RESUMEN
With the explosion of college-level Web-based courses, concern has arisen about the quality of online courses. Peer review of online courses is one method of ensuring that these courses meet the highest standards. Although numerous colleges and universities use peer review for classroom presentations, clinical experiences, and course materials, peer review of an online course may require a different type of expertise. This article describes the process for conducting a peer review of teaching in Web-based courses and explains how documentation of peer review of an online course can be used for faculty development, promotion and tenure decisions, curriculum decisions, and program review.
Asunto(s)
Instrucción por Computador/normas , Bachillerato en Enfermería/normas , Internet/normas , Sistemas en Línea/normas , Revisión por Pares/métodos , Enseñanza/normas , Curriculum/normas , Docentes de Enfermería , Guías como Asunto , Humanos , Relaciones Interprofesionales , Aprendizaje Basado en Problemas/normas , Estudiantes de Enfermería/psicologíaRESUMEN
The purpose of this study was to examine the attitudes about hypothetical human papillomavirus (HPV) vaccines in two groups of women in clinical settings. Twenty adolescent women attending an urban community adolescent health clinic and 20 adult women attending a city health department sexually transmitted disease (STD) clinic were recruited to participate in individual interviews. Adolescents were 14-18 years of age (mean 15.6), 75% nonHispanic white, and 75% sexually experienced. Adults were 20-50 years of age (mean 33.6), 95% African American, and all were sexually experienced. As part of the interview, participants ranked nine hypothetical HPV vaccines in order of acceptability. Each vaccine was uniquely defined as a function of cost ($150, $50, or free), efficacy (50% or 90%), disease targeted (genital warts, cervical cancer, or both), and physician recommendation (not mentioned by a physician or specifically recommended). Rankings by adolescents and adults were highly concordant (Spearman rho = 0.9). Efficacy, physician's recommendation, and cost influenced rankings most strongly. Ranking decisions were often based on complex decision making, in which all characteristics were considered simultaneously. These findings suggest that certain features of an HPV vaccine might significantly affect vaccine acceptability. Vaccine efficacy, physician endorsement, and cost were particularly salient issues.
Asunto(s)
Papillomaviridae/inmunología , Infecciones por Papillomavirus/prevención & control , Aceptación de la Atención de Salud , Infecciones Tumorales por Virus/prevención & control , Vacunación/psicología , Adolescente , Adulto , Femenino , Humanos , Vacunación/economía , Vacunas Virales/economíaRESUMEN
The high prevalence of genital warts, human papillomavirus (HPV), and the virus's cancer-causing potential warrant that women be well informed about these conditions and measures to prevent them. The purpose of this descriptive study was to examine women's knowledge and beliefs about genital warts, HPV, cervical cancer, and Pap tests. We interviewed 40 women recruited from health clinics in Chicago (20 adults) and Indianapolis (20 adolescents) about these issues. Audiotapes of the interviews were transcribed and analyzed. Among both the adults and adolescents there was a good deal of misunderstanding about symptoms associated with genital warts, about the purpose of Pap smears, and about the association of genital HPV with abnormal Pap smears and cervical cancer. The gaps in women's understanding about this potentially deadly infection suggest the need for more comprehensive education about preventing genital HPV, the infection's possible sequelae, and the significance of Pap screening for cancer detection and prevention.
Asunto(s)
Actitud Frente a la Salud , Condiloma Acuminado/psicología , Prueba de Papanicolaou , Papillomaviridae , Neoplasias del Cuello Uterino/psicología , Frotis Vaginal/psicología , Adolescente , Adulto , Condiloma Acuminado/patología , Femenino , Educación en Salud , Humanos , Infecciones por Papillomavirus/patología , Infecciones por Papillomavirus/psicología , Infecciones Tumorales por Virus/patología , Infecciones Tumorales por Virus/psicología , Neoplasias del Cuello Uterino/prevención & control , Neoplasias del Cuello Uterino/virologíaRESUMEN
Autism is a pervasive developmental disorder with onset in infancy or childhood. Research has identified infant/toddler characteristics that should suggest autism to pediatric primary care providers. Many autistic children can be referred for diagnosis as young toddlers if social, perceptual, and language delays are considered significant. Early diagnosis of children with autism allows intervention, which helps the child modulate disturbing sensory stimuli and seeks to meet his/her unique social and communication needs. This article describes the disorder and its management and offers guidelines for recognizing young children who would benefit from further comprehensive neurobiologic evaluations by developmental specialists.
Asunto(s)
Trastorno Autístico/psicología , Desarrollo Infantil , Trastorno Autístico/diagnóstico , Trastorno Autístico/terapia , Niño , Preescolar , Cognición , Comunicación , Diagnóstico Diferencial , Femenino , Humanos , Lactante , Discapacidad Intelectual/diagnóstico , Inteligencia , Masculino , Relaciones Padres-Hijo , Padres/psicología , Grupos de AutoayudaRESUMEN
The Double ABCX model of family stress and adaptation addresses the variability in family response to normative and non-normative stressors. In this article, the theory and some of the supporting research are highlighted. The theory's relevance for clinical practice and for future research in primary care is illustrated.