Concurrent Triangulation Strategy Research Articles

An Examination of Regional Competitiveness: Early Findings from Banten, Indonesia

Over time, the regional development planning paradigm continues to change procedural, substantive, actor and institutional aspects. The increasing globalization and decentralized governance systems will continue to determine how a country or region can compete and even be able to take advantage of the positive value of economic globalization. This certainly provides challenges and opportunities for the renewal of regional development concepts, in particular, the concept of regional competitiveness. This concept still lacks a scientific basis and its interpretation is still in debate. To date, the clear scientific basis is the concepts of corporate and national competitiveness. Whereas, the concept of competitiveness at the meso-level, namely the competitiveness of the region, becomes very important. Regional competitiveness prepares a region and to survive in response to the more open dynamics of economic globalization and the system of decentralization of authority in Indonesia. The objective of this research is to complement the concept of competitiveness which is still at the level of microeconomics (business theory) and macroeconomy (theory of growth) with the concept of competitiveness at the regional level that focuses on (i) finding determinant factors at the regional level in Indonesia; (ii) profiling regional competitiveness in several regions; and (iii) assessing the role of local government (institutional and actor) on determinants of regional competitiveness. This research is carried out by using a mixed-methods approach with a concurrent triangulation strategy model. The research follows the stages of literature study to identify the determinant factors of regional competitiveness relevant to the purpose of research, followed by descriptive analysis of the variables and selected by statistics through Analytical Network Process (ANP) to become the determinant factor of competitiveness. In accordance with the concept and definition of regional competitiveness, this research develops five main indicators determining regional competitiveness and its 30 variables. These indicators are regional economy; manpower and human resources; productive business environment; infrastructure; natural resources and environment; and banking and financial institutions. The data used are primary and secondary data by compiling from the Central Statistics Agency (BPS) and questionnaires to the Regional Development Planning Agency (BAPPEDA) following by in-depth interviews with experts. This research uses the case study of Banten Province. The main reason is that Banten has varied areas, ranging from developed cities to lagging regions. It is expected to represent other areas in Indonesia. This research provides an alternative framework of competitiveness analysis methods at the regional level. The concept of regional competitiveness can be a catalyst and enabler to the development of regional specialization and networking among regions in the era of economic globalization.

Learning Cycle 7e Model - Based Multiple Representation to Reduce Misconseption of The Student on Heat Theme

Students' success is determined by the conceptual that has been owned by the students while studying certain theme. New concepts will be elusive if the relevant concepts have not been owned by the students. Based on the observation and interview in SMP Negeri 1 Doro indicated that the heat concept is one of the elusive concept in science learning by the students. This study aims to: (1) describe the misconception experienced by students on the heat theme using a diagnostic test that is three-tier multiple choice, (2) determine the implementation of learning cycle 7E model-based multiple representation on the heat theme, (3) determine the effectiveness of the application of the learning cycle 7E model-based multiple representation in reducing misconceptions students on the heat theme. This study used a mixed method research with concurrent triangulation strategy. The identification results of students misconceptions on the heat theme obtained by average percentage of students' conceptions in the category Know the Concept (TK) is 43.44%. The average percentage of students' conceptions in the category Don’t Know the Concepts (TTK) is 15.31%. The average percentage of all misconceptions (MK) experienced by students in heat theme is 41.26%. Sub heat themes that most experienced misconceptions are ice melt events, boiling water events, heat calculations in the chart, the specific heat of water and oil, the absorption and release of heat, and the relationship of the specific heat with temperature changes. The implementation of learning cycle 7E model-based multiple representation obtained by the average percentage of 84.67% with the criteria very well. Learning cycle 7E model-based multiple representation became effective in reducing students misconceptions on the heat theme due to the decrease percentage of students misconceptions in the experimental class 18.72% is higher than the control class which only 9.68%. The analysis calculation result of the Equal Variance Assumed against independent sample of t test towards the decrease of misconceptions level indicate significance (2-tailed) of 0.003 < 0.05, which means that there are differences in average reduction of misconceptions in the experimental class and control class. Students' success is determined by the conceptual that has been owned by the students while studying certain material. New concepts will be elusive if the relevant concepts have not been owned by the students. Based on the observation and interview in SMP Negeri 1 Doro indicated that the heat concept is one of the elusive concept in science learning by the students. This study aims to: (1) describe the misconception experienced by students on the heat material using a diagnostic test that is three-tier multiple choice,(2) determine the implementation of learning cycle 7E model-based multiple representation on the heat material, (3) determine the effectiveness of the application of the learning cycle 7E model-based multiple representation in reducing misconceptions students on the heat material. This study used a mixed method research with concurrent triangulation strategy. The identification results of students misconceptions on the heat material obtained by average percentage of students' conceptions in the category Know the Concept (TK) is 43.44%. The average percentage of students' conceptions in the category Don’t Know the Concepts (TTK) is 15.31%. The average percentage of all misconceptions (MK) experienced by students in heat material is 41.26%. Sub heat materials that most experienced misconceptions are ice melt events, boiling water events, heat calculations in the chart, the specific heat of water and oil, the absorption and release of heat, and the relationship of the specific heat with temperature changes. The implementation of learning cycle 7E model-based multiple representation obtained by the average percentage of 84.67% with the criteria very well. Learning cycle 7E model-based multiple representation became effective in reducing students misconceptions on the heat material due to the decrease percentage of students misconceptions in the experimental class 18.72% is higher than the control class which only 9.68%. The analysis calculation result of the Equal Variance Assumed against independent sample of t test towards the decrease of misconceptions level indicate significance (2-tailed) of 0.003 <0.05, which means that there are differences in average reduction of misconceptions in the experimental class and control class.

