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Results for “Task Shifting”

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PubMed1990

Implementing a unit-based quality assurance program.

QA yields opportunities to improve patient outcomes as well as to identify problem areas. QA activities work when they are planned, systematic, organized, and ongoing. Monitoring is most easily completed concurrently by staff as part of their everyday activities rather than as an extra task to be done after a regular shift. Since staff nurses are the primary caregivers in this institution, a unit-based model for QA, where staff take the responsibility, yielded the best overall improvements in patient outcomes and quality of care.

Attitude of Health Personnel↗

PubMed1991

The effects of voluntary lateral orienting on positive manifold for lateralized cognitive tasks.

As an extension of previous studies (Urbanczyk, Angel, & Kennelly, Brain and Cognition, 8, 206-226) examining the effects of unimanual tapping on lateralized cognitive tasks, lateral body orienting was added to an established dual task paradigm to generate differential hemispheric activation and shifts of attention. One hundred twenty right-handed university students retained sequences of digits or spatial locations for 20 sec either alone or during finger tapping. By turning head and eyes left or right, the hemisphere congruent with the sequences (LH for digits, RH for locations) or incongruent (vice versa) was activated. Activation had little effect on retention means but greatly affected resource composition, supporting task performance. Congruent orientation produced significantly higher positive correlations between digit and location tasks than incongruent orientation. Females showed higher sequence retention correlations than males across both orienting groups. For females, congruent activation enhanced tapping rates and tapping-retention task correlations. For males, activation affected neither of these. These results suggest that congruent attentional orienting may couple or integrate regions of the less activated hemisphere into networks of the more activated hemisphere. Greater inter- and intrahemispheric connectivity in the female cortex may produce a greater dependence upon a general attentional "resource."

Adult↗

PubMed1989

Alertness of night nurses: two shift systems compared.

The alertness of hospital trainee nurses during their night shift work was assessed by recording performance at night on an arousal-sensitive unprepared simple reaction time task. One group carried out a number of separate weeks on night shift throughout their three-year course. Here performance fell from first to seventh day of the week on night shift, implying progressive sleep deprivation. Another group covered their night work by a single three-month 'permanent' night shift of four (or three) nights on and three (or four) days off each week. Here initial performance level fell by the 45th night but had returned to normal by the last (90th) night. In both systems individuals varied considerably in their ability to maintain performance during sustained night work. These results strengthen the case for permanent night shifts, with careful selection of personnel, as a means of organizing night nursing in hospitals.

Arousal↗

PubMed1978

The central tendency effect in stimulus generalization: the effect of sex of subject.

Eighty male and 80 female college students were shown a stimulus light of 525 nm, following instructions to remember it, and then were immediately tested for generalization (recognition) with a successively presented set of stimuli including 525 nm and six longer wavelength values. Subjects rated each test stimulus on a 6-point scale ranging from "surely same" as the original stimulus to "surely different." Both men and women showed a central tendency shift. Although the stimulus perceived as most likely to be the original (the mode) shifted to 545 nm in both groups, the men showed a greater mean shift than the women. Shifting was nearly complete in both groups within the first series of test stimuli with the men shifting faster. These findings replicate a 1972 report by Giurintano of greater central tendency shift in men than in women in a line angle generalization task, challenging an assumed analogy between our generalization task and the rod-and-frame test, in which women typically show the greater distortion. The analysis of central tendency shift within the first test series reveals that it occurs much earlier than previously believed.

Discrimination, Psychological↗

PubMed1988

Work dynamics in family care of hemophilic children.

