Quality Management

The purpose of this chapter is to enable registered health and social care prac - titioners to assume a clinical and/or a professional leadership role in quality management in the health and social care sectors. The contents in this chap - ter will strengthen the management competences of practitioners working in these sectors, including critical thinking, critical reflection, problem solving and decision -making, thus improving the quality in health and social care services.

L'archeologia pubblica in Italia tra comunicazione online e offline: una proposta metodologica per la pianificazione e la misurazione

In Italia, l’archeologia pubblica ha subìto negli ultimi anni un accelerazione, grazie ad una maggiore consapevolezza da parte degli archeologi sulla necessità di un dialogo con il pubblico. Sempre più progetti di ricerca archeologica investono risorse nell’organizzazione di iniziative volte a coinvolgere la comunità, sia onsite che online. Ma per valutare effettivamente l’impatto di queste iniziative c’è bisogno di delineare una metodologia condivisa, assente attualmente in Italia: manca una progettualità, una pianificazione, una riflessione critica sull’argomento. Il mio lavoro, inserito all’interno del progetto di “Archeologia dei paesaggi di Ravenna” dell’Università di Bologna, ha l’obiettivo di individuare le strategie comunicative migliori per coinvolgere il pubblico verso tematiche storico-archeologiche, ricorrendo in particolare all’utilizzo dei social media, e di individuare una metodologia efficace per la realizzazione e valutazione delle iniziative di archeologia pubblica nell’ambito della ricerca universitaria. Essendoci la necessità di una pianificazione, ho deciso di considerare il mio progetto come se fosse un’azienda con un prodotto o servizio da portare sul mercato. In tal caso, l’azienda deve ricorrere alla stesura di un piano marketing, un documento che formalizza le analisi e le conseguenti decisioni di marketing per un determinato prodotto/mercato, in un determinato arco temporale/spaziale al fine di conseguire gli obiettivi prefissati.

"Contaminazione" e "Reinvenzione": ruoli critici multiculturali nella prospettiva dell'arte globale. "Caratteri cinesi" di Xu Bing, Hsiao Chin e Gu Wenda alla Biennale di Venezia

A partire dagli anni '20 del XX secolo, con la partecipazione a esposizioni internazionali, l'arte cinese ha intrapreso un'indagine approfondita sulla propria ricchezza e complessità culturale, inserendosi progressivamente nel contesto del panorama artistico globale. In questo quadro, l'adesione della Cina alla Biennale di Venezia si configura come sintesi della ricchezza culturale cinese, in cui l'impiego di opere connesse ai "Caratteri cinesi" si rivela uno strumento di divulgazione privilegiato per la propria cultura. Un'analisi dettagliata del percorso espositivo della Cina evidenzia tre momenti di rilievo legati ai "Caratteri cinesi": il "Book from the Sky" di Xu Bing (1993), "The Boat" di Hsiao Chin (2000) e "United Nations" di Gu Wenda (2017). Il presente lavoro si intende di esaminare criticamente queste tre esperienze, indagando l'interazione tra l'esplorazione culturale e la sua rappresentazione nell'ambito specifico della Biennale. Attraverso un'analisi fondata sul dibattito relativo all'arte globale e al multiculturalismo, all'arte contemporanea cinese e alla sua proiezione internazionale, nonché sullo studio della storia delle partecipazioni cinesi alle mostre internazionali e alla Biennale di Venezia a partire dal XX secolo, la ricerca si concentra sulle suddette partecipazioni legate ai "Caratteri cinesi", valutando l'impatto dei principi curatoriali della Biennale su di esse. Viene esplorato altresì il modo in cui gli artisti hanno investigato e manifestato le loro riflessioni culturali attraverso le loro opere, contribuendo al dialogo sulla diversità culturale e sull'articolazione di valori dalla prospettiva dell'arte globale contemporanea. L'analisi si sofferma sulle strategie culturali realizzate dagli artisti nel contesto delle esposizioni globalizzate, evidenziando uno stato di contaminazione culturale. L'invito è quello ad una riflessione critica e a una valutazione del suo impatto sulla reinvenzione del contributo cinese alla narrazione futura della storia dell'arte globale. In tal modo, lo studio apre nuovi orizzonti investigativi, proponendo direzioni future di ricerca.