Improvement of metacognitive skills and students’ reasoning ability through problem-based learning

The aim of this research is to know the influence of PBL application to the improvement of metacognitive skill and students’ reasoning ability on Constanta solubility product (Ksp). The research used mix method with concurrent triangulation strategy and pretest-posttest control group design. Metacognitive skills are known from the results of written tests and questionnaires with N-Gain analysis, t-test, whereas reasoning ability is known from observations and interviews with descriptive analysis. The results showed that the N-Gain effect of PBL on metacognitive skills is 0,59 with medium category and N-Gain value of PBL influence on reasoning ability is 0.71 with the high category. The steps in the PBL affect the metacognitive skills and can train learners to develop their reasoning skills in the solving problems.

Evaluation of the Influence of Principal’s Training on Security Management in Public Secondary Schools in Nzaui Sub-County, Makueni County, Kenya

Many of the secondary schools have had threats to safety from within originating from fires, insect bites, loose and sharp objects, poorly constructed buildings inadequate and poorly ventilated rooms all these among others makes the learner, the teacher and the workers insecure while in school. The study aimed at assessing the influence of the principal’s training on safety management in all the public schools in Nzaui sub-County, Makueni County Kenya. A mixed method was used consequently applying the concurrent triangulation strategy. Qualitative data was thematically examined beside the research objects then presented in description forms. It was evident from the findings that insecurity was on the rise in many secondary schools in Nzaui Sub-county. It further revealed that principals’ training has not been operative in security management in public secondary schools. Thus, the study commends that the principals should develop training mechanism to promote security management in their school. The principals should allocate sufficient resources for employment and training of security staff and purchases of advanced security installations.

Resolución de conflictos desde la resiliencia: El caso de los jóvenes extutelados en Colombia

At the moment of their exit from the protection system, the youth face a number of conflicts. This helps to develop ways to resolve them, which in some cases, results in the appearance of the resilience. This study’s goal was, precisely, to identify the degree, the factors, and the characteristics and sources of resilience used to face conflicts by Colombian youth leaving the foster care system. A mixed design was used with a concurrent triangulation strategy. A total of 53 youth, which had been under protection for at least two years and had left the system being of legal age, took part of the study. The instruments used were the resilience scale RS-25 and the phenomenological interview. The data from the scale was processed from descriptive statistics through SPSS and the data from the interview from open and axial coding through Atlas Ti. The results showed how this group presented a moderately high level of resilience, getting the best score on the factor of personal competence and features such as: independence, self-trust and persistence. They used sources as reflection and change, network building, spiritual life, work and education and the support from professionals to resolve problematic situations. The findings are key for interventions, which can be developed by professionals for this youth group and others with similar characteristics.

