Understanding the effects of structured self-assessment in directed,self-regulated simulation-based training of mastoidectomy:A mixed methods study

Objective:Self-directed training represents a challenge in simulation-based training as low cognitive effort can occur when learners overrate their own level of performance.This study aims to explore the mechanisms underlying the positive effects of a structured self-assessment intervention during simulation-based training of mastoidectomy.Methods:A prospective,educational cohort study of a novice training program consisting of directed,self-regulated learning with distributed practice(5x3 procedures)in a virtual reality temporal bone simulator.The intervention consisted of structured self-assessment after each procedure using a rating form supported by small videos.Semi-structured telephone interviews upon completion of training were conducted with 13 out of 15 participants.Interviews were analysed using directed content analysis and triangulated with quantitative data on secondary task reaction time for cognitive load estimation and participants’self-assessment scores.Results:Six major themes were identified in the interviews:goal-directed behaviour,use of learning supports for scaffolding of the training,cognitive engagement,motivation from self-assessment,selfassessment bias,and feedback on self-assessment(validation).Participants seemed to self-regulate their learning by forming individual sub-goals and strategies within the overall goal of the procedure.They scaffolded their learning through the available learning supports.Finally,structured self-assessment was reported to increase the participants’cognitive engagement,which was further supported by a quantitative increase in cognitive load.Conclusions:Structured self-assessment in simulation-based surgical training of mastoidectomy seems to promote cognitive engagement and motivation in the learning task and to facilitate self-regulated learning.

Differences in Self-Assessment Regarding Eating Behaviors among Female University Students Living in Japan, Korea, and Austria

Objective: To investigate cross-cultural differences in self-assessments of eating behaviors of female university students who bear responsibility for their own eating behaviors and who will, in the future, likely determine a family’s eating style. Design: A cross-cultural comparison. Setting: Japan, South Korea, and Austria. Subjects: Female university students from Japan (n = 276), Korea (n = 103), and Austria (n = 127). The survey comprised a questionnaire containing ten sections about eating behaviors (eating habits, regular meal times, and frequency of food intake) and eating attitudes. Results: Eating behaviors and attitudes differed significantly among the three cultures. Japanese students practiced healthier eating behaviors than did Korean and Austrian students, on the basis of their variety of food intake and regular consumption of three meals, but rated themselves lower on healthy eating behaviors. Austrian students tended to have more independent attitudes toward eating and food preparation (e.g., “I want to eat only my favorite dishes”) than Japanese or Korean students. Conclusions: Effects of cultural differences in psychological processes, such as self-cognition, emotion, motivation, and values, on self-assessment of eating behaviors is suggested.

Character Development in a Multilingual International School and Its Use of Self-Assessment Tools

This article describes a multiyear initiative of a multilingual multicultural international school that has come to adopt and internalize character development as part of its identity.That is,character education has been treated as a central tenet and core value that permeates the school and binds the community.It has not been regarded as a supplemental or enhancement project,but rather integral to the general educational program.Built from a principled framework with sound theoretical backing,the infusion of character education at this international school has resulted in the crafting of new standards and the introduction of teacher and student self-assessment tools.In that vein,in this article,we share how the school has come to embrace character development and has forged personalized ways for stakeholders,including teachers and multilingual learners,to engage in improving teaching and learning.

Development of a Self-Assessment Questionnaire for Nurses’ Risk-Taking Behavior in Medication

Purpose: The purpose of this study was to prepare a self-assessment questionnaire for nurses’ risk-taking behavior (RTB) in medication and to develop a reliable and valid questionnaire. Method: In the first study, a draft of the self-evaluation questionnaire for nurses’ RTB in medication was prepared based on the literature study and qualitative analysis of important case information included in the Project to Collect Medical Near-miss/Adverse Event Information Annual Report of the Ministry of Health, Labor and Welfare. Following the studies, face validity was confirmed, and a questionnaire survey was conducted for nurses who oversee medication nationwide to verify the reliability and validity. Result: The number of subjects was 586 (valid response rate: 94.1%). Item analysis and exploratory factor analysis showed that 4 factors and 12 items for the RTBs in daily life and 4 factors and 20 items for RTBs in medication could be extracted. Confirmatory factor analysis confirmed the fit of the hypothetical model obtained by exploratory factor analysis. In addition, Cronbach’s α coefficient was 0.888. Thus, high reliability and validity were obtained. A correlation was found by comparing the total scores of each RTB factor with the incident/accident group, and a standard for self-evaluation value could be established (p < 0.01). Conclusions: We were able to develop a self-assessment questionnaire for nurses’ risk-taking behavior in medication. This questionnaire will be used by nurses to find out their trends.

