955 resultados para Socio-educative measure
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1992 (N9).
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Desarrollo empresarial y creación de empresa
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Desarrollo empresarial y creación de empresa
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Desarrollo empresarial y creación de empresa
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Desarrollo empresarial y creación de empresa
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Desarrollo empresarial y creación de empresa
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This case study examines the impact of a computer information system as it was being implemented in one Ontario hospital. The attitudes of a cross section of the hospital staff acted as a barometer to measure their perceptions of the implementation process. With The Mississauga Hospital in the early stages of an extensive computer implementation project, the opportunity existed to identify staff attitudes about the computer system, overall knowledge and compare the findings with the literature. The goal of the study was to develop a greater base about the affective domain in the relationship between people and the computer system. Eight exploratory questions shaped the focus of the investigation. Data were collected from three sources: a survey questionnaire, focused interviews, and internal hospital documents. Both quantitative and qualitative data were analyzed. Instrumentation in the study consisted of a survey distributed at two points in time to randomly selected hospital employees who represented all staff levels.Other sources of data included hospital documents, and twenty-five focused interviews with staff who replied to both surveys. Leavitt's socio-technical system, with its four subsystems: task, structure, technology, and people was used to classify staff responses to the research questions. The study findings revealed that the majority of respondents felt positive about using the computer as part of their jobs. No apparent correlations were found between sex, age, or staff group and feelings about using the computer. Differences in attitudes, and attitude changes were found in potential relationship to the element of time. Another difference was found in staff group and perception of being involved in the decision making process. These findings and other evidence about the role of change agents in this change process help to emphasize that planning change is one thing, managing the transition is another.
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Objectlve:--This study examined the intraclass reliability· of different measures of the
excitability of the Hoffmann reflex, derived from stimulus-response curves. The slope of the
regression line of the H-reflex stimulus-response curve advocated by Funase et al. (1994) was
also compared to the peak of the first derivative of the H-reflex stimulus-response curve
(dHIdVmax), a new measure introduced in this investigation. A secondary purpose was to explore
the possibility of mood as a covariate when measuring excitability of the H-reflex arc.
Methods: The H-reflex amplitude at a stimulus intensity corresponding to 5% of the
maximum M-wave (Mmax) is an established measure that was used as an additional basis of
comparison. The H-reflex was elicited in the soleus for 24 subjects (12 males and 12 females)
on five separate days. Vibration was applied to the Achilles tendon prior to stimulation to test
the sensitivity of the measures on test day four. The means of five evoked potentials at each
gradually increasing intensity, from below H-reflex threshold to above Mmax, were used to create
both the H-reflex and M-wave stimulus response curves for each subject across test days. The
mood of the subjects was assessed using the Subjective Exercise Experience Scale (SEES) prior
to the stimulation protocol each day.
Results: There was a modest decrease in all H-reflex measures from the first to third test day,
but it was non-significant (P's>0.05). All measures of the H-reflex exhibited a profound
reduction following vibration on test day four, and then returned to baseline levels on test day
five (P's<0.05). The intraclass correlation coefficient (ICC) for H-reflex amplitude at 5% of
Mmax was 0.85. The ICC for the slope of the regression line was 0.79 while it was 0.89 for
dH/dVmax. Maximum M-wave amplitude had an ICC of 0.96 attesting to careful methodological
controls. The SEES subscales of fatigue and psychological well-being remained unchanged
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across the five days. The psychological distress subscale (P