PubMed · 10308028
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B L Rogers. Using the creative process with the terminally ill.. https://doi.org/10.1080/07481187808253301
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The objective of this paper is to describe the focus group process used with hospital librarians in the National Network of Libraries of Medicine, Pacific Southwest Region (NN/LM/PSR), in order to illustrate how focus groups can be effectively used in the library setting to plan programmes around identified needs. This paper explores the focus group methodology, a qualitative research technique, by discussing why it is used and the process involved in its use. Aspects of the methodology that are discussed include participant selection, question development, data analysis, and use of results in programme planning. The focus group findings assisted NN/LM/PSR in understanding the needs of hospital librarians related to integrating electronic resources into library services. The focus group data were used to determine the forum, content and speakers for a day-long symposium and subsequent planning meeting. The use of the focus group technique to assess the needs of a specific group on a specific issue resulted in activities and programmes that met these needs successfully. Based on the experiences detailed in this paper, the authors are confident that focus groups are an effective tool for programme planning, needs assessment and decision-making for all types of libraries.
OBJECTIVE: Our objective was to compare the noise levels in 4 Phoenix-area emergency departments with published safety and comfort standards for noise levels. METHODS: A device used to record sound levels was placed in the nurses' station of 4 Phoenix-area emergency departments for brief periods. Readings were compared with published safety and comfort standards. RESULTS: Noise levels measured in the 4 emergency departments were higher than levels at which one can work comfortably. All the noise levels measured approached or exceeded levels that can cause feelings of annoyance ad other negative effects in individuals. DISCUSSION: A comparison of actual noise levels in 4 local emergency departments with published safety and comfort standards found that 100% of the tested departments were too noisy. Anyone who spends any time exposed to this level of noise is subject to deleterious physical and psychological effects.
Since 1990, the frequency of Neisseria meningitidis serogroup C (NMSC) outbreaks in the United States has increased. Based on multilocus enzyme electrophoresis (MEE), the current molecular subtyping standard, most of the NMSC outbreaks have been caused by isolates of several closely related electrophoretic types (ETs) within the ET-37 complex. We chose 66 isolates from four well-described NMSC outbreaks that occurred in the United States from 1993 to 1995 to evaluate the potential of pulsed-field gel electrophoresis (PFGE) to identify outbreak-related isolates specific for each of the four outbreaks and to differentiate between them and 50 sporadic isolates collected during the outbreak investigations or through active laboratory-based surveillance from 1989 to 1996. We tested all isolates collected during the outbreak investigations by four other molecular subtyping methods: MEE, ribotyping (ClaI), random amplified polymorphic DNA assay (two primers), and serotyping and serosubtyping. Among the 116 isolates, we observed 11 clusters of 39 NheI PFGE patterns. Excellent correlation between the PFGE and the epidemiological data was observed, with an overall sensitivity of 85% and specificity of 71% at the 95% pattern relatedness breakpoint using either 1.5 or 1.0% tolerance. For all four analyzed outbreaks, PFGE would have given public health officials additional support in declaring an outbreak and making appropriate public health decisions.