accommodations

住宿
  • 文章类型: Journal Article
    目标:加强工作场所的沟通和支持流程,使残疾人能够维持就业和重返工作岗位是工人的优先事项,雇主,和社区利益相关者。这项研究的目的是评估一种解决支持挑战的新资源,工作需求和住宿计划工具(JDAPT),并评估其用途,相关性,以及9个月随访期间的结果。
    方法:使用有目的的抽样方法招募具有身体和心理健康/认知状况导致工作受限的工人。在线调查是在基线时进行的(在使用JDAPT之前),以及基线后三个月和九个月。收集了有关人口统计的信息(例如,年龄,性别)和工作特征(例如,就业部门,组织规模)。结果包括评估JDAPT的使用和相关性,和自我效能感的变化,工作效率困难,就业问题,工作需求的困难,和旷工。
    结果:基线参与者为269名工人(66%为女性;平均年龄41岁),其中188名(69.9%)完成了所有三波数据收集。许多工人报告在工作内外使用JDAPT策略,并对工具的可用性持有积极的看法,相关性,和乐于助人。自我效能感(时间1-2;时间1-3)显着改善,感知的工作效率,和缺勤,在自我效能感和生产力方面具有中等到较大的效应大小(0.46至0.78)。不同性别的调查结果是一致的,年龄,健康状况,和工作上下文变量。
    结论:JDAPT可以增强支持提供,并为工作场所残疾实践提供更大的透明度和一致性,这对于创造更具包容性和更容易获得的就业机会至关重要。
    OBJECTIVE: Enhancing workplace communication and support processes to enable individuals living with disabilities to sustain employment and return to work is a priority for workers, employers, and community stakeholders. The objective of this study was to evaluate a new resource that addresses support challenges, the Job Demands and Accommodation Planning Tool (JDAPT), and assess its use, relevance, and outcomes over a nine-month follow-up period.
    METHODS: Workers with physical and mental health/cognitive conditions causing limitations at work were recruited using purposive sampling. Online surveys were administered at baseline (prior to using the JDAPT), and at three and nine months post-baseline. Information was collected on demographics (e.g., age, gender) and work characteristics (e.g., job sector, organization size). Outcomes included assessing JDAPT use and relevance, and changes in self-efficacy, work productivity difficulties, employment concerns, difficulties with job demands, and absenteeism.
    RESULTS: Baseline participants were 269 workers (66% women; mean age 41 years) of whom 188 (69.9%) completed all three waves of data collection. Many workers reported using JDAPT strategies at and outside of work, and held positive perceptions of the tool\'s usability, relevance, and helpfulness. There were significant improvements (Time 1-2; Time 1-3) in self-efficacy, perceived work productivity, and absenteeism with moderate to large effect sizes in self-efficacy and productivity (0.46 to 0.78). Findings were consistent across gender, age, health condition, and work context variables.
    CONCLUSIONS: The JDAPT can enhance support provision and provide greater transparency and consistency to workplace disability practices, which is critical to creating more inclusive and accessible employment opportunities.
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  • 文章类型: Journal Article
    与其他人相比,有沟通障碍的个人在获得平等的司法机会方面遇到障碍。尽管经历了广泛的暴力和虐待,它们是通过法律制度寻求补救的挑战。一个障碍是法律从业人员缺乏对适当便利的认识,这将有助于沟通障碍个人有效参与法庭。
    这项研究探讨了最后一年的法律学生对沟通障碍个人可获得的法院住宿的认识,允许他们在南非法庭作证.这些发现可以为扩展法律专业学生的当前课程提供启发。
    这项定性研究使用了改进的六步名义分组技术,参与者(通过滚雪球采样确定的六名法律学生)产生,讨论并就沟通障碍个人所需的便利达成共识,使他们能够在法庭上提供证词。采用专题分析原则对数据进行分析。
    研究发现,尽管参与者没有收到任何关于残疾权利的指导,在本科阶段的法律培训期间获得司法或法院便利,他们能够感知和了解四种主要类型的法院便利,以使他们能够作证。
    最后一年的法律学生知道法院的住宿,尽管没有收到残疾法的正式指导。
    建议在本科阶段纳入残疾权利和法院便利,以确保在实践中,律师有确保沟通障碍人士诉诸司法的知识。
    UNASSIGNED: Individuals with communication disabilities encounter obstacles in attaining equal access to justice compared to others. Despite experiencing widespread violence and abuse, they come across as challenges in seeking remedies through the legal system. One barrier is the lack of awareness among legal practitioners regarding suitable accommodations that would facilitate effective participation in court for individuals with communication disabilities.
