Empowering Health Care Improvement: An Operational Model

INTRODUCTION: Healthcare providers and medical centers are often challenged in comprehensively caring for the transgender population in a safe environment. In response to the Affordable Care Act supporting increased access to healthcare, it is important that the appropriate templates are put into place by all medical centers to ensure this community is provided with optimal clinical care and customer service. METHODS: An FTM individual was to be admitted to Robert Wood Johnson University Hospital for confirmation surgery (hysterectomy). To ensure the patient's clinical and customer service needs would be met during the hospitalization, it was decided that representatives from all possible points of interaction would meet to formulate a template of care before patient admission. This group included representation from Obstetrics/Gynecology, Urology, Endocrinology, Psychiatry, Anesthesiology, Nursing staff, Security, Registration, Pre-Admission Testing, Perioperative Services, Bio-Ethics, Patient Relations, Food & Nutrition services, and Housekeeping. RESULTS: This multi-disciplinary team approach allowed the medical team to prepare a customized care plan, which will now be used for transgender individuals admitted for confirmation surgery. It also was a venue during which the entire team could weigh in on how best to address issues such as continuation of current hormonal therapy (pre and post-operatively) and emotional and social support post-procedure. CONCLUSION: The gathering of a multi-disciplinary team assisted in the development of a template of care for transgender services that supports the delivery of quality patient care and exemplary customer service. This multi-disciplinary meeting prior to hospitalization is strongly recommended for all medical centers.

Food and Nutrition Care Indicators: Experts’ Views on Quality Indicators for Food and Nutrition Services in Assisted-Living Facilities for Older Adults

The aspects of empowerment of human resources

2011 ADA Member Benefits Update

The community empowerment has become the basis of various government programs in the past 10 years. This research basically aimed to determine how the achievement of empowerment aspect indeed as the main goal in a community empowerment program. The community empowerment program under study was the implementation of the National Program for Empowerment of the Independent Rural Communities (PNPM-MP). This was a quantitative study by measuring the achievement of empowerment aspect from PNPM-MP activity in which the locus was in Lorok Village, Ogan Ilir Regency. The sample of this study was 80 respondents. The research questionnaire consisted of 36 statement items that had been through the validity and reliability tests of research instruments. The results showed that four of the five dimensions in the community empowerment variable in the PNPM-MP activities achieved low achievement. The dimensions of enabling, empowering, supporting and fostering are dimensions that achieved low achievement while the securing dimension achieved moderate achievement. This result was in line with the measurement of the overall empowerment variables in the implementation of PNPM-MP in Lorok Village of Ogan Ilir Regency with low achievement that is in percentage of 37%. It is concluded that the implementation of the program / activity of empowerment that took place efficiently and continuously in this village was not directly proportional to the increasing aspects of community empowerment.

Negotiations over professional boundaries are often contests about controlling technical expertise and authority. Less is known about the role of moral judgments in such contests because well-trained professionals often silence their moral commitments or engage moral debates outside the boundaries of their profession. Drawing on an ethnographic study of a science laboratory at the forefront of moral controversy, this article shows how professionals manage moral challenges by reconfiguring their conventional domain of expert authority to include moral as well as technical expertise. Scientists drew on their plural moral views to develop, apply, and mobilize abstract knowledge about morals as resources to claim authority in debates over the moral definition of their work. Collective learning and collaboration ensured the cohesion of the professional community throughout the process of developing authority despite continued moral pluralism. By unpacking one mechanism for the pursuit of moral authority, the study elaborates our understanding of the moral foundations of professionalism and of the emergence of morally complex work activities.

Gender equality requires incremental and transformative change which occurs over generations. Strengthening women’s movements through collective action and learning is a key strategy in achieving such change. Capturing those changes in the voices of diverse women is critical to ethical, feminist, participatory evaluation. The purpose of this article is to explore the strengths, benefits and challenges in using Feminist Participatory Action Research (FPAR) to evaluate a women’s leadership programme. This article demonstrates the rationale and context for FPAR providing a brief overview of feminist approaches to evaluation and an outline of the key elements of FPAR that have influenced recent evaluative activities by the International Women’s Development Agency (IWDA). The case study of the Women’s Action for Voice and Empowerment (WAVE) programme is then presented to demonstrate the application of FPAR. Findings indicate the potential of this framework to influence evaluation design to strengthen the capacity of diverse women as co-evaluators; build on and generate knowledge as a resource of and for the women who create, own and share it; and, design evaluative spaces that promote authentic and inclusive forms of evidence. This article discusses insights from the findings, reflections and the lessons learned on using a FPAR framework.

In today’s rapidly developing society, the age of media affects the way of learning knowledge. Independent learning ability and collective collaborative learning ability are a very important evaluation model of individual learning ability. In the process of learning children’s literature, the literature class allows students to learn how to collect, organize and summarize information from the reading process, and cultivate students’ logical thinking ability. At the same time, in the process of reforming the new curriculum standards for children’s literature, it is constantly emphasized that the process of learning to read literature is the process of students learning in their own way. In our country, the research on individualized learning is only an exploration of individualized learning at the theoretical level, but slightly researched in practical applications. Therefore, in this article, I will study the construction of a personalized teaching model of children’s literature based on information technology. Based on the literature, it summarized the problems in the personalized teaching of children’s literature at this stage, analyzed the role of information technology in personalized teaching, and then conducted a questionnaire survey, mainly focusing on the problems in the personalized teaching of children’s literature. The survey results show that 43% of people think that children's literature is to increase their task load, and then 30% of people think that this is an obstacle to exam-oriented education.KeywordsInformation technologyChildren's literaturePersonalized teachingModel construction

