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The success factor.

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Administrative Personnel↗

Building relationships: the key to successful health care philanthropy.

Creating and maintaining a vigorous philanthropy program has seldom been more challenging to health care organizations. To our communities that are discontent with changed health care management and practices, we have now added economic insecurity and global unrest.

Fund Raising↗

All systems go.

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Interinstitutional Relations↗

Converging values: matures, boomers, xers, and nexters in the health care workforce.

The successful leader will try several strategies to bridge the generational gap and use the expertise of each cohort group to facilitate patient care. The energy, technoliteracy, and commitment to a balance between work and personal time by the Generation X and Nexters will complement the wisdom and nursing experience of the Mature and Baby Boomer generations. Time must be taken to understand the differences between the generations. Recognizing differences and appreciating the expertise that everyone brings to the workplace will create an environment that embraces generational diversity. Celebrating individual differences comes from taking time to learn about coworkers and will enhance a healthy work environment.

Attitude of Health Personnel↗

Defining generations in succession planning: there are four!

Never before have nursing leaders been faced with 4 generations of nurses working together, a turbulent health care system, and supply and demand issues. Succession planning with different generations requires a knowledge of their values and strengths. It means retaining and attracting new employees who can stabilize an organization.

Attitude of Health Personnel↗

Messy conversations and the willingness to be disturbed.

Organizations operate successfully on how the parts interact together, not how they act independently. The only way to improve the world is through relationships, and conversations are the prelude to creating that change. Having the courage to reach out and start the dialogue knowing full well that it might be very messy is the only way to end the fragmentation and loss of community we experience.

Clinical Competence↗

Construct validation of a model for professional behavior in physical therapist students.

BACKGROUND AND PURPOSE: For physical therapist educators, professional behavior has been difficult to define. The purpose of this study was to test the construct validity of a model of professional behavior that was previously established through consensus and reported in the literature. SUBJECTS AND METHODS: One hundred eighty-three students from 2 professional programs participated in the study. Using a self-administered questionnaire, students assessed how frequently they performed 152 behaviors on a 7-point Likert scale. Data were analyzed using principal components factor analysis. A Cronbach alpha was used to demonstrate internal consistency of items within each factor. Factor scores were submitted as dependent variables in analyses of variance to examine the differences in abilities according to amount of clinical education completed. RESULTS: The analysis identified 7 factors that explained 52% of the variance. These factors were labeled Professionalism, Critical Thinking, Professional Development, Communication Management, Personal Balance, Interpersonal Skills, and Working Relationships. Cronbach alphas ranged from.81 to.95. Behaviors increased in frequency in 4 of the 7 areas identified according to the level of students' progress in the educational program. DISCUSSION AND CONCLUSION: The 7 factors corresponded fairly well to the 10 generic abilities previously identified. Although some behaviors may increase in frequency over the course of students' educational experience, others may be displayed at admission.

Adult↗

Working well.

In health care as in other fields, this is the age of specialization. Yet while expertise in a precise field may be good for the advancement of knowledge, it can hinder collaboration.

American Hospital Association↗

A tale of two CRs: hospital conducts side-by-side test.

While we elected to install a digital radiography system in the busiest exam room in emergency room (ER) suite at our 535-bed hospital, we selected computed radiography as the primary platform for digital capture throughout the facility because of its flexibility, productivity and cost-effectiveness. We now use CR systems to handle six exam rooms and portable exams conducted by the radiology department, as well as imaging studies conducted in two ER exam rooms. Before committing to a CR vendor, we conducted an eight-week, side-by-side pilot study with two vendors' systems. One CR system was located in the emergency room and the other unit was located in the main radiology department. Our staff received education and training from both vendors. I led an evaluation team that included representatives from the radiology group, the information services (IS) department, biomedical engineering, staff physicians, ER physicians, pulmonologists and orthopedic specialists. Our team met to design the trial and develop a list of factors that technologists would use to evaluate the two systems. The team met after installation and again after the trial was complete to provide verbal input on each vendor for each category and to review feedback from the technologists' survey. Categories included image quality, interactions with each vendor's sales and service staff, workflow, time studies, durability of cassettes and plates, entry of John Doe patients for ER, and other factors. After the trial, we chose a system by unanimous vote. We learned a lot about CR technology throughout this process. Overall we are extremely satisfied with the platform we selected and with this method of evaluating the two systems prior to making this important decision.

Decision Making, Organizational↗

Development and validation of a professional behavior assessment.

Allied health students must quickly socialize into a professional role as they transition from classroom to clinic. In addition to skill development, students must exhibit a host of professional behaviors that facilitate successful interaction with patients, families, and colleagues. There is a need for a valid, reliable assessment of professional behaviors that contribute to clinical competence. This study reports on the development and validation of a professional behavior assessment for occupational therapy students on a part-time clinical rotation (Level I). The Philadelphia Region Fieldwork Consortium (PRFC) Level I Student Evaluation was developed from an initial survey (n = 75) to generate an item pool, followed by a content review by a panel of experts (n = 5) to establish relevancy, clarity and content validity. This 12-item instrument was administered to 317 occupational therapy and occupational therapy assistant students. A principal component factor analysis and item analysis was conducted. Internal consistency reliability (Cronbach's alpha) was 0.89, with intra-rater reliability for the 12 items ranging from 0.68 for "written communication" to 0.89 for "observation skills." The PRFC Level I Evaluation demonstrates discriminant validity, with students on their first clinical rotation scoring significantly (p < 0.001) lower than students on their third or fourth rotations, indicating a developmental process of professional socialization.

Adult↗

The money men.

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Biotechnology↗

Falls in older people: taking a multidisciplinary approach.

The pathology of falls in older people is often complex and multifactorial. However, falls should not be viewed as an inevitable consequence of ageing. Risk factors can be identified and reduced by taking a multidisciplinary approach. The repercussions after a fall can be far-reaching for individuals, their support network and the NHS. The physical after-effects of a fall are well understood, but the subsequent threats to mental and social well-being are, arguably, more prevalent.

Accidental Falls↗