comparison wiwh WGT (Botsball).

    Science.gov (United States)

    Onkaram, B; Stroschein, L A; Goldman, R F

    1980-09-01

    Environmental heat stress, expressed as the Wet Bulb Globe Temperature (WBGT), was measured outdoors using three different instruments: a) the conventional shaded dry-bulb, 15.2-cm black globe and naturally convected wet bulb thermometers, b) a minaturized thermometer kit, and c) a commercial WBGT instrument using a thermistor sensors. The WBGT values were compared with the Wet Globe Temperature (WGT) measured with a Botsball. Measurements were made visually on the instruments at regular intervals and an automated data collection system also was used to obtain data from thermocouples attached to the instruments. Statisticallly significant differences in WBGT readings were found among the instruments; however, the difference for a given environment usually was less than 0.5 degrees C. Readings taken by visual observations resulted in WBGT values which differed by less than 0.3 degrees C from those calculated from the automated data collection system. By using an equation derived for the Botsball, WBGT = 1.044 WGT - 0.187 (in degrees C), it is possible to convert the Botsball thermometer dial to indicate the conventional WBGT for outdoor environments, thus making it a simple instrument for assessing environmental heat stress at the work site.

  2. Prediction of Academic Aspiration based on Spiritual Intelligence and Tenacity

    Directory of Open Access Journals (Sweden)

    Safari H.

    2016-02-01

    Full Text Available Aims: The students’ academic achievements are noticed by the managers of academic centers.  One of the major factors in the academic achievements is academic enthusiasm. The aim of this study was to predict the academic enthusiasm based on spiritual intelligence and psychological tenacity in the students of Birjand University of Medical Sciences.  Instrument & Methods: In the correlational cross-section study, 165 students of Birjand University of Medical Sciences were studied in 2015-16 academic year. The subjects were selected based on Morgan table and via stratified random sampling method. Data was collected using spiritual intelligence, Ahvaz psychological tenacity, and academic enthusiasm scales. Data was analyzed by SPSS 22 software using Pearson correlational coefficient, synchronic regression, and independent T test.  Findings: There were positive and significant correlations between academic enthusiasm and spiritual intelligence (r=0.10 and psychological tenacity (r=0.21; p<0.01. 0.16 of academic enthusiasm variance were predicted by spiritual intelligence and psychological tenacity, mutually. Of the components of spiritual intelligence, existential critical thinking and transcendental consciousness could predict academic enthusiasm, only.  Conclusion: Academic enthusiasm can be predicted based on spiritual intelligence and psychological tenacity. 

  3. Spiritual needs in cancer patients and spiritual care based on logotherapy.

    Science.gov (United States)

    Noguchi, Wataru; Morita, Satoshi; Ohno, Tatsuya; Aihara, Okihiko; Tsujii, Hirohiko; Shimozuma, Kojiro; Matsushima, Eisuke

    2006-01-01

    The suitability of Frankl's logotherapy for the spiritual care (psychotherapy) of cancer patients in Japan is suggested. Using Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp, Japanese version), the Purpose in Life test (PIL test, Japanese version), and WHO-Subjective Inventory (WHO-SUBI, Japanese version), we attempted to elucidate the complicated structure of spirituality in cancer patients in order to identify possible approaches to their spiritual care and means of evaluating such care. Two hundred and ninety-eight cancer patients participated in the study. All three tests were taken at the same time, and the results were evaluated by principal component analysis. It was demonstrated that all the subscales employed in the present study could be represented by a two-dimensional structure (two principal components), and that the FACIT-Sp and PIL tests have similar contents. FACIT-Sp (Japanese version) is very similar in conception to the PIL test, which was prepared in accordance with logotherapy. The results suggest that this test can serve as an adequate evaluation scale for measuring the effectiveness of spiritual care based on Frankl's logotherapy.

  4. Spirituality in diaconia

    DEFF Research Database (Denmark)

    Zeitler, Ullrich Martin Rudenko

    2014-01-01

    ’s Theory U (TU) provides the conceptual and methodological framework for operationalising spirituality in diaconal work. It is argued that the concept of “presencing” is an adequate way to express “spirituality”, and that, overall TU is an appropriate model to describe and develop the essential features...... of diaconal social work and diaconal leadership. I shall use the Danish Blue Cross as an example of an organisation that can be interpreted as working on the basis of TU....

  5. Western Sport and Spiritualism

    OpenAIRE

    Kosiewicz Jerzy

    2014-01-01

    Sport activity of achievement-oriented (professional, Olympic, spectacular character) is first of all exposition of rivalry and striving for variously understood sports success (resulting from measurable or discretionary criteria). It refers to winning a competition or taking another expected place as well as to other forms of satisfaction, such as financial gratification or social (political, ethnic, professional) recognition. Spirituality is here neither an aim, nor an expected value - it c...

  6. TARIAN SPIRITUAL JALALUDDIN RUMI

    Directory of Open Access Journals (Sweden)

    Eni Murdiati

    2015-08-01

    Full Text Available The Whirling Dervishes (The Darwisy the Round and round or Sama’. The term used by the Maulawiyah or Jalaliyah adherents of this, by doing a dance around in circles, accompanied by drums and flute, in the devotions they are to reach ecstasy. Rumi and the legendary spiritual dance into a work of great almighty to fill in a drought spitual man approached the Creator.

  7. Instrument for assessing the quality of mobile emergency pre-hospital care: content validation

    Directory of Open Access Journals (Sweden)

    Rodrigo Assis Neves Dantas

    2015-06-01

    Full Text Available OBJECTIVES To validate an instrument to assess quality of mobile emergency pre-hospital care. METHOD A methodological study where 20 professionals gave their opinions on the items of the proposed instrument. The analysis was performed using Kappa test (K and Content Validity Index (CVI, considering K> 0.80 and CVI ≥ 0.80. RESULTS Three items were excluded from the instrument: Professional Compensation; Job Satisfaction and Services Performed. Items that obtained adequate K and CVI indexes and remained in the instrument were: ambulance conservation status; physical structure; comfort in the ambulance; availability of material resources; user/staff safety; continuous learning; safety demonstrated by the team; access; welcoming; humanization; response time; costumer privacy; guidelines on care; relationship between professionals and costumers; opportunity for costumers to make complaints and multiprofessional conjunction/actuation. CONCLUSION The instrument to assess quality of care has been validated and may contribute to the evaluation of pre-hospital care in mobile emergency services.

  8. Assessment of instrumentation needs for advanced coal power plant applications: Final report

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, E.T.; Fischer, W.H.; Lipka, J.V.; Rutkowski, M.D.; Zaharchuk, R.

    1987-10-01

    The purpose of this study was to identify contaminants, identify instrumentation needs, assess available instrumentation and identify instruments that should be developed for controlling and monitoring gas streams encountered in the following power plants: Integrated Gasification Combined Cycle, Pressurized Fluidized Bed Combustion, and Gasification Molten Carbonate Fuel Cell. Emphasis was placed on hot gas cleanup system gas stream analysis, and included process control, research and environmental monitoring needs. Commercial process analyzers, typical of those currently used for process control purposes, were reviewed for the purpose of indicating commercial status. No instrument selection guidelines were found which were capable of replacing user interaction with the process analyzer vendors. This study leads to the following conclusions: available process analyzers for coal-derived gas cleanup applications satisfy current power system process control and regulatory requirements, but they are troublesome to maintain; commercial gas conditioning systems and in situ analyzers continue to be unavailable for hot gas cleanup applications; many research-oriented gas stream characterization and toxicity assessment needs can not be met by commercially available process analyzers; and greater emphasis should be placed on instrumentation and control system planning for future power plant applications. Analyzers for specific compounds are not recommended other than those needed for current process control purposes. Instead, some generally useful on-line laser-based and inductively coupled plasma methods are recommended for further development because of their potential for use in present hot gas cleanup research and future optimization, component protection and regulation compliance activities. 48 refs., 21 figs., 26 tabs.

  9. Development of a video-simulation instrument for assessing cognition in older adults

    OpenAIRE

    Ip, Edward H.; Barnard, Ryan; Marshall, Sarah A.; Lu, Lingyi; Sink, Kaycee; Wilson, Valerie; Chamberlain, Dana; Rapp, Stephen R.

    2017-01-01

    BACKGROUND: Commonly used methods to assess cognition, such as direct observation, self-report, or neuropsychological testing, have significant limitations. Therefore, a novel tablet computer-based video simulation was created with the goal of being valid, reliable, and easy to administer. The design and implementation of the SIMBAC (Simulation-Based Assessment of Cognition) instrument is described in detail, as well as informatics "lessons learned" during development.RESULTS: The software em...

  10. An investigation into the spiritual needs of neuro-oncology patients from a nurse perspective

    Directory of Open Access Journals (Sweden)

    Nixon Aline Victoria

    2013-02-01

    Full Text Available Abstract Background Spiritual needs of cancer patients should be assessed and discussed by healthcare professionals. Neurosurgical nurses need to be able to assess and support neuro-oncology patients with their spiritual needs from diagnosis and throughout their hospital stay. Methods Data were collected through questionnaires using a Critical Incident Technique (CIT from neurosurgical nurses, findings were analysed using thematic analysis. Results Nurses reported some awareness of their patients’ spiritual needs during their stay on neurosurgical units although some used expressions approximating what could be described as spiritual needs. Patients’ spiritual needs were identified as: need to talk about spiritual concerns, showing sensitivity to patients’ emotions, responding to religious needs; and relatives’ spiritual needs included: supporting them with end of life decisions, supporting them when feeling being lost and unbalanced, encouraging exploration of meaning of life, and providing space, time and privacy to talk. Participants appeared largely to be in tune with their patients’ spiritual needs and reported that they recognised effective strategies to meet their patients’ and relatives’ spiritual needs. However, the findings also suggest that they don’t always feel prepared to offer spiritual support for neuro-oncology patients. Conclusions There is a need for healthcare professionals to provide spiritual care for neuro-oncology patients and their relatives. Although strategies were identified that nurses can use to support patients with spiritual needs further research is required to explore how effective nurses are at delivering spiritual care and if nurses are the most appropriate professionals to support neuro-oncology patients with spiritual care.

  11. Spirituality as an ethical challenge in Indian palliative care: A systematic review.

    Science.gov (United States)

    Gielen, Joris; Bhatnagar, Sushma; Chaturvedi, Santosh K

    2016-10-01

    Spiritual care is recognized as an essential component of palliative care (PC). However, patients' experience of spirituality is heavily context dependent. In addition, Western definitions and findings regarding spirituality may not be applicable to patients of non-Western origin, such as Indian PC patients. Given the particular sociocultural, religious, and economic conditions in which PC programs in India operate, we decided to undertake a systematic review of the literature on spirituality among Indian PC patients. We intended to assess how spirituality has been interpreted and operationalized in studies of this population, to determine which dimensions of spirituality are important for patients, and to analyze its ethical implications. In January of 2015, we searched five databases (ATLA, CINAHL, EMBASE, PsycINFO, and PubMed) using a combination of controlled and noncontrolled vocabulary. A content analysis of all selected reports was undertaken to assess the interpretation and dimensions of spirituality. Data extraction from empirical studies was done using a data-extraction sheet. A total of 39 empirical studies (12 qualitative, 21 quantitative, and 6 mixed-methods) and 18 others (10 reviews, 4 opinion articles, and 4 case studies) were retrieved. To date, no systematic review on spirituality in Indian PC has been published. Spirituality was the main focus of only six empirical studies. The content analysis revealed three dimensions of spirituality: (1) the relational dimension, (2) the existential dimension, and (3) the values dimension. Religion is prominent in all these dimensions. Patients' experiences of spirituality are determined by the specifically Indian context, which leads to particular ethical issues. Since spiritual well-being greatly impacts quality of life, and because of the substantial presence of people of Indian origin living outside the subcontinent, the findings of our review have international relevance. Moreover, our review illustrates

  12. Dimensi Spiritual dalam Kepemimpinan

    Directory of Open Access Journals (Sweden)

    Arcadius Benawa

    2014-10-01

    Full Text Available This article aims to show that the spiritual aspect must be noted in the leadership because every leader is always marked with oath of office in carrying out her/his position. So, how leaders are accountable, it is not only on the horizontal level but also at the vertical level. Research was done with phenomenological and literature studies about the practice of leadership faced with a number of theories about leadership and then to be synthesized the more authentic leadership than just imaging or false branding leadership. This article was based on the assumption that leadership (including in the political sphere was merely a sociological problem that kicked out spiritual aspects, while in the historical development of leadership, it had never been excluded from the spiritual dimension, whether in the form of manipulative (just because fed people understand that leadership came from the “sky”/gods. So then, a king acted tyrannical and led to the birth of authentic leadership as popularized as servant leadership. This article concluded that authentic leadership will give more benefit to develop the life system as well as the purpose of leadership itself rather than a merely apparent leadership which actually hurts the members (people because of the failure to meet the expectations of the members (people. 

  13. Standardized methodological assessment of research presentations (SHARP): development of a new instrument.

    Science.gov (United States)

    Farrokhyar, Forough; Dath, Deepak; Amin, Nalin; Bhandari, Mohit; Kelly, Stephen; Kolkin, Ann; Gill Pottruff, Catherine; Reid, Susan

    2014-06-01

    There are currently no validated guidelines to assess the quality of the content and the delivery style of scientific podium surgical presentations. We have developed a simple, short, and reliable instrument to objectively assess the overall quality of scientific podium presentations. A simple and efficient rating instrument was developed to assess the scientific content and presentation style/skills of the surgical residents' presentations from 1996 to 2013. Absolute and consistency agreement for the different sections of the instrument was determined and assessed overtime, by stage of the project and study design. Intraclass correlation coefficients with 95% confidence intervals were calculated and reported using a mixed-effects model. Inter-rater reliability for both absolute and consistency agreement was substantial for total score and for each of the 3 sections of the instrument. The absolute agreement for the overall rating of the presentations was .87 (.63 to .98) and .78 (.50 to .95), and the consistency agreement was .90 (.70 to .99) and .87 (.67 to .97) for the 2012 and 2013 institutional research presentations, respectively. Rater agreement for evaluating project stage and different study designs varied from .70 to .81 and was consistent over the years. The consistency agreement in rating of the presentation was .77 for both faculty and resident raters. Standardized methodological assessment of research presentations (SHARP) instrument rates the scientific quality of the research and style of the delivered presentation. It is highly reliable in scoring the quality of the all study designs regardless of their stage. We recommend that researchers focus on presenting the key concepts and significant elements of their evidence using visually simple slides in a professionally engaging manner for effective delivery of their research and better communication with the audience. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. Intimate Partner Violence Programs in a Children's Hospital: Comprehensive Assessment Utilizing a Delphi Instrument.

    Science.gov (United States)

    Randell, Kimberly A; Evans, Sarah E; O'Malley, Donna; Dowd, M Denise

    2015-03-01

    The purpose of this study was to conduct a baseline assessment of intimate partner violence (IPV) practices in a pediatric hospital system. The Delphi Instrument for Hospital-based Domestic Violence Programs was used to assess the structure and components of the hospital system's IPV practices. Through key stakeholder interviews, we also assessed IPV practices in individual patient care areas. Qualitative analysis of interview data used a grounded theory approach. The hospital scored 17 of 100 points on the Delphi instrument assessment. Key areas of weakness identified by the Delphi instrument and interviews included lack of coordinated provider training and evaluation of IPV-related processes and no standards for IPV screening, safety assessment, and documentation. Most interviewees supported addressing IPV; all identified barriers to IPV screening at individual provider and institutional levels. Institutional barriers included lack of a standardized response to IPV disclosure, need for individualized screening protocols for different patient care settings, lack of standardized provider training, concerns about overextending social work resources, and lack of resources for hospital staff experiencing vicarious trauma. Individual barriers included concern that screening may harm physician-patient-family relationships and the perception that physicians are unwilling to address psychosocial issues. The Delphi Instrument for Hospital-based Domestic Violence Programs identified weaknesses and key areas for improvement in IPV practices. Deficiencies revealed by the Delphi instrument were affirmed by individual interview results. Institutional and individual provider level barriers must be addressed to optimize IPV practices in a pediatric hospital system. Copyright © 2015 by the American Academy of Pediatrics.

  15. The Greatest Threat: Spiritual Decay

    Science.gov (United States)

    1992-02-10

    infiltrated every aspect of Greek life - even religion . In time Greece fell, and with it democracy, because it lacked the moral fiber and spiritual ...American way of life if there is no spiritual backbone? My research has convinced me more than ever that we need to look back and rediscover the...America’s sons and daughters, the strength of our armed forces, will be the big losers unless spiritual leadership becomes an essential quality of our

  16. Issues of spirituality and religion in psychotherapy supervision.

    Science.gov (United States)

    Bienenfeld, David; Yager, Joel

    2007-01-01

    We note gaps between the basic science of psychotherapy and the spiritual dimensions of religious life; between the beliefs and practices of patients and those of therapists; and between evidence for the influence of spirituality on health and the lack of its integration into psychotherapeutic training. We attempt to provide a framework to bridge this gap in supervision. We reviewed the literature on the roles of spirituality and religion in mental health and illness; on the place of religion in psychotherapy; and on the pedagogy of spirituality. Issues requiring attention include definitions of terms; awareness of personal beliefs; consideration of the boundaries between religiosity and pathology; and distinction between religious structures and personal beliefs. A format for addressing these issues in supervision includes: assisting the trainee with self-awareness; providing tools for spiritual assessment of the patient; providing developmental schema for spirituality; and maintaining awareness of the intersubjectivity of the patient-therapist field and the trainee-supervisor field. Existing literature provides usable frameworks for integrating religion and spirituality into psychotherapy supervision. We offer suggestions on how this may be accomplished.

  17. Modern health worries - the dark side of spirituality?

    Science.gov (United States)

    Köteles, Ferenc; Simor, Péter; Czető, Márton; Sárog, Noémi; Szemerszky, Renáta

    2016-08-01

    Modern health worries (MHWs) are widespread in modern societies. MHWs were connected to both negative and positive psychological characteristics in previous studies. The study aimed to investigate the relationships among intuitive-experiential information processing style, spirituality, MHWs, and psychological well-being. Members of the Hungarian Skeptic Society (N = 128), individuals committed to astrology (N = 601), and people from a non-representative community sample (N = 554) completed questionnaires assessing intuitive-experiential information processing style, spirituality, modern health worries (MHWs), and psychological well-being. Astrologers showed higher levels of spirituality, intuitive-experiential thinking, and modern health worries than individuals from the community sample; and skeptics scored even lower than the latter group with respect to all three constructs. Within the community sample, medium level connections between measures of spirituality and the experiential thinking style, and weak to medium level correlations between spirituality and MHWs were found. The connection between MHWs and experiential thinking style was completely mediated by spirituality. Individuals with higher levels of spirituality are particularly vulnerable to overgeneralized messages on health related risks. Official communication of potential risks based on rational scientific reasoning is not appropriate to persuade them as it has no impact on the intuitive-experiential system. © 2016 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  18. Spirituality: what is its role in pain medicine?

    Science.gov (United States)

    Siddall, Philip J; Lovell, Melanie; MacLeod, Rod

    2015-01-01

    For many years, spirituality has been regarded as an integral aspect of patient care in fields closely allied to pain medicine such as palliative and supportive care. Despite this, it has received relatively little attention within the field of pain medicine itself. Reasons for this may include a lack of understanding of what spirituality means, doubtfulness of its relevance, an uncertainty about how it may be addressed, or a lack of awareness of how addressing spirituality may be of benefit. A review of the literature was conducted to determine the changing conceptual frameworks that have been applied to pain medicine, the emergence of the biopsychospiritual approach and what that means as well as evidence for the benefits of incorporation of this approach for the management of pain. Although the concept of spirituality is broad, there is now greater consensus on what is meant by this term. Many authors and consensus panels have explored the concept and formulated a conceptual framework and an approach that is inclusive, accessible, relevant, and applicable to people with a wide range of health conditions. In addition, there is accumulating evidence that interventions that address the issue of spirituality have benefits for physical and emotional health. Given the firm place that spirituality now holds within other fields and the mounting evidence for its relevance and benefit for people with pain, there is increasing evidence to support the inclusion of spiritual factors as an important component in the assessment and treatment of pain. Wiley Periodicals, Inc.

