“We emphasize training medical assistants to a much higher level than most expect, use 2 NPs extensively. MAs trained in using technology, standardized triage functions, training patients in self-management. As a group they stay with the practice for long periods. We are trying to ‘push the envelope' and rely less on credentialing and more on continually developing new skills.”
“The system can be an advocate. It can be a reminder that a mammogram needs to be done, that there is a system in place to make sure it happens, that things go well. A system can empower the medical assistant to insist that a patient be seen, even if it means clashing with a provider.”
“If the Respiratory Therapist notes an abnormal lab value, she is comfortable not just taking a blood sample and reporting it, but managing it. The technicians are caregivers. Expectations have changed. The ones that stay are good a adjusting therapy to within physiological parameters are cross trained so that they can take on nursing tasks, starting IVs when needed. When fully trained and confident they may tell an admitting doc that a patient is not ready to have a ventilator tube removed.”
A second limitation of this study was that the interviews were not tape-recorded to provide a raw data “gold standard” for later reference. For this reason, we went to considerable effort to ensure the quality of note taking as described in the methods section, and we obtained respondents' consent to follow-up with them to clarify notes. Follow-up was necessary in only a few instances. The notes were voluminous and rich in detail.
A third limitation is that for most of the interviews, one respondent represented each of the forty-three micro-systems. A more comprehensive assessment would include interviews with at least one person from each of the key roles within the micro-system, including patients. Such tradeoffs in qualitative analysis between breadth and depth are inevitable, 31 but given that this was an exploratory study, we decided to include as many micro-systems as possible with follow-up in later studies.
Research currently underway will expand on this work by taking a more comprehensive look at individual micro-systems and the outcomes of care provided to determine if high performing micro-systems achieve superior results for patients.
This research has been exploratory in that it is the first systematic look at health care micro-systems. The power of the research is that it gave a voice to individual micro-systems and provided a way to explore them while creating constructs that may be generalizable to other micro-systems. It has begun the work of defining and characterizing health care micro-systems. The greater value of this analysis will be to go beyond the findings of this research to develop tools to help existing micro-systems improve and to replicate and extend the achievements of these micro-systems.
The basic concept of health care micro-systems—small, organized groups of providers and staff caring for a defined population of patients—is not new. The key components of micro-systems (patients, populations, providers, activities, and information technology) exist in every health care setting. However, current methods for organizing and delivering health care, preparing future health professionals, conducting health services research, and formulating policy have made it difficult to recognize the interdependence and function of the micro-system.
Further analysis of the database would likely yield additional themes. All can be the basis of hypothesis testing for continued work. For example, further work might establish criteria of effectiveness and test whether the features identified as the eight themes are predictive of effectiveness. More refined or additional questions might clarify aspects of the general themes that are critical. More intensive data gathering, for example, of multiple members of the micro-system, including patients could validate results and expand our understanding of these micro-systems.
Two questions were central as we undertook this study: (1) would the term micro-system be meaningful to clinicians in the field? (2) Would they participate and give us detailed enough information to draw inferences? The answers to both questions were clearly: Yes.
Overall, we discovered that the idea of a micro-system was very readily understood by all we interviewed. They had no difficulty in identifying and describing their own micro-systems and, when appropriate because they directed several (such as several intensive care units), differentiating among them in terms of their characteristics.
The study was assisted in its work by an extremely able and distinguished steering group and Subcommittee whose reputations in the field unquestionably enabled us to secure the participation of nearly all who were invited despite our requesting an hour and a half of a busy clinician's time. Many of those interviewed willingly went on for a longer than the allotted 90 minutes and sent us additional materials. Some who were interrupted by urgent clinical business rescheduled time to complete the interviews.
Although this was a selected—not a randomly sampled—group, and there was clearly great enthusiasm and of innovative work going on at the grass-roots level. Many of those interviewed expressed clear ideas about how they were reorganizing practices, their principles for doing so, and their commitment to an ongoing process. Respondents described their early limited successes or outright failures. We heard what had and had not been successful as they tried to disseminate their practices throughout their organizations. We believe there is much that could profitably learned and shared beyond the individual sites that has not been yet been pulled together by a unifying conceptual framework or effective mechanism for deploying what is being learned.
