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Care for the Caregivers: a program for Canadian military chaplains after serving in NATO and United Nations peacekeeping missions in the 1990s.

The Mental Health Department of the Canadian Forces Support Unit (Ottawa) developed the Care for the Caregivers program to help participants deal with stressful events experienced directly or vicariously from the NATO and United Nations military missions of the 1990s. The program was developed after complaints of postdeployment stress were received from various military care providers. The objectives were to improve the skills of support personnel and to reduce the distress that some caregivers experienced. Thirty-one chaplains who had been exposed to stressful military operations participated in five workshops. These educational 4-day small-group workshops covered topics such as post-traumatic stress disorder, vicarious traumatization, coping techniques, spirituality, self-care, and family issues. An adult education model was chosen to encourage dialogue. Outcomes included reports of professional and personal benefits, requests for additional programs, local education initiatives, and referrals to mental health professionals. Having met its objectives, the program has become a normal concluding part of stressful deployments.

Adaptation, Psychological↗

A pilot study to compare the effectiveness of preceptored and nonpreceptored models of clinical education in promoting baccalaureate students' competence in public health nursing.

Preceptor models in nursing have only recently begun to be evaluated, and the published results of their effectiveness are inconsistent and inconclusive. To date, the preceptor evaluation studies found in nursing literature refer to clinical practice in hospitals. This descriptive correlational pilot study (N = 25) compared the effectiveness of preceptored and nonpreceptored models of clinical nursing education in promoting baccalaureate nursing students' competence in public health nursing. The study also compared the learning experiences of students in the two models. Findings from the study revealed that although students in both models reported similar numbers of learning experiences, there were some differences in the types of experiences obtained. Students in both models demonstrated significant gains in perceptions of clinical competence during the 12-week experience. However, there was no significant difference found between the two groups in gain in perceived clinical competence.

Canada↗

Cancer of the prostate. 2. The nursing role in health promotion.

The first article (Vol 7(3): 152-8) in this three-part series presented the incidence of prostatic cancer and discussed the importance of diagnosis, early detection and screening. This article examines assessment and staging of local disease and the sites of metastatic spread. The nurse's role in promoting men's health is also highlighted. Health education models and the choice of an appropriate one are discussed, emphasizing the role of the nurse. Finally, recommendations for practice are offered.

Health Education↗

The Internet and primary care physicians: coping with different expectations.

The birth of the Internet is one of the most important developments in the past 2 decades. It is a new medium, especially in the sense that the initiative now rests on the information user, who is no longer just a receiver of information. In part, the use of the Internet to find answers to health-related questions (medical, but also psychological, social, financial, legal) is linked to problems within existing practices. People use the Internet for several reasons: to obtain information that they could not get from their physicians, to verify a medical opinion or treatment, or to overcome reticence in discussing personal issues. Physicians' experience is changing because their patients are using the Internet. Many patients are better informed, and they ask more questions and demand more from their physicians. As a result, there is increased interaction concerning health issues. In addition, there is greater differentiation among patients, precisely because of their different information-seeking behavior. In coping with this inequality, physicians can select among 3 approaches, each with associated costs and benefits: 1) the medical model, in which the physicians follow the "essentials" of the profession (treatment and advice); 2) the client-oriented model, in which the physicians adapt to patients' needs, approaching patients as they would any other consumers; and 3) the educational model, in which physicians promote the proper use of the Internet as a profitable and equalizing medium.

Communication↗

[Health professional competencies in relation to essential public health functions: contribution to the design of pedagogical projects in nursing].

The development of competencies among health professionals in relation to the Essential Public Health Functions (EPHF) is part of a number of initiatives that are meant to face the need for services that can lead to the resolution of health problems, considering the transformations occurred in the health sector and in the workplace. This article's objective is to make a theoretical reflection on the theme of professional competencies, so that we can contribute to the development of political-pedagogical projects for health training and primarily for nursing training. For that matter, we introduce the competency-based model. These competencies are in accordance with the EPHF and with the competencies proposed so far, and are aimed at contributing to the development of interdisciplinary, critical, and reflexive education models.

Brazil↗

Portfolio learning with cancer patients: an integrated module in undergraduate medical education.

A model of undergraduate education based on a one to one relationship between a student and a patient with cancer has become a core module within the University of Wales College of Medicine undergraduate curriculum. The project combines the powerful impact of a one to one interaction with an active investigative and reflective approach to issues triggered from that patient's cancer journey. The aim is to provide each medical student with an understanding of the impact of a malignant disease and its treatment on patients and their families through the experience of one patient with cancer. The benefits of the project cover the areas of attitudes, skills and knowledge. Students are assessed on their involvement with the patient, in tutorials and on their portfolio, in which they record all aspects of the project. Student evaluations indicate high levels of appreciation of the project, despite its potentially strong emotional content.

