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Multi-professional staff development programme for PAMs.

A unique, accredited, multi-professional education programme for junior staff in professions allied to medicine (PAMs) developed by Durham and Teesside Education and Training Consortium in collaboration with local trusts and social services is described. Designed to ensure competence to practice in line with clinical governance, it aims to strengthen multi-professional working practice through a greater understanding of roles and of the way the national health service (NHS) works. It enables staff to analyse their own learning needs and to employ self-directed learning skills for life-long learning. Using problem-based learning, it uses real clinical cases as triggers to promote critical evaluation and reasoning and the development of multi-professional care pathways.

Allied Health Personnel↗

Pro & con: staff development vs in-service training. In-service education.

In-service education is an institutional activity provided for one reason only: to improve the quality and productivity of the institution. The way an in-service program is carried out may foster the growth and development of the employees and give the individual employee a sense of self-direction, achievement, and even self-actualization. However, this is a by-product. In-service education has a utilitarian purpose and its purpose is clear. It does not need to be packaged under the guise of employee development. Individual growth and development take place within and outside the workplace. Individual initiative should provide the direction, not institutional programming.

Hospital Departments↗

Finnish nursing homes: client well-being & staff development.

This study concerned the changes in the physical and mental problems experienced by patients before and after a staff education program on an experimental ward in a Finnish nursing home. It was difficult to conclude, on the basis of significant differences, whether the development program decreased the problems of patients. The findings, however, demonstrated that the patients on the experimental ward were significantly less anxious and dissatisfied after the program. It can be difficult to demonstrate significant differences in the outcome of "old" and "new" nursing practices, but changes may occur in many areas that the elderly can experience qualitatively but which cannot be expressed quantitatively.

Aged↗

Teaching basic ethical concepts and decision-making: a staff development application.

Academic nursing programs are increasing the amount of ethical instruction presented to undergraduate and graduate students. However, nurses who graduated several years ago may find themselves without the background and skills needed to discuss the complex bioethical dilemmas they now face. This article presents the development of a continuing education program to acquaint nurses with basic ethical concepts and bioethical decision-making processes. Presentations were piloted with a small group of nurses from the outpatient department of a pediatric tertiary care hospital.

Decision Making↗

Environmental Protection through waste management, Implications for staff development.

Increasing public concern is focusing on healthcare providers as a primary source of medical waste. As nurses practice in expanded roles in a variety of settings, attention must be paid to teaching them how to be ecologically responsible by assessing the environmental impact of the services they provide and providing ways to reduce the volume of waste.

Education, Nursing, Continuing↗

Staff development for culturally sensitive nursing care.

This article describes a workshop conducted to address the need to incorporate cultural sensitivity into nursing care. Three major points are explained: (a) how ethnicity and culture of patients affect health care attitudes, values, and practices; (b) how knowledge of cultural characteristics can improve nursing and health care effectiveness; and (3) the cultural awareness strategies generated by those who participated in the workshop.

Education, Nursing, Continuing↗

Team building for the staff development department.

Development of effective teamwork is a deliberate process. The leader assumes a major role in this process. The payoff for team building begins with the increased professional growth of members that may ultimately result in improved overall organizational effectiveness. This article describes the major roles a leader plays in helping groups become teams.

Humans↗

Bringing poetry into staff development.

"Quello che mai fue detto d'alfcuna," words from Dante, "strive to say which was never said by anyone." This is the art of true verbal expression, the essence of poetry. Poet W. H. Auden once wrote that "poetry can open spaces of meaning for the human spirit that is more intimate to other human beings than it is to ourselves" (Auden, 1968). Poetry has many definitions. To some, it is the rhythmic verse they remember from grade school or from Mother Goose. To others, poetry is a verse of meter and measure, of balance and harmony. However, to most individuals, poetry is the ultimate expression of human emotion. Roy (1999) believed that nursing is in need of poetry, in order to evoke the deepest of images, fears, questions, and quests of the human spirit and the nursing profession. This article examines the use of poetry and how it might be incorporated into staff education.

Education, Nursing, Continuing↗

Decreasing urinary tract infections through staff development, outcomes, and nursing process.

For patients with indwelling catheters, even with current standards of care and evidence-based practice, urinary tract infections continue to be a problem. Data were gathered on urinary catheter usage in a large, rural acute care hospital, and outcomes profiles were developed (including mortality, morbidity, length of stay, and costs). An innovative poster and video approach focusing on alternatives to urinary catheterization, early discontinuance of catheters, and proper insertion and care techniques were used to educate nursing staff and improve outcomes.

Audiovisual Aids↗

National quality efforts: what continuing and staff development educators need to know.

In 1994, the American Nurses Association initiated a series of activities currently referred to as Nursing's Quality Initiative. This first step toward public accountability was based on the premise that all nurses must become more knowledgeable about the measurement, improvement, and benchmarking of clinical costs, quality, and outcomes specific to nursing. The American Nurses Association has not been working alone to advance quality health care. Rather, it has taken an active role in several collaborative activities, including those of the National Quality Forum. The National Quality Forum has focused on a variety of issues, including nursing care performance measurement, an activity in which the American Nurses Association has been involved. It is up to professional nursing, the National Quality Forum, and all who have interest in the provision (or receipt) of quality health care to advance quality in a collaborative, coordinated way.

American Nurses' Association↗