The Impact of Repeated Death Conference Participation on Nurses’ Terminal Care and Nursing in Death Conference Using the Death Conference Nursing Self-Assessment Sheet

Background: Increasing the number of DC (Death Conference) experiences, nurses are expected to improve the quality of nurses’ terminal care and developing nursing minds. Therefore, there is a need for further evidence on the impact of repeated DC experiences on nurses’ terminal care. Aim: This study aims to clarify the impact of repeated DC experiences on nurses’ terminal care and nursing in DC using the prepared Death Conference Nursing Self-Assessment Sheet. Method: The study is approved by the Ethics Review Board of St. Mary’s College, Chukyo Gakuin University, and the hospital where the survey was conducted. This study was an observational and cross-sectional study using an anonymous, self-completed questionnaire composed of the newly created Death Conference Nursing Self-Assessment Sheet. Its evaluation items in the Death Conference Nursing Self-Assessment sheet consist of four categories (Cooperation, Future direction of nursing, Specific measures for nursing, and Feeling of the nurse) and 14 questions. The questionnaires were conducted on 144 nurses in the ER, ICU, and Palliative Care Ward (Hospice Ward) in a general hospital in Japan. For analysis, JMP ver.14.2 was used to perform Fisher’s exact test, Wilcoxon/Mann Whitney test, univariate, and multivariate logistic regression analysis. Results: Thirty-four participants (23.6%) who answered the number of DC experiences were included in the final analysis. Seventeen nurses had DC experiences, and 17 had no experience. There were significant differences in all of the above categories impacting nurses’ terminal care and nursing in DC. Conclusion: Repeated DC affected nurses’ terminal care and nursing in DC using the Death Conference Nursing Self-Assessment Sheet. In the future, verification of the reliability, validity of the questionnaire, and more evidence of the way of terminal concerns by raising the quality of DC for developing nursing minds will be needed.

初中英语Self-assessment板块教学方略

牛津英语教材每一单元之后都有Self-assessment板块，而在实际教学中，该板块常常被闲置，根本无人问津。教师要通过实际教学的7A Unitl Self-assessment的案例，研究Self-assessment的有效教学方略。

Student self-assessment of strengths and needed improvements during a family medicine clerkship

Objective:There are few reports on how students self-assess their performance on a family medicine clerkship.We studied what students perceived as their strengths and areas of needed improvement at the mid-point in our family medicine clerkship.Methods:We introduced a form for family medicine clerkship students to self-assess their strengths and areas of needed improvements using the clerkship objectives as a standard.We cal-culated the frequency in which each clerkship objective was reported as a strength or an area of needed improvement.For students’open-ended comments,two reviewers independently organ-ized students’comments into themes,then negotiated any initial differences into a set of themes that incorporated both the reviewers’findings.We performed c2 tests to determine any significant differences in the frequency of responses between male and female students.Results:During the study period(July 2012 to June 2014),372 students submitted com-pleted self-assessment forms.The most frequently reported strengths were professional objectives(48.9%)and interpersonal communication objectives(43.0%)The most frequently reported areas of needed improvement were the ability to explain key characteristics of commonly used medica-tions(29.3%)and the ability to develop a management plan(28.5%).There were no significant differences in the frequency of responses between male and female students.Conclusion:We now have a better understanding of students’perceived strengths and areas of needed improvement in our family medicine clerkship.We have shared this information with our community faculty preceptors so that they will be better prepared to work with our students.Family medicine clerkship preceptors at other institutions may also find these results useful.

