Operations management

Operations management deals with the management of the creation of goods and the delivery of services to the customer. It plays an essential role in the success of any organization. In this book, Andrew Greasley provides a clear and accessible introduction to this important area of study, focusing on all key areas of operations in both manufacturing and service industries. Operations Management, Second Edition covers the main areas of operations strategy, the design of the operations system and the management of operations over time. Yet, its concise nature of the text means students are not overwhelmed by the amount of material presented. This new edition also features: New content in such areas such as the quality gap model, enterprise systems and business process management. Expanded case studies, to include more global and European cases and longer cases at the end of each chapter. Greater clarity in chapter material organization. Worked Examples providing a step–by–step guide to the procedure to solve quantitative problems. Visual redesign in full colour. More support material for students and lecturers, including an interactive WileyPLUS course. All lecturers can access supporting resources on the companion website at www.wiley.com/college/greasley including an Instructor’s Manual with suggested solutions for all case study questions and end of chapter exercises, a Test Bank and PowerPoint slides for each chapter. Students will find multiple–choice test quizzes, web–links and an online glossary. Operations Management is essential reading for all students studying operations management, whether on undergraduate, postgraduate or continuing professional development courses.

Delivering optometric care in the UK

Optometrists play an important part in delivering eye care in the United Kingdom; however opportunities for practitioners to extend their role through co-management of patients with ophthalmologists vary across the country. Devolution in Scotland and Wales has led to greater emphasis on community based care in these regions. This thesis reviews the current situation and, by examining ophthalmic outpatient clinic data, discusses further opportunities to reduce demands on secondary care and the cost savings that can be made. To assess whether the profession is currently in a position to adopt an extended clinical role, changes in the availability of optometric instrumentation are assessed over a two year period. An increased prevalence of fundus cameras and contact tonometers places optometrists in a good position to take on further responsibilities in glaucoma management, however future investment could be impacted by the current economic climate as value for money became increasingly important to practitioners looking to purchase equipment. Methods of training optometrists in the necessary skills to utilise new technology to extend their role are evaluated in terms of both learning and cost effectiveness. Interactive distance learning is proposed as a convenient and effective method to deliver continuing professional development. Any changes to optometric practice must take account of the need for a sustainable business and the importance of attracting and retaining patients. The views of patients are assessed through a validated service quality questionnaire, SERVQUAL. The questionnaire is found to be valid for use in an optometry setting. Patients have a generally positive view of the service quality they receive from their optical practice and consider the intangible aspects, in particular responsiveness and empathy, most important. Optometrists are well placed to increase their role in patient management; however a viable business model must exist to enable investment in instrumentation and training.

How drug metabolism influences treatment outcomes

Recent developments within the National Health Service have led to an increase in personnel 'qualified' to prescribe a wide range of pharmacological agents. A short (38-day) Continuing Professional Development course in prescribing is deemed adequate to fully train individuals for practice. A sound understanding of prescribing medicines has important implications for patient benefit. For example, a prescriber would require some knowledge of drug absorption, distribution, metabolism and excretion, as well as aspects of drug delivery and drug-drug interactions. Drug metabolism in particular exerts a powerful influence on drug action; this can range from complete failure of efficacy through to life-threatening toxicity. Moreover, it is conservatively estimated that there may be several thousand deaths each year in the UK arising from an inadequate knowledge of drug metabolism when prescribing medicines. This one-day course focused on the importance of understanding drug metabolism on treatment strategies and outcomes, and was accessed by a range of healthcare professionals in the West Midlands area of the UK. © 2007 Informa UK Ltd.

Sistematización in Urban Disaster Risk Reduction

Purpose – The purpose of this paper is to provide an analysis of sistematización’s use as a research tool in the operationalization of a “neighborhood approach” to the implementation of disaster risk reduction (DRR) in informal urban settlements. Design/methodology/approach – The first section highlights sistematización’s historical origins in Latin America in the fields of popular adult education, social work, and rural development. The second explains why sistematización was made a required component of project implementation. The third section addresses the approach to sistematización used. The final discusses how this experience both contributes to sistematización’s theoretical development and practical application as a methodology. Findings – The introduction of “sistematización” as a research tool facilitated real-time assessment of project implementation, providing timely information that positively influenced decision-making processes. This on-going feedback, collective learning, and open-exchange of know-how between NGOs and partner institutions allowed for the evaluation of existing practices and development of new ways of collaborating to address disaster risk in complex and dynamic urban environments. Practical implications – Sistematización transcends the narrow focus of traditional monitoring and evaluation on final results, emphasizing a comprehensive understanding of processes and contexts. Originality/value – Its use in the implementation of DRR initiatives in informal urban environments is particularly novel, highlighting the capacity of the methodology to be tailored to a variety of needs, in this case, bridging the gap between NGOs, local governments, and vulnerable communities, as well as between urban, development, and disaster risk management planning.

