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PubMed2001

Shades of grey.

The shortage situation is worsening: aging nurses, too few new grads, and growing demand. Learn how to get and keep the nurses you need.

Age Factors↗
PubMed1996

A national survey of physicians' behaviors regarding sexual contact with patients.

To determine the prevalence of sexual contact between physicians and patients, we mailed a survey to a nationwide, randomized sample of 1,600 physicians, including internists, family medicine physicians, obstetrician-gynecologists, and ophthalmologists. The response rate was 52% (n = 787). Of all respondents, 4.5% reported having dated a patient and 3.4% reported having had sexual (genital-genital, oral-genital, or anal-genital) contact with a patient. Physicians older than 50 years and unmarried physicians were significantly more likely to have dated patients. No differences in dating or sexual contact according to specialty or gender were found. Physicians who reported having had sexual contact with a patient were less likely to report negative consequences of the contact than physicians who had personal knowledge of sexual contact by other physicians. These results have implications for educational interventions for physicians.

Adult↗
PubMedDate not supplied

The challenges and rewards of institutional collaboration in distance education.

Faculty from five nursing schools created an innovative RN to BSN program, which is offered via distance education technology. The development of a distance education academic program leading to a degree involved working to overcome many barriers; however, this strategy for delivering an academic degree has a promising future.

Attitude of Health Personnel↗
PubMed2000

Toward a new paradigm for public health practice and academic partnerships.

Despite substantial progress in establishing academic and public health partnerships over the past 20 years, two questions require further examination: (1) How are the most effective partnerships achieved? and (2) How well are these partnerships suited to the current and future problems of public health? The authors propose the "new public health" perspective, which offers challenges to develop a dialogue and power relationships among partners based on symmetry rather than conventional asymmetry. New forms of discourse and benchmarking of progress in improving the health of the public may be achieved by adopting this paradigm.

Benchmarking↗
PubMed2000

The adolescent years: an academic-community partnership in Harlem comes of age.

Much has been written about the potential benefits in health promotion that are possible through partnerships between academic institutions and community-based organizations, but little practical advice has been provided on how to sustain these relationships when the original grant funds have been exhausted. Here we document our experiences in Harlem, New York City, a community with grave social, structural, and physical environmental inequities, and describe the successes and failings of a partnership now in its "adolescence" between researchers at the Joseph L. Mailman School of Public Health of Columbia University and community activists at West Harlem Environmental Action (WE ACT).

Community Participation↗
PubMedDate not supplied

Nursing generations: an expanded look at the emergence of conflict and its resolution.

Never before have so many generations in nursing been asked to work together. The coexistence of 3 generations in nursing is leading to intergenerational conflict. The current intergenerational conflict is not enticing Generation X to seek or maintain nursing careers, therefore exacerbating the current nursing shortage. Using the theoretic frameworks of Conflict and Cohort theories, this article will examine and suggest the impact of generational diversity on the future of nursing.

Adult↗
PubMed2006

Bringing ethics education to the clinical years: ward ethics sessions at the University of Washington.

PURPOSE: Although most medical schools teach medical ethics during preclinical years, incorporating these ethics into clinical training remains challenging. During clinical rotations, students' professional behaviors and attitudes are profoundly affected. This project was intended to develop an educational intervention to incorporate medical ethics training as a part of students' professional development within the context of clinical training. METHOD: "Ward Ethics" is a series of peer discussions guided by clinical faculty mentors trained in fostering issue identification and strategy development. The sessions described here were conducted during medicine and surgery rotations for third-year medical students at the University of Washington School of Medicine from 1998 to 2003. Thirty clinical faculty participated as facilitators. Written evaluations were collected from students and faculty at each session, and faculty interviews were conducted in 2001. RESULTS: The data reported are from 24 sessions and 15 faculty interviews from 1999 to 2001. The topics were consistent with prior reports of ethical issues that students encountered. Students reported a variety of learned strategies such as knowing how and when to speak up and transitioning from prioritizing evaluations to focusing on patient care, resulting in their feeling more confident. Faculty reported noticing positive results to their professional development as well. CONCLUSIONS: Medical students in the clinical years face ethically challenging situations. Some circumstances, if left unexamined, may erode students' abilities to maintain and develop appropriate professional behaviors. Students participating in this activity agreed that it served as a way to fight isolation, share stories, and exchange ideas for future problem solving.

Academic Medical Centers↗
PubMed1997

Crossing boundaries: communication between professional groups.

The NHS reforms increased emphasis on a managerial culture. In primary care this raised questions about responsibility and philosophical approaches. Greater integration between agencies brings benefits, but creates tensions. Failure to bridge the gap may result in dysfunctional teams and compromised quality of patient care. The different orientations may manifest themselves in several ways but lead to frictions that can breed hostility and prevent effective teamwork. Explores issues involving social service and community nurse teams in Dorset to identify a new framework for working, by recognizing and respecting differences and by creating a climate of dialogue. The process involves three stages. First, mutual awareness by use of meta planning which revealed several important themes, different priorities, political dynamics and organizational constraints. Second, behavioural contracting facilitated by role reversal and third, the development of consensus working protocols as a bridge for professional gaps.

Communication↗