A Study on Knowledge Audit Tools for Malaysia Energy Sector

Energy Sector industry is important for Malaysia economic growth, which make organizations under this industry need to implement knowledge management as it played a significant part for the innovation improvement. In order have a successful implementation of knowledge management, it is important for an organization to conduct Knowledge Audit first. However, although there are plenty of elaboration on Knowledge Audit process and activities in the literature, there is still a scarce on the definition on Knowledge Audit tools and most importantly on what tools are suitable to be used in Energy Sector industry. This research is going to identify what Knowledge Audit tools that are currently being used in Energy Sector and to develop a more suitable tool from there. This research has adopted concurrent triangulation strategy and using face-to-face interview and survey questionnaire for data collection. The analysis of the findings gathered and as well as the implication of these findings is discussed. Keywords: Energy Sector, Knowledge Audit, Knowledge Audit Tools, Knowledge Management

AN INVESTIGATION OF INFLUENCE OF PRINCIPAL’S ATTITUDE ON SECURITY MANAGEMENT IN PUBLIC SECONDARY SCHOOLS IN NZAUI SUB-COUNTY, MAKUENI COUNTY, KENYA

Despite the inclusion of security management in the safety and standards manual in Kenyan schools, insecurity is still being experienced in schools. Many of the secondary schools have had threats to safety from within originating from fires, insect bites, loose and sharp objects, poorly constructed buildings inadequate and poorly ventilated rooms all these among others makes the learner, the teacher and the workers insecure while in school. The study investigated influence of the principal’s attitude on safety management in the public schools in Nzaui sub-County, Makueni County Kenya. Mixed methods were used consequently applying the concurrent triangulation strategy. Purposive sampling was used to pick principals from the selected schools considering schools which had reported cases of insecurity. Descriptive statistics were used to nalyse quantitative data and inferentially using ANOVA Test Analysis. (SPSS 23) and expressed in tabulation form. It was evident from the findings that insecurity was on the rise in many secondary schools in Nzaui Sub-county. It further revealed that principals’ attitude has not been positive in security management in public secondary schools. The study recommends that the principals ought to develop positive attitude towards security management since it is first step towards mitigating the security challenges.

The nurse’s work environment in a hospital emergency service

Objective: to analyze the characteristics of the nurse’s work environment in a hospital emergency service. Methods: a mixed method study with a concurrent triangulation strategy using data from a descriptiveexploratory study, with 19 nurses, and a Grounded Theory study with three sample groups totaling 21 participants. The quantitative data were collected using the Brazilian Nursing Work Index - Revised and were subjected to descriptive statistical analysis. The qualitative data were obtained from interviews and were analyzed through initial and focused coding. Results: the nurses considered that they had autonomy, good relationships with the physicians, and organizational support. However, the control over the environment was shown to be an unfavorable characteristic. Based on the results, the category: “Seeking to organize the work environment for demand which exceeds attendance capacity” is presented. Conclusion: the characteristics of the emergency environment were shown to be favorable to the nurse’s work, with the exception of control over the environment.

Role of Equb in Financing Micro and Small Business Enterprises in Konso

The aim of this study was to assess the role of Equb in Micro and Small Business Enterprises finance in Konso. For this purpose, data was collected through questionnaire from Equb members as well as interviewing with Equb organizers and non Equb MSE owners. The respondents were selected using both proportionate stratified and random sampling techniques. Besides, the collected data were analyzed using descriptive narrations through concurrent triangulation strategy. The result revealed that, People joined Equb to dig up large amount of money, save and even get loans at the lowest interest. Banks/Micro Finance Institutions fail to cater for the saving and credit needs of poor and small business holders, mainly due to their lending terms and conditions of creating financial gap which informal financial institutions try to fill. In Konso, Equb dominates other sources in the finance establishment of Micro and Small Enterprises, expansion and their working capital finance, followed by personal saving, families and relatives.

Role of Equb in Financing Micro and Small Business Enterprises in Konso

The aim of this study was to assess the role of Equb in Micro and Small Business Enterprises finance in Konso. For this purpose, data was collected through questionnaire from Equb members as well as interviewing with Equb organizers and non Equb MSE owners. The respondents were selected using both proportionate stratified and random sampling techniques. Besides, the collected data were analyzed using descriptive narrations through concurrent triangulation strategy. The result revealed that, People joined Equb to dig up large amount of money, save and even get loans at the lowest interest. Banks/Micro Finance Institutions fail to cater for the saving and credit needs of poor and small business holders, mainly due to their lending terms and conditions of creating financial gap which informal financial institutions try to fill. In Konso, Equb dominates other sources in the finance establishment of Micro and Small Enterprises, expansion and their working capital finance, followed by personal saving, families and relatives.

