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"Mirror, mirror...".

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Evidence-Based Medicine↗

Mirror, mirror on the wall: using online discussion groups to improve interpersonal skills.

Despite the growing need for strong communication skills in the workplace, many nursing students complete their education and still have significant blind spots for their own interpersonal weaknesses. This article describes an innovative approach for promoting insight into communication styles through the use of small-group online discussions. An outline of the instructional strategy is provided along with examples of student work. Future directions for online assignments are discussed.

Communication↗

Mirror, mirror on the wall, who is the most improved of all?

This article examines the rhetoric and reality of clinical governance in the United Kingdom using the analogy of the New Year pantomime. The authors argue that processes to improve the quality of health care services provision have been in place for many years. Although the terms and language used to describe these processes have, over time, changed, the task remains the same. Clinical governance is the latest in a long list of such changes. The tensions involved in working towards achieving centrally driven targets and performance standards whilst at the same time addressing the huge modernization agenda are explored through managerial and clinical experiences. Whilst the clinical governance approach has undoubtedly achieved improvements, the sustainability of these is questioned. Organisational responses to the current system are explored and a glimpse into the future is given, as the present structures and processes change in 2004. The authors argue that practitioners and managers, who may have survived the current arrangements, might have considerably more difficulty in doing so in the future.

Decision Making, Organizational↗