title: Assessment of learning, for learning, and as learning: New Zealand case studies

authors: Hume, Anne Christine

subjects: New Zealand

abstract: Research about the benefits of formative assessment as a means of improving student learning has encouraged policy-makers and teachers in countries like the UK, Australia and New Zealand to promote and use classroom-based assessment for learning in the qualifications arena. However, recent research suggests teachers are implementing a narrow interpretation of formative assessment in classrooms using techniques that focus on assessment procedures and practices to assure students comply with criteria and achieve awards for external qualifications. This variation on 'teaching to the test' has led to the coining of the phrase 'assessment as learning' to indicate the instrumentalism that results from such restricted practice. This paper reports on findings from case studies of two schools in New Zealand where secondary school students are learning how to perform science investigations under direction, for a curriculum standard that is a component of a national standards-based qualification. The findings reveal that students' assessment and learning experiences reflect the emerging international trend of 'assessment as learning', but strategies for redressing some of the undesirable aspects of this limiting form of formative assessment in this New Zealand context are identified.

text: Assessment of learning, for learning, and as learning: New Zealand case studies Research about the benefits of formative assessment as a means of improving student learning has encouraged policy-makers and teachers in countries like the UK, Australia and New Zealand to promote and use classroom-based assessment for learning in the qualifications arena. However, recent research suggests teachers are implementing a narrow interpretation of formative assessment in classrooms using techniques that focus on assessment procedures and practices to assure students comply with criteria and achieve awards for external qualifications. This variation on 'teaching to the test' has led to the coining of the phrase 'assessment as learning' to indicate the instrumentalism that results from such restricted practice. This paper reports on findings from case studies of two schools in New Zealand where secondary school students are learning how to perform science investigations under direction, for a curriculum standard that is a component of a national standards-based qualification. The findings reveal that students' assessment and learning experiences reflect the emerging international trend of 'assessment as learning', but strategies for redressing some of the undesirable aspects of this limiting form of formative assessment in this New Zealand context are identified.

year: 2009

title: Claims for manuka honey activity

authors: Molan, Peter C.

abstract: Whilst standards have been established to define whether or not a honey can be called manuka, little progress has been made with establishing a standard for describing the antibacterial activity of manuka honey. In New Zealand and in other countries there are laws that protect consumers from being misled, and laws to protect traders from unfair competition. Anyone making a claim for honey having a particular level of antibacterial activity when selling it needs to take care that they are not falling foul of these laws. This article has been written to ensure that false claims are not made unknowingly.

text: Claims for manuka honey activity Whilst standards have been established to define whether or not a honey can be called manuka, little progress has been made with establishing a standard for describing the antibacterial activity of manuka honey. In New Zealand and in other countries there are laws that protect consumers from being misled, and laws to protect traders from unfair competition. Anyone making a claim for honey having a particular level of antibacterial activity when selling it needs to take care that they are not falling foul of these laws. This article has been written to ensure that false claims are not made unknowingly.

year: 2012

title: Exploring patient experiences and power dynamics in an acute general surgical ward: A mixed methods study exploring patient and staff
perceptions of the inpatient experience at Waikato Hospital