Mapping the everyday life information needs of Catholic clergy

Purpose– The purpose of this paper is to describe the pattern of everyday life information needs of a group of people in an area with limited access to information, and to investigate how the major dimensions of the everyday life information seeking (ELIS) model apply to information needs in the contexts of the Catholic clergy.Design/methodology/approach– The study applied the concurrent triangulation strategy of mixed-methods research. Data from 15 episodic interviews and surveys of 109 Catholic clergy in Northern Nigeria were collected and analyzed.Findings– A map of the everyday life information needs was developed. Three types of everyday life information needs were identified: essential needs; circumstantial needs; and occasional needs. The information needs of these clergy did not fit into the two major dimensions of Savolainen’s ELIS model.Research limitations/implications– The study was conducted only with Catholic clergy serving in the Northern Catholic dioceses of Nigeria.Originality/value– Although the ELIS model has been applied in several studies, not much attention has been given to comparing how the major dimensions of the model apply to information needs of a group of people in a variety of contexts. This study contributes to the ELIS model by pointing to other contextual situations where seeking orienting and practical information may not be sufficient to account for the everyday life information needs of some types of users.

Modelo genérico de gestão da informação científica para instituições de pesquisa na perspectiva da comunicação científica e do acesso aberto

This paper presents theoretical and exploratory research whose aim is to propose a generic model of scientific information management for research institutes based on principles of scientific communication and open access. The mixed methodological approach adopts the concurrent triangulation strategy. Data collected using questionnaires, interviews and checklists were subjected to statistical and text analyses. In addition to collecting and analyzing empirical data, the study also presents an examination of the literature on communications and information management models. The object of study consisted of scientists associated with the Ministry of Science, Technology and Innovation; and the sample was acquired using intentional, non‐probabilistic sampling of researchers of the Brazilian Centre for Physics Research and the Museum of Astronomy and Related Sciences. The study concludes with a generic model of scientific information management for research institutes built on the basis of scientific communication and open access to texts and graphical elements. In the model, the information input and output flows are systemized through scientific information management processes. Beyond imbedding keys, the structure approaches the research institute domain as an open system in which scientific information flows. The model proposed also offers flexible elements representing institutional and disciplinary particularities that vary depending on the context of each research institute. This set of elements and their interrelationships are, broadly speaking, under the constant influence of forces arising from the scientific community

A Causal Model of Spiritual Leadership, Spiritual Well-Being and Employee Engagement: Leverage to Organizational Performance

The overriding purpose for this study was to develop a new business model that would leverage organizational performance employing certain variables of spiritual leadership, well-being and employee engagement in a select electric distribution utility provider located in the Northern Mindanao region. Anchored on the theories of spiritual leadership (SL), and employee engagement (EE) – four (4) variables of SL; two (2) for spiritual well-being (SW); three (3) for EE and two (2) for organizational performance (OP) were tested to measure its impact against each other. The mixed method research design, specifically, the concurrent triangulation strategy was employed in conducting this study with 206 worker-respondents. Two sets of research instruments were used in the investigation; and unstructured key informant interviews were done to validate those quantitative numerical data. The quantitative data gathered were analyzed using descriptive statistics of frequency distribution, mean and standard deviation. To test the impact and to determine the model that best describe the relationship of the different variables, the Structural Equation Modeling (SEM) with path analysis (PA) was used. The findings of the best fit model suggested that that the more the organization builds on the spiritual aspects of their workers, the higher the probability for organizational commitment and productivity will be.  Keywords: Spiritual leadership, spiritual well-being, employee engagement, organizational performance.

Governance of professional nursing practice in a hospital setting: a mixed methods study.

Objective: to elaborate an interpretative model for the governance of professional nursing practice in a hospital setting. Method: a mixed methods study with concurrent triangulation strategy, using data from a cross-sectional study with 106 nurses and a Grounded Theory study with 63 participants. The quantitative data were collected through the Brazilian Nursing Work Index - Revised and underwent descriptive statistical analysis. Qualitative data were obtained from interviews and analyzed through initial, selective and focused coding. Results: based on the results obtained with the Brazilian Nursing Work Index - Revised, it is possible to state that nurses perceived that they had autonomy, control over the environment, good relationships with physicians and organizational support for nursing governance. The governance of the professional nursing practice is based on the management of nursing care and services carried out by the nurses. To perform these tasks, nurses aim to get around the constraints of the organizational support and develop management knowledge and skills. Conclusion: it is important to reorganize the structures and processes of nursing governance, especially the support provided by the organization for the management practices of nurses.

The mental health experiences and needs of methamphetamine users in Cape Town: A mixed methods study.