Student self-assessment versus preceptor assessment at the midpoint of a family medicine clerkship

Objective:To study how student self-assessment compared with the faculty’s assessment on our family medicine clerkship and to explore the effect of demographic factors on the rat-ings.Methods:Students and their faculty preceptors assessed the students’achievement of clerk-ship objectives at mid clerkship.We performed Mann-Whitney U tests to compare student ratings and faculty ratings for each clerkship objective.We performed linear regression analyses to in-vestigate the effect of medical school year and student sex on student ratings and the effect of sex concordance or sex difference of the faculty-student pair on faculty ratings.Results:Two hundred one students completed the family medicine clerkship between July 2015 and June 2016.Faculty ratings were higher than student ratings for all 12 clerkship objec-tives(P<0.05 for all comparisons).Third-year students rated themselves higher than second-year students for nine of the clerkship objectives.There was no difference in student ratings between female students and male students and no difference in faculty ratings whether there was a sex-concordant or a sex-different preceptor-student pair.Discussion:Our findings add to the knowledge of the mid-clerkship feedback process offered by different clerkships.Further study is needed to investigate how students use this feedback to improve for the remainder of the clerkship.

初中英语self-assessment教学策略

新译林初中英语每一单元之后,都有一个小小的版块——self-assessment(自我评价),这个版块旨在培养学生的自我反思、自我评价的习惯,以及形成有效的评价方法。下面,结合9上Un It1的self-assessment,而谈谈初中英语中的self-assessment教学策略。

英语Self-assessment板块的教学现状及建议

Self-assessment板块旨在让学生通过自我评价，对单元的学习进行自我反思，为下一步学习制定合理计划。本文针对义务教育教科书《英语》（译林版）Self-assessment板块使用过程中的教学现状，提出了一些可行性的建议，目的在于引起教师对该板块教学的重视。

Self-assessed health and its aspects in the case of Mongolia

Self health assessment is a simple indicator that is widely used for measuring an individual’s perception of his or her overall health. Many studies have been conducted by way of showing which particular aspects should be included in health self assessment, especially in developed world. In the developing world, however, very few studies have examined self health assessment. The aim of this study was to identify particular aspects and associations in self health assessment and differences between subgroups in Ulaanbaatar, Mongolia. The area sampling approach and Kish tables were used for selecting respondents. Total 500 respondents were surveyed by paper-based questionnaires. Spearman’s analysis and multiple logistic regression analysis were used to show relations between variables. Sociodemographic status, such as age and gender, proved to be important in self health assessment. Other factors affecting self health assessment included the number of family members, daily life and lifestyles, social environment, community motivation, and utilization of health services. Women, the elderly, or people with less-than- normal access to information suffer from poor self-assessed health. People who are socially inactive and who have poor living conditions are less likely to use health care services and are likely to assess their health as “poor.” In order to reduce the poor self-assessed health status it is important to address disparities in socioeconomic factors, such as age, gender, employment, and residential area. In addition, more attention should be paid to community and health services, as well as to health promotion and empowerment activities, including income-generation activities. Further research is also needed, however, for better understanding of about the local people and their health-related issues.

Culturally adapted pictorial screening tool for autism spectrum disorder:A new approach

AIM To assess the performance of a newly designed,culturally adapted screening tool for autism spectrum disorder(ASD).METHODS Items for the screening tool were modeled from already documented checklists and diagnostic criteria for ASD.Each item in text was paired with a photograph that illustrated the written content,which was in the 2 main local languages.The final product had 21 items and was named the pictorial autism assessment schedule(PAAS).Performance of PAAS was tested on a clinical sample of 18-48 mo old children,diagnosis na?ve,presenting with developmental deficits.Mothers completed PAAS checklist.Based on clinical diagnosis,which was taken as the gold standard,children were later grouped into ASD(Group 1) and non-ASD developmental disorders(Group 2).Mothers of a control sample of typically developing children also completed PAAS(Group 3).RESULTS A total of 105 children(Group 1-45,Group 2-30,Group 3-30) participated in the study.Mean age of Group 1 and Group 2 were 36 and 40 mo respectively.Majority were male in all 3 groups.Performance of PAAS in discriminating between ASD and non-ASD developmental disorders was sensitivity 88.8%,specificity 60.7%,positive predictive value(PPV) 78.4%,negative predictive value(NPV) 77.2%,likelihood ratio(LR+) 2.26,and LR-0.18.Performance of PAAS in discriminating between ASD and typical development was sensitivity 88.0%,specificity 93.3%,PPV 95.2%,NPV 84.0%,LR+ 13.3 and LR- 0.12.The results indicated that that a positive result from PAAS was 2.26 times more likely to be found in a child with ASD than in a child with non-ASD developmental disorder.A positive result from PAAS was 13.3 times more likely to be found in a child with ASD than in a child with typical development.CONCLUSION PAAS is an effective tool in screening for ASD.Further study is indicated to evaluate the feasibility of using this instrument for community screening for ASD.

