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PubMed1994

A research agenda for licensing and certification testing validation studies.

The set of articles appearing in this issue of Evaluation & the Health Professions provides an in-depth examination of the validation process for licensing and certification test score decisions. The winter 1990 issue of Educational Measurement: Issues and Practice also contains an excellent set of articles about licensing and certification tests. These special editions are much needed because these kinds of testing programs are increasing in numbers and aim to ensure public safety, promote growth of professions, and positively affect the careers of persons dedicated to serving in these professions. This article will comment on issues raised by the authors of these articles. But before doing this, a context is described that affects these issues.

Certification↗

PubMed2000

Caregiving in nursing homes. Views of licensed nurses and nursing assistants.

This investigation is a qualitative study of the views held by 36 licensed nurses (25 registered nurses and 11 licensed practical nurses) and 40 nursing assistants regarding caregiving in nursing homes. Because these care providers are most directly involved in the delivery of care, their views are important as determinants of quality of care. Study findings focus on the extent to which nurses and nursing assistants agree on what contributes to good care and how they perceive the work that each does. Also reported are their perceptions regarding factors that make care delivery easy or difficult. Results suggest that nurses and nursing assistants share selected perceptions about the division of labor in the nursing home. Also evident are areas of less agreement among these members of different status sets. A discussion of how these caregivers can work together as effective team members is presented.

Aged↗

PubMedDate not supplied

The role of licensed nursing personnel in radiation oncology part a: results of a descriptive study.

PURPOSE/OBJECTIVES: To identify the specific administrative, clerical, patient care, patient education, and research responsibilities that licensed nursing personnel perform in the field of radiation oncology. DESIGN: Descriptive. SAMPLE: 281 licensed nursing personnel employed in the field of radiation oncology in North America. METHODS: Subjects completed a six-page, self-administered questionnaire comprised of fixed-choice and open-ended questions. MAIN RESEARCH VARIABLES: Demographics, employment settings, and administrative, clerical, patient care, patient education, and research responsibilities. FINDINGS: Nurses in radiation oncology tend to be older (41-60 years of age) and considerably well educated, with many years of experience in this field. Nurses are responsible for a wide variety of tasks. The study found a strong demonstration of the role of nurse educator among radiation oncology nurses. IMPLICATIONS FOR NURSING: Radiation oncology nursing is a subspecialty in evolution. The data should provide support for further exploration of how patient education and support influence patient outcomes in radiation oncology.

Adult↗

PubMed1996

Psychological testing and pilot licensing.

This article reviews contemporary trends in the psychological testing of pilots. It is written in the particular context of draft European Joint Aviation Authorities licensing proposals which, in certain circumstances, envisage psychological testing for pilot licensing purposes. The article aims to clarify issues relating to the validity, reliability, and value of pilot psychological testing in this particular context. It is first suggested that the entire domain is characterized by terminological and methodological confusion. The economic and other benefits of psychological testing are contrasted with the potential risks, including abuse and the use of tests in circumstances for which they were never designed. Reference also is made to cultural differences that potentially may impact on the practical realities of psychological testing--especially within the European context, where the debate is presently at its most intense.

Aerospace Medicine↗

PubMed2002

Essential role of human CDT1 in DNA replication and chromatin licensing.

Formation of pre-replicative complexes at origins is an early cell cycle event essential for DNA duplication. A large body of evidence supports the notion that Cdc6 protein, through its interaction with the origin recognition complex, is required for pre-replicative complex assembly by loading minichromosome maintenance proteins onto DNA. In fission yeast and Xenopus, this reaction known as the licensing of chromatin for DNA replication also requires the newly identified Cdt1 protein. We studied the role of hCdt1 protein in the duplication of the human genome by antibody microinjection experiments and analyzed its expression during the cell cycle in human non-transformed cells. We show that hCdt1 is essential for DNA replication in intact human cells, that it executes its function in a window of the cell cycle overlapping with pre-replicative complex formation and that it is necessary for the loading of minichromosome maintenance proteins onto chromatin. Intriguingly, we observed that hCdt1 protein, in contrast to other licensing factors, is already present in serum-deprived G0 arrested cells and its levels increase only marginally upon re-entry in the cell cycle.

Cell Cycle↗

PubMedDate not supplied

M.D. licensing boards--a new appraisal.

This article summarizes the traditional powers and role of state physician licensing Boards. It relates some of the changes in these powers as a result of legal changes in 1975 and Governor Brown's innovative use of gubernatorial appoint powers. In particular, the changes which have resulted from the appointment of women and consumers to the Board are discussed as well as some of the accomplishments of the Board on issues concerning women. This is with a view toward stimulating reappraisal of licensing Boards and their potential role for changes in medicine.

California↗

PubMed1997

Infant sleep position in licensed child care centers.