School-aged boys with hemophilia, their parents, and siblings were interviewed and observed over a 5-year period, the field work taking place in their homes, schools, and during hospitalization, clinic visits, and summer camp periods. Sequential, open-ended interviews, and participant-observation techniques enabled the inquiry to study the process of the children's development as a major factor in changes that occurred in the management of their illness over time. Qualitative issues identified for study focused on the divisions of labor inherent in family interactions concerning the care of their hemophiliac children. The locus of control relative to particular technical medical interventions shifted from the medical center to a parent, eventually to each boy, with his associated development. Shifts were not entirely unidirectional, particular conditions influencing the tasks which transfer, the pace of changes and the resulting consequences. Categories of tasks are examined, with specific focus being the learning-teaching processes, the related awareness contexts, and the temporal dimensions involved. Concurrent with the hemophiliac boys' learning to infuse themselves with their particular missing clotting factor, a speaking up for themselves in interaction with peers and nonparent adults, relative to defining or treating the hemophilia, did not shift away from their parents. The boys' nonassumption of this aspect of their interactions is associated with a developing self-consciousness about their 'differences', which indicated a greater willingness to take physical risk (nonattention to the hemophilia requirements) than the social risk of emphasizing difference from peers. Adult intermediating, especially in the larger school contexts, thus remained primarily the parents' task in order to support the children's integration into the organizations.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

PubMed1975

Some effects of alcohol on various aspects of oculomotor control.

Recent studies have shown that alcohol interferes with visual control of vestibular nystagmus. The present study was designed to assess three partially independent systems of oculomotor control. Performance on three tasks was measured before and after mild alcohol dosage. One task involved visual suppression of vestibular nystagmus; a second involved smooth oculomotor tracking of a moving target; and a third required repetitive rapid voluntary shifts in gaze. Oculomotor control was degraded on the first two tasks with recovery toward the initial performance level 4 h after drinking. Performance on the third task was not obviously degraded, although it is possible that improvement with practice was retarded. Results are discussed in terms of neurological systems involved and kinds of flight tasks potentially affected.

Aerospace Medicine↗

PubMed1976

Effects of industrialization on working schedules.

Recent increase in industrialization has resulted in attention being drawn to diversity of working schedules and their interrelation with content of work. The results of joint research revealed that adaptation to industrial jobs is made difficult because of urban conditions and modern work-control systems, such as workers in flexible-working-time systems who apparently favored regular daily working cycles. Long overtime work in smaller undertakings and the spread of shift systems are two important features of industrial work schedules, each being dominant among skilled and non-skilled jobs. Another important facet is the problem of intra-shift work-rest schedules significant for machine operations and vigilance tasks. It is suggested that phases of work that become intolerable are correlated with unnatural work rhythms. More emphasis should thus be laid on both phase-shifted work and non-self-governing work, the key factor being the relevance of attained data to real work in the whole course of schedules of work and rest.

Accidents, Occupational↗

PubMedDate not supplied

Ethanol-induced alterations in EEG alpha activity and apparent source of the auditory P300 evoked response potential.

The relationship among topographic brain electrical activity mapping, auditory-evoked response potentials (ERPs), plasma ethanol levels and subjective reports of intoxication was examined in 4 male volunteers. The source of the auditory P300 ERP (a measure of selective attention and memory encoding) was estimated using a recently developed computer program. The effect of ethanol on the P300 wave was studied using a standard oddball paradigm both with and without a concomitant divided attention task. Ethanol (0.7 g/kg) administration produced marked increases in EEG alpha activity during the ascending limb of the blood ethanol curve. Acute ethanol administration caused a delay in the latency and a reduction in the amplitude of the auditory P300 ERP. A similar effect on P300 topography was noted in waves that were affected by the tones while the subjects also listened to a story (divided attention). After ethanol, the source of the P300 wave appeared to have shifted to a position posterior and inferior to its original location. P300 ERP's generated during the divided attention task were also disrupted and shifted to positions inferior to their original. However, the variability of the dipole vector was much greater during the divided attention task than after ethanol administration. These data demonstrate that ethanol's effects on cognitive processing skills may be similar to those produced when individuals experience distractions while concentrating on a task.

Adult↗

PubMed1990

Shift toward left visual field advantage after short-term learning experience.