Mountain waves in two-layer sheared flows: Critical-level effects, wave reflection, and drag enhancement

Internal gravity waves generated in two-layer stratified shear flows over mountains are investigated here using linear theory and numerical simulations. The impact on the gravity wave drag of wind profiles with constant unidirectional or directional shear up to a certain height and zero shear above, with and without critical levels, is evaluated. This kind of wind profile, which is more realistic than the constant shear extending indefinitely assumed in many analytical studies, leads to important modifications in the drag behavior due to wave reflection at the shear discontinuity and wave filtering by critical levels. In inviscid, nonrotating, and hydrostatic conditions, linear theory predicts that the drag behaves asymmetrically for backward and forward shear flows. These differences primarily depend on the fraction of wavenumbers that pass through their critical level before they are reflected by the shear discontinuity. If this fraction is large, the drag variation is not too different from that predicted for an unbounded shear layer, while if it is small the differences are marked, with the drag being enhanced by a considerable factor at low Richardson numbers (Ri). The drag may be further enhanced by nonlinear processes, but its qualitative variation for relatively low Ri is essentially unchanged. However, nonlinear processes seem to interact constructively with shear, so that the drag for a noninfinite but relatively high Ri is considerably larger than the drag without any shear at all.

The production of school numbers (1871-1931): contributions to a critical approach to statistical sources in History of Education

This article intends to contribute to the reflection on the Educational Statistics as being source for the researches on History of Education. The main concern was to reveal the way Educational Statistics related to the period from 1871 to 1931 were produced, in central government. Official reports - from the General Statistics Directory - and Statistics yearbooks released by that department were analyzed and, on this analysis, recommendations and definitions to perform the works were sought. By rending problematic to the documental issues on Educational Statistics and their usual interpretations, the intention was to reduce the ignorance about the origin of the school numbers, which are occasionally used in current researches without the convenient critical exam.

Alcoolisme et violence: dangerosité et relation médecin-malade [Alcohol and violence: reflection on care and responsibility].

Violence and aggression in human drinking society, either physical, psychological, sexual or resulting from neglect are not only debilitating both for the victim and the offender but extremely prevalent and pervasive. While being on the frontline to identify and rate auto- and hetero aggressive behaviour risk, the general health practitioner remains keen to protect his special relationship. When a history of violent behaviour becomes apparent, discernment must be thoroughly assessed and a critical exploration of its larger impact on family, children, co-workers and everyday fellow citizen should become compulsory.

A qualitative analysis of reflection in undergraduate and graduate programs

The purpose ofthis study was to explore various types ofreflection and to explore reflection on action, reflection as a practice, and reflection as a process. In doing this, the intent was to discover the perceived benefits of reflection in the classroom and to provide guidelines for future use at the undergraduate and graduate level. The qualitative components in this study included the data collection strategy of semistructured interviews with 2 undergraduate students, 2 graduate students, 1 undergraduate studies professor, and 1 graduate studies professor. The data analysis strategies included a within-case analysis and a cross-case analysis. Through the interviews participants discussed their experiences with the use ofreflection in the classroom. Through the completion ofthis analysis the researcher expected to discover the benefits ofreflection at this level of education, as well as provide suggestions for future use. Both undergraduate and graduate students and professors were found to benefit from the use of reflection in the classroom. The use ofreflection in the undergraduate and graduate classroom was found to improve student/teacher and student/peer relationships, foster critical thinking, allow for connections between learned theory and life experience, and improve students' writing abilities. Based on the results ofthe study the implications ofreflection for the undergraduate and graduate classroom and for further research are provided.