OBJECTIVE: To determine 1) familiarity of child care centers with American Academy of Pediatrics (AAP) recommendations regarding infant sleep position, 2) predominant infant sleep positions in child care settings, and 3) child care policies pertaining to sleep position for infants less than 6 months of age. DESIGN: A descriptive, cross-sectional telephone survey including the age and number of infants cared for, infant sleep positions currently in use, and details regarding reasons for sleep position policies. PARTICIPANTS: All licensed child care centers caring for infants less than 6 months of age in Washington, DC, and Montgomery and Prince Georges Counties in Maryland. RESULTS: Out of 137 centers in these areas that accept infants less than 6 months of age, 131 completed the survey. Only 57% (75) of the centers were aware of recommendations regarding infant sleep position. Infants were placed prone in 49% (64) of the centers and 20% (26) of the centers positioned infants exclusively in the prone position. Of the centers, 75% (98) did not have a written policy regarding sleep position. Most common reasons for placing infants in the prone position included child comfort, fear of choking, and guidance by the parents of the infants. Centers that used the prone position exclusively cared for significantly fewer infants on average than centers that never or only sometimes placed infants prone. CONCLUSIONS: Almost half (43%) of licensed child care centers surveyed in the greater Washington, DC area were unaware of the association between sudden infant death syndrome (SIDS) and infant sleep position. Child care centers aware of prone positioning as a SIDS risk were less likely to place infants to sleep in this position, with many such centers avoiding prone positioning entirely. However, it was common for centers aware of the SIDS risk to still place infants prone if directed to do so by parents or if concerned about child comfort. Further educational efforts directed toward child care providers are needed.

Age Factors↗

PubMed2001

A population-based study of crashes involving 16- and 17-year-old drivers: the potential benefit of graduated driver licensing restrictions.

OBJECTIVE: To evaluate the potential effectiveness of graduated driver licensing programs using population-based linked data for motor vehicle crashes (MVCs) that involved teenaged drivers (TDs). METHODS: Utah crash, inpatient hospital discharge, and emergency department databases were analyzed and probabilistically linked. We computed hospital charges and compared violations, contributing factors, seatbelt use, and passengers for TDs (16-17 years old) relative to adult drivers (18-59 years old). RESULTS: TDs comprised 5.8% of the study population, but were involved in 19.0% of MVCs. TD crashes resulted in $11 million in inpatient hospital charges and 158 fatalities. TD crashes were 1.70 times (95% confidence interval [CI]: 1.34, 2.04) less likely to result in fatal injury to drivers than were crashes that involved adult drivers, but TDs were 2.20 times (95% CI: 1.96, 2.47) more likely to receive citations. The following were findings of the study: 1) 11% of all TD crashes but 19% of fatal TD crashes occurred between 2200 and 0600 hours; 2) TDs used seatbelts less often than did adult drivers (79.1% vs 84.4%) and less often with passengers present (81.9% vs 75.0%; 3) TDs were 1.72 times (95% CI: 1.38, 2.14) more likely to be involved in crashes that resulted in seriously or fatally injured occupants when driving with passengers than when driving alone. CONCLUSIONS: TDs are overrepresented in MVCs. TD crashes have a higher fatality rate at night, and TDs wear seatbelts less often than do adult drivers. Passengers affect TD crash characteristics. Graduated driver licensing programs that target state-specific characteristics of TDs may decrease morbidity and mortality.

Accidents, Traffic↗

PubMed2001

Examination of state regulations regarding infants and sleep in licensed child care centers and family child care settings.

BACKGROUND: Twenty percent of sudden infant death syndrome (SIDS) occurs in child care settings. Although the incidence of SIDS in the United States has decreased with increased awareness of the risks of prone infant sleeping, smoke exposure, soft bedding, and unsafe sleep environments, avoidance of these risk factors is not universally practiced in child care settings. Advocacy through state child care regulatory agencies and legislative bodies may be effective in more widespread awareness and avoidance of risk factors. OBJECTIVE: To determine what individual state regulations for licensed child care centers and family child care settings exist regarding: 1) sleep positions for infants under 6 months old, 2) crib safety, 3) bedding safety, and 4) smoking in the facilities. DESIGN: A descriptive survey of regulations for licensed child care centers and family child care settings in the 50 states and the District of Columbia. RESULTS: Fifteen states use regulations adopted before publication of the first policy statement of the American Academy of Pediatrics on infant sleep position and SIDS in 1992. Six states require child care centers to place infants nonprone. Sixty-three percent of states require cribs in child care centers to meet at least 1 safety standard, and 45.1% require this in family child care homes. Six states have provisions limiting the use of soft bedding in child care centers, and 4 have such bans for family child care homes. Seventy-one percent of states prohibit smoking in child care centers during hours of operation; 17% of states have similar requirements for family child care homes. CONCLUSIONS: Many states use child care regulations that were written before the initial policy statements of the American Academy of Pediatrics regarding safe sleep environments for infants. Even those more recently adopted regulations do not adequately address sleep safety for infants. Pediatricians need to become more proactive in promoting safety regulations in child care. Adoption of new regulations can aid in education of child care providers and, thus, improve the safety for infants in child care.

Bedding and Linens↗

PubMed2006

Proximity of licensed child care facilities to near-roadway vehicle pollution.