The purpose of the present study was to examine the effect of the short-term learning experience on visual field difference. Firstly, the random shape was briefly presented in a left or right visual field (Test 1), then the paired-associated learning task associated with the stimulus shape was carried out. Several days later the same laterality task was conducted again (Test 2). The results showed a shift toward left visual field advantage (LVF-A) between Tests in the relevant label learning group, a trivial shift toward RVF-A in the irrelevant/concrete label learning group, a shift toward RVF-A in the irrelevant/abstract label learning group, and no shift in no-learning group. The relationship between the direction of the shifts of cerebral hemispheric asymmetry and label types was discussed.

Adult↗

PubMed1989

Relations between covert orienting and filtering in the development of visual attention.

This study examined a widely held assumption concerning the development of visual attention, namely, that different aspects of visual selectivity depend on common processing resources. Observers aged 5, 7, 9, and 24 years participated in a speeded classification task designed to examine the relations between covert shifts of attention and filtering. There were three important findings: (1) covert orienting and filtering share processing resources, (2) the ability to orient covertly to a target location and to filter competing information on the same trial became more efficient with age, and (3) 5 year olds were able to filter as efficiently as adults when target location was precued. The implications of these results for theories of attentional development are discussed.

Adult↗

PubMed1990

Left handedness and handedness switch amongst the Chinese.

The incidence of left handedness amongst the Chinese, as in the case of people with more traditional cultures, is reported to be low. However, there is a group of native left handers, often unrecognized as such, who use the right hand for writing and drawing but the left hand for most other tasks. They had experienced pressure during childhood to shift their preferred hand from left to right. This paper compares the handedness profile, eyedness, footedness, and finger tapping performance of right handed, left handed, and handedness switch Chinese subjects.

Adult↗

PubMed1991

Stability and change in the informal task support network of frail older persons.

This study examines predictors of stability and change in composition, size, and intensity of help of the informal task support networks of frail elders and their primary caregivers. The sources of data are the 1982 and 1984 National Long Term Care Surveys and the companion 1982 Informal Caregivers Survey. There was slightly more stability than change in the size and composition of family task support networks. We found little evidence that shifts in network composition were in the direction of including more distant kin. Changes in network size and intensity of help occurred in response to changes in health and functional status of the frail older person, but not in response to the level of burden of the primary caregiver.

Adolescent↗

PubMed1975

Jamestown Medical Clinic System.

Comprehensive health care can be provided in rural and poor areas despite a decreasing number of physicians in those areas. A single physician increased his productivity by 300% to 400% by combining already available resources: specially trained and supervised nurse-practitioners, problem-oriented charting, and multiphasic screening. With emphasis on the nurse-practitioner as the main "person of contact" for the patient, the physician is able to shift from 50% to 75% of his usual tasks to these specially trained personnel. Patients have come to regard the physician as a "consultant" to the nurse-practitioner.

Community Health Services↗

PubMed1992

Aging and shifts of visual spatial attention.

Three experiments examined adult age differences in the efficiency of endogenous (voluntary) and exogenous (involuntary) attention shifts. Younger and older subjects performed a spatial cuing task in which abruptly onset peripheral cues (Experiment 1) or central, symbolic cues (Experiments 2 and 3) were presented before a target stimulus at intervals ranging from 50 to 250 ms. With peripheral cues, the magnitude of cuing effects was at least as great for older as for younger adults and followed a similar time course. Similar results were obtained with symbolic cues, although cuing effects for older adults varied with cue difficulty. The results suggest that cue encoding may decline with advancing age but that the efficiency of the shift process is preserved.

Adolescent↗

PubMed1987

Cognitive task influence on relative hemispheric motor control: mouth asymmetry and lateral eye movements.

While strictly verbal cognitive tasks showed a strong left-hemisphere dominance, the presence of visualization and emotion in cognitive tasks resulted in increased involvement of the right hemisphere in motor control of speech as measured by mouth asymmetry. Spontaneous smiles showed right-hemisphere dominance. Lateral eye movements showed an unexpected shift to left gaze during speech which may suggest a dual task interference between speech and gaze motor control.

Adolescent↗

PubMed1979

Information processing in the cerebral hemispheres: selective hemispheric activation and capacity limitations.