  19. Making Sense of Genetic Uncertainty: The Role of Religion and Spirituality

    OpenAIRE

    White, Mary T.

    2009-01-01

    This paper argues that to the extent that religious and spiritual beliefs can help people cope with genetic uncertainty, a limited spiritual assessment may be appropriate in genetic counseling. The paper opens by establishing why genetic information is inherently uncertain and why this uncertainty can be medically, morally, and spiritually problematic. This is followed by a review of the range of factors that can contribute to risk assessments, including a few heuristics commonly used in resp...

  20. [Legal capacity and instruments assessing cognitive functions in patients with dementia].

    Science.gov (United States)

    Voskou, P; Papageorgiou, S; Economou, A; Douzenis, A

    2017-01-01

    The term "legal capacity" refers to the ability of a person to make a valid declaration of his will or to accept such a declaration. This ability constitutes the main condition for the validity of the legal transaction. The legal transaction includes issues that are adjusted by the Civil Code with which the relations of the citizens in a society are regulated. General practitioners and legal advisors, in any case of a person with cognitive impairment of various severity, should take into account that the assessment tests of the cognitive functions are not by themselves diagnostic of the dementia and they cannot be used as the only way of evaluation of the capacity of patients with cognitive impairment or possible dementia to respond to the needs of everyday life and in more complex decisions, such as the legal capacity. The existing methods for the assessment of the cognitive functions are valuable, mainly, for the detection of any cognitive impairment which may not be perceptible during the clinical evaluation of the patient and secondly for the detection of any changes in the cognitive status of the patient during its following up. The description and study of the instruments which are frequently used in the international scientific society for the assessment of the cognitive functions of the patients with mild cognitive impairment or dementia, during the evaluation of the legal capacity of these patients. The literature relevant to the existing methods assessing the cognitive functions during the evaluation of the legal capacity of patients with dementia was reviewed. The scientific database searched was Pubmed, Medline and Scopus. The key-words used were cognitive functions, dementia, instruments, legal capacity. Various instruments which assess the cognitive functions have been developed and can be grouped in 4 categories. The first one includes instruments used for the general assessment of the cognitive status. These instruments can be extensive or short and

  1. Quality of synthetic speech perceptual dimensions, influencing factors, and instrumental assessment

    CERN Document Server

    Hinterleitner, Florian

    2017-01-01

    This book reviews research towards perceptual quality dimensions of synthetic speech, compares these findings with the state of the art, and derives a set of five universal perceptual quality dimensions for TTS signals. They are: (i) naturalness of voice, (ii) prosodic quality, (iii) fluency and intelligibility, (iv) absence of disturbances, and (v) calmness. Moreover, a test protocol for the efficient indentification of those dimensions in a listening test is introduced. Furthermore, several factors influencing these dimensions are examined. In addition, different techniques for the instrumental quality assessment of TTS signals are introduced, reviewed and tested. Finally, the requirements for the integration of an instrumental quality measure into a concatenative TTS system are examined.

  2. An Instrument to Assess Self-Statements During Public Speaking: Scale Development and Preliminary Psychometric Properties

    Science.gov (United States)

    Hofmann, Stefan G.; DiBartolo, Patricia Marten

    2006-01-01

    Public speaking is the most commonly reported fearful social situation. Although a number of contemporary theories emphasize the importance of cognitive processes in social anxiety, there is no instrument available to assess fearful thoughts experienced during public speaking. The Self-Statements During Public Speaking (SSPS) scale is a 10-item questionnaire consisting of two 5-item subscales, the “Positive Self-Statements” (SSPS-P) and the “Negative Self-Statements” subscale (SSPS-N). Four studies report on the development and the preliminary psychometric properties of this instrument. PMID:16763666

  3. Competence Assessment Instruments in Perianesthesia Nursing Care: A Scoping Review of the Literature.

    Science.gov (United States)

    Jeon, Yunsuk; Lakanmaa, Riitta-Liisa; Meretoja, Riitta; Leino-Kilpi, Helena

    2017-12-01

    To identify competence assessment instruments in perianesthesia nursing care and to describe the validity and reliability of the instruments. A scoping review in a systematic manner. A search in CINAHL, MEDLINE, and ERIC was carried out to identify empirical studies from 1994 to 2015. A narrative synthesis approach was undertaken to analyze the data. Nine competence assessment instruments in perianesthesia nursing care were identified. The instruments used three types of data collection methods: Self-report, observation, and written examinations. The most commonly reported validity method was content validity involving expert panels and reliability tests for internal consistency and inter-rater's consistency. Integrating more than one data collection method may give support to overcoming some of the limitations, such as lack of objectivity and misinterpretation of the assessment results. In an ever-changing environment, perianesthesia nursing competence requires constant reassessment from the perspective of content validity, scoring methods, and reliability. Copyright © 2016 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

  4. The Association of Mental Distress and Spirituality/religiosity among ...

    African Journals Online (AJOL)

    Face to face interviews were conducted with subjects and the following instruments were administered: Self Reporting Questionnaire (SRQ 20), Duke Religion Index, Satisfaction With Life Scale, Spiritual Well-Being Scale, Religious Coping Index, and Social Support Index. Results: The results showed that 35.9% were ...

  5. Strategy for a Military Spiritual Self-Development Tool

    Science.gov (United States)

    2008-12-12

    Piaget , Kohlberg, and Erikson in a comprehensive theory directly applicable to the topic of spiritual development in the military. Therefore, the... theories due to its high user acceptability (“the most widely used personality instrument in the world--2 million administrations are given each year...simplicity, privacy, immediate feedback, basis in scientific theory , statistical development, and data collected regarding cross- cultural

  6. Spirituality, Spiritual Well-Being, and Spiritual Coping in Advanced Heart Failure: Review of the Literature.

    Science.gov (United States)

    Clark, Clayton C; Hunter, Jennifer

    2018-03-01

    Heart failure is a chronic and terminal disease that affects a significant portion of the U.S. It is marked by considerable suffering, for which palliative care has been recommended. Palliative care standards require the inclusion of spiritual care, but there is a paucity of literature supporting effective spiritual interventions for the heart failure population. A literature search resulted in 30 articles meeting the criteria for review of spirituality and spiritual coping in the heart failure population. Findings within this body of literature include descriptive evidence of the uniqueness of spirituality in this population, quantitative and qualitative approaches to inquiry, theoretical models of spiritual coping, and proposed interventions. The article concludes with implications for future research and practice.

  7. Instruments used in the assessment of expectation toward a spine surgery: an integrative review

    Directory of Open Access Journals (Sweden)

    Eliane Nepomuceno

    Full Text Available Abstract OBJECTIVE To identify and describe the instruments used to assess patients' expectations toward spine surgery. METHOD An integrative review was carried out in the databases PubMed, CINAHL, LILACS and PsycINFO. RESULTS A total of 4,402 publications were identified, of which 25 met the selection criteria. Of the studies selected, only three used tools that had confirmed validity and reliability to be applied; in five studies, clinical scores were used, and were modified for the assessment of patients' expectations, and in 17 studies the researchers developed scales without an adequate description of the method used for their development and validation. CONCLUSION The assessment of patients' expectations has been methodologically conducted in different ways. Until the completion of this integrative review, only two valid and reliable instruments had been used in three of the selected studies.

  8. The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: A systematic review

    Directory of Open Access Journals (Sweden)

    Asman Sara

    2007-01-01

    Full Text Available Abstract Background The assessment of outcomes from the patient's perspective becomes more recognized in health care. Also in patients with chronic ankle instability, the degree of present impairments, disabilities and participation problems should be documented from the perspective of the patient. The decision about which patient-assessed instrument is most appropriate for clinical practice should be based upon systematic reviews. Only rating scales constructed for patients with acute ligament injuries were systematically reviewed in the past. The aim of this study was to review systematically the clinimetric qualities of patient-assessed instruments designed for patients with chronic ankle instability. Methods A computerized literature search of Medline, Embase, Cinahl, Web of Science, Sport Discus and the Cochrane Controlled Trial Register was performed to identify eligible instruments. Two reviewers independently evaluated the clinimetric qualities of the selected instruments using a criteria list. The inter-observer reliability of both the selection procedure and the clinimetric evaluation was calculated using modified kappa coefficients. Results The inter-observer reliability of the selection procedure was excellent (k = .86. Four instruments met the eligibility criteria: the Ankle Joint Functional Assessment Tool (AJFAT, the Functional Ankle Outcome Score (FAOS, the Foot and Ankle Disability Index (FADI and the Functional Ankle Ability Measure (FAAM. The inter-observer reliability of the quality assessment was substantial to excellent (k between .64 and .88. Test-retest reliability was demonstrated for the FAOS, the FADI and the FAAM but not for the AJFAT. The FAOS and the FAAM met the criteria for content validity and construct validity. For none of the studied instruments, the internal consistency was sufficiently demonstrated. The presence of floor- and ceiling effects was assessed for the FAOS but ceiling effects were present for all

  9. Cognitive assessment instruments in Parkinson's disease patients undergoing deep brain stimulation

    Directory of Open Access Journals (Sweden)

    Aline Juliane Romann

    Full Text Available ABSTRACT Deep Brain Stimulation (DBS is a widely used surgical technique in individuals with Parkinson's disease (PD that can lead to significant reductions in motor symptoms. Objectives: To determine, from publications, the most commonly used instruments for cognitive evaluation of individuals with PD undergoing DBS. Methods: A systematic review of the databases: PubMed, Medline, EBECS, Scielo and LILACS was conducted, using the descriptors "Deep Brain Stimulation", "Verbal Fluency", "Parkinson Disease", "Executive Function", "Cognition" and "Cognitive Assessment" in combination. Results: The Verbal Fluency test was found to be the most used instrument for this investigation in the studies, followed by the Boston Naming Test. References to the Stroop Test, Trail Making Test, and Rey's Auditory Verbal Learning Test were also found. Conclusions: The validation of instruments for this population is needed as is the use of batteries offering greater specificity and sensitivity for the detection of cognitive impairment.

  10. [Assessment instruments for a Health-Related Quality of Life in diabetes mellitus].

    Science.gov (United States)

    Aguiar, Carlos Clayton Torres; Vieira, Anya Pimentel G Fernandes; Carvalho, André Ferrer; Montenegro-Junior, Renan M

    2008-08-01

    The assessment of Health-Related Quality of Life (HRQoL) has been increasingly used to measure the overall impact of diseases in people's life. Diabetes mellitus (DM) is a chronic disease associated with high morbidity, mortality, and HRQoL impairment in patients. In longitudinal studies, the psychosocial impact of DM predicts mortality. The objective of this review is to describe and to analyze the main instruments used for the HRQoL evaluation in patients with DM. Generic instruments such, as the Quality of Well-Being Scale (QWB), Medical Outcomes Study 36-item Short-Form Health Survey (SF-36), EuroQol (EQ-5D) and specific instruments as the Diabetes Care Profile (DCP), Diabetes Quality of Life Measure (DQOL), Diabetes Impact Measurement Scales (DIMS), Appraisal of Diabetes Scale (ADS), Audit of Diabetes-Dependent Quality of Life (ADDQoL), Diabetes Health Profile (DHP-1 and DHP-18), Questionnaire on Stress in Patients with Diabetes-Revised (QSD-R), Well-Being Enquiry goes Diabetics (WED), Diabetes-Specific Quality-of-life Scale (DSQOLS), Diabetes 39 (D-39) Problems Areas in Diabetes (PAID) were analyzed. PAID is the only translated and validated instrument available in Brazil. The generic and specific instruments have their stregths and shortcomings for evaluation of HRQL in patients with DM. The combined use of both generic (such as the SF-36) and specific (such as the PAID) appears to be a consistent way to evaluate HRQoL as a construct in Brazilian patients with DM. The present article reviews a variety of instruments and emphasizes the urgent need for validation studies of such instruments to be used in Brazilian subjects with DM.

  11. Development and validation of an instrument to assess knowledge and skills of evidence-based nursing.

    Science.gov (United States)

    Gu, Mee Ock; Ha, Yeongmi; Kim, Jeongsook

    2015-05-01

    To develop an objective instrument to measure nurses' entry-level knowledge of and skills in evidence-based practice, and to evaluate the validity and reliability of the instrument. To promote evidence-based practice in nursing, nurses should initially receive education about evidence-based practice knowledge and learn the skills, and this should be followed by measurement with an instrument that was developed to evaluate the extent to which they are prepared to use evidence-based practice knowledge and skills. Although some self-report instruments have been developed to measure evidence-based practice in nursing, an objective instrument to evaluate nurses' evidence-based practice knowledge and skills is not available at present. A methodological study. This study was conducted in two stages: the instrument development and its psychometric evaluation, including its validity and reliability. An instrument, 'Knowledge and Skills of Evidence-based Nursing,' was developed. Content validity was assessed by five experts in evidence-based nursing, and the construct validity was evaluated by the known-groups method. Reliability was examined with internal consistency reliability and inter-rater reliability. A content validity index >0·80 was achieved. For construct validity, there were statistically significant differences between the evidence-based practice and nonevidence-based practice groups in total scores and in the scores on each subscale of the Knowledge and Skills of Evidence-based Nursing. Cronbach's alpha was 0·96, and the inter-rater reliability was excellent. The Knowledge and Skills of Evidence-based Nursing is a valid and reliable instrument for objectively assessing nurses' evidence-based practice knowledge and skills; it is quick to complete and to score the answers. Because the Knowledge and Skills of Evidence-based Nursing objectively assesses nurses' evidence-based practice knowledge and skills, it can be used to examine the effects of evidence

  12. Development and validation of an instrument to assess imminent risk of homelessness among veterans.

    Science.gov (United States)

    Montgomery, Ann Elizabeth; Fargo, Jamison D; Kane, Vincent; Culhane, Dennis P

    2014-01-01

    Veterans are overrepresented within the homeless population compared with their non-veteran counterparts, particularly when controlling for poverty. The U.S. Department of Veterans Affairs (VA) aims to prevent new episodes of homelessness by targeting households at greatest risk; however, there are no instruments that systematically assess veterans' risk of homelessness. We developed and tested a brief screening instrument to identify imminent risk of homelessness among veterans accessing VA health care. The study team developed initial assessment items, conducted cognitive interviews with veterans experiencing homelessness, refined pilot items based on veterans' and experts' feedback and results of psychometric analyses, and assigned weights to items in the final instrument to indicate a measure of homelessness risk. One-third of veterans who responded to the field instrument reported imminent risk of homelessness (i.e., housing instability in the previous 90 days or expected in the next 90 days). The reliability coefficient for the instrument was 0.85, indicating good internal consistency. Veterans who had a recent change in income, had unpaid housing expenses, were living temporarily with family and friends, needed help to get or keep housing, and had poor rental and credit histories were more likely to report a risk of homelessness than those who did not. This study provides the field with an instrument to identify individuals and households at risk of or experiencing homelessness, which is necessary to prevent and end homelessness. In addition, it supports VA's investment in homelessness prevention and rapid rehousing services for veterans who are experiencing or are at risk for homelessness.

  13. Development and Validation of an Instrument to Assess Imminent Risk of Homelessness Among Veterans

    Science.gov (United States)

    Fargo, Jamison D.; Kane, Vincent; Culhane, Dennis P.

    2014-01-01

    Objectives Veterans are overrepresented within the homeless population compared with their non-veteran counterparts, particularly when controlling for poverty. The U.S. Department of Veterans Affairs (VA) aims to prevent new episodes of homelessness by targeting households at greatest risk; however, there are no instruments that systematically assess veterans' risk of homelessness. We developed and tested a brief screening instrument to identify imminent risk of homelessness among veterans accessing VA health care. Methods The study team developed initial assessment items, conducted cognitive interviews with veterans experiencing homelessness, refined pilot items based on veterans' and experts' feedback and results of psychometric analyses, and assigned weights to items in the final instrument to indicate a measure of homelessness risk. Results One-third of veterans who responded to the field instrument reported imminent risk of homelessness (i.e., housing instability in the previous 90 days or expected in the next 90 days). The reliability coefficient for the instrument was 0.85, indicating good internal consistency. Veterans who had a recent change in income, had unpaid housing expenses, were living temporarily with family and friends, needed help to get or keep housing, and had poor rental and credit histories were more likely to report a risk of homelessness than those who did not. Conclusion This study provides the field with an instrument to identify individuals and households at risk of or experiencing homelessness, which is necessary to prevent and end homelessness. In addition, it supports VA's investment in homelessness prevention and rapid rehousing services for veterans who are experiencing or are at risk for homelessness. PMID:25177054

  14. spirituality and contextuality 1. the historiography of spirituality

    African Journals Online (AJOL)

    The Historia de la Espi- ritualidad, again in four volumes, partly made up for this lack: it re- flected awareness of extra-Christian forms of spirituality (Judaism, Islam, gnosis, Hellenism, and so forth) and of modern atheism (Flors 1969). The third bridgehead became apparent with the reference work entitled World spirituality ...

  15. An integrated assessment instrument: Developing and validating instrument for facilitating critical thinking abilities and science process skills on electrolyte and nonelectrolyte solution matter

    Science.gov (United States)

    Astuti, Sri Rejeki Dwi; Suyanta, LFX, Endang Widjajanti; Rohaeti, Eli

    2017-05-01

    The demanding of assessment in learning process was impact by policy changes. Nowadays, assessment is not only emphasizing knowledge, but also skills and attitudes. However, in reality there are many obstacles in measuring them. This paper aimed to describe how to develop integrated assessment instrument and to verify instruments' validity such as content validity and construct validity. This instrument development used test development model by McIntire. Development process data was acquired based on development test step. Initial product was observed by three peer reviewer and six expert judgments (two subject matter experts, two evaluation experts and two chemistry teachers) to acquire content validity. This research involved 376 first grade students of two Senior High Schools in Bantul Regency to acquire construct validity. Content validity was analyzed used Aiken's formula. The verifying of construct validity was analyzed by exploratory factor analysis using SPSS ver 16.0. The result show that all constructs in integrated assessment instrument are asserted valid according to content validity and construct validity. Therefore, the integrated assessment instrument is suitable for measuring critical thinking abilities and science process skills of senior high school students on electrolyte solution matter.

  16. Antecedent of Emotional Quotient, Spiritual Quotient, and Emotional Spiritual Quotient (ESQ among Boarding Schools and Higher Learning Institutions Students

    Directory of Open Access Journals (Sweden)

    Che Su Mustaffa

    2011-10-01

    Full Text Available Emotional and spiritual quotient plays a principal role in life especially among students which enables them to overcome challenges in their life. This research was conducted in order to answer the question, “To what extent does family communication and institutional communication relate with students’ nemotional and spiritual qoutients?” A quantitative design was employed to examine different variables in those relationships among students. Augustian’s Emotional Spiritual Quotient Instrument (2001, and Ritchie and Fitzpatrick’s Family Communication and Institutional Communication Instrument (1990 were adapted and employed in this study. A total of 404 participants from Malaysian Higher Learning nInstitutions (IPT and 699 respondents from Malaysian Boarding Schools (SBP participated in this nresearch. Questionnaires were distributed to gather the data and were analysed using mean score, ncorrelation, t-test, and One-Way ANOVA through SPPS version 11.0. The research findings indicated thatn the emotional and spiritual quotient level. The differences in term of emotional and spiritual quotient found namong these student groups were gender among SBP students, and age among IPT students.

  17. Performance assessment of diffuse optical spectroscopic imaging instruments in a 2-year multicenter breast cancer trial

    Science.gov (United States)

    Leproux, Anaïs; O'Sullivan, Thomas D.; Cerussi, Albert; Durkin, Amanda; Hill, Brian; Hylton, Nola; Yodh, Arjun G.; Carp, Stefan A.; Boas, David; Jiang, Shudong; Paulsen, Keith D.; Pogue, Brian; Roblyer, Darren; Yang, Wei; Tromberg, Bruce J.