    UNASSIGNED: This study explores the awareness of final-year law students concerning court accommodations available for individuals with communication disabilities, allowing them to testify in a South African court. The findings can serve as inspiration for expanding the current curriculum for law students.
    UNASSIGNED: This qualitative study used a modified six-step nominal group technique whereby participants (six law students identified through snowball sampling) generated, discussed and reached a consensus on accommodations needed by individuals with communication disabilities, enabling them to provide testimony in court. Data were analysed using thematic analysis principles.
    UNASSIGNED: The study found that although participants had not received any instruction on disability rights, access to justice or court accommodations during their legal training at the undergraduate level, they were able to perceive and learn about four main types of court accommodations for persons with communication disabilities to enable their testimony.
    UNASSIGNED: Final-year law students are aware of court accommodations despite not having received formal instruction in disability law.
    UNASSIGNED: The inclusion of disability rights and court accommodations is recommended at the undergraduate level to ensure that when in practice, lawyers have knowledge on ensuring access to justice for persons with communication disabilities.
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  • 文章类型: Journal Article
    背景:每年有数百万儿童被诊断为创伤性脑损伤(TBI),大多数是轻度TBI(mTBI)。mTBIs对学业成绩的影响非常重要。我们调查了mTBI对学龄儿童参与者家长报告学业成绩的影响。
    方法:这项横断面调查研究向父母(N=285)询问了mTBI前后的字母成绩以及是否存在学术适应,包括复杂的mTBI(c-mTBI,或具有射线照相异常的mTBI)。
    结果:我们发现父母报告的c-mTBI后字母等级下降(p<.001),在不复杂的mTBI之后没有显著变化。恢复的程度和长度也与等级变化相关(p<0.05)。那些在受伤前没有学术适应的人,无论受伤后适应状态如何,受伤后成绩显着下降(p<.05)。
    这项研究强调需要一个改进的支持框架,以最大限度地提高mTBI后儿童的学习成绩,尤其是那些患有c-mTBI并且仍在从伤病中恢复的人。
    结论:我们的研究确定了在mTBI后存在不良学业成绩风险的儿童。我们鼓励努力更好地支持学校护士,包括改善医疗团队和学校团队之间的沟通。
    BACKGROUND: Millions of children are diagnosed with a traumatic brain injury (TBI) each year, most being mild TBI (mTBI). The effect of mTBIs on academic performance is of significant importance. We investigate mTBI\'s impact on parent-reported academic outcomes in school-aged pediatric participants.
    METHODS: This cross-sectional survey study queried parents (N = 285) regarding letter grade performance and the presence or absence of academic accommodations before and after an mTBI, including complicated mTBI (c-mTBI, or mTBI with radiographic abnormality).
    RESULTS: We found a parent-reported decline in letter grades following c-mTBI (p < .001), with no significant change following uncomplicated mTBIs. Degree and length of recovery were also associated with grade changes (p < .05). Those with no academic accommodations prior to the injury showed significant decreases in grades after injury regardless of post-injury accommodation status (p < .05).
    UNASSIGNED: This study underscores the need for an improved framework of support to maximize academic performance of children following mTBI, especially in those with a c-mTBI and still recovering from their injury.
    CONCLUSIONS: Our study identifies children who are at risk for adverse academic outcomes following mTBI. We encourage efforts to better support school nurses in this effort, including improved communication between health care teams and school teams.
