Critical incident analyses : a practice learning tool for students and practitioners

The development of critical skills in social work students and practitioners has been a major focus of social work education and training in recent years. Critical incident analysis has developed as a tool to aid critical reflection in practice, in health and social work. This paper provides an overview of the use of the tool in these fields. It then reports on a demonstration project which sought to examine how critical incident analysis might be used as a form of assessment and as a supervisory tool by social work students and practice teachers. An evaluation of the project is provided. Completion of critical incident analyses using the framework was found to provide a structured approach to critical reflection. It assisted the integration of theory and practice and the examination of value issues. Students and practice teachers identify its use in supervision and its potential as an assessment tool. The paper concludes with a discussion on the potential uses of critical incident analyses, with particular attention given to its use to develop anti-oppressive practice.

Reflective thinking : turning a critical incident into a topic for research

Clinical nurses encounter critical incidents every day.  While these may be a source of frustration they also have the potential to be turned into research projects so that problems can be examined and others can learn from them.  This paper describes the reflective process used to generate a research project from a critical incident encountered in the clinical area.

An arts project failed, censored or … ? A critical incident approach to artist–school partnerships

When a successful primary school engaged a writer to work with children on an arts project, the teachers and the writer thought that the result would be a lively, publishable product. When the writer worked with the children, he thought that he should use the children's experiences and ideas as a basis for meaningful and engaged composition. However, the result was a text which the head-teacher and her staff felt was inappropriate. They were concerned that it could bring disapproval from parents and possible adverse publicity. The head refused to publish but continues to worry about this decision. The writer describes the project as censored. In this paper, we suggest that this critical incident raises important questions about the nature of 'partnership' between artists and schools and the role of the flagship Creative Partnerships policy and programme. We suggest some possibilities for dealing with such situations in future and argue that Creative Partnerships must do more to promote dialogue about the critical role of the arts and artists in society.

It takes more than breadcrumbs to learn generic skills : collaborating to improve information literacy

The effective teaching and learning of generic skills is becoming an important component of undergraduate education with the introduction of graduate attribute programmes in some Australian universities. Research shows that contextualised learning of these skills is important, but is a discipline-specific context sufficient to ensure student success in acquiring these skills? This paper studies the effectiveness of information skills
learning by a group of undergraduates using Brookfield’s concept of critical reflection and Critical Incident Questionnaire (CIQ). Most students reported positive experiences where the learning environment encouraged a deep approach to learning and negative experiences where that environment encouraged a surface approach. To ensure that students’ approach to
learning is appropriate for achieving the level of information literacy required of graduates, the study recommends the integration of information skills learning into course curricula through the close collaboration of academic and library staff.

An applied framework for modelling a critical infrastructure system incident

The research applies the TARDIS system security analysis and modelling framework to an adverse critical infrastructure system incident. This paper reports on the practical application of the framework to a case study based on an actual critical infrastructure system failure and the resultant implications for the system and the wider regional community. Then a reflective discussion is undertaken reviewing the TARDIS framework approaches employed within the blended hybrid approach incorporated into the framework, before speculating on future research areas of framework development and application.

Key stakeholders' expectations of educational outcomes from Australian critical care nursing courses: a Delphi study

Background
Educational preparation for critical care nursing in Australia varies considerably in terms of the level of qualification resulting in a lack of clarity for key stakeholders about student outcomes.

Objectives
The study aim was to identify and reach consensus regarding the desired learning outcomes from Australian post-registration critical care education programs as demonstrated through the graduate's knowledge, skills and attitudes.

Design
A Delphi technique was used to establish consensus between educators, managers, clinicians and students regarding learning outcomes expected of graduates with a Graduate Certificate, Graduate Diploma and Master level qualification in critical care nursing.

Participants
A total of 164 critical care nurses (66 clinicians, 48 educators, 32 managers and 18 students) participated and 99 questionnaires were returned in the first round (response rate 60%). Fifty-seven questionnaires were returned for Round 2 (response rate 58%).

Methods
Learning outcomes were obtained from the Australian College of Critical Care Nurses Competency Standards for Specialist Critical Care Nurses. Some statements included more than one characteristic, and these were split to create learning outcomes with one characteristic per item. A survey of Australian higher education providers of critical care education provided additional learning outcomes, for a total of 73 learning outcomes for the first Delphi round.

Results
Findings suggest that patient comfort, safety, professional responsibility and ethical conduct are deemed most important for all three levels of educational preparation. There was a lack of emphasis on clinical practice issues for all levels. Participants placed higher emphasis on learning outcomes related to complex decision-making, leadership, supervision, policy development and research for Graduate Diploma and Master level programs.

Conclusion
The findings have implications for curriculum development and the profession with regards to the level of educational preparation required of critical care nurses and suggest that further work is required before clear recommendations can be made for desired educational outcomes from critical care nursing programs in Australia.

