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BACKGROUND: It has recently been accepted that periodontal disease is a risk factor for not only tooth loss but also systemic diseases. An effective system of public intervention for periodontal health to enable continuous intervention of dental professionals has been sought. We developed a Web-based intervention system regarding periodontal health and evaluated the effects of the system in the workplace. METHODS: The system was capable of storage and display of personalized oral health records including video images pertaining to toothbrush manipulation within their own oral cavities based on instructions by dental professionals. The system enabled clients to view movement of their own skill, and repeatedly. Thirteen workers of a company were randomized to either an experimental or control group. The control group received face-to-face toothbrushing instruction at the company and follow-up via telephone. The experimental group received follow-up through our system in addition to those components employed in the control group. MAIN RESULTS: The workers in the experimental group benefited in terms of improvements of not only plaque removal but also periodontal health over 3 months. CONCLUSIONS: These results indicate that implementation of an Web-based approach for periodontal health affords the possibility of remote instruction and produces additional public benefit.
The authors present some of the decision making and design goals that guided the development of computer-based educational programs, specifically a module to teach the role of computed tomography in detection and evaluation of splenic disease. One goal was that the program would take advantage of the computer yet allow users to recognize or learn quickly the techniques used to navigate through the program. A game interface was chosen as a means to aid retention of the material being taught, as well as to make use of the module enjoyable. The structure used to present the program content was based on the common means by which radiology has traditionally been taught. The four sections of the module consist of the slide lecture, traditional text, a quiz, and teaching files. Each question in the quiz section is linked to the relevant text section for review, and the teaching file section can be used as a self-test by hiding the text and diagnosis fields. Computer-based educational programs are an important resource for residents and practicing professionals, and they will continue to evolve with developments in technology. However, it should be the goal of all new projects to find a balance of form, in which the value of traditional teaching methods can be preserved with the maximum opportunity for innovation.
Diagnostic cardiac catheterization and percutaneous coronary interventions are widely performed for the evaluation and treatment of patients with cardiac disease. Because of high utilization, cost, and complication rates, invasive cardiac procedures are closely monitored and frequently measured using national benchmark databases and public reports. Before decision makers can accept these data and reports as accurate, it is necessary that the measurement process be performed correctly. However, collecting and measuring data is only the first step and does not automatically lead to improvements in quality. For an improvement to occur, a continuous quality improvement effort must exist to transform data into improved outcomes for patients. Recognizing the need to supply healthcare providers with methods and standards for measurement reporting and tools to assist facilities in the development of effective continuous quality improvement efforts, the American College of Cardiology developed the National Cardiovascular Data Registry (ACC-NCDR). Subsequently, the American College of Cardiology Foundation, in cooperation with the Society for Cardiovascular Angiography and Interventions, the American College of Cardiovascular Administrators, and several other professional organizations, developed the ACC-Cardiac Catheterization Laboratory Continuous Quality Improvement Toolkit (ACC-CathKIT). The development and usefulness of these products is described in this paper.
The authors describe a program for second-year students in Tel Aviv University's six-year medical school. The program's aim is to teach students the importance of context and interactions in patient care by exposing them to a real patient-family-doctor interaction using narrative-based methods to encourage reflective learning. Each student meets five times a year with a volunteer family, one of whose members suffers from a chronic disease. The program endorses a "patients as teachers" approach, as families are considered to be teachers for the students and not as objects of investigation and assessment. The students receive supervision in small groups, to enhance learning and reflection. To appraise the extent to which students had obtained the required knowledge, skills, and attitudes, the authors extracted reflections regarding the learning experience from students' essays. Major themes identified were becoming "family sensitive," building and improving communication skills, questioning intrusiveness, adopting a nonpatronizing and nonjudgmental attitude, developing reflective skills, creating a future professional model, and experiencing and appreciating continuity of care. The authors argue that learning to listen to patients' narratives, developing a reflective attitude, and being sensitive to patient-family-doctor interactions are of value to all doctors, and therefore programs similar to theirs should be established as part of general medical school education and not just in the context of family medicine.
