A collaborative model for continuing education in nursing.
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This paper explores Habermas' knowledge constitutive interests as a basis for clinical effectiveness. Clinical effectiveness and evidence based practice are clarified and Habermas interpretation of critical theory is introduced as an instrument which could arguably fulfil the needs of both concepts. The knowledge constitutive interests have the capacity to encompass science and evidence based practice via technical knowledge, the practical interests via interpretive knowledge and the freedom to change practice via emancipatory knowledge. This gives an opportunity for technical science and interpretive knowledge to facilitate the liberation of nurses via clinical effectiveness. The paper culminates in the presentation of a visual model to articulate this proposal.
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Evaluation and follow-up are an integral part of business today. For the creative management consultant, it presents the challenge of incorporating as many feedback mechanisms as possible into the consultation process itself. The management consultation then becomes a continuously evolving, self-correcting service designed to better meet the needs of the consumer.
BACKGROUND AND OBJECTIVES: A school-wide curriculum renewal led to a new clerkship curriculum that teaches core family practice competencies by focusing on the process of care in generalist practice. The organizing framework consists of five prototypic visits and their encounter tasks: 1) new problem visit, 2) checkup visit, 3) chronic illness visit, 4) psychosocial problem visit, and 5) behavioral change visit. METHODS: The seminars occur at the beginning of the rotation and use active learning techniques. Evaluation includes student perceptions of the seminars and teachers and student performance on a clinical performance examination (CPX). RESULTS: Students rated the usefulness of the seminars and the seminar leaders' teaching behaviors favorably. The CPX checklist scores showed that students could perform most of the behaviors expected for each prototypic visit. The students listed the appropriate encounter tasks nearly half of the time when describing what tasks they tried to accomplish during the CPX cases. The students listed concrete behaviors just over 50% of the time. CONCLUSIONS: The students learned the material presented in the seminars and applied it during the CPX. Students can do most of the behaviors but do not seem to describe the tasks as abstractly as faculty. These results come from one class cohort in one medical school, so the generalizability is limited until further work, including other learners, confirms these findings.
This project is an example of a successful service-learning experiment at a major university. The program was successful in providing service-learning experiences for an interdisciplinary group of health-professions students, delivering essential health services to a community at risk, providing health-risk and demographic data, and offering opportunities for scholarly productivity for faculty. This was accomplished with a modest investment of internal start-up funding. Goals of the project were achieved, and the program and course were viewed as successful by students, faculty, and community partners.
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Educational exchange programs have a long academic history. Through such programs, students expand their knowledge of cultures in their home country and the larger world. Typically, students learn about a particular substantive area, such as politics, economics, health care, or language. There is also a loftier goal: to encourage understanding and respect for the people of other countries and share experiences with family and friends at home. In a biography of William J. Fulbright, the developer of the preeminent exchange program that bears his name, the senator is described as hoping that in a democratic country like the United States, "the knowledge and understanding of other cultures would inevitably trickle down through the educational system to those who were not privileged to travel abroad" (1, p. 131).
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The current article is a continuation of a previous article (Leaf, Uys & Louw 1997) suggesting that alternatives to the current traditional perceptions of learning and therapeutic methods are essential if learning institutions are to enable learners to move successfully into the next millenium. The need for the speech-language therapist to adopt a non-traditional approach to learning and to change from a language instructor to a learning facilitator within a consultative-collaborative role in the unique South African situation is discussed. Research results, specifically relating to how the speech-language therapist can assist teachers in changing to a non-traditional facilitative role, are presented.
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A healthcare manufacturer seeking to ensure that dollars invested in training return value in performance improvements will want to consider each of these elements and develop a written training plan. Companies who have created a training plan to meet their business objectives are already reaping benefits of reduced turnover and increased productivity.
Remarkable changes in medicine and education have created opportunities to redefine physician assistant (PA) education in a new context. The result has been the evolution of a dynamic and fluid educational model, one that is responsive to changes in the content and delivery of the PA curriculum. Development of new skills related to practice management and mechanisms for health services delivery, particularly for the growing numbers of uninsured and disenfranchised patients, presents a particular challenge. Curriculum planning includes strategies to deliver new knowledge and skills in medical informatics, communication, and cultural competencies, as well as evolving content such as alternative and complementary medicine, genetics, and telemedicine.
This study examines validity of data generated by the School Readiness for Reforms: Leader Questionnaire (SRR-LQ) using an iterative procedure that combines classical and Rasch rating scale analysis. Following content-validation and pilot-testing, principal axis factor extraction and promax rotation of factors yielded a five factor structure consistent with the content-validated subscales of the original instrument. Factors were identified based on inspection of pattern and structure coefficients. The rotated factor pattern, inter-factor correlations, convergent validity coefficients, and Cronbach's alpha reliability estimates supported the hypothesized construct properties. To further examine unidimensionality and efficacy of the rating scale structures, item-level data from each factor-defined subscale were subjected to analysis with the Rasch rating scale model. Data-to-model fit statistics and separation reliability for items and persons met acceptable criteria. Rating scale results suggested consistency of expected and observed step difficulties in rating categories, and correspondence of step calibrations with increases in the underlying variables. The combined approach yielded more comprehensive diagnostic information on the quality of the five SRR-LQ subscales; further research is continuing.