Establishing the Reliability and Validity of Health in Motion^©Automated Falls Screening Tool

Introduction: Blue Marble Health Company has created a digital fall risk screening tool (Health in Motion&#169;) that can be used by means of self-report (touch/mouse) or by means of motion capture (Microsoft Kinect Sensor). Health in Motion&#169;consists of automated versions of the Fall Risk Question-naire, 30-Second Chair Stand Test, and the One Leg Stance Test. Methods: We compared the three methods (self-report, sensor, and clinical standard measurement) using stopwatch and observation in 15 community-dwelling older adults, aged 63 - 80 years old. Each version was completed three times each in random order, for a total of nine trials. Results: Health in Motion&#169;falls screening tool accessible via self-report and sensor is a valid and reliable automated at-home self-assessment for falls risk. Conclusion: Results support the use of Health in Motion&#169;falls screening tools as viable alternatives to standard falls risk assessments for use by older adults at home.

Dental Aesthetics: A Study Comparing Patients’ Own Opinions with Those of Dentists

Objective: A beautiful smile is perceived as important but the components that contribute to the patient’s concept of a beautiful smile have not been fully investigated. Hence this study aimed to compare the views of patients on their own dental aesthetics with those of a group of dentists. It also assessed the patients’ willingness to undergo aesthetic treatment. Methods: Fifty patients, who ranged in age from 24 to 76 years, completed self-assessment questionnaires. Photographs were taken of these patients, which were subsequently assessed by six dentists using a questionnaire with visual analogue scale to assess each parameter. Results: Significant differences (p < 0.05) were found between the opinions of the dentists and the patients. Older patients were generally more satisfied with their smile than the dentists. Eighty-six percent of the patients were willing to undergo aesthetic treatment, although factors such as the complexity of treatment, time involved, discomfort and financial costs, deterred many. The cost of treatment was the main deterrent. The younger patients were least likely to be put off treatment. Conclusion: Patients’ views of their own smile differed from the dentists’ opinion. Those who were the least satisfied and were most likely to undergo aesthetic treatment were in the younger age groups. Satisfaction increased with age and older patients were less likely to seek the aesthetic treatment.

The Implementation of the Common Assessment Framework at the General Hospital of Attica “KAT”

This paper discusses the implementation of the Common Assessment Framework(CAF)in the Greek civil service.CAF is based on the principles of total quality management(TQM)and is a tool for improving the performance of public bodies.Key element in its implementation is the dimension of organization self-assessment.This article defines the conceptual framework and analyses the management terms related to its application.Methods used include a review of academic and practical literature,as well as the case study of a particular department of the Greek public administration:a public hospital.In addition,the paper presents the prerequisites for CAF implementation and provides a detailed description of the criteria.Finally,implementation progress in the selected public service is assessed and some recommendations for improvement are made.In conclusion,good practices and lessons learned from the implementation of the CAF are discussed.

Pre/Post Assessments Analysis in Training Electro-Technical Seafarers Experts

In maritime industry, personnel’s training is considered by shipping companies as a top priority matter on the list of factors affecting competitiveness in operating vessels. This paper presents the importance and the effects of training Electro-Technical Experts in the context of latest developments, particularly the advent of the “Electric Ship” and the “Communicative Ship” analyzing the feedback received from several relevant two-days seminars for “Ship Electrical and Electronic Systems for Electro-Technical Officers”, in North East European countries. The pre-test and post-test self assessment method that has been used for more efficient interaction between trainers and trainees is analyzed using t-statistics. The attendees have had diverse basic backgrounds, yet company experts Fleet Engineers on merchant or war ships. The training’s effectiveness and gain is discussed in this paper and further proposals for the Electrical and Electronic training are presented through the valuable feedback for improvement.