Setia Muda Foundation is one of the gambang kromong music art studios located in DKI Jakarta Province and has been established since 1995. The studio founded by Mr. Hamdani was built with the aim of empowering young people through their potential, interests and talents. Through several empowerment programs and activities, Setia Muda Foundation has succeeded in producing productive and independent young people. This research is located in Ciganjur Village, Jagakarsa District, South Jakarta City. This research is presented in a descriptive form with a qualitative approach. Sources of data used are primary data derived from observations and interviews, as well as secondary data obtained through the results of several documentation studies, periodic reports, company profiles, transcripts and photos of the implementation of activities. The analysis technique used is data reduction, data presentation and conclusion drawing/verification by triangulation of sources and time. The theory used in this research is the strategy theory proposed by Hatten and Hatten, the theory of empowerment aspects by Kartasasmita, and the theory of empowerment results by Mardikanto and Soebianto. The purpose of this study was to determine the strategy, implementation aspects and results of empowerment by the Setia Muda Foundation for young people through the art of gambang kromong music.

A novel identification method is implemented to identify on-line a parametric model of the human operator in closed-loop tracking tasks. The method, recently developed by the authors, identifies time delay, form and order, and the minimum essential number of parameters of a continuous differential equation representation. Thus the variance of the estimates is small. Results of exploratory identification tests including stationary, time varying, and secondary tasks are described. The tests with stationary plants demonstrate good convergence and low variance. In the time varying tests, the changing parameters in the human operator were tracked, and the effect of a secondary task loading clearly showed up as significant changes in model parameters. The results demonstrate the applicability of the method to the investigation of human operator adaptive processes in the control of nonstationary control tasks.

Participatory design is an attitude about a force for change in the creation and management of environments for people. Its strength lies in being a movement that cuts across traditional professional boundaries and cultures. Its roots lie in the ideals of a participatory democracy where collective decision-making is highly decentralized throughout all sectors of society, so that all individuals learn participatory skills and can effectively participate in various ways in the making of all decisions that affect them. Increasingly complex decision-making processes require a more informed citizenry that has considered the evidence on the issue, discussed potential decision options and arrived at a mutually agreed upon decision (Abelson et al, 2003).Today participatory design processes are being applied to urban design, planning, and geography as well as to the fields of industrial and information technology. Research findings suggest that positive outcomes are associated with solutions being informed by users’ tacit knowledge (Spinuzzi, 2005). More recently, another factor has been suggested as being partly responsible for favorable participatory design outcomes, which is described as collective intelligence (Fischer et al., 2005). Atlee (2003) describes collective intelligence (CI) as a shared insight that comes about through the process of group interaction, particularly where the outcome is more insightful and powerful than the sum of individual perspectives. When people align their individual intelligences in shared undertakings, instead of using their intelligence to undermine each other in pursuit of individual status, they are much more able to generate collective intelligence.

The community empowerment carried out related to efforts to prevent stunting is increasing with health services for ENT, Dental examinations and the provision of nutritional packages in Sooko Village, Gresik Wringinanom with the aim that children receive adequate health and nutrition services. So that the development of children can be according to their stages and the stunting rate will decrease even more in Sooko Village, Wringinanom Gresik. The empowerment steps that will be carried out in Sooko Village, Wringinanom District, Gresik Regency are steps that are in accordance with the ABCD method. The ABCD-based approach is a philosophy of positive change with a 5-D cycle step approach. As a result of this empowerment activity, children receive treatment related to health problems. The impact after this empowerment was carried out was that the children's health had received good service through administering medicines according to the examination, obtaining nutritional packages to ensure the growth and development of children in Sooko Village

Reflections on “Dialogues on Psychotherapy in the Time of Coronavirus”: An International Webinar Hosted by Margherita Spagnuolo Lobb and the Istituto Gestalt HCC Italy

Since various communities withmultiple languagesinteract in daily life, tools are needed to support intercultural communication. However, we often observe that the success of a multi-language tool in one situation does not guarantee its success in another. To develop multi-language environments that can handle various situations in various communities, existing language resources should be easy to share and customize. Therefore, we designed the Language Grid as service-oriented collective intelligence; it allows users to freely create language services from existing language resources and combine them to develop new services to meet their own requirements. This paper explains the design concept and service architecture of the Language Grid, and our approach to user involvement in collective intelligence activities.An institutional design is also essential forcollective intelligence. We create a federated operation model to bridgedifferentstakeholders including service providers, service users, and service grid operators.KeywordsService ProviderService UserMachine TranslatorService CompositionComposite ServiceThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Purpose The purpose of this paper is to explore two types of Net-generation practitioners – writers and makers born in the 1980s – and how they describe their professions and their information practices. Design/methodology/approach The authors distinguished the information practices of Net-generation writers and makers from those of their older counterparts and then examined the contextual factors associated with the shared meanings in each community of practice, by interviewing a total of 14 participants, 7 writers and 7 makers, and qualitatively analyzed the resulting data. Findings First, the professional boundaries perceived by Net-generation practitioners are more blurred than those of their older counterparts. Second, they rely on life experience, online platforms and print for their sources of information and inspiration. Third, Facebooking and the use of filter bubbles are among the most popular information practices. Fourth, diversity, uniqueness, multimodal, participatory and self-media are keywords in their content creation and information produced. Fifth, connectivity (connecting people and resources) and collective intelligence (emphasizing how expertise is collected and distributed) are key themes associated with these digital natives. Sixth, the authors also identified and compared differences between these two groups. Research limitations/implications The study limitations include the small sample size of each practitioner group and the fact that the methods are dependent on the participants’ abilities to describe their information practices. Originality/value This study is among the first to focus on the characteristics of digital natives and their information practices. It provides a tentative framework for further exploration and contributes to our initial understanding of this topic.