    2017-12-01

    We present a framework for characterizing the performance of an experimental imaging technology, diffuse optical spectroscopic imaging (DOSI), in a 2-year multicenter American College of Radiology Imaging Network (ACRIN) breast cancer study (ACRIN-6691). DOSI instruments combine broadband frequency-domain photon migration with time-independent near-infrared (650 to 1000 nm) spectroscopy to measure tissue absorption and reduced scattering spectra and tissue hemoglobin, water, and lipid composition. The goal of ACRIN-6691 was to test the effectiveness of optically derived imaging endpoints in predicting the final pathologic response of neoadjuvant chemotherapy (NAC). Sixty patients were enrolled over a 2-year period at participating sites and received multiple DOSI scans prior to and during 3- to 6-month NAC. The impact of three sources of error on accuracy and precision, including different operators, instruments, and calibration standards, was evaluated using a broadband reflectance standard and two different solid tissue-simulating optical phantoms. Instruments showed <0.0010 mm-1 (10.3%) and 0.06 mm-1 (4.7%) deviation in broadband absorption and reduced scattering, respectively, over the 2-year duration of ACRIN-6691. These variations establish a useful performance criterion for assessing instrument stability. The proposed procedures and tests are not limited to DOSI; rather, they are intended to provide methods to characterize performance of any instrument used in translational optical imaging.

  18. American Academy of Orthopaedic Surgeons lower limb outcomes assessment instruments. Reliability, validity, and sensitivity to change.

    Science.gov (United States)

    Johanson, Norman A; Liang, Matthew H; Daltroy, Lawren; Rudicel, Sally; Richmond, John

    2004-05-01

    The American Academy of Orthopaedic Surgeons (AAOS) has developed an array of outcomes assessment instruments designed for the efficient collection of outcomes data from patients of all ages with musculoskeletal conditions in all body regions. The Lower Limb Instruments were developed through a process of literature review, consensus-building, and field-testing. The instruments were distributed to a total of 290 subjects in twenty orthopaedic practices throughout the United States and Canada. Of the 290 patients, seventy each had a diagnosis in the categories of foot and ankle, sports/knee, and hip and knee and forty each had a diagnosis in the categories of trauma and rehabilitation. Retests to be taken twenty-four hours after the first test were distributed to subsamples of patients for each instrument. Seventy-one one-year follow-up questionnaires (twenty-five Sports/Knee, twenty-five Foot and Ankle, sixteen Hip and Knee, and five Lower Limb Core instruments) were returned. The Lower Limb Core Scale and the Hip and Knee Core Scale, each consisting of seven items addressing pain, stiffness and swelling, and function, performed at an acceptable level. Additional Sports/Knee and Foot and Ankle Modules proved to have internal and retest reliability of 0.80 or better, comparable with the values for well-established measures such as the Short Form-36 (SF-36). All of the new scales were moderately to strongly correlated with other measures of pain and function, such as physician ratings, the SF-36, and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Seventy-one patients provided follow-up information for the analysis of sensitivity to change. The Lower Limb Core was found to contribute independently to the prediction of the transition score based on the patient and physician assessments of change. The AAOS Lower Limb Instruments for outcomes assessment are highly reliable and are correlated with other measures for similar constructs. They

  19. Application of Allan Deviation to Assessing Uncertainties of Continuous-measurement Instruments, and Optimizing Calibration Schemes

    Science.gov (United States)

    Jacobson, Gloria; Rella, Chris; Farinas, Alejandro

    2014-05-01

    Technological advancement of instrumentation in atmospheric and other geoscience disciplines over the past decade has lead to a shift from discrete sample analysis to continuous, in-situ monitoring. Standard error analysis used for discrete measurements is not sufficient to assess and compare the error contribution of noise and drift from continuous-measurement instruments, and a different statistical analysis approach should be applied. The Allan standard deviation analysis technique developed for atomic clock stability assessment by David W. Allan [1] can be effectively and gainfully applied to continuous measurement instruments. As an example, P. Werle et al has applied these techniques to look at signal averaging for atmospheric monitoring by Tunable Diode-Laser Absorption Spectroscopy (TDLAS) [2]. This presentation will build on, and translate prior foundational publications to provide contextual definitions and guidelines for the practical application of this analysis technique to continuous scientific measurements. The specific example of a Picarro G2401 Cavity Ringdown Spectroscopy (CRDS) analyzer used for continuous, atmospheric monitoring of CO2, CH4 and CO will be used to define the basics features the Allan deviation, assess factors affecting the analysis, and explore the time-series to Allan deviation plot translation for different types of instrument noise (white noise, linear drift, and interpolated data). In addition, the useful application of using an Allan deviation to optimize and predict the performance of different calibration schemes will be presented. Even though this presentation will use the specific example of the Picarro G2401 CRDS Analyzer for atmospheric monitoring, the objective is to present the information such that it can be successfully applied to other instrument sets and disciplines. [1] D.W. Allan, "Statistics of Atomic Frequency Standards," Proc, IEEE, vol. 54, pp 221-230, Feb 1966 [2] P. Werle, R. Miicke, F. Slemr, "The Limits

  20. Validity and reliability of a dental operator posture assessment instrument (PAI).

    Science.gov (United States)

    Branson, Bonnie G; Williams, Karen B; Bray, Kimberly Krust; Mcllnay, Sandy L; Dickey, Diana

    2002-01-01

    Basic operating posture is considered an important occupational health issue for oral health care clinicians. It is generally agreed that the physical posture of the operator, while providing care, should be such that all muscles are in a relaxed, well-balanced, and neutral position. Postures outside of this neutral position are likely to cause musculoskeletal discomfort. To date, the range of the neutral operator position has not been well-defined; nor have any specific instruments been identified that can quantitatively or semi-quantitatively assess dental operator posture. This paper reports on the development of an instrument that can be used to semi-quantitatively evaluate postural components. During the first phase of the study, an expert panel defined the basic parameters for acceptable, compromised, and harmful operator postures and established face validity of a posture assessment instrument (PAI). During the second phase, the PAI was tested for reliability using generalizability theory. Four raters tested the instrument for reliability. Overall, total PAI scores were similar amongst three of the raters, with the fourth rater's scores being slightly greater than the other three. The main effect of the rater on individual postural components was moderate, indicating that rater variance contributed to 11.9% of total variance. The PAI measures posture as it occurs and will have numerous applications when evaluating operator performance in the dental and dental hygiene education setting. Also, the PAI will prove useful when examining the effects of operator posture and musculoskeletal disorders.

  1. EVA: laparoscopic instrument tracking based on Endoscopic Video Analysis for psychomotor skills assessment.

    Science.gov (United States)

    Oropesa, Ignacio; Sánchez-González, Patricia; Chmarra, Magdalena K; Lamata, Pablo; Fernández, Alvaro; Sánchez-Margallo, Juan A; Jansen, Frank Willem; Dankelman, Jenny; Sánchez-Margallo, Francisco M; Gómez, Enrique J

    2013-03-01

    The EVA (Endoscopic Video Analysis) tracking system is a new system for extracting motions of laparoscopic instruments based on nonobtrusive video tracking. The feasibility of using EVA in laparoscopic settings has been tested in a box trainer setup. EVA makes use of an algorithm that employs information of the laparoscopic instrument's shaft edges in the image, the instrument's insertion point, and the camera's optical center to track the three-dimensional position of the instrument tip. A validation study of EVA comprised a comparison of the measurements achieved with EVA and the TrEndo tracking system. To this end, 42 participants (16 novices, 22 residents, and 4 experts) were asked to perform a peg transfer task in a box trainer. Ten motion-based metrics were used to assess their performance. Construct validation of the EVA has been obtained for seven motion-based metrics. Concurrent validation revealed that there is a strong correlation between the results obtained by EVA and the TrEndo for metrics, such as path length (ρ = 0.97), average speed (ρ = 0.94), or economy of volume (ρ = 0.85), proving the viability of EVA. EVA has been successfully validated in a box trainer setup, showing the potential of endoscopic video analysis to assess laparoscopic psychomotor skills. The results encourage further implementation of video tracking in training setups and image-guided surgery.

  2. Development of instrument for assessing students’ critical and creative thinking ability

    Science.gov (United States)

    Herpiana, R.; Rosidin, U.

    2018-01-01

    The purpose of this study was to develop instruments to measure critical thinking ability and creative students in the topics of physics simple harmonic motion. The research method used was research development with application of procedures including research and data collection, planning, and initial product development. The participants of the study were thirty-four tenth grade students and five physics teachers of physics who were selected randomly from schools in the province of Lampung. The data collected by using test and analyzed in quantitative descriptive. Initial data showed that students’ critical and creative thinking ability were still low and instruments to assess students’ critical thinking skills and creative students was not yet available. Most of assessment conducted focused on memorization. Thus, the researchers developed a draft of instrument in the form of the test description based on criteria that encouraged students’ activity in understanding the concepts, strategies and decision/solution in dealing with problems. The development of the instrument was conducted considering real-world phenomena in the form of pictures and stories, description of the situation, and verbal presentation.

  3. Language profiles in young children with autism spectrum disorder: A community sample using multiple assessment instruments.

    Science.gov (United States)

    Nevill, Rose; Hedley, Darren; Uljarević, Mirko; Sahin, Ensu; Zadek, Johanna; Butter, Eric; Mulick, James A

    2017-11-01

    This study investigated language profiles in a community-based sample of 104 children aged 1-3 years who had been diagnosed with autism spectrum disorder using Diagnostic and Statistical Manual of Mental Disorders (5th ed.) diagnostic criteria. Language was assessed with the Mullen scales, Preschool Language Scale, fifth edition, and Vineland-II parent-report. The study aimed to determine whether the receptive-to-expressive language profile is independent from the assessment instrument used, and whether nonverbal cognition, early communicative behaviors, and autism spectrum disorder symptoms predict language scores. Receptive-to-expressive language profiles differed between assessment instruments and reporters, and Preschool Language Scale, fifth edition profiles were also dependent on developmental level. Nonverbal cognition and joint attention significantly predicted receptive language scores, and nonverbal cognition and frequency of vocalizations predicted expressive language scores. These findings support the administration of multiple direct assessment and parent-report instruments when evaluating language in young children with autism spectrum disorder, for both research and in clinical settings. Results also support that joint attention is a useful intervention target for improving receptive language skills in young children with autism spectrum disorder. Future research comparing language profiles of young children with autism spectrum disorder to children with non-autism spectrum disorder developmental delays and typical development will add to our knowledge of early language development in children with autism spectrum disorder.

  4. Spirituality Self-Care Practices as a Mediator between Quality of Life and Depression

    Directory of Open Access Journals (Sweden)

    Mary L. White

    2016-05-01

    Full Text Available The purpose of this study was to develop a midrange theory, building on Orem’s self-care deficit nursing theory (SCDNT to include constructs of religion, spirituality, and spiritual self‑care practices. This mid-range theory, White’s theory of spirituality and spiritual self-care (WTSSSC, was developed and tested as part of a larger study of African American patients with heart failure (HF. The aim of the study was to determine if spiritual self-care practices were mediating the relationship between depression and quality of life for African Americans diagnosed with heart failure. Participants in this study included 142 African Americans diagnosed with HF who were recruited at the clinic where they were being treated. Four instruments were used to measure spiritual self-care practices (White’s Spiritual Self-Care Practice Scale (WSPSCPC, depression symptomology (Patient Health Questionnaire-9 (PHQ-9, quality of life (World Health Organization QOL (WHOQOL-Bref, and personal characteristics. Results of the analysis were statistically significant, indicating that spirituality self-care practices were mediating the relationship between depression and quality of life for African American individuals diagnosed with HF. As the population ages and chronic illness becomes more common, nurses need to promote the use of spirituality self-care practices to help patients maintain their well-being.

  5. Validating the Mental Health Assessment Protocols (MHAPs) in the Resident Assessment Instrument Mental Health (RAI-MH).

    Science.gov (United States)

    Martin, L; Hirdes, J P; Morris, J N; Montague, P; Rabinowitz, T; Fries, B E

    2009-09-01

    For persons with mental illness and addictions, comprehensive assessment of their strengths, preferences and needs is central to person-centred care planning. In this study, the validity of the Mental Health Assessment Protocols (MHAPs) embedded in the Resident Assessment Instrument Mental Health instrument (the mandated assessment system for Ontario adult inpatient psychiatry) is examined, and triggering rates are compared in inpatient and community-based mental health settings. The sample is based on adults admitted to a psychiatric facility (n = 963) and to community mental health programmes (n = 1505) participating in the study. An international panel of mental health experts further evaluated study results. Among the 27 MHAPs, all but one had sensitivity rates above 80%, and the specificity was over 80% for 74% of the MHAPs. The expert panel found that the MHAPs worked well and could be used to support mental health care. The present study found that the MHAPs are valid measures, though more complex triggering algorithms capable of differentiating individuals based on outcomes were suggested to enhance their clinical relevance to care planning. Further, the use of compatible instrumentation in community-based mental health settings was promoted to enhance continuity of care.

  6. Assessing patient-centred communication in teaching: a systematic review of instruments.

    Science.gov (United States)

    Brouwers, Marianne; Rasenberg, Ellemieke; van Weel, Chris; Laan, Roland; van Weel-Baumgarten, Evelyn

    2017-11-01

    Patient-centred communication is a key component of patient centredness in medical care. Therefore, adequate education in and assessment of patient-centred communication skills are necessary. In general, feedback on communication skills is most effective when it is provided directly and is systematic. This calls for adequate measurement instruments. The aim of this study was to provide a systematic review of existing instruments that measure patient centredness in doctor-patient communication and can be used to provide direct feedback. A systematic review was conducted using an extensive validated search strategy for measurement instruments in PubMed, EMBASE, PsycINFO and CINAHL. The databases were searched from their inception to 1 July 2016. Articles describing the development or evaluation of the measurement properties of instruments that measure patient centredness (by applying three or more of the six dimensions of a published definition of patient centredness) in doctor-patient communication and that can be used for the provision of direct feedback were included. The methodological quality of measurement properties was evaluated using the COSMIN checklist. Thirteen articles describing 14 instruments measuring patient centredness in doctor-patient communication were identified. These studies cover a wide range of settings and patient populations, and vary in the dimensions of patient centredness applied and in methodological quality on aspects of reliability and validity. This review gives a comprehensive overview of all instruments available for the measurement of patient centredness in doctor-patient communication that can be used for the provision of direct feedback and are described in the literature. Despite the widely felt need for valid and reliable instruments for the measurement of patient-centred communication, most of the instruments currently available have not been thoroughly investigated. Therefore, we recommend further research into and

  7. Christian School Leaders and Spirituality

    Science.gov (United States)

    Banke, Susan; Maldonado, Nancy; Lacey, Candace H.

    2012-01-01

    This phenomenological study examined the spiritual experiences of Christian school leaders who are the spiritual leaders of their schools. A purposeful, nominated sample of 12 Christian school leaders was selected. In-depth, open-ended interviews were conducted, audio taped, and then transcribed verbatim. Data analysis was based on Rudestam and…

  8. WHAT IS SPIRITUALITY? 1. INTRODUCTION

    African Journals Online (AJOL)

    we must assign to the treatises concerning the spiritual life a very early date. .... Aside from the theory and history of spirituality, experimental psychology, pa- thology .... everyone in his or her mother's womb, causes them to be born and leads them throughout life. This is evident from their proper names, prayers, and stories.

  9. Workplace spirituality and job satisfaction.

    Science.gov (United States)

    van der Walt, Freda; de Klerk, Jeremias J

    2014-06-01

    In order to obtain an improved understanding of behaviour at work, employees should be studied from physical, psychological, and spiritual dimensions. Although the physical and psychological dimensions of individuals at work have been studied extensively, the spiritual dimension has been neglected for many years. The objective of the current research was to determine the relationship between workplace spirituality and a positive attitude related to work, that is, job satisfaction. A cross-sectional study was conducted with a sample of 600 white-collar workers, chosen from two organizations in different industries in South Africa. The research results indicate that there is a positive relationship between workplace spirituality and job satisfaction. These findings deepen the understanding of personal spirituality, organizational spirituality, and job satisfaction. They bring new insights into the significant role which spirituality plays in the context of the workplace. To survive in the 21st century, organizations need to be spiritually based. This, in turn, will lead to workers being satisfied with their entire work experience.

  10. Spirituality, Religion, and Peace Education

    Science.gov (United States)

    Brantmeier, Edward J., Ed.; Lin, Jing, Ed.; Miller, John P., Ed.

    2010-01-01

    "Spirituality, Religion, and Peace Education" attempts to deeply explore the universal and particular dimensions of education for inner and communal peace. This co-edited book contains fifteen chapters on world spiritual traditions, religions, and their connections and relevance to peacebuilding and peacemaking. This book examines the…

  11. Aspects of spirituality concerning illness

    NARCIS (Netherlands)

    van Leeuwen, Rene; Tiesinga, Lucas J.; Jochemasen, Henk; Post, Doeke

    2007-01-01

    The spiritual dimension of illness, health and care may be seen as a unique aspect in addition to the physical, mental and social dimension. This contribution describes experiences of patients, nurses and hospital chaplains in relation to the spiritual aspects of being ill. Qualitative research was

  12. The Spiritual Life of Children

    Science.gov (United States)

    Wilson, Ruth A.

    2010-01-01

    A misconception about spirituality is that it is tied to religion (i.e., belief in and reverence for a supernatural power). Yet, the term "spirituality" is derived from the word "spirit"--often defined as the vital principle or animating force within living things. This definition may reflect some overlap with what is generally covered in…

  13. Religion and Spirituality's Influences on HIV Syndemics Among MSM: A Systematic Review and Conceptual Model.

    Science.gov (United States)

    Lassiter, Jonathan M; Parsons, Jeffrey T

    2016-02-01

    This paper presents a systematic review of the quantitative HIV research that assessed the relationships between religion, spirituality, HIV syndemics, and individual HIV syndemics-related health conditions (e.g. depression, substance abuse, HIV risk) among men who have sex with men (MSM) in the United States. No quantitative studies were found that assessed the relationships between HIV syndemics, religion, and spirituality. Nine studies, with 13 statistical analyses, were found that examined the relationships between individual HIV syndemics-related health conditions, religion, and spirituality. Among the 13 analyses, religion and spirituality were found to have mixed relationships with HIV syndemics-related health conditions (6 nonsignificant associations; 5 negative associations; 2 positive associations). Given the overall lack of inclusion of religion and spirituality in HIV syndemics research, a conceptual model that hypothesizes the potential interactions of religion and spirituality with HIV syndemics-related health conditions is presented. The implications of the model for MSM's health are outlined.

