Learner Analysis Essay Example for Free

Learner Analysis Essay Background Summary Flight nurse’s and Flight Paramedics perform as members of an aeromedical crew on helicopters (rotor wing), and airplanes (fixed wing) aircraft, providing for in-flight management and care for all types and ages of patients. Responsibilities of this job include the planning and preparation of each flight, to include such things as; safety, evaluation of an individual patients in-flight needs and request of appropriate medications, supplies, and equipment to provide continuing care from origination to the destination facility. They act as liaisons between facilities during an interfacility transport and from scene location to trauma center during medical and trauma related emergencies. They also initiate emergency treatment in the absence of a physician during in-flight medical emergencies. Flight nurses and flight paramedics have training in mechanical ventilation, hemodynamic support, vasoactive medications, airway, and other intensive care skills. Most air medical businesses expect nurses to have at least 2 to 5 years of experience in emergency or critical care units, and the more trauma experience, the better (flightnursetraining.com). This means nurses that have a proven ability to manage multiple patients with vastly different conditions, as well as being able to make split-second decisions about patient care with maximum attention to patient care and safety. Flight paramedics are expected to have a minimum of three years current experience as a paramedic on an advanced life support team and/or critical care transport team. Both of these roles may have to tend to multiple critical cases all at once, so it is important that he or she have the skills to cope with high stress situations. Even though those hired into the role of a flight nurse and flight paramedic come into the role with a core background in critical care and expected level of baseline knowledge,  higher level of autonomous critical thinking and rapid decisio n making is a new skill encountered for many coming into this role. A well-structured training program is an integral part of laying a strong foundation to build the necessary knowledge base needed to assure both a flight nurse and flight paramedic are prepared to perform in their role as a crew chief. Approximately six years ago a well-structured crew chief training program was in place that allowed for consistent and structured learning that allowed all crew member 2 (CM2) to obtain the necessary skills and knowledge expected to hold a position of crew chief. These modules covered areas of navigation, communications, safety, aviation, critical thinking; and incorporated reading material, practical exercises, quizzes and tests which the CM2 worked through in a systematic process. At the completion of the training module; the crew member then went through a question answer board (QAB) process. In the QAB, the crew member was asked a series of questions by a board consisting of a crew chief, clinical manager, pilot, medical director and given multiple scenarios. If the QAB was completed successfully the CM2 then advanced to status of a crew chief. Current State of Problem Currently a structured training program that assures all flight nurses and flight paramedics obtain this baseline level of knowledge that is expected of those in the crew chief role does not exist. The current practice is the assumption that all CM2’s obtain the skills and knowledge necessary by reaching their seventy fifth patient transport. This training plan does not allow for the structured delivery of expected skills and knowledge nor does it allow for a baseline competency to be demonstrated before being promoted from CM2 to crew chief. The current process was put into place to meet the increased demand for staffing experience by the company during a rapid growth period where eight bases turned into sixteen in four years. This current process put into place at this time did allow for rapid streamlined training of new staff; but it failed to take into account quality over quantity. This new process has resulted in CM2’s being promoted to the level of a crew chief w ithout the necessary knowledge that is expected of this role as determined by the management. Goal State All crew members at CM2 status go through a structured crew chief training program. This training will allow for the delivery of consistent, well-structured necessary skills and knowledge. A well-structured training program will assure that all flight crew who obtain crew chief status will have obtained the same base of knowledge and will have all demonstrated the same level of desired competence. Learner Analysis Demographic Information The instructional setting is primarily on the job training; information gained through the live patient care transport environment via ground, rotor or fixed wing aircraft. Nurses and paramedics work as partners in patient transport. This team configuration can be two nurses, or one nurse and one paramedic; but at all times one team member must be a nurse. The third person at the base is the