South Africa has a burgeoning problem of methamphetamine use, particularly in the Western Cape. Although methamphetamine has been associated with elevated psychological distress, there has been little examination of the mental health needs of out-of-treatment methamphetamine users in South Africa. To describe the mental health experiences and needs of out-of-treatment methamphetamine users in Cape Town. Active methamphetamine users were recruited using respondent driven sampling techniques. Eligible participants (n=360) completed a computer-assisted assessment and clinical interview, where they provided data on mental health symptoms and treatment seeking behaviour. A subset of 30 participants completed qualitative in-depth interviews where they provided narrative accounts of their mental health experiences and needs. Analysis of the mixed-methods data was conducted using a concurrent triangulation strategy, whereby both methods contributed equally to the analysis and were used for cross-validation. About half of survey participants met screening criteria for depression and traumatic stress, and there were some indications of paranoia. Using substances to cope with psychological distress was common, with participants talking about using methamphetamine to numb their feelings or forget stressful memories. One-third of women and 13`% of men had previously tried to commit suicide. Despite the huge mental health burden in this population, very few had ever received mental health treatment. The data indicates a need for integrated care that addresses both substance use and psychiatric needs in this population. Mental health and drug treatment services targeting methamphetamine users should have a particular focus on suicide prevention.

Nursing students' preferences of strategies surrounding cinenurducation in a first year child growth and development courses: A mixed methods study

Use of film in the classroom (cinenurducation) promotes nursing students' motivation and understanding of concepts about child growth and development; however, consensus has not been reached regarding students' preferred strategies and what they view as effective. To identify nursing students' preferences for pedagogical strategies surrounding film use in a Child Growth and Development course. A mixed methods study encompassing a concurrent triangulation strategy was undertaken. Eighty-three students attending the first year nursing class in the fall semester 2012 at a private University in South Korea participated. Films or film clips were shown either before or after pedagogical strategies including lecture, presentation, personal essay, group report, or group discussion, followed by a questionnaire to assess student preferences and their opinions on the impact of strategies on motivation and learning. A focus group with 10 participants provided their opinions. Although the preference for the time when films were watched showed no significant difference (t=.388, p=.699), participants preferred the following pedagogical methods: watching films with a group, saying this was more effective compared to watching films alone (t=5.488, p<.001); full movie over film clips (t=2.869, p=.005); and personal essay over group report (t=2.755, p=.007). Focus group participants also stated that it was more effective to watch the entire movie rather than film clips with the group, and preferred personal essays to group reports. Use of nursing students' preferred learning strategies surrounding cinenurducation helped them gain conceptual knowledge in a Child Growth and Development course.

Busca, acesso e disseminação da informação científica de cientistas, cientistas sociais e humanistas

Apresenta resultados de estudo sobre características das atividades de busca, acesso e uso da informação, assim como hábitos de disseminação de pesquisadores de institutos de pesquisa. Do ponto de vista metodológico, é um estudo de abordagem mista que adotou a estratégia de triangulação concomitante. Os dados foram coletados por meio da aplicação de questionários, realização de entrevistas e lista de verificação e, em seguida, submetidos à análise estatística e de texto. O universo da pesquisa foi constituído dos pesquisadores vinculados às unidades de pesquisa do Ministério da Ciência, Tecnologia e Inovação e a base amostral foram os pesquisadores do Centro Brasileiro de Pesquisas Físicas (CBPF) e do Museu de Astronomia e Ciências Afins (MAST). Entre outros aspectos, os resultados revelaram que, resguardadas suas diferenças disciplinares, as atividades de busca, acesso e comunicação da informação científica, independentemente da área, ocorrem preponderantemente em ambiente digital; hábitos de comunicação são estimulados por motivações comuns a físicos e a cientistas sociais e humanistas; compartilhar o conhecimento e busca por visibilidade constituem os principais motivos para a disseminação de resultados de pesquisa; físicos estão naturalmente inseridos no contexto do acesso aberto à informação científica.