  14. Instrument for assessing mobile technology acceptability in diabetes self-management: a validation and reliability study

    Directory of Open Access Journals (Sweden)

    Frandes M

    2017-02-01

    Full Text Available Mirela Frandes,1 Anca V Deiac,2 Bogdan Timar,1,3 Diana Lungeanu1,2 1Department of Functional Sciences, “Victor Babes” University of Medicine and Pharmacy of Timisoara, 2Department of Mathematics, Polytechnic University of Timisoara, 3Third Medical Clinic, Emergency Hospital of Timisoara, Timisoara, Romania Background: Nowadays, mobile technologies are part of everyday life, but the lack of instruments to assess their acceptability for the management of chronic diseases makes their actual adoption for this purpose slow.Objective: The objective of this study was to develop a survey instrument for assessing patients’ attitude toward and intention to use mobile technology for diabetes mellitus (DM self-management, as well as to identify sociodemographic characteristics and quality of life factors that affect them.Methods: We first conducted the documentation and instrument design phases, which were subsequently followed by the pilot study and instrument validation. Afterward, the instrument was administered 103 patients (median age: 37 years; range: 18–65 years diagnosed with type 1 or type 2 DM, who accepted to participate in the study. The reliability and construct validity were assessed by computing Cronbach’s alpha and using factor analysis, respectively.Results: The instrument included statements about the actual use of electronic devices for DM management, interaction between patient and physician, attitude toward using mobile technology, and quality of life evaluation. Cronbach’s alpha was 0.9 for attitude toward using mobile technology and 0.97 for attitude toward using mobile device applications for DM self-management. Younger patients (Spearman’s ρ=-0.429; P<0.001 with better glycemic control (Spearman’s ρ=-0.322; P<0.001 and higher education level (Kendall’s τ=0.51; P<0.001 had significantly more favorable attitude toward using mobile assistive applications for DM control. Moreover, patients with a higher quality of

  15. Spirituality and Religion in Patients with HIV/AIDS

    Science.gov (United States)

    Cotton, Sian; Puchalski, Christina M; Sherman, Susan N; Mrus, Joseph M; Peterman, Amy H; Feinberg, Judith; Pargament, Kenneth I; Justice, Amy C; Leonard, Anthony C; Tsevat, Joel

    2006-01-01

    BACKGROUND Spirituality and religion are often central issues for patients dealing with chronic illness. The purpose of this study is to characterize spirituality/religion in a large and diverse sample of patients with HIV/AIDS by using several measures of spirituality/religion, to examine associations between spirituality/religion and a number of demographic, clinical, and psychosocial variables, and to assess changes in levels of spirituality over 12 to 18 months. METHODS We interviewed 450 patients from 4 clinical sites. Spirituality/religion was assessed by using 8 measures: the Functional Assessment of Chronic Illness Therapy—Spirituality-Expanded scale (meaning/peace, faith, and overall spirituality); the Duke Religion Index (organized and nonorganized religious activities, and intrinsic religiosity); and the Brief RCOPE scale (positive and negative religious coping). Covariates included demographics and clinical characteristics, HIV symptoms, health status, social support, self-esteem, optimism, and depressive symptoms. RESULTS The patients’ mean (SD) age was 43.3 (8.4) years; 387 (86%) were male; 246 (55%) were minorities; and 358 (80%) indicated a specific religious preference. Ninety-five (23%) participants attended religious services weekly, and 143 (32%) engaged in prayer or meditation at least daily. Three hundred thirty-nine (75%) patients said that their illness had strengthened their faith at least a little, and patients used positive religious coping strategies (e.g., sought God’s love and care) more often than negative ones (e.g., wondered whether God has abandoned me; Pspirituality/religion included ethnic and racial minority status, greater optimism, less alcohol use, having a religion, greater self-esteem, greater life satisfaction, and lower overall functioning (R2=.16 to .74). Mean levels of spirituality did not change significantly over 12 to 18 months. CONCLUSIONS Most patients with HIV/AIDS belonged to an organized religion and use

  16. The interpersonal relationship in clinical practice. The Barrett-Lennard Relationship Inventory as an assessment instrument.

    Science.gov (United States)

    Simmons, J; Roberge, L; Kendrick, S B; Richards, B

    1995-03-01

    The biomedical model that has long been central to medical practice is gradually being expanded to a broader biopsychosocial model. Relationship-building skills commensurate with the new paradigm need to be understood by educators and taught to medical practitioners. The person-centered, or humanistic, model of psychologist Carl Rogers provides a theoretical approach for the development of effective biopsychosocial relationships. The Barrett-Lennard Relationship Inventory (BLRI) was developed in 1962 as an assessment instrument for the person-centered model. In this article, the person-centered model and the use of the BLRI as an assessment instrument of this model are discussed. Current and potential uses of the BLRI are explored.

  17. Comparing instrumental and deliberative paradigms underpinning the assessment of social values for cultural ecosystem services

    DEFF Research Database (Denmark)

    Raymond, Christopher M.; Kenter, Jasper O.; Plieninger, Tobias

    2014-01-01

    discussion. We present and then justify through case examples two approaches for assessing social values for ecosystem services using the instrumental paradigm and two approaches using the deliberative paradigm. Each approach makes different assumptions about: the underlying rationale for values assessment......; the process through which values are elicited; the type of representativeness sought, and; the degree of involvement of decision-makers. However, case examples demonstrate that the boundaries between instrumental and deliberative paradigms are often not concrete. To accommodate this fluidity, we offer a third......, pragmatic paradigm that integrates some of the qualities of both. This paradigm has implications for engaging multiple community groups and decision-makers in the articulation and mapping of social values for cultural ecosystem services....

  18. Integrating a flexible modeling framework (FMF) with the network security assessment instrument to reduce software security risk

    Science.gov (United States)

    Gilliam, D. P.; Powell, J. D.

    2002-01-01

    This paper presents a portion of an overall research project on the generation of the network security assessment instrument to aid developers in assessing and assuring the security of software in the development and maintenance lifecycles.

  19. Measurement properties of instruments assessing permanent functional impairment of the spine: a systematic review protocol

    Science.gov (United States)

    Trask, Catherine M; Boden, Catherine; Bath, Brenna; Hendrick, Paul; Clay, Lynne; Zeng, Xiaoke; Milosavljevic, Stephan

    2018-01-01

    Introduction Permanent functional impairment (PFI) of the spine is a rating system used by compensation authorities, such as workers compensation boards, to establish an appropriate level of financial compensation for persistent loss of function. Determination of PFI of the spine is commonly based on the assessment of spinal movement combined with other measures of physical and functional impairments; however, the reliability and validity of the measurement instruments used for these evaluations have yet to be established. The aim of this study is to systematically review and synthesise the literature concerning measurement properties of the various and different instruments used for assessing PFI of the spine. Methods Three conceptual groups of terms (1) PFI, (2) spinal disorder and (3) measurement properties will be combined to search Medline, EMBASE, CINAHL, Web of Science, Scopus, PEDro, OTSeeker and Health and Safety Science Abstracts. We will examine peer-reviewed, full-text articles over the full available date range. Two reviewers will independently screen citations (title, abstract and full text) and perform data extraction. Included studies will be appraised as to their methodological quality using the COnsensus-based Standards for the selection of health Measurement INstruments criteria. Findings will be summarised and presented descriptively, with meta-analysis pursued as appropriate. Ethics and dissemination This review will summarise the current level of evidence of measurement properties of instruments used for assessing PFI of the spine. Findings of this review may be applicable to clinicians, policy-makers, workers’ compensation boards, other insurers and health and safety organisations. The findings will likely provide a foundation and direction for future research priorities for assessing spinal PFI. PROSPERO registration number CRD42017060390. PMID:29374671

  20. Validation of an empirically based instrument for the assessment of the quality of teaching in medicine

    OpenAIRE

    Prescher, Anja

    2016-01-01

    Measuring the quality of teaching is a necessary prerequisite for the evaluation and development of medical education and thus for high-quality patient care. Corresponding quality indicators can make the feedback for teachers comprehensible. A completely empirically based instrument for the assessment of the quality of teaching in medicine has not yet been described. Ten empirically based criteria from the field of general pedagogy were developed: clear structure, amount of true learning time...

  1. A Systematic Review of Instruments to Assess Organizational Readiness for Knowledge Translation in Health Care

    OpenAIRE

    Gagnon, Marie-Pierre; Attieh, Randa; Ghandour, El Kebir; Légaré, France; Ouimet, Mathieu; Estabrooks, Carole A.; Grimshaw, Jeremy

    2014-01-01

    Background : The translation of research into practices has been incomplete. Organizational readiness for change (ORC) is a potential facilitator of effective knowledge translation (KT). However we know little about the best way to assess ORC. Therefore, we sought to systematically review ORC measurement instruments. Methods : We searched for published studies in bibliographic databases (Pubmed, Embase, CINAHL, PsychINFO, Web of Science, etc.) up to November 1st, 2012. We included publicatio...

  2. Valid and reliable instruments for arm-hand assessment at ICF activity level in persons with hemiplegia: a systematic review

    Science.gov (United States)

    2012-01-01

    Background Loss of arm-hand performance due to a hemiparesis as a result of stroke or cerebral palsy (CP), leads to large problems in daily life of these patients. Assessment of arm-hand performance is important in both clinical practice and research. To gain more insight in e.g. effectiveness of common therapies for different patient populations with similar clinical characteristics, consensus regarding the choice and use of outcome measures is paramount. To guide this choice, an overview of available instruments is necessary. The aim of this systematic review is to identify, evaluate and categorize instruments, reported to be valid and reliable, assessing arm-hand performance at the ICF activity level in patients with stroke or cerebral palsy. Methods A systematic literature search was performed to identify articles containing instruments assessing arm-hand skilled performance in patients with stroke or cerebral palsy. Instruments were identified and divided into the categories capacity, perceived performance and actual performance. A second search was performed to obtain information on their content and psychometrics. Results Regarding capacity, perceived performance and actual performance, 18, 9 and 3 instruments were included respectively. Only 3 of all included instruments were used and tested in both patient populations. The content of the instruments differed widely regarding the ICF levels measured, assessment of the amount of use versus the quality of use, the inclusion of unimanual and/or bimanual tasks and the inclusion of basic and/or extended tasks. Conclusions Although many instruments assess capacity and perceived performance, a dearth exists of instruments assessing actual performance. In addition, instruments appropriate for more than one patient population are sparse. For actual performance, new instruments have to be developed, with specific focus on the usability in different patient populations and the assessment of quality of use as well as

  3. Assessment of apically extruded debris and irrigant produced by different nickel-titanium instrument systems.

    Science.gov (United States)

    Küçükyilmaz, Ebru; Savas, Selcuk; Saygili, Gokhan; Uysal, Banu

    2015-01-01

    The aim of this study was to evaluate the preparation time and the amounts of apically extruded debris and irrigant using different nickel-titanium instrumentation systems. Forty-five extracted single-rooted mandibular premolar teeth were selected and divided into three groups. The root canals were instrumented according to the manufacturers' instructions, using a reciprocating single-file system, a single-file rotary system and a multiple-file rotary system. Bidistilled water was used as the irrigant solution. The apically extruded debris and irrigant were collected into preweighed Eppendorf tubes. The amounts of extruded debris and irrigant were assessed with a precision micro-balance. The Eppendorf tubes were incubated at 37°C for 15 days. After the incubation period, they were weighed again to assess the debris extrusion. The time required to prepare the canals was also recorded. The results were statistically analyzed using MANOVA and Bonferroni's adjustment. Considering the apically extruded debris and irrigant, there were no statistically significant differences among the groups (p > 0.05). The Reciproc group produced the highest debris (0.000632 ± 0.000162 gr) and irrigant (0.844587 ± 0.437814 ml) extrusion values. While the least extruded debris was observed with OneShape (0,000431 ± 0,000171 gr), the least extruded irrigant was observed with ProTaper system (0.564147 ± 0.370596 ml). Instrumentation was faster using the Reciproc than the other two instruments (70.27 ± 13.38 s) (p < 0.05). All of the instrumentation systems used in this study produced apical debris and irrigant extrusion. The reciprocating single-file system tended to produce more debris and irrigant extrusion, compared with the rotary systems. Considering the preparation time, the single-file systems appeared to be advantageous due to their working time.

  4. Instrument Motion Metrics for Laparoscopic Skills Assessment in Virtual Reality and Augmented Reality.

    Science.gov (United States)

    Fransson, Boel A; Chen, Chi-Ya; Noyes, Julie A; Ragle, Claude A

    2016-11-01

    To determine the construct and concurrent validity of instrument motion metrics for laparoscopic skills assessment in virtual reality and augmented reality simulators. Evaluation study. Veterinarian students (novice, n = 14) and veterinarians (experienced, n = 11) with no or variable laparoscopic experience. Participants' minimally invasive surgery (MIS) experience was determined by hospital records of MIS procedures performed in the Teaching Hospital. Basic laparoscopic skills were assessed by 5 tasks using a physical box trainer. Each participant completed 2 tasks for assessments in each type of simulator (virtual reality: bowel handling and cutting; augmented reality: object positioning and a pericardial window model). Motion metrics such as instrument path length, angle or drift, and economy of motion of each simulator were recorded. None of the motion metrics in a virtual reality simulator showed correlation with experience, or to the basic laparoscopic skills score. All metrics in augmented reality were significantly correlated with experience (time, instrument path, and economy of movement), except for the hand dominance metric. The basic laparoscopic skills score was correlated to all performance metrics in augmented reality. The augmented reality motion metrics differed between American College of Veterinary Surgeons diplomates and residents, whereas basic laparoscopic skills score and virtual reality metrics did not. Our results provide construct validity and concurrent validity for motion analysis metrics for an augmented reality system, whereas a virtual reality system was validated only for the time score. © Copyright 2016 by The American College of Veterinary Surgeons.

  5. Assessing Symptom Burden in Bladder Cancer: An Overview of Bladder Cancer Specific Health-Related Quality of Life Instruments.

    Science.gov (United States)

    Danna, Bernard J; Metcalfe, Michael J; Wood, Erika L; Shah, Jay B

    2016-07-27

    Background: A key component to monitoring and investigating patient QOL is through patient reported health related quality of life (HRQOL) outcome measures. Many instruments have been used to assess HRQOL in bladder cancer and each instrument varies in its development, validation, the context of its usage in the literature and its applicability to certain disease states. Objective: In this review, we sought to summarize how clinicians and researchers should most appropriately utilize the available HRQOL instruments for bladder cancer. Methods: We performed a comprehensive literature search of each instrument used in bladder cancer, paying particular attention to the outcomes assessed. We used these outcomes to group the available instruments into categories best reflecting their optimal usage by stage of disease. Results: We found 5 instruments specific to bladder cancer, of which 3 are validated. Only one of the instruments (the EORTC-QLQ-NMIBC24) was involved in a randomized, prospective validation study. The most heavily used instruments are the EORTC-QLQ-BLM30 for muscle-invasive disease and the FACT-Bl which is used across all disease states. Of the 5 available instruments, 4 are automatically administered with general instruments, while the BCI lacks modularity, and requires co-administration with a generalized instrument. Conclusion: There are multiple strong instruments for use in gauging HRQOL in bladder cancer patients. We have divided these instruments into three categories which optimize their usage: instruments for use following NMIBC treatments (EORTC-QLQ-NMIBC24), instruments for use following radical cystectomy (FACT-Bl-Cys and EORTC-QLQ-BLM30) and more inclusive instruments not limited by treatment modality (BCI and FACT-Bl).

  6. Spiritual care of the child with cancer at the end of life: a concept analysis.

    Science.gov (United States)

    Petersen, Cheryl L

    2014-06-01

    The aim of this paper is to report an analysis of the concept of spiritual care of a child with cancer at the end of life. Spirituality is a vital dimension of a child's experience at the end of life; providing comfort; support; and a sense of connection. Spiritual care is paramount to address the substantial spiritual distress that may develop. Rodgers' method of evolutionary concept analysis guided the review process. The literature search was not limited by start date and literature through the end of 2012 was included. English, peer-reviewed texts in the databases CINAHL, ATLA and PubMed were included. Critical analysis of the literature identified surrogate terms, related concepts, attributes, antecedents and consequences. The analysis identified six attributes: assessing spiritual needs; assisting the child to express feelings; guiding the child in strengthening relationships; helping the child to be remembered; assisting the child to find meaning; and aiding the child to find hope. Antecedents include existential questions and spiritual distress. Consequences include a peaceful death, spiritual growth, a relationship of trust and enhanced end-of-life care. Spiritual care is a vital aspect of holistic nursing care; however, gaps in knowledge and practice prevent children from receiving adequate spiritual care at the end of life. Nurses would benefit from increased awareness, skills and knowledge about spiritual care. Research is needed to identify interventions that exert the greatest effect on patient care outcomes. © 2013 John Wiley & Sons Ltd.

  7. Spirituality in elderly people

    Directory of Open Access Journals (Sweden)

    Cecilia San Martín Petersen

    2015-09-01

    Full Text Available Spirituality may be understood as a group of feelings, beliefs and actions that suppose a search for the transcendent, sacred or divine. As representations about an ultimate power, they contribute to the sense and purpose in life and orient peoples behavior, relationships, and ways to feel and think about reality and about themselves. Since either in the growing old process and in the evaluation of life that occurs when approaching to death it may emerge conflicts, confusion and suffering, people beliefs about what is beyond death, or the answers to the questions about what for and why of life, become determinants in elders well-being. Furthermore, considering that life expectancy has significantly increased, and that the ways of growing old are changing as well as what being old means, and this process advantages and disadvantages or problems, in it ́s different contexts, it ́s necessary to think old age over again, as well as the policies that affect the quality of life of this group of people. Therefore, every professional who assist elderly, specially mental health professionals, must consider the spiritual referents of the individual in order to give the best assistance in whatever problems may appear in the growing old process. 

  8. Sikhism, spirituality and psychiatry.

    Science.gov (United States)

    Kalra, Gurvinder; Bhui, Kamaldeep S; Bhugra, Dinesh

    2012-12-01

    Sikhism has millions of followers in India and among the Indian diaspora. As a religion it is relatively young but carries with it unique perspectives which are often not well known. The holy book of Sikhism, Guru Granth Sahib, is not only the last Guru, but also remained a key text for this religion. Using descriptions of the religion and its followers we attempt to understand the context of spirituality within this religion and attempt to apply it to clinical settings. We explored various texts to understand the notions of spirituality and ethics and directions for living one's life. We studied both the Gurumukhi version as well as the English translation of the Sikh holy text. In the context of history of the Sikhs, various descriptions related to mental well being were identified. In this paper we describe the history, development and the core values of the religion and we also review their role on psychiatric and mental health settings for managing Sikh patients. Guru Granth Sahib offers a very useful insight into what is understood by the term equivalent to depression and its phenomenology. The notions of dukh (loosely translated as pain, but can also mean sadness or suffering) and maya (illusion) and their role in daily living are also discussed. In this paper these descriptions are explored further and their importance explained. Copyright © 2012 Elsevier B.V. All rights reserved.

  9. TRIANGULATION OF INSTRUMENTATION AND DATA SOURCE: A STRONGER METHOD IN ASSESSING ENGLISH LANGUAGE NEEDS

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    Meedy Nugraha

    2002-01-01

    Full Text Available This paper proposes the importance of multiple instrumentation and data source (triangulation in a needs analysis. Various data gathering methods developed in assessing learners' English language needs are reviewed. The justification of employing more than a single data gathering method and data source in a needs analysis is also presented by examining the strengths and weaknesses of each method and evaluating previous needs analyses carried out in some Asian countries. Highlights are then given to the methodology mostly implemented in assessing English needs in Indonesia and a recommendation is addressed to further studies on learners's needs in Indonesia

  10. Independent Assessment of Instrumentation for ISS On-Orbit NDE. Volume 1

    Science.gov (United States)

    Madaras, Eric I

    2013-01-01

    International Space Station (ISS) Structural and Mechanical Systems Manager, requested that the NASA Engineering and Safety Center (NESC) provide a quantitative assessment of commercially available nondestructive evaluation (NDE) instruments for potential application to the ISS. This work supports risk mitigation as outlined in the ISS Integrated Risk Management Application (IRMA) Watch Item #4669, which addresses the requirement for structural integrity after an ISS pressure wall leak in the event of a penetration due to micrometeoroid or debris (MMOD) impact. This document contains the outcome of the NESC assessment.

  11. Mixed-methods study to develop a patient complexity assessment instrument for district nurses.

    Science.gov (United States)

    Thomas, Susan J; Wallace, Carolyn; Jarvis, Paul; Davis, Ruth Elizabeth

    2016-03-01

    There is increasing reference to complex patient needs in health care. However, little is known about how to measure patient complexity or the relationship between it and district nursing activity. To illustrate the use of group concept mapping (GCM) to conceptualise and develop items for a patient complexity assessment instrument to be used by district nurses. The first phase of this research used GCM conceptualisation and consensus methodology to identify items for a community-based patient complexity instrument. GCM helped to provide a conceptual understanding of community-based patient complexity through focused exploration of the term. indicated that a number of environmental, sociological, psychological, behavioural, physical and organisational factors needed to be included. This, in turn, showed that an existing taxonomy did not contain the relevant items. Consequently, amendments were made and a new instrument developed. GCM is a suitable consensus method for use in nursing theory and developing instruments. It proved successful in achieving consensus with no loss of participants' views. GCM is a suitable method for nurses to use in research or practice development activities as it is based on a facilitative and engagement-led approach.