pilot in command, who does not provide any patient care but does and can assist in aviation and safety training. These teams are on shift; stationed at their assigned base for a 24 hour period of time; where training through simulations, reading, and discussions will occur during non-patient transport times. There are 16 bases in the company; located in California, Texas and Oregon. There are 8 full time medical crew assigned to each base and an additional 2-3 part time staff at each base. Age of paramedics and nurses range from 27-61. English is native language spoken by all medical crew members. Educational levels in addition to holding an accredited paramedic license or registered nurse license are ranging from associate degree to doctorate. All Registered nurses in the capacity have received specialized training in critical care, trauma and hold specialized certificates in these areas. All paramedics in this capacity have also obtained additional critical care related training and certificates. Both the nurses and the paramedics receiving the crew chief training have been employed with this company in the flight role for a minimum of 1 year and have obtained the CM2 status. The content area is focused on five areas; to include aviation, safety, communications, navigation, and critical thinking. All medical crew have obtained the basic level of training in these areas have been deemed CM2 which puts them at â€Å"novice† status which deems them competent to s afely complete patient transports. The crew chief level of training is aimed at bringing crew  members from novice to expert level. Prior Knowledge Prior knowledge of all who will receive the crew chief training are those who are at the current CM2 level. They have been working in the capacity as flight nurses or flight paramedics at this company for a minimum of 1 year and have been on at least 75 patient transports. 25% of the total crew members have prior experience working as Flight Nurses or Flight Paramedics at another company; 10% of the flight paramedics have prior flight crew experience through the military prior to coming to this company. Those crew members who achieved crew chief status per the current model will be given a baseline written assessment and go through a crew chief QAB. Those who pass these two items will remain at the status of crew chief; and those who do not pass these assessments will complete a bridge crew chief training program, focusing on those areas of the training they did not pass during their assessments. A written assessment and QAB will be repeated at the conclusion of the bridge training. All crew members surveyed have positive feedback regarding this proposed process. Entry Skills Required Entry level skills required to the crew chief training is to be a CM2 and to have successfully passed the CM2 questions answer board. Successful completion of CM2 training demonstrates successful objectives completed as stated in the CM2 training. In addition to CM2 status; all crew members must have obtained a national certification. National certifications the nurses may obtain are critical care registered nurse (CCRN), care flight critical nurse (CFRN), or certified emergency nurse (CEN). These are each a 100-150 questions tests that are scheduled to be taken at independent test centers as determined by the certifying agencies. The CM2 must also be in good standing with the company; meaning no disciplinary actions in the crew members personal file in the previous six months. Attitudes and Motivation The majority of the flight nurses and flight paramedics are very driven; intense people with a high desire to obtain the crew chief status. Primary motivation comes from the desire to obtain the title status of â€Å"crew chief† and the increased pay rate of 5% per hour. Secondary motivation is the drive that comes from internal motivation to achieve additional training to  reach expert level knowledge in this field. Current attitudes towards training are positive with an overwhelmingly stated desire to have a more structured training program; with higher standards and rigor needed to become a crew chief. Based on the annual employee survey; one of the indicators as stated by employees to improve morale is for a more structured and rigorous crew chief training program. Unique Characteristics and Learning Styles The majority (70%) of the learners described themselves as learning best through â€Å"doing.