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  • 文章类型: Journal Article
    在过去的十年中,儿童和青少年焦虑的比率显着增加(Haidt&Twenge,2023年)。基于暴露的认知行为疗法是治疗焦虑儿童的金标准(Hofmann等人。(2012))。然而,由于担心其安全性,许多临床医生避免使用暴露,有效性,和伦理学(Deacon等人,,2013;怀特赛德等人。,2016)。我们提出了一种由独立活动(IAs)组成的儿童焦虑的新治疗方法,这是儿童导向的,有趣,非结构化,在没有父母帮助的情况下执行具有发展挑战性的任务。这些任务在地形上故意与引起焦虑的刺激无关,与暴露疗法形成鲜明对比。尽管有这种不同,IAs涉及儿童焦虑的发展和维持的目标推定机制(例如,父母的住宿和过度参与,儿童回避,无用的思维方式)。使用非并发多基线设计,这5个疗程的治疗提供了儿童和家长高度接受治疗的初步证据.据报道,儿童焦虑和回避方面有中等到大的改善,参与维持儿童焦虑的父母和儿童(行为和认知)机制,和无目标的次要结果,如儿童幸福。结果可能暗示了一种新的治疗模式,这是迫切需要的,考虑到儿童和青少年的焦虑有增无减,尽管有大量资源用于这个问题。
    Rates of child and adolescent anxiety have increased markedly over the past decade (Haidt & Twenge, 2023). Exposure-based cognitive-behavioral therapy is the gold standard in the treatment of anxious children (Hofmann et al. (2012)). However, many clinicians refrain from using exposure due to concerns about its safety, effectiveness, and ethics (Deacon et al., 2013; Whiteside et al., 2016). We propose a novel treatment approach for child anxiety composed of independence activities (IAs), which are child-directed, fun, unstructured, developmentally challenging tasks performed without parents\' help. These tasks are purposely topographically unrelated to the stimuli that cause anxiety, in direct contrast to exposure therapy. Despite this dissimilarity, IAs target putative mechanisms involved in the development and maintenance of child anxiety (e.g., parental accommodation and overinvolvement, child avoidance, unhelpful thinking styles). Using a nonconcurrent multiple baseline design, this five-session treatment provided preliminary evidence of high treatment acceptability from children and parents. Medium to large improvements were reported in child anxiety and avoidance, parent and child (behavioral and cognitive) mechanisms involved in the maintenance of child anxiety, and untargeted secondary outcomes such as child happiness. Results may suggest a new treatment paradigm, which is desperately needed, given unabated increases in child and adolescent anxiety despite vast resources being directed toward the problem.
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  • 文章类型: Journal Article
    目的:本文研究了美国不同人口群体中长型COVID的患病率,以及与长型COVID相关的残疾工人从事与大流行相关的远程工作的程度。
    方法:我们使用美国家庭脉搏调查来评估所有自我报告(1)患有长期COVID的成年人的比例,(2)由于长时间的COVID而具有活性限制。我们还使用来自美国当前人口调查的数据来估计有残疾和无残疾工人中与大流行相关的远程工作的可能性的线性概率回归。
    结果:研究结果表明,女性,西班牙裔人,性和性别少数群体,没有四年制大学学位的人,既往有残疾的人更有可能患有长期COVID,并且长期COVID会限制活动。对于有此类活动限制的人来说,远程工作是一种合理的安排,对于一些未公开残疾的人来说,远程工作可能是一种无意的住宿。然而,这项研究表明,与无残疾人士相比,残疾人士进行与大流行相关的远程工作的可能性较小.
    结论:数据表明,这种差异仍然存在,因为残疾人聚集在不适合远程工作的工作中。雇主需要考虑其他住宿,特别是更短的工作日和灵活的日程安排,雇用和留住那些正在努力应对长期COVID影响的员工。
    OBJECTIVE: This paper examines the prevalence of long COVID across different demographic groups in the US and the extent to which workers with impairments associated with long COVID have engaged in pandemic-related remote work.
    METHODS: We use the US Household Pulse Survey to evaluate the proportion of all adults who self-reported to (1) have had long COVID, and (2) have activity limitations due to long COVID. We also use data from the US Current Population Survey to estimate linear probability regressions for the likelihood of pandemic-related remote work among workers with and without disabilities.