We were struck by two findings in particular: First, the importance of leadership at the macro-system as well as clinical level; and second, the general lack of information infrastructure in these practices. Micro-system leaders repeatedly stressed the importance of executive and governance-level support. This support was singled out repeatedly as a sine qua non to their ability to succeed. It was also apparent that although some steps have been taken to incorporate the explosion of information technologies that are being deployed for managing patient information, free-standing practices as well as much of clinical practice within hospitals have only begun to integrate data systems, use them for real-time clinical practice, or as information tools for improving the quality of care for a patient population. The potential is enormous, but as yet, almost untapped. They appear to be at a threshold of incorporating information technologies into daily practice. The potential created by the development of knowledge servers, decision support tools, consumer informatics 32 continuous electronic patient-clinician communication, and computer-based electronic health records puts most of these micro-systems almost at “time zero” for what will likely be dramatic changes in the integration of information for real-time patient care and a strong baseline for future comparison.
As research on micro-systems moves forward, it will be important to transfer what has been learned from research on teams and organizations to new research that will be conducted on micro-systems. For example, research that will be helpful includes information about the different stages of development and maturity of the organization, creating the organizational environment to support teams, socializing new members (clinicians and staff) to the team, environments that support micro-systems, the characteristics of effective leadership, and how micro-systems can build linkages that result in well-coordinated care within and across organizational boundaries.
This study was intended to provide more than a database for research, however. It was undertaken to provide an evidence base for the IOM Committee on the Quality of Health Care in America in formulating its conclusions and recommendations. Because that committee was charged with the formulation of recommendations about changes that can lead to threshold improvement in the quality of care in this country, its members believed that it was extremely important to draw not only on their expertise and the literature but also on the best evidence it could find of excellent performance and to do so in a systematic way as exemplified by this study. As that study was not limited by type of health care, the goals of such a project necessitated drawing from a wide range of sites serving a variety of patient populations. It also suggests a sample size that for qualitative analytic methods was quite broad but not unwieldy. The number of sites interviewed—43—served these purposes well. We had several of each “kind” of micro-system (e.g., primary care, critical care) but they varied in location, composition, and in their own approaches to organizing and delivering care, thus providing a very rich database of observation. That report, which is expected to be published in early 2001, will use the responses and analysis described in this technical report to underpin its recommendations about how health care micro-systems, macro-systems, and other organizational forms that have not yet emerged, can improve their performance.
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Objective: To review evaluation literature concerning people, organizational, and social issues and provide recommendations for future research.
Method: Analyze this research and make recommendations.
Results and conclusions: Evaluation research is key in identifying how people, organizational, and social issues - all crucial to system design, development, implementation, and use - interplay with informatics projects. Building on a long history of contributions and using a variety of methods, researchers continue developing evaluation theories and methods while producing significant interesting studies. We recommend that future research: 1) Address concerns of the many individuals involved in or affected by informatics applications. 2) Conduct studies in different type and size sites, and with different scopes of systems and different groups of users. Do multi-site or multi-system comparative studies. 3) Incorporate evaluation into all phases of a project. 4) Study failures, partial successes, and changes in project definition or outcome. 5) Employ evaluation approaches that take account of the shifting nature of health care and project environments, and do formative evaluations. 6) Incorporate people, social, organizational, cultural, and concomitant ethical issues into the mainstream of medical informatics. 7) Diversify research approaches and continue to develop new approaches. 8) Conduct investigations at different levels of analysis. 9) Integrate findings from different applications and contextual settings, different areas of health care, studies in other disciplines, and also work that is not published in traditional research outlets. 10) Develop and test theory to inform both further evaluation research and informatics practice.
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Paradigms, the lenses through which psychologists view the complexities of the human mind, have shaped the evolution of psychological thought and practice, guiding research questions, methodologies, and therapeutic approaches. These fundamental frameworks serve as the bedrock upon which our understanding of human behavior and mental processes is built. But what exactly are paradigms in psychology, and why do they matter so much?