Several previous experiments have found that concurrently maintaining verbal information in memory influences visual laterality patterns (e.g., Hellige & Cox, 1976; Kinsbourne, 1975). The present article critically reviews existing experiments and reports five additional experiments designed to identify the mechanisms responsible for such effects. Experiment 1 demonstrates that laterality patterns are not influenced by a concurrent memory task that does not require verbal processing. (The verbal nature of the concurrent task was an important aspect of previous experiments.) Experiments 2 and 3 were designed to determined whether concurrent verbal memory primarily influences very early visuospatial processes or later processes such as those involved in visuospatial memory. In Experiment 2, observers indicated whether two simulteneously presented nonsense forms had the same shape. Observers held 0, 2, 4, or 6 words in memory during each shape judgment trial. Responses were faster when the forms were presented to the left visual field--right hemisphere (LVF-RH) than to the right visual field--left hemisphere (RVF-LH). This effect did not interact with memory set size. In Experiment 3, observers indicated whether either of two simultaneously presented forms was identical to a target form held in memory. Observers held 0, 2, or 6 words in memory on each trial. On same-as-target trials, responses were faster on LVF-RH trials than on RVF-LH trials in the no-word memory condition; this difference was reversed in the two-word and six-word conditions. The combined results of Experiments 2 and 3 suggest that concurrent verbal memory influences stages of processing beyond the initial registration of visuospatial information. Experiments 4 and 5 examined the influence of concurrent verbal memory on verbal laterality tasks. Observers indicated whether two simultaneously presented letters of different cases had the same name. In Experiment 4, different groups of observers held 0, 2, 4, or 6 words in memory on each letter-pair trial. In Experiment 5, memory set size was manipulated within subjects. On the same-pair trials of Experiment 4 and the first session of Experiment 5, responses in the no-memory condition were faster on RVF-LH trials than on LVF-RH trials; this difference was reversed in all of the work memory conditions. This shift is opposite to that found when the laterality task does not require verbal processing and further indicates that concurrent verbal memory influences processing stages beyond those that are common to the form-pair and letter-pair tasks. Neither directness-of-pathway nor attention-gradient laterality models can explain the entire pattern of results from the present experiments. Rather, the results suggest that the left hemisphere functions as a typical limited-capacity information processing system that can be influenced somewhat separately from the right hemisphere system.

Cerebral Cortex↗

PubMed1989

Impaired extra-dimensional shift performance in medicated and unmedicated Parkinson's disease: evidence for a specific attentional dysfunction.

Groups of patients with Parkinson's disease, either medicated, or unmedicated and early in the course, together with age- and IQ-matched control subjects were tested in two paradigms measuring different aspects of selective attention. The first set of tests compared visual discrimination learning following intra- and extra-dimensional shifts, using a "total change" design in which each shift was made in the presence of novel exemplars of the compound stimuli used as discriminanda. The second test consisted of a visual search task in which the number of alternatives was varied. The results of the first experiment showed a selective deficit in both groups of Parkinsonian subjects in their ability to perform an extra-dimensional shift. In the visual search task, the patients were less accurate, but responded with equivalent choice reaction times to those of controls. The results are discussed in terms of the nature of the attentional dysfunction that occurs in Parkinson's disease.

Aged↗

PubMed1988

Effect of a mental arithmetic task on dark focus of accommodation.

Three subjective techniques for measuring accommodation (polarized vernier optometer, laser optometer, and a hand optometer based on the vernier principle) were used to measure subjects' dark focus while they performed a short-term mental arithmetic task. Compared with the initial values measured without the arithmetic task, significant changes in dark focus occurred when the task was performed. The effects depended on the initial dark focus of the subjects: in far-dark-focus subjects, inward shifts were generally observed; in near-dark-focus subjects, the dark focus shifted in different directions when different measuring techniques were used. The individual changes in dark focus due to the mental task were reproducible when the mean dark focus of the group shifted inward and when the same technique for measuring accommodation was used. The results have implications for the interpretation of dark focus shifts that are found following prolonged visual work at close distances, e.g. at visual display terminals.

Accommodation, Ocular↗