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Patient monitoring is more than just the acquisition and accumulation of physiological data. In order for it to be efficacious in patient diagnosis and treatment, the professional staff must be continuously involved in protocol development, evaluation, and modification. Given the constraints of these tasks, of cost limitations, and of staff interest and expertise, the clinical engineer should develop a rationale for making judgments about patient monitoring systems at his particular site. This rationale should include: evaluation of design criteria from medical, nursing, and engineering standpoints; consideration of the considerable and increasing effect of computers on monitoring; and the intelligent appraisal of technique and system development performed at other sites.
This article summarizes adult learning principles using the acronym AIR: Active involvement, Individual differences, Relevance and motivation. Highlighted are practical strategies to operationalize each of the AIR concepts for professional development. Revisiting adult learning principles can assist continuing education and staff development personnel to face challenges effectively and "walk the talk" in adult learning endeavors.
This article provides a historical review of certified occupational therapy assistant (COTA) education, professional roles, career mobility, and professional development. The evolution of COTA education from 2 hospital-based, 12-week training programs to the current 162 accredited 2-year college degree or professional certificate programs is examined. The expansion of the COTA role from well-delineated direct service provider to advanced practitioner able to assume leadership roles within the profession is explored. Historic and current programs and methods supportive of COTA career mobility and professional development goals, including the Career Mobility Program, continuing education, career laddering, and the Advanced Practitioner program are described.
As new issues and areas of concern arise in the health care industry, such as the potential transmission of HIV and HBV, adaptive measures will continue to be developed to assist health care professionals in their mission to provide expert medical care for patients and safe environments in which to practice. Health care institutions must commit to exploration of the advances in infection control that employ improved measures to manage the cleaning and disinfecting of spill incidents involving blood and/or body fluids and the disinfecting of contaminated surfaces. Together, product manufacturers and health care workers will discover new ways to save time, money, and resources. The goal for health care administrators should be to focus on products that stress simplicity, efficiency, cost containment, and, most important, the safety of staff and patients.
OBJECTIVES: This paper reports the results of a qualitative study on domestic violence (DV) and interventions against DV in Khon Kaen province in northeastern Thailand. We analyzed the roles of health professionals for identifying, treating and supporting abused women, and examined a network model of DV interventions in developing countries. METHODS: We interviewed abused women, health professionals, staff of the government and legal authorities, community health workers and other relevant people in Khon Kaen city and surrounding areas. We analyzed the health consequences of DV, and the roles of health professionals and other actors regarding care and assistance for abused women. We also visited and observed homes of the victims and health facilities where those women were treated. RESULTS AND DISCUSSION: We interviewed 4 abused women in a slum area. One of the women was identified by a nurse of a nearby health center and a social worker when they visited homes in the area. Another woman was successfully supported by nurses of the health center, a community leader and a Buddhist monk. Health professionals played important roles in identifying, treating and protecting abused women. The Khon Kaen provincial hospital established an One-Stop Crisis Center (OSCC) to provide counseling, care and protection for physically or sexually abused women, with a team consisting of doctors, nurses and social workers who were trained in the care of abused women. The Nampol community hospital in a suburban area also established an OSCC to work together with health centers and communities for effective intervention. OSCC team members pointed out several problems: insufficient mental care, shortage of staff, and the difficulty of caring for women coming to the hospital at night or early in the morning. In Thailand, a legal framework against DV has yet to be established and government agencies are not greatly involved in DV interventions. Health professionals play leading roles in identifying, treating and supporting abused women in Thailand. It is important to provide relevant training for health professionals and to develop cooperation networks with government staff and legal authorities, community health workers, and community leaders. Legal frameworks for protecting and supporting DV victims are often insufficient in developing countries, while health care systems tend to be more reliable. Taking into account the social background, health professionals in developing countries can be expected to continue to play the most important role in looking after abused women.