Imagine, if you will, a pair of glasses that not only correct your vision but also tint the world in a specific hue. That’s what a paradigm does for psychologists – it provides a particular perspective through which they interpret and make sense of the vast, intricate landscape of human psychology. These paradigms aren’t just abstract concepts; they’re the very scaffolding that supports the entire field of psychology, influencing everything from how research is conducted to how patients are treated in therapy.
Now, you might be thinking, “Hold on a second. Isn’t psychology just about understanding how people think and behave?” Well, yes and no. While that’s certainly the end goal, the journey to that understanding is far from straightforward. It’s a bit like trying to navigate a dense forest – you need a map, a compass, and a good dose of intuition. Paradigms provide psychologists with that map and compass, offering a structured way to approach the wilderness of the human mind.
Let’s get down to brass tacks. A paradigm in psychology is a comprehensive theoretical framework that provides a set of concepts, research methods, and problem-solving approaches within the field. It’s like the operating system of a computer – it runs in the background, dictating how information is processed and interpreted.
But here’s where it gets interesting. A psychological paradigm isn’t just a static set of rules. It’s a living, breathing entity that evolves over time. It shapes how psychologists formulate theories, design experiments, and interpret results. In essence, it’s the lens through which they view the world of human behavior and mental processes.
The key components of a psychological paradigm include:
1. A set of fundamental assumptions about human nature and behavior 2. A methodology for conducting research and gathering data 3. A framework for interpreting and explaining psychological phenomena 4. A set of ethical guidelines for research and practice
These components work together to create a cohesive approach to understanding the human mind. It’s like a recipe for baking a cake – each ingredient plays a crucial role, and changing one can dramatically alter the end result.
Now, you might be wondering, “How do these paradigms actually shape psychological theories and research?” Well, imagine you’re a detective trying to solve a complex case. The paradigm you subscribe to would be like your investigative approach. It would influence which clues you pay attention to, how you interpret evidence, and ultimately, the conclusions you draw.
In the same way, psychological paradigms guide researchers in formulating hypotheses, designing experiments, and interpreting results. They provide a framework for asking questions and seeking answers. For instance, a behaviorist paradigm might lead a researcher to focus on observable behaviors and environmental influences, while a cognitive paradigm might prompt investigations into internal mental processes.
The journey of paradigms in psychology is a fascinating tale of intellectual evolution, marked by dramatic shifts and heated debates. It’s a story that begins in the late 19th century when psychology was still finding its footing as a distinct scientific discipline.
In the early days, introspection reigned supreme. Psychologists like Wilhelm Wundt and Edward Titchener believed that the key to understanding the mind lay in carefully observing and reporting one’s own conscious experiences. It was a bit like trying to understand the workings of a clock by staring at its face – interesting, but limited.
Then came the behaviorists, led by John B. Watson and later B.F. Skinner. They turned the field on its head, arguing that psychology should focus solely on observable behaviors rather than unobservable mental states. It was a radical shift, akin to deciding that the best way to understand a clock is to ignore its inner workings entirely and just focus on what the hands do.
But the pendulum swung back in the mid-20th century with the emergence of cognitive psychology. Pioneers like Ulric Neisser and George Miller argued that to truly understand human behavior, we need to consider the mental processes that underlie it. This paradigm shift in psychology was like realizing that to understand the clock, we need to open it up and examine its gears and springs.
Today, the landscape of psychological paradigms is more diverse than ever. We have biological psychology, which explores the physical basis of behavior and mental processes. There’s evolutionary psychology, which examines how our evolutionary history shapes our minds. And let’s not forget about the burgeoning field of parapsychology , which pushes the boundaries of conventional psychological science.
Now that we’ve got a bird’s eye view of how paradigms have evolved, let’s zoom in on some of the major players that have shaped the field of psychology. Each of these paradigms offers a unique perspective on human behavior and mental processes, like different facets of a complex gemstone.
1. Behaviorism: The poster child of observable behavior, behaviorism focuses on how environmental stimuli shape our actions. It’s like viewing humans as sophisticated input-output machines, responding to the world around them in predictable ways.
