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Biomedical subjects

M J Washburn

Publications and source records attributed to M J Washburn.

4 recordsLinked to original sources
PubMed1999

Individual and organizational accountability for development of critical thinking.

Advanced abilities to think critically are necessary to improve clinical systems, decrease errors and sentinel events, and engage staff involvement to refine patient care systems. The authors explore practical methods, based on current research, to promote mature critical-thinking skills in healthcare professionals, from patient care clinical judgment to a leadership perspective. Individual and organizational accountabilities for expanding critical thinking skills are investigated, and a problem-solving model is proposed as a coordinated strategy.

Health Facilities↗
PubMedDate not supplied

Facilitating critical thinking.

Supporting staff to think effectively is essential to improve clinical systems, decrease errors and sentinel events, and engage staff involvement to refine patient care systems in readiness for new care-delivery models that truly reflect the valued role of the RN. The authors explore practical methods, based on current research and national consulting experience, to facilitate the development of mature critical thinking skills. Assessment tools, a sample agenda for formal presentations, and teaching strategies using behavioral examples that make the important and necessary link of theory to reality are discussed in the form of a critical thinking test as well as a conceptual model for application in problem solving.

Clinical Competence↗
PubMedDate not supplied

Successful restructuring: maximizing training dollars.

Data regarding the cost of staff training associated with restructuring are scarce and incomplete, with little measurement of how staff performed after training. Effectiveness of staff education efforts are hampered by staff resistance to change, dysfunctional interdisciplinary team work, and existing system "glitches." The key criteria for successful education efforts related to restructuring are: development of measurable desired outcomes of training efforts, determination of solution appropriateness and resource needs, the thoughtful timing of interventions, and a high level of ongoing organizational support. Changes in teamwork effectiveness can be measured by examining variances in quality outcomes, timely and appropriate discharge planning, and resource cost measures such as use of overtime and absenteeism. Recommendations for effective use of training dollars include acknowledging resistance and providing forums which permit time (and a process) for re-education.

Cost-Benefit Analysis↗