Establishing suitable and proper program admission criteria that protect both the rights of disabled applicants and professional needs to educate competent practitioners concern every nurse anesthesia educational program. Disabled Americans must be legally protected while ensuring that future nurse anesthetists meet expectations for professional competency To balance these demands, academic programs must establish criteria that define qualifying standards for practice. Such criteria serve the important function of providing notice to prospective applicants, as well as to established practitioners, about minimum professional competencies and behaviors. This paper, based on a presentation, "Special Needs Students--an Attorney's Perspective," to program faculty of the American Association of Nurse Anesthetists in Ft Lauderdale, Fla, in February 2005, posits specific language to aid in defining admission criteria that are both inclusive and exclusionary. It seeks to stimulate debate about developing some professional consensus on a matter of continuing importance.
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In response to the growing emphasis on health promotion, this article addresses four major questions: 1) How is occupational therapy's client-centered philosophy reflected in the principles outlined by the World Health Organization (1984)? 2) What are the roles of occupational therapy in health promotion? 3) How will occupational therapy education foster this development? 4) How will the practice of occupational therapy respond to the challenges and implement the strategies outlined in "Achieving Health for All: A Framework for Health Promotion"? Despite similarities between occupational therapy's client-centered approach and the health promotion framework, the need for occupational therapy education to reflect the developments in health promotion and prevention is very evident. A four part model is proposed, and the implications for graduate education as well as continuing professional education are outlined. Recommendations for practice, education, research and development are discussed.
Professional portfolio development is an innovative way for staff development departments to assist staff nurse in showcasing their professional accomplishments. Whether preparing staff for their annual performance appraisal, the human resources portion of a Joint Commission on Accreditation of Healthcare Organizations survey, personal career development, or career transitions in the volatile healthcare job market, the staff development department plays a pivotal role in portfolio development. Although the literature describes the types of documents to include in a professional portfolio, missing is practical information on how to organize a professional portfolio. In this article, the authors describe how to organize a professional portfolio, identify the most useful components, and outline the role the staff development department plays in professional portfolio development.
OBJECTIVE: To review the current tests for diagnosis and the implications of cytogenetic analysis in leukemia. DATA SOURCES: Professional journals, books. CONCLUSION: Leukemia is a genetic disorder with more than 500 recurring translocations. Recurrent chromosomal changes occur in more than one half of all cases of leukemia. Testing includes bone marrow biopsy and aspirate, histochemical staining, immunophenotyping, cytogenetics, and molecular markers. Characterization of specific chromosome changes provides information in determining initial therapy and post-remission therapy. IMPLICATIONS FOR NURSING PRACTICE: Nurses must continually educate themselves to stay current with developing technology and the results of continuing research. This professional education must then be translated to the bedside throughout the continuum of care.
Through the participant-research framework, this collective study was carried out by a group of faculty nurses responsible for the course of Nursing Fundamentals at Londrina State University. Considering the discussion that emerged from the participative process and based on the Historical-Critical Pedagogy, the most relevant concepts and pedagogic practices were selected, through the presentation and discussion of the following categories: Goals, Contents, Methodology and Evaluation. Authors concluded that the reflections emerged by and with the group about pedagogic aspects effected the performance of the involved faculty as well as that the collective process must be continuous in order to support the pedagogic development of these professionals, who are educational agents concerned with the improvement of nurses' formation.
This article reviews generalizations about effective continuing education that pertain to cognitive aging and memory and to a broader range of influences related to adult learning and development and to the context of professional practice. Features of excellent continuing education include attention to diversity, objectives, motivation, active learning, feedback, and application. The learning abilities and capacities of most professionals are sufficient for them to continue to enhance their proficiencies throughout their careers. Cognitive aging is one influence among various psychological characteristics. Effective continuing professional education should address career span learning and performance, including emphasis on abilities and not just disabilities.