Adult↗

Synthetic-dynamic theory of drug abuse: a revisit with empirical data.

A revised version of the synthetic-dynamic theory of drug abuse is presented. A partial test of the validity of the theory is implemented through a drug survey taken in November 1979 involving 14,594 students in Mecklenburg County, North Carolina. Utilizing multiple regression analysis, 50.08% (R = .708) of the total variation in student drug involvement is explained by four components operating jointly. An examination of individual standardized regression coefficients indicates that the drug attitude component accounts for the largest change in the dependent variable, followed by the environmental, the socialization, and (responsible for the least change) the personal discontent components. On the basis of these findings, the implications for future drug education models and prevention policies are examined.

Adolescent↗

The multimedia power portfolio: creative strategy for core curriculum.

To address today's rapidly changing health care environment, educational programs for students in the health professions must also change by exploring new and innovative ways to better prepare students for their future as members of the health care team. This demand for change in allied health and nursing educational programs comes at a time when institutions of higher education are faced with shrinking funds. Therefore, creative efficient utilization of resources must be a prime consideration when implementing new educational models.

Allied Health Personnel↗

The practice role in the academic nursing community.

The practice role of nurse educators has emerged as a mechanism to unite practice, research, and education. The long-term outcome of such a synthesis should be an improvement in the quality of nursing care delivered to clients. Clinically focused nursing research designed by nurse educators who maintain a practice role or nurse clinicians who maintain a teaching role has the potential to unify and thus advance the profession. The authors discuss the historical background from which the practice role evolved, and efforts of recent nursing leaders to facilitate the incorporation of the nursing practice role by educators. Models for faculty practice are identified, and advantages of faculty practice are reviewed. The authors also describe barriers to the establishment of faculty practice, contemporary developments impacting faculty practice, and research needed to advance faculty practice. Nurse educators in many academic communities in the 1990s are discovering that not only must they produce scholarly work in addition to their teaching and service to the university and community, but that they may also be under growing pressure to be engaged in clinical practice. This pressure may be self-imposed or may be an expectation of their colleagues in nursing education or the administrators of their nursing programs. The focus of this research brief will be to describe the historical background from which this "new" role evolved, to discuss strategies or models developed to facilitate the faculty practice role, and to identify faculty practice issues that have emerged with the adoption of this role in academia. An additional focus will be to critically review faculty practice-related research performed since Chicadonz' (1987) review.

Delivery of Health Care↗

A communication analysis of community mobilization on the Warm Springs Indian Reservation.

This article is an analysis of the community mobilization process used at the Warm Springs Indian Reservation as part of a health education campaign. Using the community education model proposed by Freire (1970), it examines the techniques employed to involve community members in radio, print, and public speaking fora, as well as the interpersonal interviews and listening techniques employed by the educators to gain entree to the community. Credibility emerged as a major issue to be addressed in the mobilization process. Other findings include the value of involving community leaders, persistence, and frankness. Caution is urged in implementing the Freirian model without regard to unique community traditions and relationships.

Communication↗

The Neuman Systems Model in nursing education: course development and implementation.

Nursing education programmes increasingly are integrating nursing models into their curriculum. The model chosen can provide a guide for curriculum content as well as strategies for learning content. In the clinical setting a model can facilitate the student's nursing practice by assisting in the organization of observations and interpretation of data. This paper describes the introduction of the Betty Neuman Systems Model to fourth year baccalaureate students at the University of Ottawa School of Nursing, Canada. The selection of this model for a senior nursing course reflects its congruency with the school's philosophy of learning and nursing and the purpose of the course. Course development and implementation, teaching strategies and outcomes are discussed and reflect an attempt at incorporating a nursing model into course design.

Curriculum↗

Theoretical models for application in school health education research.

Theoretical models that may be useful to research studies in school health education are reviewed. Selected, well-defined theories include social learning theory, problem-behavior theory, theory of reasoned action, communications theory, coping theory, social competence, and social and family theories. Also reviewed are multiple theory models including models of health related-behavior, the PRECEDE Framework, social-psychological approaches and the Activated Health Education Model. Two major reviews of teaching models are also discussed. The paper concludes with a brief outline of the general applications of theory to the field of school health education including applications to basic research, development and design of interventions, program evaluation, and program utilization.

Adolescent↗

A peer education example on HIV/AIDS at a high school in Ankara.

Adolescence is a transition period between childhood and adulthood in which physical, sexual and psychosocial changes occur. Sexually Transmitted Infections (STI) are the most common reproductive health problems adolescents face. Peer education is a very useful method in adolescents' education, especially on risk factors and risk taking behaviors. This peer education intervention study, including two base line studies (one before and one after the intervention), was conducted in four classes of an Anatolian high school in Ankara in 2000. The aim of the study was to evaluate the success of the peer education model. There was a significant difference in the general scores of the students before (29.52; SD = 4.38) and after (31.89; SD = 4.96) education by peer educators (p = 0.000). This study might have assisted the study population in establishing safe sex practices for a healthy sexual future.