  12. Validity and reliability of an instrument in Portuguese to assess bicycle use patterns in urban areas

    Directory of Open Access Journals (Sweden)

    Marilson Kienteka

    2017-05-01

    Full Text Available DOI: http://dx.doi.org/10.5007/1980-0037.2017v19n1p17   The aim of this study was to analyze the validity and reliability of an instrument to assess bicycle use patterns in urban areas through systematic observation. The instrument items were selected from a literature review. Content validity was established by consensus opinion of experts of the physical activity area. The temporal stability (reliability was verified by percentage of agreement and intraclass correlation coefficient (ICC. Observations were conducted using an adapted protocol based on the System for Observing Play and Recreation in Communities (SOPARC, consisting of systematic scans for counting cyclists in an urban area through video images provided by the public transport control system of Curitiba (URBS. Observers A and B recorded a total of 383 and 378 cyclists. Most of the observed subjects were men (87%, adults (84%, cycling on the BRT lane (54%, coming from downtown (54%, rode the bicycle on the wrong side of the street (58.2%, were not wearing a helmet (76.8 and bicycled alone (64%. Agreement percentiles ranged from 89.2 to 99.5% and ICC values from 0.922 to 0.999. According to criteria adopted, reliability was considered high in all categories included in the instrument. The instrument showed validity and reliability to be used in studies aiming to evaluate bicycle use patterns in Brazilian urban areas.

  13. Examining Client Spiritual History and the Construction of Meaning: The Use of Spiritual Timelines in Counseling

    Science.gov (United States)

    Curry, Jennifer R.

    2009-01-01

    The imperative to integrate spirituality in counseling has been well documented in the counseling literature. Developing spiritual timelines is one creative technique that may help clients with spiritual concerns. The purpose of this manuscript is to briefly review spirituality in counseling, describe the use of spiritual timelines as a creative…

  14. GUIDELINES FOR THE DESIGN OF INSTRUMENTS OF COMPETENCE ASSESSMENT FROM MEASURABLE LEARNING STANDARDS

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    Ignacio Polo Martínez

    2015-06-01

    Full Text Available The evaluation is not enough to improve education necessary but. There are no magic to educational problems through assessment solutions. However, the evaluation, in partnership with the methodology, should be treated as determinants of the quality and improving education. Surely, many teachers agree that it is not easy to design assessment tools that are consistent with the teaching-learning competence and, in turn, with rigorous curriculum standards and assessment of the Autonomous Community. However, this difficulty should not be considered as an impossibility. Through this article aims to contribute to building an improvement plan associated with the design of the evaluation instruments from different areas or subjects. Such a design should be based on at least the following: I want to evaluate (referring to assessment criteria and standards of assessable learning included in the instrument and I will evaluate (referencing jurisdictional situations linked to next and known student context, HOW I WILL QUALIFY (preserving the right of students to an objective evaluation and what consequences they will have the results for the different agents that make up the educational community.

  15. The Program Sustainability Assessment Tool: A New Instrument for Public Health Programs

    Science.gov (United States)

    Calhoun, Annaliese; Robichaux, Christopher B.; Elliott, Michael B.; Moreland-Russell, Sarah

    2014-01-01

    Introduction Public health programs can deliver benefits only if they are able to sustain programs, policies, and activities over time. Although numerous sustainability frameworks and models have been developed, there are almost no assessment tools that have demonstrated reliability or validity or have been widely disseminated. We present the Program Sustainability Assessment Tool (PSAT), a new and reliable instrument for assessing the capacity for program sustainability of various public health and other programs. Methods A measurement development study was conducted to assess the reliability of the PSAT. Program managers and staff (n = 592) representing 252 public health programs used the PSAT to rate the sustainability of their program. State and community-level programs participated, representing 4 types of chronic disease programs: tobacco control, diabetes, obesity prevention, and oral health. Results The final version of the PSAT contains 40 items, spread across 8 sustainability domains, with 5 items per domain. Confirmatory factor analysis shows good fit of the data with the 8 sustainability domains. The subscales have excellent internal consistency; the average Cronbach’s α is 0.88, ranging from 0.79 to 0.92. Preliminary validation analyses suggest that PSAT scores are related to important program and organizational characteristics. Conclusion The PSAT is a new and reliable assessment instrument that can be used to measure a public health program’s capacity for sustainability. The tool is designed to be used by researchers, evaluators, program managers, and staff for large and small public health programs. PMID:24456645

  16. Operational aspects of Quality-of-Life Assessment. Choosing the right instrument.

    Science.gov (United States)

    Erickson, P; Taeuber, R C; Scott, J

    1995-01-01

    In assessing quality of life, the most important goal is to develop a strategy that produces useable and useful information for decision making. Assessment design is complex, and whether an assessment is developed from scratch, or 1 or more portions of existing instruments are adapted, the focus must be on the quality of the theoretical and operational elements of the particular line of inquiry and its environment. The necessary and most often discussed focus on the theoretical dimensions of validity, reliability and responsiveness is not sufficient to insure that the data are of the requisite high quality. There is also a need, almost universally given little attention in the literature, to look at operational aspects, such as design, format, flow, appearance, and response-stimulus, of each assessment instrument. Searching for guidance in the quality-of-life (QOL) literature remains a challenge even with computers, modems, keywords, static guidebooks and bibliographic systems. The On-Line Guide to Quality-of-Life Assessments (OLGA) is presented as a personal computer-based system that is updated 3 times a year to provide QOL researchers and assessment developers with 2 databases: assessments providing full descriptions and contact information; and references providing fully keyed citations to the assessment use literature. These databases are made more useful by decision-logical programs that identify relevant assessments and supporting research literature. OLGA can thus save time and other resources by helping investigators concentrate on the most relevant elements of the existing literature. This focus will assist them in avoiding the problems of ending up with the right answers to the wrong questions.

  17. The Spiritual Genogram in Training and Supervision.

    Science.gov (United States)

    Frame, Marsha Wiggins

    2001-01-01

    Describes the spiritual genogram, a blueprint of family members' multigenerational religious and spiritual affiliations, events, and conflicts. Used as a tool in both training and supervision, the spiritual genogram enables students and supervisees to make sense of their own religious and spiritual heritage and to explore the ways in which their…

  18. Secret Wisdom: Spiritual Intelligence in Adolescents

    Science.gov (United States)

    Kilcup, Charmayne

    2016-01-01

    Current models of spiritual development suggest that adolescents have limited capacity for spirituality and spiritual experiences. Adolescents are seen to have immature moral and ethical judgment and be incapable of deep spiritual experience due to lack of cognitive development. This mixed-methods study explored the existence of spiritual…

  19. The Critical Spirituality of Paulo Freire

    Science.gov (United States)

    Boyd, Darrell

    2012-01-01

    Starting from the premise that Paulo Freire's capacity for hope in the face of personal struggle and exile issued from his spirituality, this paper examines Freire's spirituality through the lens of Michael Dantley's concept of critical spirituality. The concept of spirituality as discussed in the literature is explored, followed by an explication…

  20. Treating Spiritual Issues in Secular Psychotherapy.

    Science.gov (United States)

    Helminiak, Daniel A.

    2001-01-01

    Discusses spirituality as a spiritual phenomenon that is independent of, yet open to, matters of personal religion and belief in God. Proposes that an elaborated psychology of spirituality helps therapists focus the psychotherapeutically relevant and spiritual issues in the client's presentation; build on the client's healthy commitments; and…

  1. Developing Authentic Assessment Instrument on Short Story Appreciation and Production for Senior High School Students

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    Purwadi Susilo

    2017-10-01

    Full Text Available This study was conducted as the follow-up action toward the result of a preliminary study which showed that Indonesian Language teachers in Senior High School (mentioned as “SMA” YPI Tunas Bangsa Palembang had not yet implemented any standardized, objective, accurate nor appropriate assessment instruments as demanded by the 2013 curriculum. Based on this problem, the research question in this study was “How are teachers’ necessities of an authentic assessment instrument to assess understanding on the short stories production and appreciation in SMA YPI Tunas Bangsa Palembang?”. This study employed the research and development method adapted from the one proposed by Akker which consisted of several steps: (1 analysis, (2 design, (3 evaluation, and the one by Tessmer: (1 self-evaluation, (2 expert judgment, (3 one-to-one, (4 small group, (5 revision, and (6 field test. The implementation of the authentic assessment for short stories production and appreciation was analyzed by using the inter-rater agreement. The inter-rater reliability was measured using the Cronbach’s Alfa. The data were also analyzed using the SPSS 16 program which resulted to a level of significance at 0.5. Therefore, it is found that the evaluation given by the experts and the respondents reached a similar perception. Based on the result of the Cronbach’s Alpha test, a value of 0.99 was obtained above 0.70 which implies that the authentic assessment instruments developed in this study are highly reliable.

  2. Using the Rasch measurement model to design a report writing assessment instrument.

    Science.gov (United States)

    Carlson, Wayne R

    2013-01-01

    This paper describes how the Rasch measurement model was used to develop an assessment instrument designed to measure student ability to write law enforcement incident and investigative reports. The ability to write reports is a requirement of all law enforcement recruits in the state of Michigan and is a part of the state's mandatory basic training curriculum, which is promulgated by the Michigan Commission on Law Enforcement Standards (MCOLES). Recently, MCOLES conducted research to modernize its training and testing in the area of report writing. A structured validation process was used, which included: a) an examination of the job tasks of a patrol officer, b) input from content experts, c) a review of the professional research, and d) the creation of an instrument to measure student competency. The Rasch model addressed several measurement principles that were central to construct validity, which were particularly useful for assessing student performances. Based on the results of the report writing validation project, the state established a legitimate connectivity between the report writing standard and the essential job functions of a patrol officer in Michigan. The project also produced an authentic instrument for measuring minimum levels of report writing competency, which generated results that are valid for inferences of student ability. Ultimately, the state of Michigan must ensure the safety of its citizens by licensing only those patrol officers who possess a minimum level of core competency. Maintaining the validity and reliability of both the training and testing processes can ensure that the system for producing such candidates functions as intended.

  3. Strategies for assessing mental health in Haiti: local instrument development and transcultural translation.

    Science.gov (United States)

    Kaiser, Bonnie N; Kohrt, Brandon A; Keys, Hunter M; Khoury, Nayla M; Brewster, Aimée-Rika T

    2013-08-01

    The lack of culturally appropriate mental health assessment instruments is a major barrier to screening and evaluating efficacy of interventions. Simple translation of questionnaires produces misleading and inaccurate conclusions. Multiple alternate approaches have been proposed, and this study compared two approaches tested in rural Haiti. First, an established transcultural translation process was used to develop Haitian Kreyòl versions of the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI). This entailed focus group discussions evaluating comprehensibility, acceptability, relevance, and completeness. Second, qualitative data collection was employed to develop new instruments: the Kreyòl Distress Idioms (KDI) and Kreyòl Function Assessment (KFA) scales. For the BDI and BAI, some items were found to be nonequivalent due to lack of specificity, interpersonal interpretation, or conceptual nonequivalence. For all screening tools, items were adjusted if they were difficult to endorse or severely stigmatizing, represented somatic experiences of physical illness, or were difficult to understand. After the qualitative development phases, the BDI and BAI were piloted with 31 and 27 adults, respectively, and achieved good reliability. Without these efforts to develop appropriate tools, attempts at screening would have captured a combination of atypical suffering, everyday phenomena, and potential psychotic symptoms. Ultimately, a combination of transculturally adapted and locally developed instruments appropriately identified those in need of care through accounting for locally salient symptoms of distress and their negative sequelae.

  4. Automatic creation of Markov models for reliability assessment of safety instrumented systems

    International Nuclear Information System (INIS)

    Guo Haitao; Yang Xianhui

    2008-01-01

    After the release of new international functional safety standards like IEC 61508, people care more for the safety and availability of safety instrumented systems. Markov analysis is a powerful and flexible technique to assess the reliability measurements of safety instrumented systems, but it is fallible and time-consuming to create Markov models manually. This paper presents a new technique to automatically create Markov models for reliability assessment of safety instrumented systems. Many safety related factors, such as failure modes, self-diagnostic, restorations, common cause and voting, are included in Markov models. A framework is generated first based on voting, failure modes and self-diagnostic. Then, repairs and common-cause failures are incorporated into the framework to build a complete Markov model. Eventual simplification of Markov models can be done by state merging. Examples given in this paper show how explosively the size of Markov model increases as the system becomes a little more complicated as well as the advancement of automatic creation of Markov models

  5. Sleep paralysis as spiritual experience.

    Science.gov (United States)

    Hufford, David J

    2005-03-01

    This article presents an overview of the sleep paralysis experience from both a cultural and a historical perspective. The robust, complex phenomenological pattern that represents the subjective experience of sleep paralysis is documented and illustrated. Examples are given showing that, for a majority of subjects, sleep paralysis is taken to be a kind of spiritual experience. This is, in part, because of the very common perception of a non-physical 'threatening presence' that is part of the event. Examples from various cultures, including mainstream contemporary America which has no widely known tradition about sleep paralysis, are used to show that the complex pattern and spiritual interpretation are not dependent on cultural models or prior learning. This is dramatically contrary to conventional explanations of apparently 'direct' spiritual experiences, explanations that are summed up as the 'Cultural Source Hypothesis.' This aspect of sleep paralysis was not recognized through most of the twentieth century. The article examines the way that conventional modern views of spiritual experience, combined with medical ideas that labeled 'direct' spiritual experiences as psychopathological, and mainstream religious views of such experiences as heretical if not pathological, suppressed the report and discussion of these experiences in modern society. These views have resulted in confusion in the scientific literature on sleep paralysis with regard to its prevalence and core features. The article also places sleep paralysis in the context of other 'direct' spiritual experiences and offers an 'Experiential Theory' of cross-culturally distributed spiritual experiences.

  6. National Beef Quality Audit - 2016: Survey of carcass characteristics through instrument grading assessments.

    Science.gov (United States)

    Boykin, C A; Eastwood, L C; Harris, M K; Hale, D S; Kerth, C R; Griffin, D B; Arnold, A N; Hasty, J D; Belk, K E; Woerner, D R; Delmore, R J; Martin, J N; VanOverbeke, D L; Mafi, G G; Pfeiffer, M M; Lawrence, T E; McEvers, T J; Schmidt, T B; Maddock, R J; Johnson, D D; Carr, C C; Scheffler, J M; Pringle, T D; Stelzleni, A M; Gottlieb, J; Savell, J W

    2017-07-01

    The instrument grading assessment portion of the National Beef Quality Audit (NBQA) - 2016 allows the unique opportunity to evaluate beef carcass traits over the course of a year. One week of instrument grading data was collected each month from 5 beef processing corporations encompassing 18 facilities from January 2016 through December 2016 ( = 4,544,635 carcasses). Mean USDA yield grade (YG) was 3.1 with 1.37 cm fat thickness (FT), 88.9 cm LM area, 393.6 kg HCW, and 2.1% KPH. Frequency distribution of USDA YG was 9.5% YG 1, 34.6% YG 2, 38.8% YG 3, 14.6% YG 4, and 2.5% YG 5. Increases in HCW and FT since the NBQA-2011 were major contributors to differences in mean YG and the (numerically) increased frequency of YG 3, 4, and 5 carcasses found in the current audit. Mean marbling score was Small, and the distribution of USDA quality grades was 4.2% Prime, 71.4% Choice, 21.7% Select, and 2.7% other. Frequency of carcasses grading Prime on Monday (6.43%) was numerically higher than the average frequency of carcasses grading Prime overall (4.2%). Monthly HCW means were 397.6 kg in January, 397.2 kg in February, 396.5 kg in March, 389.3 kg in April, 384.8 kg in May, 385.0 kg in June, 386.1 kg in July, 394.1 kg in August, 399.1 kg in September, 403.9 kg in October, 406.5 kg in November, and 401.9 kg in December. Monthly mean marbling scores were Small in January, Small in February, Small in March, Small in April, Small in May, Small in June, Small in July, Small in August, Small in September, Small in October, Small in November, and Small in December. Both mean HCW and mean marbling score declined in the months of May and June. The month with the greatest numerical frequency of dark cutters was October (0.74%). Comparison of overall data from in-plant carcass and instrument grading assessments revealed close alignment of information, especially for YG (3.1 for in-plant assessment versus 3.1 for instrument grading) and marbling (Small for in-plant assessment versus Small

  7. Briefer assessment of social network drinking: A test of the Important People Instrument-5 (IP-5).

    Science.gov (United States)

    Hallgren, Kevin A; Barnett, Nancy P

    2016-12-01

    The Important People instrument (IP; Longabaugh et al., 2010) is one of the most commonly used measures of social network drinking. Although its reliability and validity are well-supported, the length of the instrument may limit its use in many settings. The present study evaluated whether a briefer, 5-person version of the IP (IP-5) adequately reproduces scores from the full IP. College freshmen (N = 1,053) reported their own past-month drinking, alcohol-related consequences, and information about drinking in their close social networks at baseline and 1 year later. From this we derived network members' drinking frequency, percentage of drinkers, and percentage of heavy drinkers, assessed for up to 10 (full IP) or 5 (IP-5) network members. We first modeled the expected concordance between full-IP scores and scores from simulated shorter IP instruments by sampling smaller subsets of network members from full IP data. Then, using quasi-experimental methods, we administered the full IP and IP-5 and compared the 2 instruments' score distributions and concurrent and year-lagged associations with participants' alcohol consumption and consequences. Most of the full-IP variance was reproduced from simulated shorter versions of the IP (ICCs ≥ 0.80). The full IP and IP-5 yielded similar score distributions, concurrent associations with drinking (r = 0.22 to 0.52), and year-lagged associations with drinking. The IP-5 retains most of the information about social network drinking from the full IP. The shorter instrument may be useful in clinical and research settings that require frequent measure administration, yielding greater temporal resolution for monitoring social network drinking. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  8. Spiritual Distress in Bereavement: Evolution of a Research Program

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    Laurie A. Burke

    2014-11-01

    Full Text Available Many mourners turn to their spiritual beliefs and traditions when confronted by the death of a loved one. However, prior studies have either focused primarily on the benefits of faith following loss or studied spiritual struggle outside the context of bereavement. Moreover, scales to measure bereavement-related crises of faith and interventions specifically designed for spiritually inclined, distressed grievers are virtually non-existent. Our program of research, which to date has consisted of working with Christian grievers and is outlined below, elucidates complicated spiritual grief (CSG—a spiritual crisis following the loss of a loved one. For example, our longitudinal examination of 46 African American homicide survivors established the relation between positive religious coping, CSG, and complicated grief (CG, to clarify whether religious coping more strongly predicted bereavement distress or vice versa, with a follow-up study that determined the relation between religious coping and posttraumatic stress disorder (PTSD and depression. We replicated and expanded these findings with a diverse sample of 150 grievers to explore the complex relation between CSG, CG, and meaning making in a comparison study of mourners who had experienced traumatic-versus natural death losses. In a companion study, we qualitatively analyzed 84 grievers’ narratives and interviewed a 5-member focus group to capture and learn from their firsthand experiences of spiritual distress. To close the gap in terms of CSG assessment, we also developed and validated the Inventory of Complicated Spiritual Grief (ICSG. Currently, our ongoing CSG investigation extends in several directions: first, to a sample of family members anticipating the loss of their hospice-eligible loved one in palliative care; and, second, to the development and testing of a writing-intensive intervention for newly bereaved, spiritually inclined grievers.

  9. Development and Application of a Spiritual Well-Being Questionnaire Called SHALOM

    Directory of Open Access Journals (Sweden)

    John Fisher

    2010-12-01

    Full Text Available The Four Domains Model of Spiritual Health and Well-Being was used as the theoretical base for the development of several spiritual well-being questionnaires, with progressive fine-tuning leading to the Spiritual Health And Life-Orientation Measure (SHALOM. SHALOM comprises 20 items with five items reflecting the quality of relationships of each person with themselves, other people, the environment and/or God, in the Personal, Communal, Environmental and Transcendental domains of spiritual well-being. SHALOM has undergone rigorous statistical testing in several languages. SHALOM has been used with school and university students, teachers, nurses, medical doctors, church-attenders, in industry and business settings, with abused women, troubled youth and alcoholics. SHALOM provides a unique way of assessing spiritual well-being as it compares each person’s ideals with their lived experiences, providing a measure of spiritual harmony or dissonance in each of the four domains.