Nurses' experiences of pain management for people with advanced dementia approaching the end of life: a qualitative study

AIMS AND OBJECTIVES: To explore hospice, acute care and nursing home nurses' experiences of pain management for people with advanced dementia in the final month of life. To identify the challenges, facilitators and practice areas requiring further support.

BACKGROUND: Pain management in end-stage dementia is a fundamental aspect of end of life care; however, it is unclear what challenges and facilitators nurses experience in practice, whether these differ across care settings, and whether training needs to be tailored to the context of care.

DESIGN: A qualitative study using semi-structured interviews and thematic analysis to examine data.

METHODS: 24 registered nurses caring for people dying with advanced dementia were recruited from ten nursing homes, three hospices, and two acute hospitals across a region of the United Kingdom. Interviews were conducted between June 2014 and September 2015.

RESULTS: Three core themes were identified: challenges administering analgesia, the nurse-physician relationship, and interactive learning and practice development. Patient-related challenges to pain management were universal across care settings; nurse- and organisation-related barriers differed between settings. A need for interactive learning and practice development, particularly in pharmacology, was identified.

CONCLUSIONS: Achieving pain management in practice was highly challenging. A number of barriers were identified; however, the manner and extent to which these impacted on nurses differed across hospice, nursing home and acute care settings. Needs-based training to support and promote practice development in pain management in end-stage dementia is required.

RELEVANCE TO CLINICAL PRACTICE: Nurses considered pain management fundamental to end of life care provision; however, nurses working in acute care and nursing home settings may be under-supported and under-resourced to adequately manage pain in people dying with advanced dementia. Nurse-to-nurse mentoring and ongoing needs-assessed interactive case-based learning could help promote practice development in this area. Nurses require continuing professional development in pharmacology. This article is protected by copyright. All rights reserved.

The European Registered Toxicologist (ERT): Current status and prospects for advancement

Following its inception in 1994, the certification of European Registered Toxicologists (ERT) by EUROTOX has been recognized as ensuring professional competence as well as scientific integrity and credibility. Criteria and procedures for registration are contained in the ERT "Guidelines for Registration 2012". The register of ERT currently has over 1900 members. In order to continue the harmonisation of requirements and processes between national registering bodies as a prerequisite for official recognition of the ERT title as a standard, and to take account of recent developments in toxicology, an update of the ERT Guidelines has been prepared in a series of workshops by the EUROTOX subcommittees for education and registration, in consultation with representatives of national toxicology societies and registers. The update includes details of topics and learning outcomes for theoretical training, and how these can be assessed. The importance of continuing professional development as the cornerstone of re-registration is emphasised. To help with the process of harmonisation, it is necessary to collate and share best practices of registration conditions and procedures across Europe. Importantly, this information can also be used to audit compliance with the EUROTOX standards. As recognition of professionals in toxicology, including specialist qualifications, is becoming more important than ever, we believe that this can best be achieved based on the steps for harmonisation outlined here together with the proposed new Guidelines.

A modelação matemática com recurso a tecnologia: Um estudo em contexto de colaboração entre professoras de matemática e de física-química