    RESULTS: Findings indicate that women, Hispanic people, sexual and gender minorities, individuals without 4-year college degrees, and people with preexisting disabilities are more likely to have long COVID and to have activity limitations from long COVID. Remote work is a reasonable arrangement for people with such activity limitations and may be an unintentional accommodation for some people who have undisclosed disabilities. However, this study shows that people with disabilities were less likely than people without disabilities to perform pandemic-related remote work.
    CONCLUSIONS: The data suggest this disparity persists because people with disabilities are clustered in jobs that are not amenable to remote work. Employers need to consider other accommodations, especially shorter workdays and flexible scheduling, to hire and retain employees who are struggling with the impacts of long COVID.
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  • 文章类型: Journal Article
    提供基于残疾的住宿是一个多方面的过程,必须平衡牙科学生及其机构的需求。合理的住宿不得损害患者安全或对学生或机构造成不适当的负担。因此,随着近年来学习障碍的个人数量和类型的增加,必须考虑更有创造性的方法。在临床上,提供住宿还需要详细的高级计划和协作以保持计划质量。然而,当前的技术标准(TS)可能成为残疾人进入卫生专业的障碍。尽管带来了独特的观点和经验,可以为文化精通的从业者提供多样化的劳动力,但这些人在牙科中的代表性仍然不足。作为回应,许多学校对TS采用了“功能”方法,强调学生的能力而不是他们的局限性。此外,创新的辅助技术加上关键教学法和通用设计学习实践的应用,使具有最广泛能力的人参与进来,从而允许公平的学习和评估方法,同时保持专业标准。
    Providing disability-based accommodations is a multifaceted process that must balance the needs of dental students and their institutions. Reasonable accommodations must not compromise patient safety or cause an undue burden on the student or institution. Therefore, more creative approaches must be considered as the number of individuals and the types of learning disabilities have increased in recent years. In the clinical setting, providing accommodations also requires detailed advanced planning and collaboration to maintain program quality. However, current technical standards (TS) may serve as a barrier to entry into the health professions for people with disabilities. These individuals remain substantially underrepresented in dentistry despite bringing unique perspectives and experiences that can contribute to a diverse workforce of culturally proficient practitioners. In response, many schools have adopted a \"functional\" approach to TS that emphasizes a student\'s abilities rather than their limitations. In addition, innovative assistive technologies coupled with the application of critical pedagogy and universal design learning practices that engage people with the widest possible range of capabilities allows equitable approaches for learning and assessment while maintaining professional standards.
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  • 文章类型: Journal Article
    目的:本研究调查了获得辅助技术对残疾人就业和收入的影响。
    方法:我们首先使用2017-2021年美国社区调查和2014年收入和项目参与调查数据记录与特定损害和活动限制相关的就业和收入差距。然后,我们使用2012年,2019年和2021年当前人口调查(CPS)残疾补充剂的住宿数据来检查与任何相关的残疾人的就业和收入增长,以技术为基础,住宿。我们还提供了三种正在开发的辅助技术的简短描述,这些辅助技术可以帮助有上半身障碍的人,视觉障碍,和焦虑状况。
    结果:几乎所有的减值和活动限制都与较低的就业和收入有关,行动不便者的就业率特别低,认知障碍者的收入特别低。大约十分之一的残疾工人获得了任何住宿,在2012-2021年期间,3-4%的人获得了基于设备的住宿;这些数字在此期间略有增加。从2012年到2021年,残疾率最高的职业的残疾就业增长更大,但这些职业的残疾工资差距并没有减少更多。我们描述的三种正在发展的辅助技术说明了减少估计的就业和收入赤字的潜力。
    结论:辅助技术调节有可能改善残疾人的就业结果。
    OBJECTIVE: This study investigates how access to assistive technologies affects employment and earnings among people with disabilities.