Letting go : a self-study utilizing critical literacy as method in improving my practice /

This is a Self-study about my role as a teacher, driven by the question: "How do I improve my practice?" (Whitehead, 1989)? In this study, I explored the discomfort that I had with the way that I had been teaching. Specifically, I worked to uncover the reasons behind my obsessive (mis)management of my students. I wrote of how I came to give my Self permission for this critique: how I came to know that all knowledge is a construction, and that my practice, too, is a construction. I grounded this journey within my experiences. I constructed these experiences in narrative fomi in order to reach a greater understanding of how I came to be the teacher I initially was. I explored metaphors that impacted my practice, re-constructed them, and saw more clearly the assumptions and influences that have guided my teaching. I centred my inquiry into my teaching within an Action Reflection methodology, bon-owing Jack Whitehead's (1989) term to describe my version of Action Research. I relied upon the embedded cyclical pattern of Action Reflection to understand my teaching Self: beginning from a critical moment, reflecting upon it, and then taking appropriate action, and continuing in this way, working to improve my practice. To understand these critical moments, I developed a personal definition of critical literacy. I then tumed this definition inward. In treating my practice as a textual production, I applied critical literacy as a framework in coming to know and understand the construction that is my teaching. I grounded my thesis journey within my Self, positioning my study within my experiences of being a grade 1 teacher struggling to teach critical literacy. I then repositioned my journey to that of a grade 1 teacher struggling to use critical literacy to improve my practice. This journey, then, is about the transition from critical literacyit as-subject to critical literacy-as-instmctional-method in improving my practice. I joumeyed inwards, using a critical moment to build new understandings, leading me to the next critical moment, and continued in this cyclical way. I worked in this meandering yet deliberate way to reach a new place in my teaching: one that is more inclusive of all the voices in my room. I concluded my journey with a beginning: a beginning of re-visioning my practice. In telling the stories of my journey, of my teaching, of my experiences, I changed into the teacher that I am more comfortable with. I've come to the frightening conclusion that I am the decisive element in the classroom. It's my personal approach that creates the climate. It's my daily mood that makes the weather As a teacher, I possess a tremendous power to make a person's life miserable or joyous. I can be a tool of torture or an instrument of inspiration. I can humiliate or humour, hurt or heal. In all situations, it is my response that decides whether a crisis will be escalated or de-escalated and a person humanized or de-humanized. (Ginott, as cited in Buscaglia, 2002, p. 22)

Using Poetry, Story, and Reflection to Understand Professional Self After Personal Loss

This research investigated professional identity transformation after personal loss. Through autoethnographic methods, I explore how my personal experience of my sister’s breast cancer and death affected my identity as a diabetes educator in the health culture. I discover a transformation of a professional who focuses on evidence-based medicine to a professional who values connection, therapeutic alliance, and mindfulness with patients and self in the diabetes education encounter. Using a holistic perspective on transformational learning, I integrate the poem “Wild Geese” to a collection of written narratives to connect my personal loss experience to my professional life. By unpacking the generated stories and using poetry, I conduct a process of critical and self-reflection to discover how my identity as a health professional has transformed and what makes meaning in my role as a diabetes educator in the health culture. I consider concepts of a conscious self, social relations and language and discover themes of knowledge exchange, food, and empathy as forms of language expression. These language expressions are not present in my professional life as I focus on rational, logical facts of evidence-based medicine and standardized education methods. Through this reflexive process, I hope to understand how my professional practice has changed, where I place an importance on connection, therapeutic alliance, and mindfulness. I move away from always “doing” in my professional life to focus on my state of “being” in my professional world. Rather than knowledge acquisition as the only factor in professional development, this study contributes to an understanding of additional qualities health professionals may consider that focus on the patient education encounter.