authors: Drake, Emma Rose

subjects: Nursing

abstract: Background: Alongside health outcomes, patient experiences are considered crucial in identifying the quality of a health care setting. General surgery comprise the largest range of pathologies and accounts for the highest number of patient discharges of any surgical specialty. As a way to address the power imbalance between healthcare staff and patients, patient-centred models of care are increasingly being adopted and implemented within hospitals including surgery. This study aims to investigate the current experiences of acutely admitted patients in a general surgical ward at Waikato Hospital, including opportunities for and challenges to improvement initiatives. Furthermore, the study examines relevant staff members perspectives of the inpatient experience and seeks to determine the efficacy of a proposed intervention focusing on empowering patients and their families.
Methods: The study was a mixed method design involving two phases. Phase I obtained qualitative data from semi-structured interviews with six patients and twelve staff members. Themes which emerged from the qualitative data in phase I were used to inform the development of phase II, as well as to inform a proposed patient self- assessment intervention. Phase II obtained quantitative data through Likert scale response surveys provided to acute patients on, or near to, their day of discharge from the surgical ward over a two month period.
Results: A total of six patients and 12 healthcare staff (senior registered nurses, n=3; surgical registered nurse managers, n=2; surgical fellows, n=2; surgical registrar, n=1; dietitian, n=1; social worker, n=1; occupational therapist, n=1; and physiotherapist n=1) were involved in phase I. A total of 53 surveys were returned from patients in Phase II (63.1% response rate). Qualitative data from phase I was analysed using a general inductive approach. This revealed three themes including power and control concerns for patients, the hierarchy of the health care team and the surrounding stressors of the organisation and environment. Analysis of the quantitative data collected descriptive statistics and calculated chi-squares. Of note were the statistically significant differences particularly between patients of Māori ethnicity comparatively to non-Māori, and according to gender and reason in hospital. There were no statistically significant differences for patients according to age group.
Conclusion: This study identified both the experiences of patients and staff in an acute general surgical context. The study found that the proposed patient self- assessment intervention was not immediately recommended. This was due to the current recommendations from patients who identified their strong preference was for face-to-face communication with staff. It was also due to staff members identification of a perceived inability to consistently provide person-centred care which corresponded with the patient self-assessment data. Acute general surgical care needs of patients were perceived by staff as taking precedent and current workplace stressors, including staffing and skill mix deficits and perceived lack of staff wellbeing supports, were strong inhibitors for staff to provide their preferred capacity of patient-centred care.

text: Exploring patient experiences and power dynamics in an acute general surgical ward: A mixed methods study exploring patient and staff
perceptions of the inpatient experience at Waikato Hospital Background: Alongside health outcomes, patient experiences are considered crucial in identifying the quality of a health care setting. General surgery comprise the largest range of pathologies and accounts for the highest number of patient discharges of any surgical specialty. As a way to address the power imbalance between healthcare staff and patients, patient-centred models of care are increasingly being adopted and implemented within hospitals including surgery. This study aims to investigate the current experiences of acutely admitted patients in a general surgical ward at Waikato Hospital, including opportunities for and challenges to improvement initiatives. Furthermore, the study examines relevant staff members perspectives of the inpatient experience and seeks to determine the efficacy of a proposed intervention focusing on empowering patients and their families.
Methods: The study was a mixed method design involving two phases. Phase I obtained qualitative data from semi-structured interviews with six patients and twelve staff members. Themes which emerged from the qualitative data in phase I were used to inform the development of phase II, as well as to inform a proposed patient self- assessment intervention. Phase II obtained quantitative data through Likert scale response surveys provided to acute patients on, or near to, their day of discharge from the surgical ward over a two month period.
Results: A total of six patients and 12 healthcare staff (senior registered nurses, n=3; surgical registered nurse managers, n=2; surgical fellows, n=2; surgical registrar, n=1; dietitian, n=1; social worker, n=1; occupational therapist, n=1; and physiotherapist n=1) were involved in phase I. A total of 53 surveys were returned from patients in Phase II (63.1% response rate). Qualitative data from phase I was analysed using a general inductive approach. This revealed three themes including power and control concerns for patients, the hierarchy of the health care team and the surrounding stressors of the organisation and environment. Analysis of the quantitative data collected descriptive statistics and calculated chi-squares. Of note were the statistically significant differences particularly between patients of Māori ethnicity comparatively to non-Māori, and according to gender and reason in hospital. There were no statistically significant differences for patients according to age group.
Conclusion: This study identified both the experiences of patients and staff in an acute general surgical context. The study found that the proposed patient self- assessment intervention was not immediately recommended. This was due to the current recommendations from patients who identified their strong preference was for face-to-face communication with staff. It was also due to staff members identification of a perceived inability to consistently provide person-centred care which corresponded with the patient self-assessment data. Acute general surgical care needs of patients were perceived by staff as taking precedent and current workplace stressors, including staffing and skill mix deficits and perceived lack of staff wellbeing supports, were strong inhibitors for staff to provide their preferred capacity of patient-centred care.

year: 2022