2. Cognitive Psychology: This paradigm shifts the focus inward, examining how we process information, form memories, and make decisions. It’s akin to treating the mind as a complex computer, with various programs and processes running simultaneously.
3. Psychoanalysis: Pioneered by Sigmund Freud, this paradigm delves into the unconscious mind, exploring how hidden desires and conflicts shape our behavior. It’s like viewing the mind as an iceberg, with most of its mass hidden beneath the surface.
4. Humanistic Psychology: This approach emphasizes individual potential and the importance of self-actualization. It’s like seeing humans as seeds, each with the inherent capacity to grow and flourish under the right conditions.
5. Biological Psychology: This paradigm explores how our biology – our brains, genes, and hormones – influences our behavior and mental processes. It’s like viewing humans as intricate biological machines, with behavior emerging from complex physiological processes.
Each of these paradigms has its strengths and limitations, and they often complement each other in unexpected ways. It’s a bit like the old parable of the blind men and the elephant – each paradigm grasps a different part of the complex beast that is human psychology.
Now, you might be wondering, “So what? How do these paradigms actually impact real-world psychology?” Well, buckle up, because the influence of paradigms extends far beyond academic debates and theoretical musings.
First and foremost, paradigms shape the very questions psychologists ask. A behaviorist might wonder how environmental factors influence a particular behavior, while a cognitive psychologist might be more interested in the mental processes underlying that same behavior. It’s like two people looking at the same painting – one might focus on the use of color, while the other examines the composition.
But it doesn’t stop there. Paradigms also influence the methods psychologists use to answer these questions. A behaviorist might design a controlled experiment to observe behavior under different conditions, while a psychoanalyst might rely on in-depth case studies and dream analysis. It’s a bit like choosing between a microscope and a telescope – each tool reveals different aspects of the subject at hand.
Perhaps most importantly, paradigms shape how psychologists interpret their findings. The same set of data could lead to vastly different conclusions depending on the paradigm through which it’s viewed. It’s like the classic “is the glass half full or half empty” dilemma – the facts are the same, but the interpretation can vary wildly.
This influence extends to the realm of therapy as well. The paradigm a therapist subscribes to can dramatically affect their approach to treatment. A cognitive-behavioral therapist might focus on changing thought patterns, while a psychodynamic therapist might explore childhood experiences and unconscious conflicts. It’s like having different tools in a toolbox – each has its place and purpose.
Now, if you think the world of psychological paradigms is all harmony and agreement, think again. Like any field of science, psychology is rife with debates, controversies, and heated arguments. It’s a bit like a family reunion – there’s a lot of love, but also plenty of disagreements.
One of the biggest challenges in the field is the occurrence of paradigm shifts. These are moments when a new paradigm emerges that fundamentally changes how psychologists view their field. It’s like suddenly realizing that the earth orbits the sun, not the other way around. These shifts can be met with significant resistance, as established researchers may be reluctant to abandon the frameworks they’ve built their careers on.
Another contentious issue is the limitation of single-paradigm approaches. While each paradigm offers valuable insights, relying too heavily on any one perspective can lead to a narrow understanding of human psychology. It’s like trying to understand a symphony by listening to just one instrument – you might get part of the picture, but you’re missing out on the full complexity.
This realization has led to a growing debate over integrative and eclectic approaches in psychology. Some argue that combining insights from multiple paradigms can lead to a more comprehensive understanding of human behavior and mental processes. Others worry that this approach risks creating a hodgepodge of incompatible ideas. It’s a bit like trying to create a new cuisine by mixing ingredients from different culinary traditions – it could be a delicious fusion or a disastrous mess.
These debates and controversies are not just academic squabbles. They have real-world implications for how psychology is practiced and how mental health issues are addressed. As psychology debates continue to evolve, they shape the very future of the field.
As we come to the end of our journey through the landscape of psychological paradigms, let’s take a moment to recap. A paradigm in psychology is a comprehensive framework that shapes how psychologists view, research, and interpret human behavior and mental processes. It’s the lens through which they examine the complexities of the human mind, influencing everything from research questions to therapeutic approaches.