† Those who stated they learn better through hands-on and learning state reading, watching or hearing the learning material is helpful if they can then have additional hands-on training through simulations or live on-the-job situational experiences. Another 40% of learners said they were not sure how they learned best; but felt having access to the material in writing or reading to be studied was very helpful. All learners wanted tangible resources available such as protocols, standard operating procedures, drug calculators, and other tools that could be obtained through electronic means such as their phones or IPADS; to be accessed as needed during simulated training and live patient transports. According to Kolbs Adult Learning Styles; adults have four distinct ways of preferred ways for examining, analyzing and integrating new knowledge. Converging (doing and thinking), diverging (f eeling and watching), Assimilating (watching and thinking) and Accommodating (doing and feeling). In the VARK model; Neil D Fleming described the primary ways adults acquire new knowledge; the preferred learning styles. In this VARK model; 41% are kinesthetic learners, 16% visual, 25% auditory and 18% readers. Crew member feedback of preferred learning styles and research based evidence regarding preferred adult learning styles appear to correlate. This will allow support from management to build a new crew chief training program that will be based in the delivery methods that will allow consumption of material to be presented through the desired learning styles of adult learners. Unique characteristics of this group of learners is their collective attitudes and internal drive to desire a more rigorous and structured training program with an extreme minority of the crew members desiring to hold title of crew chief without demonstration of knowledge and skills required. It will be  important to build a training program that accommodates all of the stated learning styles so as to use the crew member’s desire for the training to have a product that matches in quality and desired outcome of trainees. Accommodations According to Gregg, Talbert and Lentz (1999),An appropriately selected instructional accommodations not only provides equal awareness to learning opportunities but also minimizes the learners likelihood of failure. Appropriate educational accommodations are determined by taking into account the adults unique leaning needs. All crew members have demonstrated a prerequisite knowledge required to begin this training through successful completion of the CM2 training. All learners are primary English language learners without physical disabilities; as this is a requirement to obtain the role of flight nurse or flight paramedic in this company. The accommodations that should be considered for this training program is one that utilizes all learning styles to ensure the best possible success by all those beginning the training program. Performance Context Managerial Support Learners can expect full organizational support in the training process. One of the top goals of the organization as identified in their â€Å"Strengthen from Within Plan† is to re-build and strengthen a training strategy that will allow for employees to have a structured, well planned out, standardized training program. Employees have overwhelmingly voiced concern in the area of clinical training with regards to the crew chief training in the annual employee survey and through the Best of Practice Suggestion Forum. Management has acknowledged the priority of a structured crew chief training process lost priority in recent years; stating it has been likely to the rapid growth experienced by the company in the last 5 years and with this comes a need to recruit employees bring them to novice status in order to staff new bases. This has caused an oversight in strengthening crew chief training which brings employees to that of expert level in the field. Management has also acknowledged that current process that was put into place approximately 6 years ago; which brings a CM2 to crew chief status via a CM2 completing 75 patient transports and obtaining a national  certification has fallen short of hopes and expectations for this modality of crew chief training. All management are in agreement a more structured training program is needed. All would agree that the skills learned through a structured crew chief training program bring medical flight crew members from a novice to an expert level which translates to superior patient care, superior customer service, which lead to strengthening of the company as a whole. Physical Aspects of the Site The crew chief training takes skills learned by flight crew members during their CM2 training program and adds depth, strengthens critical thinking and problem solving processes and brings a CM2 at novice level up to crew chief which is considered expert level. This training will take place while the crew member is on shift. Training will occur via reading material, videos, discussion with preceptor, clinical manager and base manager, scenarios through case studies and live demonstration during patient transport. The CM2 will be required to complete a written test and sit on a QAB at the end of the crew chief training Process. All required training materials and equipment will be available at each of the 16 bases in the company. Base managers and clinical managers will work with the preceptors to assure all materials and equipment will be kept at each base, kept current with what is being used in live environment and kept in working order. Social Aspects of the Site In the performance setting, medical crew members work in teams. The teams always consist of two nurses, or one nurse and one paramedic. The third team member is the pilot; who are not involved directly in the