OBJECTIVES: We assessed child care facilities' proximity to heavily traveled roadways in an attempt to estimate the extent of potential exposure of young children to vehicle-related pollution in this understudied microenvironment. METHODS: We examined approximately 24,000 licensed child care facilities in California located within 200 m of heavily traveled roadways. RESULTS: Approximately 57000 of the available slots in California child care centers (7% of the overall capacity) are in facilities located within 200 m (650 ft) of roadways averaging 50000 or more vehicles per day, and another 172000 (21%) are in facilities located within 200 m of roadways averaging 25,000 to 49,000 vehicles per day. Facilities providing care to infants or preschool-aged children and facilities located in disadvantaged areas were more often situated in medium-or high-traffic areas. CONCLUSIONS: Additional research is needed to further clarify the significance of the child care microenvironment in terms of potential childhood exposures to vehicle-related pollutants. Design strategies, notification standards, and distance-based siting restrictions should be considered in the facility licensing process and in land use and transportation planning.

California↗

PubMed1985

Driver licensing age and lifestyles of 16 year olds.

The relationship of driver licensure rate differences to 16 year old lifestyles was assessed by surveying 15 and 16 year olds in New York, Michigan, and New Jersey. Michigan 16 year olds reported the highest rates of licensure (56 per cent), whereas New York (14 per cent licensed) and New Jersey (2 per cent licensed) had much lower rates. Teenagers in Michigan reported greater decreases in use of bicycles and reliance on parents and relatives for transportation but, for the most part, the differences in 16 year old licensure and mobility were not reflected in lifestyle differences.

Adolescent↗

PubMed1994

The driver's license list as a population-based sampling frame in Iowa.

Driver's license lists are infrequently used for population-based sampling, presumably because of suspicions of poor population coverage. The 1990 Iowa driver's license list was compared with the 1990 census to evaluate coverage by 5-year age group, sex, resident county, and urbanicity. Coverage exceeded 90% among 15- to 74-year-old men and 15- to 64-year-old women, with uniform coverage by county and county urbanicity group in these age ranges. In Iowa, these lists are convenient and cost-effective and appear to be representative for 25- to 64-year-olds. The representativeness of driver lists in regard to other factors and in other geographic regions deserves further evaluation.

Adolescent↗

PubMed1991

Calculating DWI/DWAI recidivism with limited data: using state driver license file for drinking and driving research.

One major research issue in drinking-driving is the volume of DWI/DWAI recidivism in a political unit during a given period of time. This article addresses a methodological issue: How can limited data from the official driver license file be used to calculate drinking-driving recidivism rates? New York State maintains one of the most comprehensive driver license files in the nation, but a dynamic process purges records on the file that are more than ten years old. The magnitude of the recidivism rate calculated from this file, thus, is influenced by the number of data points included: the more years of data included, the higher the rate. We used OLS to examine the impact of the dimension of the data on the recidivism rate and mathematically extended the file to the point where the impact of the data dimension is minimum. We, then, calculated the New York State DWI/DWAI recidivism with an "extended dimension."

Alcohol Drinking↗

PubMed1996

Role of state licensing boards.

Some leaders of the profession and its educational components have voiced concern about changes under way in California and questioned whether the state board of podiatric medicine is acting appropriately. The author attempts to clarify the role of state licensing boards, developments in California, and the board's alignment with those calling for state licensing agencies to help lead reform of medical education.

Accreditation↗

PubMed1993

Reporting health care practitioners to state licensing boards--VA. Final rule.

This document sets forth the policy of the Department of Veterans Affairs (VA) for reporting physicians, dentists, and other health care professionals to State licensing boards under authority of the act captioned "Veterans' Administration Health-Care Amendments of 1985" (the Act) and other authority. The intended effect of this policy is to cooperate with State licensing boards for the purpose of promoting better health care.

Clinical Competence↗

PubMed1999

Conducting forensic examinations on the road: are you practicing your profession without a license?

Psychiatrists and other mental health professionals retained in civil or criminal litigation are frequently required to travel to a state in which they are not licensed to perform assessments and offer testimony. Adverse professional and legal consequences may await the unwary peripatetic forensic expert. Failure to address local practice requirements may result in disqualification to testify as well as civil and criminal liability, professional disciplinary action, and denial of liability insurance coverage. In this article, the authors address preventative measures to avoid charges of practicing without a license when the forensic expert crosses state lines.

Expert Testimony↗

PubMed1982

Cooperative use and multiple licensing of stations in the private land mobile radio services--Federal Communications Commission. Final rule; report and order.

The Federal Communications Commission is adopting rules to govern the cooperative sharing and multiple licensing of facilities in its private land mobile radio services. The rules which are adopted define the types of arrangements which will and will not be allowed. These rules have been adopted: (1) To remove certain procedural burdens heretofore required ot licensees and user eligibles; (2) To assure adequate licensee control; and (3) To codify permissible licensee and user practices relating to multiple licensed and cooperatively shared systems.

Radio↗

PubMed1989

Legal issues critical in software license agreements.

The complex legal aspects of software license agreements are addressed in this final part of a three-part series. A healthcare organization that has selected a software vendor and has reviewed the central provisions of a licensing agreement must then take a close look at the other provisions of the agreement. These include numerous legal provisions, regulatory requirements, and ancillary agreements related to maintenance and access to the software.

Confidentiality↗