But here’s the kicker – this landscape is far from static. Psychological paradigms are in a constant state of evolution, adapting to new discoveries, societal changes, and technological advancements. It’s like watching a time-lapse video of a growing forest – the overall shape might remain recognizable, but the details are in constant flux.
So, what does the future hold for psychological paradigms? Well, if the past is any indication, we can expect continued debate, integration, and innovation. Emerging fields like neuroscience and artificial intelligence are already pushing the boundaries of how we understand the mind. Who knows? The next great paradigm shift might be just around the corner.
As we look to the future, it’s worth considering the words of psychology philosophers who have shaped our understanding of the mind. Their insights remind us that while paradigms provide valuable frameworks, the human mind remains a frontier of endless fascination and discovery.
In the end, the story of paradigms in psychology is really the story of our ongoing quest to understand ourselves. It’s a journey marked by curiosity, controversy, and occasional breakthroughs. And the best part? We’re all part of this grand adventure, each of us a living, breathing example of the very phenomena psychologists seek to understand.
So the next time you find yourself pondering the workings of your own mind, remember – you’re not just thinking about psychology, you’re living it. And in that sense, we’re all contributors to the ever-evolving tapestry of psychological paradigms. Now isn’t that a thought to wrap your mind around?
References:
1. Kuhn, T. S. (1962). The Structure of Scientific Revolutions. University of Chicago Press.
2. Leahey, T. H. (2013). A History of Psychology: From Antiquity to Modernity. Pearson.
3. Miller, G. A. (2003). The cognitive revolution: a historical perspective. Trends in Cognitive Sciences, 7(3), 141-144.
4. Neisser, U. (1967). Cognitive Psychology. Appleton-Century-Crofts.
5. Skinner, B. F. (1938). The Behavior of Organisms: An Experimental Analysis. Appleton-Century.
6. Watson, J. B. (1913). Psychology as the behaviorist views it. Psychological Review, 20(2), 158-177.
7. Wundt, W. (1874). Grundzüge der physiologischen Psychologie. Engelmann.
8. Freud, S. (1900). The Interpretation of Dreams. Franz Deuticke.
9. Maslow, A. H. (1954). Motivation and Personality. Harper & Brothers.
10. Kandel, E. R. (1998). A new intellectual framework for psychiatry. American Journal of Psychiatry, 155(4), 457-469.
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How to make sense of divergent perspectives — and shape a better conversation about what comes next.
No one knows exactly what the future of work will look like, but many people have opinions. Research involving Belgian newspaper articles and experts shows that public commentators on the topic tend to fall into three buckets: optimists (largely tech entrepreneurs), skeptics (largely economists) , and pessimists (authors and journalists). So, who’s right — should the future involve accelerated progress, degrowth, or something in between? Because each group uses different research and has different points of view, it’s impossible to tell. But it is possible to better understand all three arguments, and to think critically about what you, personally, want the future of work to look like. A robust public debate involving every citizen, policy maker, manager, and CEO is the best way to ensure all voices are heard; after all, the future is what we make it.
Who’s right about the future of work?
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Overall, strive to highlight ways other researchers can reproduce or replicate your results to draw further conclusions, and suggest different directions that future research can take, if applicable. Relatedly, when making these recommendations, avoid: Undermining your own work, but rather offer suggestions on how future studies can build upon it.
Future research could investigate the role of factors such as cognitive functioning, motivation, and stress in this relationship. Overall, there is a need for continued research on the relationship between sleep patterns and academic performance, as this has important implications for the health and well-being of students. Example 3: Future ...
In this article, we discuss six types of future research suggestion. These include: (1) building on a particular finding in your research; (2) addressing a flaw in your research; examining (or testing) a theory (framework or model) either (3) for the first time or (4) in a new context, location and/or culture; (5) re-evaluating and (6 ...
In about one paragraph recap what your research question was and how you tackled it. Highlight the big accomplishments. Spend another paragraph explaining the highlights of your results. These are the main results you want the reader to remember after they put down the paper, so ignore any small details. Conclude.