A Learning Environment for English Vocabulary Using Quick Response Codes

AbstractThis study focuses on the process of developing a learning environment that uses tablets and Quick Response (QR) codes to enhance participants' English language vocabulary knowledge. The author employed the concurrent triangulation strategy, a mixed research design. The study was conducted at a private school in Izmir, Turkey during the 2012-2013 academic year. The study sample was determined using the criterion sampling method. The criterion for selection was participants' possession of a mobile device. There were a total of 22 participants including one English teacher in the study, of which 12 were female and 10 male. The students' knowledge of English vocabulary was pretested using the Vocabulary Check List (VCL). During eight classes, participants completed English vocabulary activities using QR codes and tablet PCs. This learning environment integrated digital learning materials and real learning objects using QR codes. After the activities, students' knowledge of English vocabulary was again tested using the VCL, and the participants' opinions about the learning environment were solicited using semi-structured interviews. The research's qualitative data were analyzed using a descriptive analysis. The quantitative data were analyzed using the Wilcoxon signed-rank test and web analysis programs. The study found that the participants' overall rate of completing learning activities was low. The results of the VCL post-test indicated that participants' English language vocabulary knowledge had increases significantly. Participants' opinions regarding the learning environment were analyzed, and it was determined that although they had faced a few problems with the equipment, they experienced a general feeling of curiosity and excitement while using the environment. They found the environment entertaining and reinforcing, stating that learning environments of this kind should be used in other courses, too. The participant teacher stated that although the environment was effective there were a number of time management issues and caused difficulties in classroom management.Keywords: QR Codes * U-Learning * Ubiquitous learning * Learning English * Learning vocabularyIn the present day, English is one of the most important languages spoken, often finding itself as the second language in many countries whose native language is not English. In English language education, a variety of methods, techniques, and technologies are used to develop reading, listening, and speaking skills. As the popularity of using these new technologies increases, it has become increasingly important to provide learners with opportunities to learn English without restrictions of time or location.Language learning is based on vocabulary acquisition. Since students need to know the right words to express their thoughts without difficulty (Huang et al., 2012), considerable research on vocabulary learning has been done. With the development of computers and multimedia environments, a wide range of studies have used multimedia technologies, audio texts, and graphics to support vocabulary learning (Kim & Gilman, 2008; Sun & Dong, 2004). Mobile, wireless, and sensor technologies have been gradually integrated into educational activities, which has led to the establishment of learning environments that include high mobility and context awareness. Researchers have noticed that mobile and wireless technologies, such as multimedia technologies, are popular in language education. Chen and Chung (2008) developed an individualized mobile vocabulary learning system using palmtop computers. Huang et al. (2012) developed a u-learning system for English vocabulary, called UEVL (Ubiquitous English Vocabulary Learning). Laroussi (2004) developed a cyber-classroom called Ubi-Learn based on U-Learning in which he conducted a language course allowing students not only to attend in person or via a distance learning environment, but also to use computers or any mobile device in the class. …

A MIXED METHOD STUDY EXPLORING A PALLIATIVE CARE APPROACH FOR PEOPLE WITH ADVANCED HEART FAILURE

BackgroundPatients with advanced heart failure have significant unmet palliative care needs. UK policy recommends identification of those requiring palliative care based on prognosis (last year of life).AimTo explore aspects of...

Promoting networks between evidence-based medicine and values-based medicine in continuing medical education

BackgroundIn recent years, medical practice has followed two different paradigms: evidence-based medicine (EBM) and values-based medicine (VBM). There is an urgent need to promote medical education that strengthens the relationship between these two paradigms. This work is designed to establish the foundations for a continuing medical education (CME) program aimed at encouraging the dialogue between EBM and VBM by determining the values relevant to everyday medical activities.MethodsA quasi-experimental, observational, comparative, prospective and qualitative study was conducted by analyzing through a concurrent triangulation strategy the correlation between healthcare personnel-patient relationship, healthcare personnel's life history, and ethical judgments regarding dilemmas that arise in daily clinical practice.In 2009, healthcare personnel working in Mexico were invited to participate in a free, online clinical ethics course. Each participant responded to a set of online survey instruments before and after the CME program. Face-to-face semi-structured interviews were conducted with healthcare personnel, focusing on their views and representations of clinical practice.ResultsThe healthcare personnel's core values were honesty and respect. There were significant differences in the clinical practice axiology before and after the course (P <0.001); notably, autonomy climbed from the 10th (order mean (OM) = 8.00) to the 3rd position (OM = 5.86). In ethical discernment, the CME program had an impact on autonomy (P ≤0.0001). Utilitarian autonomy was reinforced in the participants (P ≤0.0001). Regarding work values, significant differences due to the CME intervention were found in openness to change (OC) (P <0.000), self-transcendence (ST) (P <0.001), and self-enhancement (SE) (P <0.019). Predominant values in life history, ethical discernment and healthcare personnel-patient relation were beneficence, respect and compassion, respectively.ConclusionsThe healthcare personnel participating in a CME intervention in clinical ethics improved high-order values: Openness to change (OC) and Self Transcendence (ST), which are essential to fulfilling the healing ends of medicine. The CME intervention strengthened the role of educators and advisors with respect to healthcare personnel. The ethical values developed by healthcare professionals arise from their life history and their professional formation.