patient care. Medical crew member’s work in team’s independent of direct supervision of a supervisor. Supervisors such as clinical managers, base managers and a medical director are always available by phone 24 hours a day 7 days a week as needed by the medical crews. The skills obtained in the Crew Chief training will not be being utilized by the medical crews for the first time. Many of these skills learned will have already been used by the crew members in the crew chief training; as much of the training had already been presented to some degree during the CM2 training. It is possible that some patient care skills learned by CM2 and again as crew chiefs will have only  been completed on mannequins in simulations and not on live patients until that patient condition presents itself. These skills are referred to as â€Å"infrequently used skills† and are practiced routinely by all medical crew members in the company. Those receiving initial first time skills and knowledge in their role are the crew member 1 (CM1) team members who are gaining the on-the-job training needed to achieve CM2 status. In these instances; a CM1 is always assigned into a work partnership with another crew member who is at least at the CM2 status. Relevance of Skills to Workplace All skills learned in the training will relate directly to all skills utilized in the actual workplace. There are not current perceived physical, social or motivational constraints. Crew members are highly motivated to have structured crew chief training due to the relationship between skills learned and skills used in work environment. High motivation also exists due to the desired status achievement of crew chief and due to the increased monetary stipend received. References Fleming, N.D. and Mills, C. (1992), Not Another Inventory, Rather a Catalyst for Reflection, To Improve the Academy, Vol. 11, 1992., page 137. Flight Nurse Training. (n.d.). Flight Nurse Training. Retrieved May 8, 2014, from http://www.flightnursetraining.com Suggested Considerations Regarding Accommodations. (1999, January 1). Suggested Considerations Regarding Accommodations. Retrieved May 8, 2014, from http://kairos.technorhetoric.net/7.1/coverweb/grover_hendricks/accommodations.htm Wikipedia, the free encyclopedia. (n.d.). . Retrieved May 8, 2014, from http://en.wikipedia.org/wiki/Main_Page Workplace Training and Education: Adult Learning Styles. (2013, January 1). Workplace Training and Education: Adult Learning Styles. Retrieved May 8, 2014, from http://tribehr.com/blog/workplace-training-and-education-adult-learning-styles/

Leadership Styles: Relationship Between Emplyer and Employee :: essays research papers fc

Introduction   Ã‚  Ã‚  Ã‚  Ã‚  Chris Harrison is a self employed contractor. He works out of Newfield New York. He was interviewed on two different occasions about a month apart with the aim of finding out how he felt about his work. During these two interviews a major sociological theme emerged. It was the theme of leadership styles and the relationship between Chris and his workers. Chris believes in treating the men that he has working for him as men. â€Å"The rest of them may only be eighteen or nineteen but they are all men in my eyes† (Harrison 2005A). Chris believes in his men very much. He says that they do not just work together but have a good friendship outside of work too. Chris knows that they all have fun while they are working. They laugh and joke around but he knows that when the deadline is getting close that his men will have the job done and done right. Chris believes that his leadership style reflects the relationship that he has with his workers and the productivity that they get done. According to Madzar 2001, there are two different types of leadership styles. There are transactional and transformational. Transactional leadership is an exchange-based and leader-controlled relationship. Transformational leadership is to arouse the needs of the subordinates in accordance with the leader’s own goals, the final result being performance beyond expectation. Chris believes that he is a transformational leader. He does not control the relationship he has with his workers. He sees them as equals. Chris knows that his workers know what the goals are that he needs accomplished at any given time. He helps them when they need it but most of the time just lets them work and do things at there own pace. Methodology   Ã‚  Ã‚  Ã‚  Ã‚  The primary research method used for this study consisted of two semi-structured, qualitative interviews conducted about a month apart. The interviewer asked five questions during the first interview. These questions were very general with the aim of finding out how Chris Harrison felt about his work. These questions included 1) what makes you get up and go to work everyday? ; 2) Describe your coworkers; 3) how did you enter this career? ; 4) How does your job affect other aspects of your life? ; 5) What is the most rewarding/challenging part of your job? This interview was fully transcribed (see appendix A). The researcher then used inductive reasoning to do a content analysis of the interview.