Este estudo teve como objectivo compreender o desenvolvimento de tarefas de modelação, por parte de uma professora de Matemática e de uma professora de Física­ Química, no âmbito de trabalho colaborativo. Para tal foram formuladas três questões orientadoras: 1. Como é que os professores seleccionam e preparam as tarefas de modelação a colocar aos alunos em situação de sala de aula? Que características das tarefas de modelação se mostram fundamentais para a sua selecção? 2. como desenvolvem os professores as tarefas de modelação na sala de aula? Como gerem e dinamizam as aulas onde colocam tarefas de modelação aos alunos? Que papel reservam ao professor e ao aluno? 3. como exploram os professores as potencialidades das calculadoras gráficas no desenvolvimento das tarefas de modelação? Que questões se colocam à utilização de sensores? O estudo decorreu numa escola secundária, durante o ano lectivo de 2005/06, sob proposta e com a participação da investigadora, envolvendo uma professora de Matemática e uma professora de Física-Química de uma mesma turma de 100 ano. O grupo colaborativo reuniu regularmente e preparou e leccionou aulas com tarefas de modelação matemática, recorrendo a calculadoras gráficas e sensores, tarefas e tecnologias novas para ambas as professoras. A metodologia utilizada na investigação tem natureza qualitativa, tendo sido realizadas duas entrevistas longas a cada professora, uma no início e outra no fim do estudo, bem como entrevistas de curta duração às professoras após cada uma das aulas onde foram desenvolvidas as tarefas. Foram também recolhidos registos das sessões colectivas de trabalho e elaborado um "diário de bordo". O estudo permitiu formular as seguintes conclusões: - Quando as professoras seleccionavam as tarefas de modelação a propor aos seus alunos tinham em consideração o cumprimento dos programas, os conteúdos a abordar e a diversidade de questões que se podem formular sobre os mesmos e o interesse e significado da experiência para os alunos. - O tempo que é necessário para a preparação e execução das tarefas de modelação pareceu ser factor de grande peso na sua selecção. - O elevado número de alunos por turma pode ser factor um negativo para o desenvolvimento de tarefas de modelação na sala de aula. -Na opinião das professoras, o recurso à calculadora gráfica e aos sensores para realizar a recolha de dados relativos a uma tarefa de modelação tomou-as mais apelativas e ajudou os alunos a compreender a situação em causa assim como permitiu tomar mais nítida a relação entre a Matemática e a Física. ABSTRACT: This study aimed to understand the development of modelling tasks, by a Mathematics teacher and a Physics-Chemistry teacher, as part of collaborative work. For this study were formulated three guidelines: 1. How do teachers select and prepare the modelling tasks to present to the students in a classroom situation? What characteristics of these tasks are essential for their selection? 2. How do teachers develop the modelling tasks in the classroom? How do they manage and dynamize the classes where the modelling tasks took place? What role it's reserd to the teacher and the student? 3. How do teachers exploit the potential of graphics calculator in the development of the modelling tasks? What issues arise for the use of sensors? This study took place at a secundary school during the academic year 2005/06, as a suggestion and with the participation of the researcher, involving a Mathematics teacher and a Physics-Chemistry teacher of the same class (10th grade). The collaborative group had regular meetings and prepared and developed modellin tasks in the classroom using graphics calculator and sensors, which was a new activity for all the teachears. The methodology used has a qualitative nature. Two interviews were made to each teacher, one at baseline and another at the end of the study, fourteen work sections and three modelling tasks were explored in classroom context after which followed small interviews to the teacher that gave the class. ln addition records were also made in a small "log-book". This study allowed to reach the following conclusions: - When the teachers select the modelling tasks to offer its students they take into account the programs, the contents and the diversity of questions that can be made on it and the interest and significance of the experience for students. - The time needed for preparation and implementation of the modelling tasks is another factor of great weight in its selection. - The high number of student per class can be a negative factor for the development of modelling tasks in the classroom. Iii - ln the teacher’s opinion, the use of the graphics calculator and sensors to collect data on a modelling tasks makes its more attractive and helps students to understand the situation and makes clearer the link between Mathematics and Physics.