The Jurisprudence of Surveillance:a Critical Look at the Laws of Intimacy

Affirmer que les citoyens des démocraties occidentales sont l’objet d’une surveillance systématique efficace et à grande échelle a de quoi provoquer une réaction incrédule. Démagogie, diront certains. Pourtant, les progrès réalisés dans les technologies de collecte, de traitement et de stockage d’information forcent une réflexion sur cette hypothèse. Il a été souligné justement que les coûts élevés liés aux moyens rudimentaires employés par les polices secrètes d’antan endiguaient en quelque sorte la menace. Les filatures, les infiltrations, les rapts nocturnes de dissidents pêchaient par manque de subtilité. Au contraire, le génie des techniques modernes vient de ce qu’elles n’entravent pas le quotidien des gens. Mais au-delà du raffinement technique, le contrôle panoptique de la masse atteint un sommet d’efficience dès lors que celle-ci est amenée à y consentir. Comme le faisait remarquer le professeur Raab : « [TRADUCTION] La surveillance prospère naturellement dans les régimes autoritaires qui ne s’exposent pas au débat public ni à la critique. Lorsqu’elle est utilisée dans des régimes dits démocratiques, elle est légitimée et circonscrite par des arguments de nécessité ou de justifications spéciales, tout comme la censure »[1]. Or, le droit, en tant que discours de rationalité, accomplit savamment ce travail de légitimation. C’est dans cet esprit qu’une analyse radicale des règles de droit encadrant le droit à la vie privée apporte une lucidité nouvelle sur notre faux sentiment de sécurité.

What is reflection? A conceptual analysis of major definitions and a proposal of a five-component definition and model

La réflexion est considérée comme un élément significatif de la pédagogie et de la pratique médicales sans qu’il n’existe de consensus sur sa définition ou sur sa modélisation. Comme la réflexion prend concurremment plusieurs sens, elle est difficile à opérationnaliser. Une définition et un modèle standard sont requis afin d’améliorer le développement d’applications pratiques de la réflexion. Dans ce mémoire, nous identifions, explorons et analysons thématiquement les conceptualisations les plus influentes de la réflexion, et développons de nouveaux modèle et définition. La réflexion est définie comme le processus de s’engager (le « soi » (S)) dans des interactions attentives, critiques, exploratoires et itératives (ACEI) avec ses pensées et ses actions (PA), leurs cadres conceptuels sous-jacents (CC), en visant à les changer et en examinant le changement lui-même (VC). Notre modèle conceptuel comprend les cinq composantes internes de la réflexion et les éléments extrinsèques qui l’influencent.

INFO2009 Framework for Critical Friends Interaction

Guidance document detailing the suggested process for the critical friend team interaction

Oxidation of oleic acid at the air-water interface and its potential effects on cloud critical supersaturations

The oxidation of organic films on cloud condensation nuclei has the potential to affect climate and precipitation events. In this work we present a study of the oxidation of a monolayer of deuterated oleic acid (cis-9-octadecenoic acid) at the air-water interface by ozone to determine if oxidation removes the organic film or replaces it with a product film. A range of different aqueous sub-phases were studied. The surface excess of deuterated material was followed by neutron reflection whilst the surface pressure was followed using a Wilhelmy plate. The neutron reflection data reveal that approximately half the organic material remains at the air-water interface following the oxidation of oleic acid by ozone, thus cleavage of the double bond by ozone creates one surface active species and one species that partitions to the bulk (or gas) phase. The most probable products, produced with a yield of similar to(87 +/- 14)%, are nonanoic acid, which remains at the interface, and azelaic acid (nonanedioic acid), which dissolves into the bulk solution. We also report a surface bimolecular rate constant for the reaction between ozone and oleic acid of (7.3 +/- 0.9) x 10(-11) cm(2) molecule s(-1). The rate constant and product yield are not affected by the solution sub-phase. An uptake coefficient of ozone on the oleic acid monolayer of similar to 4 x 10(-6) is estimated from our results. A simple Kohler analysis demonstrates that the oxidation of oleic acid by ozone on an atmospheric aerosol will lower the critical supersaturation needed for cloud droplet formation. We calculate an atmospheric chemical lifetime of oleic acid of 1.3 hours, significantly longer than laboratory studies on pure oleic acid particles suggest, but more consistent with field studies reporting oleic acid present in aged atmospheric aerosol.

Reflection iii: Transnationalisation, Television Formats and the Universal

This reflection argues that, despite various good reasons for approaching the notion of the ‘universal’ with caution, cultural theorists should give up their resistance to the universal. The prominence of formats in today’s television suggests that the time is ripe to do. Intentionally or not, accounts of difference implicitly also often reveal sameness; the more we probe heterogeneity, the more likely we are to encounter something that remains consistent and similar. Thus, it is time to collaborate with scholars from the numerous disciplines for which the universal has long had validity and pertinence.