The initially stated overarching aim of this research was to identify the contextual factors and mechanisms that are regularly associated with effective and cost-effective public involvement in research. While recognising the limitations of our analysis, we believe we have largely achieved this in our revised theory of public involvement in research set out in Chapter 8. We have developed and ...
The discussion section provides an analysis and interpretation of the findings, compares them with previous studies, identifies limitations, and suggests future directions for research. This section combines information from the preceding parts of your paper into a coherent story. By this point, the reader already knows why you did your study ...
of the laser with the tissue [ 1]. With respect to existing approaches, our modeling. methodology explicitly considers typical laser parameters used by clinicians dur -. ing an intervention, (i.e ...
Empirical paper: Future research directions. In a more empirical paper, you can close by either making recommendations for practice (for example, in clinical or policy papers), or suggesting directions for future research. Whatever the scope of your own research, there will always be room for further investigation of related topics, and you ...
Suggest directions for future research: Suggest areas for future research that could build on the current study's findings and address any limitations. ... These are the implications that a study has for ethical considerations in research. For example, a study that involves human participants must consider the ethical implications of the ...
Box 3.1 summarizes the committee's conclusions regarding future directions for research in this field. The remainder of this chapter provides a more detailed discussion of the committee's conclusions.
In this chapter, we conclude by briefly foregrounding some of the study's implications for practice, and some of the directions for future research that stem from the project. ... in Figure 9 could also be used to generate a number of hypotheses for further empirical testing using a broader sample and quantitative research methods. Questions ...
Abstract. Scientific research trends and interests evolve over time. The ability to identify and forecast these trends is vital for educational institutions, practitioners, investors, and funding organizations. In this study, we predict future trends in scientific publications using heterogeneous sources, including historical publication time ...
One emerging trend in research is the use of virtual and augmented reality (VR/AR) to enhance scientific inquiry. VR/AR technologies have the potential to transform the way we conduct experiments, visualize data, and collaborate with other researchers. For example, VR/AR simulations can allow researchers to explore complex data sets in three ...
2. Addressing limitations of your research. Your research will not be free from limitations and these may relate to formulation of research aim and objectives, application of data collection method, sample size, scope of discussions and analysis etc. You can propose future research suggestions that address the limitations of your study. 3.
In this work, we address the ambitious vision of developing a data-driven approach to predict future research directions 1.As new research ideas often emerge from connecting seemingly unrelated ...
Progress has been made in the Environmental Protection Agency's (EPA's) water security research program (see Chapter 4), but many important research questions and technical support needs remain.In Chapter 3, a framework is suggested for evaluating water security research initiatives that gives priority to research that improves response and recovery and/or develops risk reduction or ...
A 'future direction' in the context of Computer Science refers to potential areas of research and development that focus on enhancing security, authentication mechanisms, encryption, data storage, and privacy preservation in emerging technologies like V2X and autonomous vehicles. AI generated definition based on: Vehicular Communications, 2023.
There are limitations to all sampling strategies and to qualitative research, in particular. The strength of this method was that the sample selection used input from a pool of reognized experts in the organization, delivery, and improvement of health care. Even with a pool of recognized experts, it is reasonable to expect that some high performing micro-systems were overlooked. It was also ...
1. In a first step, the research team scanned for trends and developments shaping the future of the blue economy and sustainability. A broad scanning exercise was implemented to map trends and new developments across diverse sectors of the blue economy and identify research opportunities and challenges towards 2030.
We recommend that future research: 1) Address concerns of the many individuals involved in or affected by informatics applications. 2) Conduct studies in different type and size sites, and with different scopes of systems and different groups of users. Do multi-site or multi-system comparative studies. 3) Incorporate evaluation into all phases ...
2. A methodology for conducting research and gathering data 3. A framework for interpreting and explaining psychological phenomena 4. A set of ethical guidelines for research and practice. These components work together to create a cohesive approach to understanding the human mind.
No one knows exactly what the future of work will look like, but many people have opinions. Research involving Belgian newspaper articles and experts shows that public commentators on the topic ...