Practitioner perspectives on extended clinical placement programs in optometry

.Background: Some universities are looking to provide a more diverse range of clinical learning experiences through extended clinical placement programs. This approach will potentially have a significant impact on practitioners. The aim of this study was to conduct a national survey of optometrists to ascertain their perspectives on participating in extended clinical placement programs. Methods: Members of Optometry Australia were invited to participate in a survey conducted during June and July 2014. Results: A total of 268 practitioners participated (six per cent of registered Australian optometrists): 159 were predominantly employees or locums and 109 were owners or managers who identified as the key representative of a practice or organisation for the purpose of this survey. Almost two-thirds (65 per cent) of participants, who were employees or locums were supportive of extended clinical placement programs. Among this group, females were more likely to be supportive than males (p=0.033). In comparison, just over one-third (34 per cent) of participants who were key decision-makers were supportive, with 30 per cent possibly supportive and 36 per cent not supportive. Among key decision-makers, males were more likely to be supportive (p=0.009). The top three perceived advantages of supervising a student were: opportunity to mentor early career development, opportunity to give back to the profession and future recruitment. The top three perceived disadvantages were: burden on time, decrease in number of patients examined and burden on support staff. Suggested incentives for supervising students were credit for continuing professional development and financial remuneration. Conclusion: There appears to be moderate support for extended clinical placement programs; however, there are incentives that might engage a larger proportion of the profession in the future. These findings can inform the development of effective and sustainable clinical training programs for optometry students. Additionally, the findings might be used as evidence to seek Government support for clinical placement training in optometry.

Travailleuses sociales diplômées à l’étranger : les enjeux du transfert de leurs connaissances au contexte de pratique montréalais

Les travailleurs sociaux font partie des professionnels de la santé et des services sociaux, de plus en plus nombreux, qui choisissent d’immigrer au Québec afin d’y vivre et d’y poursuivre leur carrière. La reconnaissance des diplômes obtenus à l’étranger et l’obtention d’un permis de pratique délivré par l’Ordre des travailleurs sociaux et des thérapeutes conjugaux et familiaux du Québec constituent un passage obligé afin d’exercer la profession en contexte québécois. Une fois ces étapes franchies, les travailleurs sociaux immigrants disposent de connaissances acquises dans leur pays d’origine pour intervenir dans un nouvel univers professionnel et culturel. Prenant la forme d’un mémoire par articles et prenant appui sur les données obtenues dans le cadre d’une recherche qualitative pancanadienne sur l’adaptation professionnelle des travailleurs sociaux issus de l’immigration (Pullen Sansfaçon, Brown et Graham, CRSH 2011-2012, CRSH 2012- 2015), ce mémoire explore les enjeux inhérents au transfert des connaissances, des expériences professionnelles et des valeurs acquises à l’étranger vers un contexte de pratique québécois. L’expérience vécue par 26travailleuses sociales immigrantes, diplômées à l’étranger et pratiquant actuellement dans la grande région montréalaise, a permis de rendre compte des aspects transférables ou moins transférables du travail social. Ainsi, la mission et les valeurs du travail social, les expériences professionnelles, les connaissances théoriques et les habiletés cliniques apparaissent comme des connaissances se transférant bien au-delà des frontières nationales. Par contre, le récit des participantes indique que les connaissances relatives aux lois, aux politiques sociales, aux procédures organisationnelles et à la langue se transfèrent plus difficilement, ce qui peut générer certaines lacunes dans un contexte de pratique différent de celui où la formation en travail social a été obtenue. Dans ce contexte, il ressort que la contribution des milieux de pratique et le soutien des collègues de travail sont des éléments centraux favorisant l’acquisition de connaissances locales.

Travailleuses sociales diplômées à l’étranger : les enjeux du transfert de leurs connaissances au contexte de pratique montréalais

Les travailleurs sociaux font partie des professionnels de la santé et des services sociaux, de plus en plus nombreux, qui choisissent d’immigrer au Québec afin d’y vivre et d’y poursuivre leur carrière. La reconnaissance des diplômes obtenus à l’étranger et l’obtention d’un permis de pratique délivré par l’Ordre des travailleurs sociaux et des thérapeutes conjugaux et familiaux du Québec constituent un passage obligé afin d’exercer la profession en contexte québécois. Une fois ces étapes franchies, les travailleurs sociaux immigrants disposent de connaissances acquises dans leur pays d’origine pour intervenir dans un nouvel univers professionnel et culturel. Prenant la forme d’un mémoire par articles et prenant appui sur les données obtenues dans le cadre d’une recherche qualitative pancanadienne sur l’adaptation professionnelle des travailleurs sociaux issus de l’immigration (Pullen Sansfaçon, Brown et Graham, CRSH 2011-2012, CRSH 2012- 2015), ce mémoire explore les enjeux inhérents au transfert des connaissances, des expériences professionnelles et des valeurs acquises à l’étranger vers un contexte de pratique québécois. L’expérience vécue par 26travailleuses sociales immigrantes, diplômées à l’étranger et pratiquant actuellement dans la grande région montréalaise, a permis de rendre compte des aspects transférables ou moins transférables du travail social. Ainsi, la mission et les valeurs du travail social, les expériences professionnelles, les connaissances théoriques et les habiletés cliniques apparaissent comme des connaissances se transférant bien au-delà des frontières nationales. Par contre, le récit des participantes indique que les connaissances relatives aux lois, aux politiques sociales, aux procédures organisationnelles et à la langue se transfèrent plus difficilement, ce qui peut générer certaines lacunes dans un contexte de pratique différent de celui où la formation en travail social a été obtenue. Dans ce contexte, il ressort que la contribution des milieux de pratique et le soutien des collègues de travail sont des éléments centraux favorisant l’acquisition de connaissances locales.