Security analysis and modelling framework for critical infrastructure systems

The provision and delivery of many of the services that modern society enjoys are the result of ubiquitous critical infrastructure systems that permeate across many sectors of the Australian community. Moreover, the integration of technological enhancements and networking interconnections between critical infrastructure systems has heightened system interdependence, availability and resilience, including the efficient delivery of services to consumers within Australia's industrialised society. This research delivers a system security analysis and system modelling framework tool based on an associated conceptual methodology as the basis for assessing security and conceptually modelling a critical infrastructure system incident. The intent to identify potential system security issues and gain operational insights that will contribute to improving system resilience, contingency planning development applicable to disaster recovery and ameliorating incident management responses for Australian critical infrastructure system incidents.

Appraising critical infrastructure systems with visualisation

This paper explores the use of system modelling as an approach for appraising critical infrastructure systems. It reports on focus group findings with relation to the system modelling aspects of a critical infrastructure security analysis and modelling framework. Specifically, this discussion focuses on the interpretations of a focus group in terms of the likely benefits or otherwise of system visualisation. With the group focusing on its perceived value as an educational tool in terms of providing an abstract visualisation representation of a critical infrastructure system incident.

Formalising a method for modelling critical infrastructure systems

This research delivers a multifaceted methodology that underpins a practical security analysis and system modelling framework applicable to critiquing modern critical infrastructure systems. The intent, to identify potential system security issues and gain operational insights that will contribute to improving system resilience, availability and ameliorate incident management responses for Australian critical infrastructure systems.

A critical review of multi-criteria decision making methods with special reference to forest management and planning

This paper provides a review of research contributions on forest management and planning using multi-criteria decision making (MCDM) based on an exhaustive literature survey. The review primarily focuses on the application aspects  highlighting theoretical underpinnings and controversies. It also examines the nature of the problems addressed and incorporation of risk into forest  management and planning decision making. The MCDM techniques covered in this review belong to several schools of thought. For each technique, a variety of empirical applications including recent studies has been reviewed. More than 60 individual studies were reviewed and classified by the method used, country of origin, number and type of criteria and options evaluated. The review serves as a guide to those interested in how to use a particular MCDM approach. Based on the review, some recent trends and future research directions are also highlighted.

Australian critical infrastructure protection : a case of two tales

The protection of critical irifrastructures and the choices made in terms of priorities and cost, all impact upon the planning, precautions and security aspects of protecting these important systems. Often the when choices made is difficult to assess at the time the decision is taken and it is only after an incident that the truth of the choices made become fit!ly evident. The paper focllses on two recent examples of Australian Critical Infrastructure protection and the issues that related to those examples.

A critical analysis of techniques for risk mitigation in the construction industry

Risks exist in every form of construction project. The risks associated with construction projects are often diverse and varied and the management of these risks is nowadays considered compulsory in order to achieve project success. This paper analyses the diverse strategies of risk mitigation that have been employed in construction projects. These strategies are classified into analysed categories of procurement strategies. contingency and co-operative approach along with the utilisation of a designated risk manager. The analysis showed that in order to improve risk mitigation within the construction industry, there is a requirement tor an industry based standard. This standard will improve the efficiency and effectiveness of the risk mitigation response technique to risk management.

Skeletal morbidity among survivors of critical illness

Objectives: To describe the incident fracture rate in survivors of critical illness and to compare fracture risk with populationmatched control subjects.

Design: Retrospective longitudinal case– cohort study.

Setting: A tertiary adult intensive care unit in Australia. Patients: All patients ventilated admitted to intensive care and requiring mechanical ventilation for >48 hrs between January 1998 and December 2005.

Interventions: None.

Measurements and Main Results: New fractures were identified in the study population for the postintensive care unit period (intensive care unit discharge to January 2008). The incident fracture rate and age-adjusted fracture risk of the female intensive care unit population were compared with the general population adult females derived from the Geelong Osteoporosis Study. Over the 8-yr period, a total of 739 patients (258 women, 481 men) were identified. After a median follow-up of 3.7 yrs (interquartile range, 2.0–5.9 yrs) for women and 4.0 yrs (interquartile range, 2.1–6.1 yrs) for men, incident fracture rates (95% confidence interval) per 100 patient years were 3.84 (2.58 –5.09) for females 2.41 (1.73–3.09) for males. Compared with an age-matched random population-based sample of women, elderly women were at increased risk for sustaining an osteoporosisrelated fracture after critical illness (hazard ratio, 1.65; 95% confidence interval, 1.08 –2.52; p .02).

Conclusions: The increase in fracture risk observed in postintensive care unit older females suggests an association between critical illness and subsequent skeletal morbidity. The explanation for this association is not explored in this study and includes the effects of pre-existing patient factors and/or direct effects of critical illness. Prospective research evaluating risk factors, the relationship between critical illness and bone turnover, the extent and duration of bone loss, and the associated morbidity in this population is warranted.