  10. The relationship of general health, hardiness and spiritual intelligence relationship in Iranian nurses.

    Directory of Open Access Journals (Sweden)

    Fatemeh Akbarizadeh

    2013-12-01

    Full Text Available Nursing is one of the stressful jobs that affect nurse's well-being. The aim of this study was to assess the relationship between spiritual intelligence, hardiness and well-being among Iranian nurses.Samples of this cross- sectional study selected by Randomized stratified sampling, 125 nurses who have been working in different wards of Bushehr university hospitals. Data were collected using spiritual intelligence, hardiness, well-being and demographic characteristics questionnaires. Correlation, t-test, ANOVA, Tukey and regression analysis were applied.The results revealed a significant relationship between spiritual intelligence and hardiness, spiritual intelligence and well-being, Hardiness and well-being. It also showed that among the demographic characteristics (age, gender, working ward, marital status, job experiences, and education working ward significantly correlated with spiritual intelligence.Improvement of spiritual intelligence and reinforcement of hardiness could help increase the well-being of nurses.

  11. Defining the Meaning of Spirituality Through a Qualitative Case Study of Sheltered Homeless Women.

    Science.gov (United States)

    Hurlbut, Jené; Ditmyer, Marcia

    2016-01-01

    The primary purpose of this case study was to assess the meaning of spirituality in a convenience sample of women located in an urban city in the southwest United States. The secondary purpose was to describe their lived experiences associated with spirituality. From these interviews five themes emerged: Belief in God or a Higher Power, Distinction Between Religion and Spirituality, Belief That There Is a Plan for Their Lives, Spirituality Providing Guidance for What Is Right/Wrong, and Belief That Their Lives Will Improve. These findings support the perceived fundamental importance of spirituality in the lives of homeless women. Nurses and other clinicians can use this information to develop interventions to help support women using spirituality practices and to help improve the outlook of homelessness for these women. © 2016 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses.

  12. Association of Spirituality With Mental Health Conditions in Ohio National Guard Soldiers.

    Science.gov (United States)

    Ganocy, Stephen J; Goto, Toyomi; Chan, Philip K; Cohen, Gregory H; Sampson, Laura; Galea, Sandro; Liberzon, Israel; Fine, Thomas; Shirley, Edwin; Sizemore, James; Calabrese, Joseph R; Tamburrino, Marijo B

    2016-07-01

    Research exploring spirituality in military populations is a relatively new field with limited published reports. This study used the Spiritual Well-Being Scale to examine the association of spiritual well-being with suicidal ideation/behavior, posttraumatic stress disorder (PTSD), and depression and alcohol use disorders in a randomized sample of Ohio Army National Guard soldiers. The participants were 418 soldiers, mostly white and male, with nearly three-quarters indicating that they had been deployed at least once during their careers. Higher spirituality, especially in the existential well-being subscale, was associated with significantly less lifetime PTSD, depression, and alcohol use disorders and with less suicidal ideation over the past year. Future research in this area may benefit from a longitudinal design that can assess spirituality and mental health behaviors in addition to diagnoses at different time points, to begin to explore spirituality in a larger context.

  13. Spirituality, religiosity, depression, anxiety, and drug-use consequences during methadone maintenance therapy.

    Science.gov (United States)

    Piacentine, Linda B

    2013-07-01

    Substance addiction is damaging to the health of persons, families, and society. Often the person with addiction has decreased spirituality and religiosity and suffers from anxiety, depression, or both, increasing the risk for continued substance use and its concomitant negative consequences. The study purpose was to describe spirituality and religiosity, among persons enrolled in methadone maintenance therapy and to examine associations between spirituality, religiosity, anxiety, depression, and drug-use consequences. Using a descriptive and cross-sectional correlational design, 108 participants completed questionnaires assessing the study variables. Spiritual well-being was similar to other addiction samples and lower than healthy person samples. Most participants described themselves as spiritual or religious though religious participation was lower than in their past. The analysis indicated that spirituality, religiosity, depression, anxiety, and negative drug-use consequences are interrelated in the person with addiction. Higher anxiety was predictive of negative drug-use consequences.

  14. Paroxysmal positional vertigo despite complete vestibular impairment: the role of instrumental assessment.

    Science.gov (United States)

    Casani, A P; Cerchiai, N; Navari, E

    2018-02-28

    Lindsay and Hemenway syndrome is characterised by a posterior canal benign paroxysmal positional vertigo following a partial unilateral vestibular loss affecting the same side. The syndrome is caused by damage of structures innervated by the superior division of the vestibular nerve and perfused by the anterior vestibular artery; the detached otoconia can cause vertigo in the still intact posterior semicircular canal. The most recent vestibular instrumental techniques allow reaching an accurate topodiagnosis in case of peripheral vestibular failure. We report on two cases of Lindsay-Hemenway syndrome despite complete vestibular failure demonstrated by vestibular instrumental assessment. After making some critical considerations on these findings, we underline the importance of not disregarding the diagnosis of paroxysmal positional vertigo in an established complete labyrinthine loss of function. © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale.

  15. Development and validation of an instrument to evaluate science teachers' assessment beliefs and practices

    Science.gov (United States)

    Genc, Evrim

    The primary purpose of this study was to develop a valid and reliable instrument to examine science teachers' assessment beliefs and practices in science classrooms. The present study also investigated the relationship between teachers' beliefs and practices in terms of assessment issues in science, their perceptions of the factors that influenced their assessment practices and their feelings towards high-stakes testing. The participants of the study were 408 science teachers teaching at middle and high school levels in the State of Florida. Data were collected through two modes of administration of the instrument as a paper-and-pencil and a web-based form. The response rate for paper-and-pencil administration was estimated as 68% whereas the response for the web administration was found to be 27%. Results from the various dimensions of validity and reliability analyses revealed that the 24 item-four-factor belief and practice measures were psychometrically sound and conceptually anchored measures of science teachers' assessment beliefs and self-reported practices. Reliability estimates for the belief measure ranged from .83 to .91 whereas alpha values for the practice measure ranged from .56 to .90. Results from the multigroup analysis supported that the instrument has the same theoretical structure across both administration groups. Therefore, future researchers may use either a paper-and-pencil or web-based format of the instrument. This study underscored a discrepancy between what teachers believe and how they act in classroom settings. It was emphasized that certain factors were mediating the dynamics between the belief and the practice. The majority of teachers reported that instruction time, class size, professional development activities, availability of school funding, and state testing mandates impact their assessment routines. Teachers reported that both the preparation process and the results of the test created unbelievable tension both on students and

  16. Selecting instruments for assessing psychological wellbeing in Afghan and Kurdish refugee groups

    Directory of Open Access Journals (Sweden)

    Sulaiman-Hill Cheryl MR

    2010-09-01

    Full Text Available Abstract Background Afghan and Iraqi refugees comprise nearly half of all those currently under United Nations protection. As many of them will eventually be resettled in countries outside the region of origin, their long term health and settlement concerns are of relevance to host societies, and will be a likely focus for future research. Since Australia and New Zealand have both accepted refugees for many years and have dedicated, but different settlement and immigration policies, a study comparing the resettlement of two different refugee groups in these countries was undertaken. The purpose of this article is to describe the instrument selection for this study assessing mental health and psychological well being with Afghan and Kurdish former refugees, in particular to address linguistic considerations and translated instrument availability. A summary of instruments previously used with refugee and migrant groups from the Middle East region is presented to assist other researchers, before describing the three instruments ultimately selected for the quantitative component of our study. Findings The Kessler-10 Psychological Distress Scale (K10, General Perceived Self-Efficacy Scale (GPSE, and Personal Well-Being Index (PWI all showed good reliability (Cronbach's alphas of 0.86, 0.89 and 0.83 respectively for combined language versions and ease of use even for pre-literate participants, with the sample of 193 refugees, although some concepts in the GPSE proved problematic for a small number of respondents. Farsi was the language of choice for the majority of Afghan participants, while most of the Kurds chose to complete English versions in addition to Farsi. No one used Arabic or Turkish translations. Participants settled less than ten years were more likely to complete questionnaires in Farsi. Descriptive summary statistics are presented for each instrument with results split by gender, refugee group and language version completed. Conclusion

  17. Instruments to assess and measure personal and environmental radiofrequency-electromagnetic field exposures

    International Nuclear Information System (INIS)

    Bhatt, Chhavi R.; Redmayne, Mary; Abramson, Michael J.; Benke, Geza

    2016-01-01

    Radiofrequency-electromagnetic field (RF-EMF) exposure of human populations is increasing due to the widespread use of mobile phones and other telecommunication and broadcasting technologies. There are ongoing concerns about potential short- and long-term public health consequences from RF-EMF exposures. To elucidate the RF-EMF exposure-effect relationships, an objective evaluation of the exposures with robust assessment tools is necessary. This review discusses and compares currently available RF-EMF exposure assessment instruments, which can be used in human epidemiological studies. Quantitative assessment instruments are either mobile phone-based (apps/software-modified and hardware-modified) or exposimeters. Each of these tool has its usefulness and limitations. Our review suggests that assessment of RF-EMF exposures can be improved by using these tools compared to the proxy measures of exposure (e.g. questionnaires and billing records). This in turn, could be used to help increase knowledge about RF-EMF exposure induced health effects in human populations.

  18. Instruments to assess and measure personal and environmental radiofrequency-electromagnetic field exposures.

    Science.gov (United States)

    Bhatt, Chhavi Raj; Redmayne, Mary; Abramson, Michael J; Benke, Geza

    2016-03-01

    Radiofrequency-electromagnetic field (RF-EMF) exposure of human populations is increasing due to the widespread use of mobile phones and other telecommunication and broadcasting technologies. There are ongoing concerns about potential short- and long-term public health consequences from RF-EMF exposures. To elucidate the RF-EMF exposure-effect relationships, an objective evaluation of the exposures with robust assessment tools is necessary. This review discusses and compares currently available RF-EMF exposure assessment instruments, which can be used in human epidemiological studies. Quantitative assessment instruments are either mobile phone-based (apps/software-modified and hardware-modified) or exposimeters. Each of these tool has its usefulness and limitations. Our review suggests that assessment of RF-EMF exposures can be improved by using these tools compared to the proxy measures of exposure (e.g. questionnaires and billing records). This in turn, could be used to help increase knowledge about RF-EMF exposure induced health effects in human populations.

  19. Development of Instruments to Assess Shame and Guilt in Adolescents: Empirical Differences Between the Constructs

    Directory of Open Access Journals (Sweden)

    Lorena Maria Laskoski

    2013-05-01

    Full Text Available Shame and guilt are terms easily mixed in everyday life and often used as synonyms. Although they are words of similar use, they represent theoretically different moral emotions. The aims of this study were to develop and validate instruments to assess shame and guilt and to test the empirical independence of the constructs. Five hundred and eighty high school students from three Brazilian states participated in this study, 55% of them female, with an average age of 16.0 years. The participants answered a questionnaire containing socio demographic questions and scales designed for this study in order to assess shame and guilt. The scales developed gave appropriate evidence of validity and reliability. A single factor was extracted to assess shame and two factors to assess guilt (recognition of mistake and regret. The constructs revealed to be correlated, but independent. It is considered that there is sufficient evidence to affirm that shame and guilt are emotions with distinctive peculiarities and can be measured using the instruments developed in this research.

  20. Music@Home: A novel instrument to assess the home musical environment in the early years.

    Science.gov (United States)

    Politimou, Nina; Stewart, Lauren; Müllensiefen, Daniel; Franco, Fabia

    2018-01-01

    The majority of children under the age of 5 appear to show spontaneous enjoyment of singing, being exposed to music and interacting with musical instruments, but whether variations in engaging in such activities in the home could contribute to developmental outcomes is still largely unknown. Critically, researchers lack a comprehensive instrument with good psychometric properties to assess the home musical environment from infancy to the preschool years. To address this gap, this paper presents two studies that describe the development and validation of the Music@Home questionnaire, which comprises two versions: Infant and Preschool. In Study 1, an initial pool of items was generated and administered to a wide audience of parents (n = 287 for the Infant, n = 347 for the Preschool version). Exploratory factor analysis was used to identify different dimensions comprising the home musical environment of both infants and pre-schoolers, and to reduce the initial pool of items to a smaller number of meaningful items. In Study 2, convergent and divergent validity and internal and test-retest reliability of the new instrument were established, using data from a different sample of participants (n = 213 for the Infant, n = 213 for the Preschool version). The second study also investigated associations between the Music@Home and musical characteristics of the parents, such as their musical education and personal engagement with music. Overall, the Music@Home constitutes a novel, valid and reliable instrument that allows for the systematic assessment of distinct aspects of the home musical environment in families with children under the age of 5. Furthermore, the Infant and Preschool versions of the Music@Home present differential associations with musical characteristics of the parents opening a new area of inquiry into how musical exposure and interaction in the home may vary across different developmental stages.

  1. An instrument for broadened risk assessment in antenatal health care including non-medical issues

    Directory of Open Access Journals (Sweden)

    Amber Amanda Vos

    2015-03-01

    Full Text Available Introduction: Growing evidence on the risk contributing role of non-medical factors on pregnancy outcomes urged for a new approach in early antenatal risk selection. The evidence invites to more integration, in particular between the clinical working area and the public health domain. We developed a non-invasive, standardized instrument for comprehensive antenatal risk assessment. The current study presents the application-oriented development of a risk screening instrument for early antenatal detection of risk factors and tailored prevention in an integrated care setting.Methods: A review of published instruments complemented with evidence from cohort studies. Selection and standardization of risk factors associated with small for gestational age, preterm birth, congenital anomalies and perinatal mortality. Risk factors were weighted to obtain a cumulative risk score. Responses were then connected to corresponding care pathways. A cumulative risk threshold was defined, which can be adapted to the population and the availability of preventive facilities. A score above the threshold implies multidisciplinary consultation between caregivers.Results: The resulting digital score card consisted of 70 items, subdivided into four non-medical and two medical domains. Weighing of risk factors was based on existing evidence. Pilot-evidence from a cohort of 218 pregnancies in a multi-practice urban setting showed a cut-off of 16 points would imply 20% of all pregnant women to be assessed in a multidisciplinary setting. A total of 28 care pathways were defined.Conclusion: The resulting score card is a universal risk screening instrument which incorporates recent evidence on non-medical risk factors for adverse pregnancy outcomes and enables systematic risk management in an integrated antenatal health care setting.

  2. An instrument for broadened risk assessment in antenatal health care including non-medical issues

    Directory of Open Access Journals (Sweden)

    Amber Amanda Vos

    2015-03-01

    Full Text Available Introduction: Growing evidence on the risk contributing role of non-medical factors on pregnancy outcomes urged for a new approach in early antenatal risk selection. The evidence invites to more integration, in particular between the clinical working area and the public health domain. We developed a non-invasive, standardized instrument for comprehensive antenatal risk assessment. The current study presents the application-oriented development of a risk screening instrument for early antenatal detection of risk factors and tailored prevention in an integrated care setting. Methods: A review of published instruments complemented with evidence from cohort studies. Selection and standardization of risk factors associated with small for gestational age, preterm birth, congenital anomalies and perinatal mortality. Risk factors were weighted to obtain a cumulative risk score. Responses were then connected to corresponding care pathways. A cumulative risk threshold was defined, which can be adapted to the population and the availability of preventive facilities. A score above the threshold implies multidisciplinary consultation between caregivers. Results: The resulting digital score card consisted of 70 items, subdivided into four non-medical and two medical domains. Weighing of risk factors was based on existing evidence. Pilot-evidence from a cohort of 218 pregnancies in a multi-practice urban setting showed a cut-off of 16 points would imply 20% of all pregnant women to be assessed in a multidisciplinary setting. A total of 28 care pathways were defined. Conclusion: The resulting score card is a universal risk screening instrument which incorporates recent evidence on non-medical risk factors for adverse pregnancy outcomes and enables systematic risk management in an integrated antenatal health care setting.

  3. Assessing the potential of economic instruments for managing drought risk at river basin scale

    Science.gov (United States)

    Pulido-Velazquez, M.; Lopez-Nicolas, A.; Macian-Sorribes, H.

    2015-12-01

    Economic instruments work as incentives to adapt individual decisions to collectively agreed goals. Different types of economic instruments have been applied to manage water resources, such as water-related taxes and charges (water pricing, environmental taxes, etc.), subsidies, markets or voluntary agreements. Hydroeconomic models (HEM) provide useful insight on optimal strategies for coping with droughts by simultaneously analysing engineering, hydrology and economics of water resources management. We use HEMs for evaluating the potential of economic instruments on managing drought risk at river basin scale, considering three criteria for assessing drought risk: reliability, resilience and vulnerability. HEMs allow to calculate water scarcity costs as the economic losses due to water deliveries below the target demands, which can be used as a vulnerability descriptor of drought risk. Two generic hydroeconomic DSS tools, SIMGAMS and OPTIGAMS ( both programmed in GAMS) have been developed to evaluate water scarcity cost at river basin scale based on simulation and optimization approaches. The simulation tool SIMGAMS allocates water according to the system priorities and operating rules, and evaluate the scarcity costs using economic demand functions. The optimization tool allocates water resources for maximizing net benefits (minimizing total water scarcity plus operating cost of water use). SIMGAS allows to simulate incentive water pricing policies based on water availability in the system (scarcity pricing), while OPTIGAMS is used to simulate the effect of ideal water markets by economic optimization. These tools have been applied to the Jucar river system (Spain), highly regulated and with high share of water use for crop irrigation (greater than 80%), where water scarcity, irregular hydrology and groundwater overdraft cause droughts to have significant economic, social and environmental consequences. An econometric model was first used to explain the variation

  4. Spiritual Pathology: The Case of Adolf Hitler

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    W. George Scarlett

    2012-04-01

    Full Text Available Hitler had a noble purpose (to save the world and a strong faith in the laws of Nature as he understood Nature. He was, then, a spiritual person, though his spirituality was pathological and destructive. Here, the example of Hitler, his faith, and his spiritual pathology is given to both understand spiritual pathology in general and, through contrast, to understand positive spiritual development.

  5. Celtic spirituality and the environment

    Directory of Open Access Journals (Sweden)

    Graham Duncan

    2015-10-01

    Full Text Available Celtic spirituality has a long and distinguished ancestry with its origins in pre-Christian times. It was inculturated amongst peoples in the far west of Europe, particularly in Ireland, Scotland and the north and south west of England. It was different from Roman Christianity in distinct ways until the mid-7th century CE when Roman Christianity became the norm in Britain. It has experienced various revivals during the history of Christianity, with two contemporary expressions in New Age spirituality and Christian spirituality. From its inception, it has been closely linked to the environment.

  6. A Systematic Review of Patient- or Proxy-Reported Validated Instruments Assessing Pediatric Dysphagia.

    Science.gov (United States)

    Myer, Charles M; Howell, Rebecca J; Cohen, Aliza P; Willging, J Paul; Ishman, Stacey L

    2016-05-01

    Pediatric dysphagia occurs in 500,000 children each year; however, there is not a common tool to assess these children. Our aim was to identify validated patient- or parent-reported outcome assessment tools evaluating pediatric dysphagia. Scopus, EMBASE, PubMed, Cochrane Library, and CINAHL electronic databases (all indexed years through August 2014). Inclusion criteria included English-language articles containing instruments evaluated in children. Two investigators independently reviewed all articles, and the review was performed according to PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses). The initial search yielded 1697 abstracts; 158 studies were assessed further. Four symptom questionnaires, validated in adults, were used to report pediatric dysphagia outcomes. Four outcomes tools assessing dysphagia were validated in pediatrics in selected populations. The Dysphagia in Multiple Sclerosis questionnaire and the Dysphagia Symptom Questionnaire for eosinophilic esophagitis were validated in adolescents and adults. The Symptom Questionnaire for Eosinophilic Esophagitis was validated in children with eosinophilic esophagitis. The Pediatric Quality of Life Inventory Gastrointestinal Symptoms Module, validated in children with gastrointestinal disorders, includes 2 domains that assess swallowing function. We did not identify any validated patient- or parent-reported outcome assessment tools examining dysphagia symptoms in a general pediatric population. However, we identified 4 questionnaires that have been validated in specific pediatric disease cohorts. Having a standardized assessment instrument validated in all children would allow clinicians to systematically report symptoms and compare results of pediatric clinical trials. With this in mind, we recommend establishing a standard questionnaire for the broader pediatric population. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2016.