Utilising point of care ultrasound for vascular access in haemodialysis

Learning outcomes: On completion of this continuing professional development activity, participants will be able to: • Discuss basic ultrasound principles; • Define the roles and responsibilities of the nurse in point of care ultrasound; • Identify strategies to utilise ultrasound to provide quality cannulation practice; • Identify anatomic structures on an ultrasound picture; • Identify anomalies in the anatomy such as thrombus, stenosis, aneurysm and pseudoaneurysm; • Describe the advantages and disadvantages of using ultrasound for assessment and cannulation; • Enable staff to reflect on their current approaches to assessment and cannulation.

Refreshed…reinforced…reflective: a qualitative exploration of interprofessional education facilitators' own interprofessional learning and collaborative practice

While there is extensive research examining the outcomes of interprofessional education (IPE) for students, minimal research has investigated how facilitating student learning influences the facilitators themselves. This exploratory case study aimed to explore whether and how facilitating IPE influences facilitators' own collaborative practice attitudes, knowledge, and workplace behaviours. Sixteen facilitators of an online pre-licensure IPE unit for an Australian university participated in semi-structured telephone interviews. Inductive thematic analysis revealed three emergent themes and associated subthemes characterising participants' reflexivity as IPE facilitators: interprofessional learning; professional behaviour change; and collaborative practice expertise. Participants experienced interprofessional learning in their role as facilitators, improving their understanding of other professionals' roles, theoretical and empirical knowledge underlying collaborative practice, and the use and value of online communication. Participants also reported having changed several professional behaviours, including improved interprofessional collaboration with colleagues, a change in care plan focus, a less didactic approach to supervising students and staff, and greater enthusiasm impressing the value of collaborative practice on placement students. Participants reported having acquired their prior interprofessional collaboration expertise via professional experience rather than formal learning opportunities and believed access to formal IPE as learners would aid their continuing professional development. Overall, the outcomes of the IPE experience extended past the intended audience of the student learners and positively impacted on the facilitators as well.

Building professional capital : New Zealand social workers and continuing education

In a qualitative study of the engagement of New Zealand social workers in continuing professional education the construct "professional capital", a form of symbolic capital, explains complex links between perceived status within institutional settings and the aspirations of practitioners. Strategies for developing greater engagement in scholarship and research are recommended.

Sustaining the next generation of teacher-researchers to work for social justice

This chapter explores a research project involving teachers working with some of the most disadvantaged young people in South Australia, children growing up in poverty, in families struggling with homelessness and ill-health, in the outer southern suburbs. Additionally, there were particular children were struggling with intellectual, emotional and social difficulties which were extreme enough for them not be included in a mainstream class. The research project made two crucial interrelated moves to support teachers to tackle this tough work. First, the project had an explicit social justice agenda. We were not simply researching literacy outcomes, but literacy pedagogies for the students teachers were most worried about. And we wanted to understand how the material conditions of students’ everyday lifeworlds impacted on the working conditions of teachers’ schoolworlds. We sought to open up a discursive space where teachers could talk about poverty, violence, racism and classism in ways that would take them beyond despair and into new imaginings and positive action. Second, the project was designed to start from the urgent questions of early career teachers and to draw on the accumulated practice wisdom of their chosen mentors. Hence we designed not only a teacher-researcher community, but cross-generational networks. Our aim was to build the capacities of both generations to address long-standing educational problems in new ways that drew overtly on their different and complementary resources.