    METHODS: We first document employment and earnings gaps associated with specific impairments and activity limitations using 2017-2021 American Community Survey and 2014 Survey of Income and Program Participation data. We then use accommodations data from the 2012, 2019, and 2021 Current Population Survey (CPS) Disability Supplements to examine employment and earnings growth for people with disabilities related both to any, and to technology-based, accommodations. We also provide short descriptions of three developing assistive technologies that assist people with upper body impairments, visual impairments, and anxiety conditions.
    RESULTS: Almost all impairments and activity limitations are linked to lower employment and earnings, with especially low employment among people with mobility impairments and particularly low earnings among those with cognitive impairments. About one-tenth of workers with disabilities received any accommodations, and 3-4% received equipment-based accommodations in the 2012-2021 period; these figures increased slightly over the period. The occupations with the highest disability accommodations rates had greater disability employment growth from 2012 to 2021, but disability pay gaps did not decrease more in these occupations. The three developing assistive technologies we describe illustrate the potential to reduce the estimated employment and earnings deficits.
    CONCLUSIONS: Assistive technology accommodations have potential for improving employment outcomes for people with disabilities.
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  • 文章类型: Journal Article
    姑息治疗(PC)临床医生已做好准备,以帮助残疾人(PWD)在严重疾病的背景下生活得很好。PC优先考虑以人为本的护理,注重功能,自主性,和生活质量。这种方法符合PWD的高质量护理原则。了解PWD的独特经验和需求可以促进全面的交付,公平的PC为这个人口。在这篇文章中,我们提供了10个提示,以帮助PC临床医生在护理方法中开发知情的残疾镜片.
    Palliative care (PC) clinicians are well poised to help people with disabilities (PWD) live well in the context of serious illness. PC prioritizes person-centered care with a focus on function, autonomy, and quality of life. This approach aligns with principles of high-quality care for PWD. An understanding of the unique experiences and needs of PWD can advance the delivery of comprehensive, equitable PC for this population. In this article, we provide 10 tips to help PC clinicians develop an informed disability lens in their approach to care.
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  • 文章类型: Journal Article
    为残疾学习者创造一个欢迎和支持的环境需要成为药学教育的重点。包括残疾学生增强计划的多样性,并有助于提高对残疾的认识和理解。拥抱残疾的障碍包括对残疾的耻辱,资源分配不足,对住宿的误解。接受残疾需要采取的步骤包括评估当前的方案文化,提供教育,以及与外部利益相关者的合作。药学学校/学院必须朝着在我们的计划中包含残疾的框架迈进。
    Creating a welcoming and supportive environment for learners with disabilities needs to be a focus within pharmacy education. Including students with disabilities enhances program diversity and contributes to awareness and understanding of disability. Barriers to embracing disability include stigma toward disability, insufficient resource allocation, and misunderstanding of accommodations. Steps that need to be taken to embrace disability include evaluation of current programmatic culture, provision of education, and collaboration with external stakeholders. Schools/colleges of pharmacy must move toward a framework that embraces disability within our programs.
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  • 文章类型: Journal Article
    随着医学院拥抱多样性,人们越来越认识到,残疾医学生成为医生必须受到欢迎和支持。学生应该能够要求并获得合理的住宿来支持他们的教育。然而,需要一个实用的共享方法来支持残疾医学生。本文中的12个技巧使用意义形成理论作为框架来指导医学院教师支持残疾医学生。提示以感知线索为中心,创造解释,采取行动,与学生沟通。这12个技巧可以被各大学的教职员工利用,在为残疾医学生实施支持方面发挥积极作用,反过来,培养包容性的教育环境。
    As medical schools embrace diversity, it is increasingly acknowledged that medical students with disabilities must be welcome and supported in becoming physicians. Students should be able to ask for and receive reasonable accommodations to support their education. However, a practical shared approach to supporting medical students with disabilities is needed. The 12 tips in this article use sense-making theory as a framework to guide medical school faculty in supporting medical students with disabilities. The tips center on perceiving cues, creating interpretations, taking action, and communicating with students. The 12 tips can be utilized by faculty members across universities to take a proactive role in implementing support for medical students with disabilities and, in turn, nurturing an inclusive educational environment.
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