Chemicals Together in an Effort to be Greener Essay

Alhamdulillah, first of all, I would like to thank Allah as I could finish my chemistry assignment with the title of Chemistry in your daily life. I would like to express my deepest appreciation to all those that help me, contribute their suggestion and opinion in doing this assignment from the beginning until finish because, without their help, I might have little problem in this research. Even though a few problems occurred when doing the assignment but luckily it can be settled down. With a lot of effort, finally, this task can be sent to our lecturer before the submission date as well. Furthermore, a special thanks to my lecturer chemistry, Dr. Musfiroh bt Jani that deliver this assignment and explain clearly how to do this assignment with the concept of chemistry and how to applied it in daily life to make sure we can score chemistry and understand the true meaning of chemistry. We can do this without her as she guides and fix our mistakes from starting of this assignment and want to improve the new one so this assignment can be completely finished and get a better result. Next, big thanks go to other Chemistry lecturers that teach me and guide me as long as I was a student and will make sure I can understand properly what is chemistry, why we need to learn chemistry and the important thing is we learn this to understand the knowledge to apply in real life, not because the exam. They also teach me how to produce a good assignment and report. Moreover, many thanks to my parents that support me from for with their contribution especially by providing money to me as I need to find references and they also help me in give an idea to make sure I can finish my assignment. Last but not least, thanks to my friends that always support and stick with me when hard and happy in this life and for those who are directly and indirectly support and help me with the assignment. Have you ever wondered why ice melts a water evaporates? Why do leaves turn colors in the fall, and how does a battery generate electricity? Why does keeping foods cold slow their spoilage, and how do our bodies use food to maintain life? There are a lot of nature and phenomena life that happens around us that involved chemistry. Have you wondered what is chemistry? And what chemistry can do in our life? How chemistry can be important and relates to our life? All the question can be answered in Chemistry as chemistry provides really important understanding and how it can be applying in our daily life as a human. That is the reason why we need to study chemistry. By studying chemistry, we can learn to use powerful language and ideas to describe what happened because chemistry is universal science that covered all the process around us include matter and also the process of humans. Chemistry? What crossed in your mine about chemistry? Either about chemistry with friends, chemistry in doing the same things, chemistry in a relationship for couples or anything else. Yes, that’s all true but in science actually, chemistry is a study of matter, properties, and its behavior. Chemistry also provides an understanding background of matter which it can be divided by atoms, molecules, gas. Atoms are smallest particles of elements that exist surrounding us. It is made of three tiny particles that called subatomic particles which is protons, neutrons, and electrons. The center of the atom, called nucleus is made up of protons and neutrons. Every single thing in this world is made up of matter include our bodies. Chemistry is relating to everything in life and it is a large branch that needed by everyone. Not only doctor, but the dentist, pharmacist, nurse, geologist, and others need chemistry too. Chemistry can be divided into five main branches which are very wide in the application of life. The first is analytical chemistry which discusses uses qualitative and quantitative observation to identify and measure the physical and chemical properties of substances. In fact, all chemistry is analytical chemistry. Secondly is physical chemistry. As we know, physical chemistry is discussed physics combine with chemistry. It’s about how matter can interact with energy. The important things in this topics are thermodynamics and quantum mechanics. The third branch of chemistry is organic chemistry which studies in compounds that contains carbon element. Carbon has many unique properties that allow it to form complex chemical bonds and very large molecules. Inorganic chemistry studies a materials such gases and metals that do not contain carbon as part of their make up. Last but not least is biochemistry is study of chemical processes that occur between organisms. Try to imagine the world without chemistry.

Essay Strategic Planning Analysis and Application

Strategic Planning Analysis and Application Tara E. Green Capella University PSF5410/Strategic Management and Planning Dr. Joan Vermillion August 19, 2012 Analyze what strategic planning is and why it is so important to public organizations. Strategic planning is an organizations process of defining its strategy, or direction, and making decisions on allocating its resources to pursue this strategy (Armstrong, 1986). In order to determine the direction of the organization, it is necessary to understand its current position and the possible avenues through which it can pursue a particular course of action. Generally, strategic planning deals with at least one of three key questions: 1. What do we do? 2.†¦show more content†¦Include the key elements and characteristics of a strategic planning process. The Department of Juvenile Justice (DJJ) has to ensure that the following essential areas of its operations perform as expected for the agency to carry out its mission. These key success factors represent a simple concept which helps focus attention on major concerns within DJJ. The following success factors are an integral part of DJJ’s strategic plan: †¢ Comprehensive continuum of cost-effective, quality programs: to accomplish this, DJJ must have the capability to assess customer/client needs, have mechanisms to measure the cost and effectiveness of programs and services, access to a variety of placement programs and services and sufficient funding to support the expansion of appropriate treatment programs. †¢ Appropriate facilities for youth and staff: The Department of Juvenile Justice (DJJ) must have the appropriate types of facilities with adequate capacity t support its programs and operations. 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