Relationship between Death Conference Experiences and Nurses’ Terminal Care

Background: The experiences of death conference (DC) are regarded as improving the quality of nurses’ terminal care and developing nursing minds. Few studies in Japan clarify quantitatively how nurses’ participation in DC is related to nurses’ terminal care. Aim: This study aims to clarify the relationship between DC experiences and nurses’ terminal care using the prepared Terminal Care Nursing Self-Assessment Sheet. Method: The study is approved by the Ethics Review Board of St. Mary’s College, and the hospital where the survey was conducted. This study was an observational and cross-sectional study using an anonymous, self-completed questionnaire composed of the newly created Terminal Care Nursing Self-Assessment Sheet. Its evaluation items consist of six categories (Reflection, Cooperation, Response to patients, Response to patients’ family, Specific measures for nursing, and Feelings of the nurse), and 14 questions. The questionnaires were conducted for 144 nurses in the ER, ICU, and Palliative Care Ward (Hospice Ward) in a general hospital in Japan. For analysis, JMP ver.14.2 was used to perform a Chi-square test, Wilcoxon/Mann Whitney test, univariate, and multivariate logistic regression analysis. Results: One hundred thirty-nine participants (97%) were included in the final analysis. Forty-three nurses had DC experiences, and 96 had no experience. The median number (IQR;interquartile range) of DC experiences was 5.5 (2 - 22.5). There were significant differences in five of the above categories;however, there was no significant association in the five questions of the nurse’s stress on response to patients and patients’ family and specific measures for nursing regarding postmortem treatment for patients between DC experiences and Nurses’ terminal care. Conclusion: DC that looks back on terminal care has significance as an opportunity to consider the way of terminal concerns and direction of future care. It is required to raise the quality of DC for focusing on reducing nurses’ stress on terminal care and anxiety about postmortem treatment for patients.

Dermatology Resident Generated Textbook Questions as a Resident-Centered Educational Strategy

Background: Textbook conferences are widely used by dermatology residency programs in the United States to provide educational exposure to the specialty. Typically an entire textbook is reviewed each academic year. However, residents may be uncertain about mastery of the assigned readings. Since most dermatology textbooks do not provide questions about the material presented at the end of each chapter, an innovative senior resident from our program wrote questions about each chapter and offered them to the other residents prior to scheduled discussions of the assigned materials. Methods: A pilot study for resident generated quizzes about assigned textbook reading in general dermatology was developed, implemented, and assessed by anonymous completion of a Likert Scale by participants. Results: Participants indicated that quizzes better prepared them for the annual dermatology in-service examination and they thought that the additional creation of quiz materials in the subspecialty areas of dermatopathology and dermatologic surgery would be useful. Conclusion: Resident generated quizzes are a novel approach to the learning environment during dermatology residency for residency programs and may be useful for other residency programs that utilize textbook conferences. Additional research is needed.

Program accreditation

Program accreditation is usually a voluntary process based on published standards and performed by a governmental or non-governmental agency of peers.The accreditation process has several components:self-assessment guide completion,site visit and review of program data by the accrediting body.Program accreditation’s primary function is to facilitate self-assessment,provide standards of education and lead to program improvement.It also serves to protect the student’s education and ultimately improve patient care.The International Council of Ophthalmology has developed International Guidelines for accreditation of ophthalmology residency programs and is launching a pilot program to accredit programs on demand.

Emotional evaluation of architectural interior forms based on personality differences using virtual reality

Recent studies have shown that architectural interior forms could impact the affective state of inhabitants.However,the direct relation of specific forms with specific affective states is difficult to determine.In addition,no systematic categorization of architectural forms and their relation to emotional states exists.The investigation of the impact of architectural features on inhabitants'emotions is further complicated by the use of two-dimensional images of forms in laboratory investigations,which cannot perceive real-world architecture.Furthermore,the interior form consists of a combination of different forms rather than only pure forms,which was considered in previous studies.This study aimed to rill these gaps by evaluating interior forms on the basis of clustering different images of built living rooms throughout history as well as their impact on emotions.This study used pleasure,arousal,and dominance ratings with an emphasis on individual differences in personality.Virtual sample rooms were created based on formal clusters of architectural forms.Results showed a relationship between forms and emotional states for different personality traits.This work provided a novel approach on the influence of architecture on emotion by considering systematic form categorization and combinations,personality differences,and a virtual reality setup.