  7. Toward automated assessment of health Web page quality using the DISCERN instrument.

    Science.gov (United States)

    Allam, Ahmed; Schulz, Peter J; Krauthammer, Michael

    2017-05-01

    As the Internet becomes the number one destination for obtaining health-related information, there is an increasing need to identify health Web pages that convey an accurate and current view of medical knowledge. In response, the research community has created multicriteria instruments for reliably assessing online medical information quality. One such instrument is DISCERN, which measures health Web page quality by assessing an array of features. In order to scale up use of the instrument, there is interest in automating the quality evaluation process by building machine learning (ML)-based DISCERN Web page classifiers. The paper addresses 2 key issues that are essential before constructing automated DISCERN classifiers: (1) generation of a robust DISCERN training corpus useful for training classification algorithms, and (2) assessment of the usefulness of the current DISCERN scoring schema as a metric for evaluating the performance of these algorithms. Using DISCERN, 272 Web pages discussing treatment options in breast cancer, arthritis, and depression were evaluated and rated by trained coders. First, different consensus models were compared to obtain a robust aggregated rating among the coders, suitable for a DISCERN ML training corpus. Second, a new DISCERN scoring criterion was proposed (features-based score) as an ML performance metric that is more reflective of the score distribution across different DISCERN quality criteria. First, we found that a probabilistic consensus model applied to the DISCERN instrument was robust against noise (random ratings) and superior to other approaches for building a training corpus. Second, we found that the established DISCERN scoring schema (overall score) is ill-suited to measure ML performance for automated classifiers. Use of a probabilistic consensus model is advantageous for building a training corpus for the DISCERN instrument, and use of a features-based score is an appropriate ML metric for automated DISCERN

  8. A cross-cultural study of spirituality, religion, and personal beliefs as components of quality of life.

    Science.gov (United States)

    2006-03-01

    This paper reports on an international study in 18 countries (n=5087) to observe how spirituality, religion and personal beliefs (SRPB) relate to quality of life (QoL). SRPB is assessed using the World Health Organization's QoL Instrument (the WHOQOL), where eight additional facets were included to more fully address these issues as they pertain to QoL, along with physical, social, psychological and environmental domains. The facets address issues such as inner peace, faith, hope and optimism, and spiritual connection. The results showed that SRPB was highly correlated with all of the WHOQOL domains (pquality of life (N=3636), explaining 65% of the variance. When this was repeated for those people who reported poor health (N=588), it was found that only four domains explain 52% of the variance. The first was the level of independence, followed by environment, SRPB and physical. Gender comparisons showed that despite showing lower scores for facets in the psychological domain, such as negative feelings and poorer cognitions, women still reported greater feelings of spiritual connection and faith than men. Those with less education reported greater faith but were less hopeful. It is suggested that SRPB should be more routinely addressed in assessment of QoL, as it can make a substantial difference in QoL particularly for those who report very poor health or are at the end of their life.

  9. Contribution of spirituality to quality of life in patients with residual schizophrenia.

    Science.gov (United States)

    Shah, Ruchita; Kulhara, Parmanand; Grover, Sandeep; Kumar, Suresh; Malhotra, Rama; Tyagi, Shikha

    2011-12-30

    There is increasing recognition that a person's spiritual or religious experiences contribute to quality of life (QOL). However, research exploring the relation between spirituality and QOL has mainly been in the context of chronic and life-threatening illnesses, and studies examining this important correlate of QOL in chronically mentally ill subjects are sparse. This study aimed to explore the relationship between spirituality and QOL, and to investigate if spirituality contributes to other domains of QOL (both physical and psycho-social) in subjects with residual schizophrenia. In a study with a cross-sectional design, 103 patients with residual schizophrenia were assessed with the Positive and Negative Syndrome scale, and their quality of life, spirituality and religiousness were assessed with the WHO Quality of Life-Spirituality, Religiousness and Personal Beliefs (WHOQOL-SRPB) scale. The SRPB domain and all its facets other than spiritual connection correlated significantly with all other domains of QOL and overall QOL. On regression analysis, the inner peace domain of spirituality explained 21.6 to 37.6% of variance of all QOL domains except the domain of level of independence. The spirituality domain explained 33.8% of the variance of the 'level of independence domain of QOL. Taken together, inner peace and spirituality facets explained 23 to 40% of the variance of the social relationships domain, the psychological domain and the level of independence domain of QOL. This study suggests that spirituality and religiosity have an important influence on overall QOL of patients with schizophrenia. Hence, besides pharmacological and non-pharmacological management for schizophrenia, clinicians should focus on this aspect and encourage their patients to follow their religious practices and spiritual beliefs. Copyright © 2011 Elsevier Ltd. All rights reserved.

  10. Western Sport and Spiritualism

    Directory of Open Access Journals (Sweden)

    Kosiewicz Jerzy

    2014-06-01

    Full Text Available Sport activity of achievement-oriented (professional, Olympic, spectacular character is first of all exposition of rivalry and striving for variously understood sports success (resulting from measurable or discretionary criteria. It refers to winning a competition or taking another expected place as well as to other forms of satisfaction, such as financial gratification or social (political, ethnic, professional recognition. Spirituality is here neither an aim, nor an expected value - it constitutes rather an additional or redundant quality. A competitor focuses his/her attention first of all on the main aim assumed in planned or current rivalry. Emotional sensations which are experienced by athletes before, during or after competitions testify to mental and emotional stress which accompanies sports combat.

  11. Development and initial validation of an instrument to assess stressors among South African sports coaches.

    Science.gov (United States)

    Kubayi, Alliance; Toriola, Abel; Didymus, Faye

    2018-06-01

    The aim of this series of studies was to develop and initially validate an instrument to assess stressors among South African sports coaches. In study one, a preliminary pool of 45 items was developed based on existing literature and an expert panel was employed to assess the content validity and applicability of these items. In study two, the 32 items that were retained after study one were analysed using principal component analysis (PCA). The resultant factorial structure comprised four components: environmental stressors, performance stressors, task-related stressors, and athlete stressors. These four components were made up of 26 items and, together, the components and items comprised the provisional Stressors in Sports Coaching Questionnaire (SSCQ). The results show that the SSCQ demonstrates acceptable internal consistency (.73-.89). The findings provide preliminary evidence that SSCQ is a valid tool to assess stressors among South African sports coaches.

  12. Making sense of genetic uncertainty: the role of religion and spirituality.

    Science.gov (United States)

    White, Mary T

    2009-02-15

    This article argues that to the extent that religious and spiritual beliefs can help people cope with genetic uncertainty, a limited spiritual assessment may be appropriate in genetic counseling. The article opens by establishing why genetic information is inherently uncertain and why this uncertainty can be medically, morally, and spiritually problematic. This is followed by a review of the range of factors that can contribute to risk assessments, including a few heuristics commonly used in responses to uncertainty. The next two sections summarize recent research on the diverse roles of religious and spiritual beliefs in genetic decisions and challenges to conducting spiritual assessments in genetic counseling. Based on these findings, religious and spiritual beliefs are posited as serving essentially as a heuristic that some people will utilize in responding to their genetic risks. In the interests of helping such clients make informed decisions, a limited spiritual assessment is recommended and described. Some of the challenges and risks associated with this limited assessment are discussed. Since some religious and spiritual beliefs can conflict with the values of medicine, some decisions will remain problematic. (c) 2009 Wiley-Liss, Inc.

  13. Development of instruments for assessment of knowledge and skills in performing venepuncture and inserting peripheral venous catheters.

    Science.gov (United States)

    Ahlin, Catharina; Löfmark, Anna; Klang-Söderkvist, Birgitta; Johansson, Eva

    2013-01-01

    Performing venepuncture is one of the most routinely performed invasive procedures in nursing care. The aim of this study was to develop instruments for the assessment of nursing students' knowledge and skills when performing venepuncture and inserting a peripheral venous catheter. 
 Two instruments were developed using the following steps. 1) Assessment items of importance for the procedures (venepuncture 48 items and peripheral venous catheter 51 items) were collected from focus groups including nurses, lecturers and patients. 2) The number of items was reduced using a method based on the Delphi method. Experts (n=51) reviewed the instruments in two rounds. The revised versions included 31 items for venepuncture and 33 items for peripheral venous catheter insertion. 3) Usability tests were conducted by nurses who tested the instruments to confirm that items were possible to assess. 4) Inter-rater reliability was assessed by twelve lecturers who in pairs, but independently of each other, used the instruments to assess 50 nursing students. Proportion of agreement and Cohen's kappa coefficient were calculated for each item to determine inter-rater reliability. Among the tested items for both instruments, the median proportion of agreement was 1 (range 0.66-1) and the median kappa was 0.52 (range 0.22-1). The instruments developed for assessing nursing students' knowledge and skills of venepuncture and peripheral venous catheter insertion showed satisfactory inter-rater reliability.

  14. New Contemporary Criterion-Referenced Assessment Instruments for Astronomy & Geology: TOAST & EGGS

    Science.gov (United States)

    Guffey, Sarah Katie; Slater, Stephanie J.; Slater, Timothy F.

    2015-08-01

    Considerable effort in the astronomy and Earth sciences education research over the past decade has focused on developing assessment tools in the form of multiple-choice conceptual diagnostics and content knowledge surveys. This has been critically important in advancing discipline-based education research allowing scholar to establish the initial, incoming knowledge state of students as well as to attempt to measure some of the impacts of innovative instructional interventions. Before now, few of the existing instruments were constructed upon a solid list of clearly articulated and widely agreed upon learning objectives. Whereas first-generation assessment tools, such as the Astronomy Diagnostics Test ADT2) were based primarily upon further identifying documented astronomy misconceptions, scholars from the CAPER Center for Astronomy & Physics Education Research team are creating contemporary instruments based instead by developing items using modern test construction techniques and tightly aligned to the consensus learning goals identified by the American Association of the Advancement of Science’s Project 2061 Benchmarks, and the National Research Council’s National Science Education Standards, and the National Research Council’s Frameworks for A Framework for K-12 Science Education: Practices, Crosscutting Concepts, and Core Ideas. These consensus learning goals are further enhanced guiding documents from the American Astronomical Society - Chair’s Conference on ASTRO 101 and the NSF-funded Earth Science Literacy Initiative. Two of the resulting criterion-referenced assessment tools widely used by researchers are the Test Of Astronomy STandards (TOAST) and the Exam of GeoloGy StandardS (EGGS). These easy-to-use and easy-to-score multiple-choice instruments have a high degree of reliability and validity for instructors and researchers needing information on students’ initial knowledge state at the beginning of a course and can be used, in aggregate, to

  15. First Results from the Test Of Astronomy STandards (TOAST) Assessment Instrument

    Science.gov (United States)

    Slater, Stephanie

    2009-01-01

    Considerable effort in the astronomy education research over the past several years has focused on developing assessment tools in the form of multiple-choice conceptual diagnostics and content knowledge surveys. This has been critically important in advancing astronomy as a sub-discipline of physics education research, allowing researchers to establish the initial knowledge state of students as well as to attempt to measure some of the impacts of innovative instructional interventions. Before now, few of the existing instruments were constructed upon a solid list of clearly articulated and widely agreed upon learning objectives. Moving beyond the 10-year old Astronomy Diagnostics Test, we have developed and validated a new assessment instrument that is tightly aligned to the consensus learning goals stated by the American Astronomical Society - Chair's Conference on ASTRO 101, the American Association of the Advancement of Science's Project 2061 Benchmarks, and the National Research Council's National Science Education Standards. Researchers from the Cognition in Astronomy, Physics and Earth sciences Research (CAPER) Team at the University of Wyoming's Science and Math Teaching Center (UWYO SMTC) designed a criterion-referenced assessment tool, called the Test Of Astronomy STandards (TOAST). Through iterative development, this multiple-choice instrument has a high degree of reliability and validity for instructors and researchers needing information on students’ initial knowledge state at the beginning of a course and can be used, in aggregate, to help measure the impact of course-length duration instructional strategies for undergraduate science survey courses with learning goals tightly aligned to the consensus goals of the astronomy education community.

  16. The Discriminant Validity Of The Culture Assessment Instrument: A Comparison Of Company Cultures

    Directory of Open Access Journals (Sweden)

    Willie Du Toit

    2003-09-01

    Full Text Available The aim of this study was to assess the discriminant validity of the Culture Assessment Instrument (CAI; that is to distinguish between mean culture scores of different companies. The convenience sample consisted of 4066 respondents from five different companies, originating from various industries. CAI scores of 56 items were factor analysed on two levels, followed by iterative item analyses. Significant differences between company mean scores were identified, but only a small portion of the variance in these scores could be ascribed to culture differences. Based on these findings, it was concluded that the CAI in its current form does not possess discriminant validity. It is recommended that items attuned to deeper levels of culture, based on Schein’s three-level typology, be added to the instrument. OpsommingDie doel van die studie was om die diskriminante geldigheid van die ‘Culture Assessment Instrument’ (CAI te beoordeel; dit is om tussen gemiddelde kultuurtellings van verskillende ondernemings te onderskei. Die geleentheidsteekproef het bestaan uit 4066 respondente uit vyf verskillende ondernemings afkomstig uit verskeie industrieë. CAI-tellings van 56 items is op twee vlakke gefaktoranaliseer, gevolg deur iteratiewe itemontledings. Beduidende verskille tussen ondernemings se gemiddelde kultuurtellings is gevind, maar slegs ’n klein proporsie van die variansie in die tellings kon aan kultuurverskille toegeskryf word. Gebaseer op hierdie bevindinge, is daar tot die slotsom gekom dat die CAI in sy huidige vorm nie oor diskriminante geldigheid beskik nie. Daar is aanbeveel dat items gerig op dieper kultuurvlakke, gebaseer op Schein se drievlaktipologie, tot die instrument gevoeg word.

  17. Implications of Nursing Clinical Practice to The Student’s Spiritual Health

    Directory of Open Access Journals (Sweden)

    Bhandesa Asthadi Mahendra

    2018-01-01

    Full Text Available This study aimed to clarify the implications of Nursing Clinical Practice (PLKK to the spiritual health of STIKES Bali students. This study employed purposive sampling method to determine the number of respondents. To conduct this study, the fourth grade of nursing students were recruited as the sample with total number 136 respondents. A questionnaire about spirituality from World Health Organization (WHO was used in this study as the instrument. In addition, the data were analysed by using quantitative descriptive technique. The result showed that 50.0% of students had a very good spiritual health, 42.6% had good spiritual health, 6.6% had moderate spiritual health, and 0.7 % had poor spiritual health. It can be interpreted that spiritual health of nursing students of STIKES Bali is good after conducting Nursing Clinical Practice. Thus, this study can be concluded that Nursing Clinical Practice has implication to the ability of students to love themselves and others meaningfully as the evidence of students’ spiritual health.

  18. Development of an instrument to assess the quality of acupuncture: results from a Delphi process.

    Science.gov (United States)

    Smith, Caroline A; Zaslawski, Christopher J; Zheng, Zhen; Cobbin, Deidre; Cochrane, Suzanne; Lenon, George B; Loyeung, Bertrand; Meier, Peter C; Walsh, Sean; Xue, Charlie Changli; Zhang, Anthony L; Zhu, Xiaoshu; Bensoussan, Alan

    2011-05-01

    Quality acupuncture influences the outcomes of clinical research, and issues associated with effective administration of acupuncture in randomized controlled trials need to be addressed when appraising studies. The study objective was to achieve consensus on domains and items for inclusion in a rating scale to assess quality acupuncture administered in clinical research. An active group of Australian acupuncture researchers initially identified a pool of items assessing quality. The Delphi consensus process was then used to select and reduce the number of items, and an additional expert panel of 42 researchers were invited to participate. Participants initially ranked items along a five-point scale for the first Delphi round, and indicated an agree or disagree response during the second round. For an item to be retained into the second round, an item had to attain greater than 80% agreement that the item described a dimension of quality acupuncture and related study design. Thirty-two (32) experts agreed to participate in the study. After two rounds of the Delphi process, consensus was reached on 14 domains and 26 items relating to quality acupuncture. Domains, items, and minimum standards related to study design; rationale of the intervention; criteria relating to needling stimulation either manual or electrostimulation; duration and frequency of treatment; and practitioner training. Items for inclusion in an instrument to assess quality acupuncture in clinical research were identified. Further development of the instrument including relative weighting of items and reliability testing is under way.

  19. Is It Working? Distractor Analysis Results from the Test Of Astronomy STandards (TOAST) Assessment Instrument

    Science.gov (United States)

    Slater, Stephanie

    2009-05-01

    The Test Of Astronomy STandards (TOAST) assessment instrument is a multiple-choice survey tightly aligned to the consensus learning goals stated by the American Astronomical Society - Chair's Conference on ASTRO 101, the American Association of the Advancement of Science's Project 2061 Benchmarks, and the National Research Council's National Science Education Standards. Researchers from the Cognition in Astronomy, Physics and Earth sciences Research (CAPER) Team at the University of Wyoming's Science and Math Teaching Center (UWYO SMTC) have been conducting a question-by-question distractor analysis procedure to determine the sensitivity and effectiveness of each item. In brief, the frequency each possible answer choice, known as a foil or distractor on a multiple-choice test, is determined and compared to the existing literature on the teaching and learning of astronomy. In addition to having statistical difficulty and discrimination values, a well functioning assessment item will show students selecting distractors in the relative proportions to how we expect them to respond based on known misconceptions and reasoning difficulties. In all cases, our distractor analysis suggests that all items are functioning as expected. These results add weight to the validity of the Test Of Astronomy STandards (TOAST) assessment instrument, which is designed to help instructors and researchers measure the impact of course-length duration instructional strategies for undergraduate science survey courses with learning goals tightly aligned to the consensus goals of the astronomy education community.

  20. Spiritual Needs in Patients Suffering from Fibromyalgia

    Directory of Open Access Journals (Sweden)

    M. Offenbaecher

    2013-01-01

    Full Text Available The objective of this study was to assess spiritual needs of patients with fibromyalgia syndrome (FMS and to evaluate correlations with disease and health associated variables. Using a set of standardized questionnaires (i.e., Spiritual Needs Questionnaire, Fibromyalgia Impact Questionnaire, SF-36's Quality of Life, Brief Multidimensional Life Satisfaction Scale, etc., we enrolled 141 patients (95% women, mean age 58 ± 10 years. Here, needs for inner peace and giving/generativity scored the highest, while existential needs and religious needs scored lowest. Particularly inner peace needs and existential needs correlated with different domains of reduced mental health, particularly with anxiety, the intention to escape from illness, and psychosocial restrictions. Thirty-eight percent of the patients stated needs to be forgiven and nearly half to forgive someone from their past life. Therefore, the specific spiritual needs of patients with chronic diseases should be addressed in clinical care in order to identify potential therapeutic avenues to support and stabilize their psychoemotional situation.

  1. Eating disorders and spirituality in college students.

    Science.gov (United States)

    Phillips, Lauren; Kemppainen, Jeanne K; Mechling, Brandy M; MacKain, Sally; Kim-Godwin, Yeounsoo; Leopard, Louisa

    2015-01-01

    Associations were examined between eating disorder symptoms and spiritual well-being in a convenience sample of college students. Undergraduate nursing students at a university in a Mid-Atlantic coastal beach community were recruited for the study. A total of 115 students completed the Spiritual Well-Being Scale (SWBS); the Sick, Control, One Stone, Fat, Food (SCOFF) screening questionnaire; and the Eating Attitudes Test (EAT-26). Approximately one quarter of students had positive screens for an eating disorder, and 40% admitted to binging/purging. SWBS scores reflected low life satisfaction and a lack of clarity and purpose among students. A significant association was found between EAT-26 scores and SWBS Existential Well-Being (EWB) sub-scale scores (p = 0.014). SCOFF scores were significantly associated with SWBS EWB scores (p = 0.001). Symptoms of eating disorders were pervasive. Future research that assesses the impact of spiritual factors on eating disorders may help health care providers better understand the unique contributions to the development of eating disorders. [Journal of Psychosocial Nursing and Mental Health Services, 53(1), 30-37.]. Copyright 2015, SLACK Incorporated.