Acquired Immunodeficiency Syndrome↗

Patterns of employment and independent living of adult graduates with learning disabilities and mental retardation of an inclusionary high school vocational program.

Vocational/employment and independent living for individuals with disabilities has been a major area of interest for those interested in transition from school to work and adulthood. Recent statistics for such individuals continue to be poor and problematic. The present study investigated a group of adults with either specific learning disabilities or mild mental retardation who had graduated or exited an inclusionary high school which emphasized vocational technology training and independent living skills. The results indicated higher than the national average for employment and rate of pay as well as stronger than expected indicators of independent living in terms of mobility. The largest group of individuals, however, were still residing with their parents. Respondents with learning disabilities were doing better than their mentally retarded counterparts in terms of many of the indicators but individuals with mental retardation were still doing strongly when compared against figures reported in other studies. Results are discussed in terms of recommendations for generalization as well as the educational model used for these students.

Activities of Daily Living↗

Teaching evidence-based medicine pediatric psychopharmacology: integrating psychopharmacologic treatment into the broad spectrum of care.

Pediatric psychopharmacology is taught at the Duke University Hospital Child and Adolescent Psychiatry Residency Training Program within the context of an evidence-based medicine model. The basic goal of the course is to develop competence in the psychopharmacologic management of psychiatric problems of children and adolescents as part of a biopsychosocial/developmental model of care. Associated with this over-arching goal is the demonstration of specific attitudes, knowledge, and skills. This article discusses the educational model with examples and each of these goals in depth.

Adolescent↗

[Systemic and andragogic issues related to professional training of medical personnel in the sphere of hygiene of children and adolescents].

The continuous education concept presupposes that a person is educated during his or her entire conscious lifetime. The pedagogical education model is made use of at the higher-school stage; while at the postgraduate stage, the andragogic model must be involved. The andragogics is a branch of science, according to which the leading role belongs to the person who is educated. He or she contributes extensively to the planning, organization, implementation, assessment and amendment of the educational process. Such process is translated into reality at the chair for hygiene of children and teenagers in accordance with the State Standard of postgraduate professional training of experts with higher medical education in the sphere of "hygiene of children and teenagers". The defined educational levels as well as psycho-physiological and specific features of the educating staff are a basis for a individual approach to them. Not only hygienists but also pediatricians and attending doctors from the chair for family life are trained at the above-mentioned chair. The diversity of training appicable to medical personnel of different categories necessitates serious educational-and-methodolgical measures.

Adolescent↗

[The instruction for undergraduate graduation at the Ribeirao Preto Nursing School of Sao Paulo--its prospects].

Authors focused the undergraduate education at the College of Nursing, University of São Paulo at Ribeirão Preto Campus, through its historical and conceptual mark since its establishment in the 1950's. In the 1980's, a study of curriculum modification originated from a wide process of discussion, culminated in a proposal of formation of generalized nurses and the introduction of a new curriculum in 1989. According to authors' version, the prospectives to nursing education depend on the schools' reflection about the University's role in the reorientation of health services and formation of students aiming at political, scientific and technical competence to actuate at different levels of community health assistance. A new educational model will require a curriculum reorientation and the insertion of schools in the health services as a strategic component of the integration of education with professional practice.

Brazil↗

Patterns of prenatal care initiation in Georgia, 1980-1992.

OBJECTIVE: To determine whether characteristics in a woman's first pregnancy were associated with the trimester in which she initiated prenatal care in her second pregnancy. METHODS: Data for white and black women whose first and second pregnancies resulted in singleton live births between 1980 and 1992 were obtained from Georgia birth certificates (n = 177,041). Adjusted relative risks (RRs) for early prenatal care in the second pregnancy were computed by logistic regression models that included trimester of prenatal care initiation, infant outcomes, or maternal conditions in the woman's first pregnancy as the exposure and controlled for maternal age, education, child's year of birth, interval between first and second pregnancy, presence of father's name on the birth certificate, and the interaction between prenatal care and education. Models were stratified by race. RESULTS: Women of both races who initiated prenatal care in the first trimester of their first pregnancies were more likely than those with delayed care to initiate prenatal care in the first trimester of their second pregnancies (RR = 1.25 and 1.63 for white and black women educated beyond high school, respectively). Both white and black women who delivered a baby with very low birth weight (RR = 1.06 and 1.15, respectively) or who suffered an infant death (RR = 1.09 and 1.31, respectively) in their first pregnancies were more likely than those who did not experience these events to begin prenatal care in the first trimester of their second pregnancies. CONCLUSION: Women with some potentially preventable adverse infant outcomes tend to obtain earlier care in their next pregnancy. Unfortunately, women who delayed prenatal care in their first pregnancy frequently delay prenatal care in their next.

Female↗