  2. [Caregiving consequences in mental disorders--definitions and instruments of assessment].

    Science.gov (United States)

    Ciałkowska-Kuźmińska, Magdalena; Kiejna, Andrzej

    2010-01-01

    Severe mental illnesses have far-reaching consequences for both patients and their relatives. This paper reviews literature on the measures of caregiving consequences. Authors provide a condensed knowledge and research results in the area of caregiving consequences, especially both subjective and objective caregivers' burden. The consequences of care apply to carers' social and leisure activities, financial status, health condition. The burden of care has three fundamental causes: the reorganisation of mental health services, a social isolation of patients and their families and the lack of systemic support for caregivers. The problem of caregiving consequences has been investigated in several studies. In order to identify factors, which have impact on caregiver distress, a variety instruments have been developed. This paper focuses on questionnaires useful for the systematic assessment of both objective and subjective burden: Involvement Evaluation Questionnaire (IEQ), Perceived Family Burden Scale (PFBS), Zarit Caregiver Burden Scale (ZCBS), Experience of Caregiving Inventory (ECI), Family Problems Questionnaire (FPQ). The mentioned instruments proved to be a reliable instrument for measuring caregiver consequences in mental healthcare.

  3. Cross-cultural adaptation of Preschool Language Assessment Instrument: Second Edition.

    Science.gov (United States)

    Lindau, Tâmara Andrade; Rossi, Natalia Freitas; Giacheti, Célia Maria

    2014-01-01

    In Brazil, formal tools for the evaluation of spoken language are scarce. Therefore, this study aimed to translate and adapt to Brazilian Portuguese the Preschool Language Assessment Instrument: Second Edition (PLAI-2). The process of translation and adaptation of this instrument was conducted in two stages - Stage 1: (1a) translation of the original version to Brazilian Portuguese, (1b) comparison of the translated versions and synthesis into a single Portuguese version, (1c) back-translation, (1d) revision of the translated version; and Step 2: (2a) application of the Portuguese version in a pilot project with 30 subjects, and (2b) statistical comparison of three age groups. In the Brazilian version, all items of the original version were kept. However, it was necessary to modify the application order of one item, and the change of one picture was suggested in another. The results obtained after application indicated that the Brazilian version of the PLAI-2 allows us to distinguish the performance of participants belonging to different age groups, and that the raw score tends to increase with age. Semantic and syntactic adjustments were required and made to ensure that PLAI-2 would be used with the same methodological rigor of the original instrument. The adaptation process observed the theoretical, semantic, and cultural equivalences.

  4. Validation of a New Instrument for Self-Assessment of Nurses’ Core Competencies in Palliative Care

    Directory of Open Access Journals (Sweden)

    Kari Slåtten

    2014-01-01

    Full Text Available Competence can be seen as a prerequisite for high quality nursing in clinical settings. Few research studies have focused on nurses’ core competencies in clinical palliative care and few measurement tools have been developed to explore these core competencies. The purpose of this study was to test and validate the nurses’ core competence in palliative care (NCPC instrument. A total of 122 clinical nurse specialists who had completed a postbachelor program in palliative care at two university colleges in Norway answered the questionnaire. The initial analysis, with structural equation modelling, was run in Mplus 7. A modified confirmatory factor analysis revealed the following five domains: knowledge in symptom management, systematic use of the Edmonton symptom assessment system, teamwork skills, interpersonal skills, and life closure skills. The actual instrument needs to be tested in a practice setting with a larger sample to confirm its usefulness. The instrument has the potential to be used to refine clinical competence in palliative care and be used for the training and evaluation of palliative care nurses.

  5. Development and Validation of Mechanical Engineering Trade Skills Assessment Instrument for Sustainable Job Security in Yobe State

    Science.gov (United States)

    Adamu, Gishua Garba; Dawha, Josphine Musa; Kamar, Tiamiyu Salihu

    2015-01-01

    Mechanical Engineering Trade Skills Assessment Instrument (METSAI) is aimed at determining the extent to which students have acquired practical skills before graduation that will enable them get employment for sustainable job security in Yobe state. The study employed instrumentation research design. The populations of the study were 23 mechanical…

  6. The Nursing Home Minimum Data Set Assessment Instrument: Manifest Functions and Unintended Consequences--Past, Present, and Future

    Science.gov (United States)

    Rahman, Anna N.; Applebaum, Robert A.

    2009-01-01

    The Minimum Data Set (MDS) is a uniform instrument used in nursing homes to assess residents. In January 2008, the Centers for Medicare and Medicaid Services published a draft of a new MDS--version 3.0. This article traces the instrument's development and the design decisions that shaped it, discusses the MDS's manifest functions--data collection…

  7. Developing Instruments to Assess and Compare the Quality of Engineering Education: The Case of China and Russia

    Science.gov (United States)

    Kardanova, Elena; Loyalka, Prashant; Chirikov, Igor; Liu, Lydia; Li, Guirong; Wang, Huan; Enchikova, Ekaterina; Shi, Henry; Johnson, Natalie

    2016-01-01

    Relatively little is known about differences in the quality of engineering education within and across countries because of the lack of valid instruments that allow for the assessment and comparison of engineering students' skill gains. The purpose of our study is to develop and validate instruments that can be used to compare student skill gains…

  8. Evaluation of the FOCUS (Feedback on Counseling Using Simulation) Instrument for Assessment of Client-Centered Nutrition Counseling Behaviors

    Science.gov (United States)

    Henry, Beverly W.; Smith, Thomas J.

    2010-01-01

    Objective: To develop an instrument to assess client-centered counseling behaviors (skills) of student-counselors in a standardized patient (SP) exercise. Methods: Descriptive study of the accuracy and utility of a newly developed counseling evaluation instrument. Study participants included 11 female student-counselors at a Midwestern…

  9. Assessment and management of ageing of electrical instrumentation and control cables

    International Nuclear Information System (INIS)

    Pachner, J.; Burnay, S.G.

    2001-01-01

    This paper presents a summary of the results of an IAEA Co-ordinated Research Project (CRP) on Management of Ageing of In-containment Instrumentation and Control (I and C) Cables addressing current practices and techniques for assessing and managing ageing degradation of cables in real nuclear power plant (NPP) environments. These practices and techniques include environmental qualification, identification of cables of concern, condition monitoring, and predictive modelling. The paper shows how they should be integrated within a plant-specific ageing management programme utilising a systematic ageing management process, which is an adaptation of Deming Plan-Do-Check-Act cycle to ageing management. (author)

  10. Validation of an instrumented dummy to assess mechanical aspects of discomfort during load carriage.

    Directory of Open Access Journals (Sweden)

    Patrick D Wettenschwiler

    Full Text Available Due to the increasing load in backpacks and other load carriage systems over the last decades, load carriage system designs have to be adapted accordingly to minimize discomfort and to reduce the risk of injury. As subject studies are labor-intensive and include further challenges such as intra-subject and inter-subject variability, we aimed to validate an instrumented dummy as an objective laboratory tool to assess the mechanical aspects of discomfort. The validation of the instrumented dummy was conducted by comparison with a recent subject study. The mechanical parameters that characterize the static and dynamic interaction between backpack and body during different backpack settings were compared. The second aim was to investigate whether high predictive power (coefficient of determination R2>0.5 in assessing the discomfort of load carriage systems could be reached using the instrumented dummy. Measurements were conducted under static conditions, simulating upright standing, and dynamic conditions, simulating level walking. Twelve different configurations of a typical load carriage system, a commercially available backpack with a hip belt, were assessed. The mechanical parameters were measured in the shoulder and the hip region of the dummy and consisted of average pressure, peak pressure, strap force and relative motion between the system and the body. The twelve configurations consisted of three different weights (15kg, 20kg, and 25kg, combined with four different hip belt tensions (30N, 60N, 90N, and 120N. Through the significant (p<0.05 correlation of the mechanical parameters measured on the dummy with the corresponding values of the subject study, the dummy was validated for all static measurements and for dynamic measurements in the hip region to accurately simulate the interaction between the human body and the load carriage system. Multiple linear regressions with the mechanical parameters measured on the dummy as independent

  11. Independent Assessment of Instrumentation for ISS On-Orbit NDE. Volume 2; Appendices

    Science.gov (United States)

    Madaras, Eric I.

    2013-01-01

    International Space Station (ISS) Structural and Mechanical Systems Manager, requested that the NASA Engineering and Safety Center (NESC) provide a quantitative assessment of commercially available nondestructive evaluation (NDE) instruments for potential application to the ISS. This work supports risk mitigation as outlined in the ISS Integrated Risk Management Application (IRMA) Watch Item #4669, which addresses the requirement for structural integrity after an ISS pressure wall leak in the event of a penetration due to micrometeoroid or debris (MMOD) impact. This document contains the appendices the final report.

  12. Spirituality in Cancer Care (PDQ)

    Science.gov (United States)

    ... the following: Religious denomination , if any. Beliefs or philosophy of life. Important spiritual practices or rituals . Using ... Publications Site Map Digital Standards for NCI Websites POLICIES Accessibility Comment Policy Disclaimer FOIA Privacy & Security Reuse & ...

  13. The Self-assessment Practices of Hong Kong Secondary Students: Findings with a New Instrument.

    Science.gov (United States)

    Yan, Zi

    Self-assessment is a core skill that enables students to engage in self-regulated learning. The purpose of this study was to examine the psychometric properties of a Self-assessment Practice Scale and to depict the characteristics of self-assessment practices of Hong Kong secondary students using this newly developed instrument. A total of 6,125 students from 10 Hong Kong secondary schools completed the survey. Both Rasch and factor analyses revealed a two-dimension scale structure (i.e., Self-directed Feedback Seeking and Self-reflection). The two subscales demonstrated acceptable psychometric properties and suggestions for further improvement were proposed. The findings regarding self-assessment practices of secondary students indicated that, in general, students were quite used to engaging in self-reflection based on available feedback, but they were less disposed to taking the initiative to seek feedback on their own performance. Key demographic variables, e.g., gender and year level, played important roles in students' self-assessment practices. Girls had significantly higher self-assessment measures on both scales than did boys. Junior students had higher measures on both scales than did their senior counterparts. Implications and directions for future research were discussed.

  14. Assessing procedural skills in context: Exploring the feasibility of an Integrated Procedural Performance Instrument (IPPI).

    Science.gov (United States)

    Kneebone, R; Nestel, D; Yadollahi, F; Brown, R; Nolan, C; Durack, J; Brenton, H; Moulton, C; Archer, J; Darzi, A

    2006-11-01

    The assessment of clinical procedural skills has traditionally focused on technical elements alone. However, in real practice, clinicians are expected to be able to integrate technical with communication and other professional skills. We describe an integrated procedural performance instrument (IPPI), where clinicians are assessed on 12 clinical procedures in a simulated clinical setting which combines simulated patients (SPs) with inanimate models or items of medical equipment. Candidates are observed remotely by assessors whose data are fed back to the clinician within 24 hours of the assessment. This paper describes the feasibility of IPPI. A full-scale IPPI and 2 pilot studies with trainee and qualified health care professionals has yielded an extensive data set including 585 scenario evaluations from candidates, 60 from clinical assessors and 31 from simulated patients (SPs). Interview and questionnaire data showed that for the majority of candidates IPPI provided a powerful and valuable learning experience. Realism was rated highly. Remote and real-time assessment worked effectively, although for some procedures limited camera resolution affected observation of fine details. IPPI offers an innovative approach to assessing clinical procedural skills. Although resource-intensive, it has the potential to provide insight into individual's performance over a spectrum of clinical scenarios and at no risk to the safety of patients. Additional benefits of IPPI include assessment in real time from experts (allowing remote rating by external examiners) as well as provision of feedback from simulated patients.

  15. Religion, Spirituality, and the Hidden Curriculum: Medical Student and Faculty Reflections.

    Science.gov (United States)

    Balboni, Michael J; Bandini, Julia; Mitchell, Christine; Epstein-Peterson, Zachary D; Amobi, Ada; Cahill, Jonathan; Enzinger, Andrea C; Peteet, John; Balboni, Tracy

    2015-10-01

    Religion and spirituality play an important role in physicians' medical practice, but little research has examined their influence within the socialization of medical trainees and the hidden curriculum. The objective is to explore the role of religion and spirituality as they intersect with aspects of medicine's hidden curriculum. Semiscripted, one-on-one interviews and focus groups (n = 33 respondents) were conducted to assess Harvard Medical School student and faculty experiences of religion/spirituality and the professionalization process during medical training. Using grounded theory, theme extraction was performed with interdisciplinary input (medicine, sociology, and theology), yielding a high inter-rater reliability score (kappa = 0.75). Three domains emerged where religion and spirituality appear as a factor in medical training. First, religion/spirituality may present unique challenges and benefits in relation to the hidden curriculum. Religious/spiritual respondents more often reported to struggle with issues of personal identity, increased self-doubt, and perceived medical knowledge inadequacy. However, religious/spiritual participants less often described relationship conflicts within the medical team, work-life imbalance, and emotional stress arising from patient suffering. Second, religion/spirituality may influence coping strategies during encounters with patient suffering. Religious/spiritual trainees described using prayer, faith, and compassion as means for coping whereas nonreligious/nonspiritual trainees discussed compartmentalization and emotional repression. Third, levels of religion/spirituality appear to fluctuate in relation to medical training, with many trainees experiencing an increase in religiousness/spirituality during training. Religion/spirituality has a largely unstudied but possibly influential role in medical student socialization. Future study is needed to characterize its function within the hidden curriculum. Copyright

  16. Religion, Spirituality, and the Hidden Curriculum: Medical Student and Faculty Reflections

    Science.gov (United States)

    Balboni, Michael J.; Bandini, Julia; Mitchell, Christine; Epstein-Peterson, Zachary D.; Amobi, Ada; Cahill, Jonathan; Enzinger, Andrea C.; Peteet, John; Balboni, Tracy

    2017-01-01

    Context Religion and spirituality play an important role in physicians’ medical practice, but little research has examined their influence within the socialization of medical trainees and the hidden curriculum. Objectives The objective is to explore the role of religion and spirituality as they intersect with aspects of medicine’s hidden curriculum. Methods Semiscripted, one-on-one interviews and focus groups (n = 33 respondents) were conducted to assess Harvard Medical School student and faculty experiences of religion/spirituality and the professionalization process during medical training. Using grounded theory, theme extraction was performed with interdisciplinary input (medicine, sociology, and theology), yielding a high inter-rater reliability score (kappa = 0.75). Results Three domains emerged where religion and spirituality appear as a factor in medical training. First, religion/spirituality may present unique challenges and benefits in relation to the hidden curriculum. Religious/spiritual respondents more often reported to struggle with issues of personal identity, increased self-doubt, and perceived medical knowledge inadequacy. However, religious/spiritual participants less often described relationship conflicts within the medical team, work-life imbalance, and emotional stress arising from patient suffering. Second, religion/spirituality may influence coping strategies during encounters with patient suffering. Religious/spiritual trainees described using prayer, faith, and compassion as means for coping whereas nonreligious/nonspiritual trainees discussed compartmentalization and emotional repression. Third, levels of religion/spirituality appear to fluctuate in relation to medical training, with many trainees experiencing an increase in religiousness/spirituality during training. Conclusion Religion/spirituality has a largely unstudied but possibly influential role in medical student socialization. Future study is needed to characterize its

  17. Spiritual care perspectives of Danish Registered Nurses

    DEFF Research Database (Denmark)

    Christensen, Kirsten Haugaard; Turner, de Sales

    2008-01-01

    Spiritual care perspectives of Danish Nurses The purpose of this study was to explore how Danish registered nurses understand the phenomenon of spiritual care and how their understanding impacts on their interventions with their patients. Nurses are responsible for the provision of care which...... would engage in provision of spiritual care. The participants acknowledged that their understanding of spirituality influenced their provision of spiritual care, which was recognized as a challenge requiring the nurse’s initiative and courage. Spirituality was primarily understood as a patient’s private...... respects patients’ values, religion, customs, and spiritual beliefs. Literature however revealed that the phenomenon of spiritual care is complex and variously interpreted, and that there seems to be a lack of conceptual clarity regarding what constitutes spiritual care. A phenomenological and hermeneutic...

  18. Describing Spirituality at the End of Life.

    Science.gov (United States)

    Stephenson, Pam Shockey; Berry, Devon M

    2015-09-01

    Spirituality is salient to persons nearing the end of life (EOL). Unfortunately, researchers have not been able to agree on a universal definition of spirituality reducing the effectiveness of spiritual research. To advance spiritual knowledge and build an evidence base, researchers must develop creative ways to describe spirituality as it cannot be explicitly defined. A literature review was conducted to determine the common attributes that comprise the essence of spirituality, thereby creating a common ground on which to base spiritual research. Forty original research articles (2002 to 2012) focusing on EOL and including spiritual definitions/descriptions were reviewed. Analysis identified five attributes that most commonly described the essence of spirituality, including meaning, beliefs, connecting, self-transcendence, and value. © The Author(s) 2014.

  19. The Development of an ASSA Module as an Auxiliary Tool for Assessment of Existing Plant Instrumentation and enhancement of the instruments performance

    International Nuclear Information System (INIS)

    Koo, Kil Mo; Kang, Kyung Ho; Ha, Kwang Soon; Cho, Young Ro; Cho, Young; Park, Rae Jun; Kim, Sang Baik; Kim, Hee Dong

    2007-04-01

    A review of a plant's accident management capabilities is one of the key elements in achieving regulatory closure of severe accident issues. During accidents, information and data from plant's instruments, as well as others sources, are essential for assessing the plant's status and response. Unlike for design basis accidents, there are inherently some uncertainties to instrumentation capabilities for severe accident conditions. There are many ways to obtain information during a severe accident. Moreover, precise measurements are not necessary. The redundancy and ruggedness of a plant's instrumentation provides considerable depth in the capability of existing designs. The circuit simulation analysis and diagnosis methods are used to assess instruments in detail when they give apparently abnormal readings. A new simulator, ASSA(abnormal signal simulator analysis), through an analysis of the important circuits modeling under severe accident conditions has been designed. It has three main functions which are a signal processing tool, an accident management tool, and an additional guide from the initial screen. In this paper, it can be simulated to the temperature characteristic analysis procedure of the ASSA through EQ data comparative method and using specific signal processing under severe accident condition

  20. Acute care nurses' perceptions of spirituality and spiritual care: an exploratory study in Singapore.

    Science.gov (United States)

    Chew, Brendan Wk; Tiew, Lay Hwa; Creedy, Debra K

    2016-09-01

    To investigate acute care nurses' perceptions of spirituality and spiritual care and relationships with nurses' personal and professional characteristics. Spirituality and spiritual care are often neglected or absent in daily nursing practice. Nurses' perceptions of spirituality can be influenced by personal, professional and social factors and affect the provision of spiritual care. A cross-sectional, exploratory, nonexperimental design was used. All nursing staff (n = 1008) from a large acute care hospital in Singapore were invited to participate. Participants completed a demographic form and the Spiritual Care-Giving Scale. Completed surveys were received from 767 staff yielding a response rate of 76%. Descriptive statistics and General Linear Modelling were used to analyse data. Acute care nurses reported positive perceptions of spirituality and spiritual care. Religion, area of clinical practice and view of self as spiritual were associated with nurses' reported perspectives of spirituality and spiritual care. Nurses working in this acute care hospital in Singapore reported positive perceptions of spirituality and spiritual care. Respondents tended to equate religion with spirituality and were often unclear about what constituted spiritual care. They reported a sense of readiness to apply an interprofessional approach to spiritual care. However, positive perceptions of spirituality may not necessarily translate into practice. Spiritual care can improve health outcomes. Nurses' understanding of spirituality is essential for best practice. Interprofessional collaboration with clinicians, administrators, educators, chaplains, clergy and spiritual leaders can contribute to the development of practice guidelines and foster spiritual care by nurses. Further research is needed on the practical applications of spiritual care in nursing. © 2016 John Wiley & Sons Ltd.