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Research for the research phobic: developing research expertise in hospital social work.

The need for professional accountability and empirically based practice in hospital social work is growing. Yet, many clinicians are hampered by doubts about their knowledge and skill in research. A staff development program was designed by the author to increase staff awareness of empirical practice techniques and to reduce staff anxiety about their ability to consume and produce research. The program combines peer support and an incremental approach to learning research skills. Many of the participants were able to complete research-related activities after completing the program.

Anxiety↗

Observation unit improvement proves that quality pays.

An increase in Medicare denials and revenue loss in an observation unit led to development of a program for improvement of preadmission procedures. Redesign of the admissions process and an enhanced staff development effort produced successful outcomes within 6 months.

Decision Trees↗

The documentation maze. Finding the right path.

This article outlines the steps taken by a 670-bed hospital to develop a coordinated documentation system. The various tasks are described in terms of preimplementation and implementation activities. Staff development educators can benefit from the reported experiences by capitalizing on the successes and learning from the mistakes.

Humans↗

Development and evaluation of computer-based training for pre/post human immunodeficiency virus test counseling.

Computer-based instruction provides flexibility for staff development in the context of downsizing and rapid change in hospitals. There is an increasing need for nurse involvement in human immunodeficiency virus test counseling in hospitals and clinics because the Centers for Disease Control has recommended that human immunodeficiency virus testing be offered to all pregnant women. In this article, the author describes the development and evaluation of a computer-based instruction program to train nurses in human immunodeficiency virus test counseling.

AIDS Serodiagnosis↗

Children's activity levels and lesson context during third-grade physical education.

Little is known about children's activity levels during physical education classes and how they relate to the national health objectives for the year 2000 (U.S. Public Health Service, 1991). We systematically observed students' physical activity and associated variables in 293 third-grade physical education lessons in 95 schools in 4 Child and Adolescent Trial for Cardiovascular Health (CATCH) centers in California, Louisiana, Minnesota, and Texas. The influence of independent variables was assessed simultaneously by analysis of variance. Significant differences among study centers were evidenced for both physical activity and lesson context variables. Additionally, there were differences among variables for lesson location and teacher specialty, but not for teacher gender. Boys were more active than girls, but only during free play opportunities. The findings have widespread implications for educators responsible for developing and implementing health-related physical education programs, as well as for designing and conducting staff development.

Analysis of Variance↗

Knowledge retention and clinical application after continuing education.

The authors investigate the knowledge retention and clinical application of physical assessment skills by nurses who participated in a required continuing education workshop. Tools were developed to measure the specific application of workshop concepts. Results support the underlying objectives of nursing staff development, which are to increase knowledge and improve skills.

Adult↗

Strategies for product education.

Staff development departments expend resources on the provision of new product and equipment education. This "how to" article contains practical information that will assist both novice and experienced educators to develop creative and effective learning experiences for product education. This approach can prevent potential patient and/or staff harm or financial losses caused by misuse of new products by an uninformed staff.

Curriculum↗

Involving institutional staff in the development and maintenance of sign language skills with profoundly retarded persons.

A program to involve institutional staff in developing manual sign language skills with profoundly retarded persons was evaluated. In Experiment 1, six direct care staff, with close supervision, taught a small repertoire of signs to six profoundly retarded residents who had not benefited from previous training in vocal language. Training was conducted in a group format using instructions, modeling, manual guidance, contingent reinforcers, and feedback. During training, all residents learned to identify pictures of objects with manual signs. Generalization observations during unstructured times on the residents' living unit indicated that staff used their signing skills with the residents in addition to their vocal interactions but the residents did not increase their signing or vocalizing. In Experiment 2, the residents' skills in signing with real objects on their living unit as opposed to pictures of objects were evaluated and provided with additional training where necessary. Results indicated that all participating residents learned to communicate with signing during structured interactions on their living unit, and the skills maintained during follow-up assessments ranging from 39 to 49 weeks. Results are discussed regarding the variable generalization effects noted as well as the general benefits and disadvantages of teaching manual signing skills to profoundly retarded persons.

Adolescent↗

Evaluating the impact of continual professional education (ENB 941).

It is often assumed that participation in continuing professional education (CPE) activities necessarily results in maintenance of competence and improvements in nursing practice. A literature review revealed that evaluation of CPE activities is frequently limited to the completion of forms at the conclusion of the offering, indicating the extent to which the objectives have been achieved and the general level of satisfaction of the participants. Very little attention seems to have been paid to the longer term effects of the CPE activity on the individual participant or on their ability to provide an enhanced level of nursing practice--the raison d'être of CPE. This project was designed to explore the impact of ENB 941 on course participants. A group of 11 nurses and their six clinical managers were interviewed 10 months following course completion to discuss the effects of the course on the professional, educational and individual development of course participants and on their ability to improve nursing practice. Analysis of the interviews suggests that all group members used some of the opportunities available in the course to further their development. All clinical managers agreed that despite staffing and financial implications, the course provided value for money in terms of staff development and enhanced nursing practice.

Education, Nursing, Continuing↗

Guidelines for developing a nurse practitioner practice.

Nurse practitioners must take an active role in defining and establishing their practices. In many cases, medical and administrative staffs develop the NP job description. As a result, many NPs are finding themselves in unsatisfactory, often task-oriented roles. This problem is largely due to NPs' inexperience in establishing practices and a lack of documentation of current practices. When developing the NP practice within the National Cancer Institute-Medicine Branch, it was apparent that the nursing literature offered no information on how to establish an NP practice. This article presents guidelines for developing an NP practice and is based on information obtained during the developmental stages of the nurse practitioner practice at the National Cancer Institute-Medicine Branch.

Forms and Records Control↗

Staff and professional development methods: facilities available and used by hospital nurses of north India.

Self prepared questionnaires and opinionnaire after checking their validity and reliability were administered to 172 Nursing staff comprising of four Nursing Administrators, 33 Nursing sisters and 135 bedside Nurses of randomly selected four district hospitals, representing four Northern states of India. The data revealed that staff and professional development methods including orientation to newly joined staff was negligible. Whereas skill training programs, management training, conferences and seminars were attended only by few Nurses. Other methods like case discussions supervisory rounds, demonstrations used by their hospitals as learning methods were reported by 15.5% Nurses. However, all Nursing staff desired to have in service education at their working place. Hence, there is need for the provision of on the job and off the job training methods.

Attitude of Health Personnel↗

Developing a multidisciplinary brochure to teach patients and families about life-sustaining treatments.

In an effort to comply with the Patient Self-Determination Act hospitals have scurried to develop patient education emphasizing patients' rights to accept or refuse medical treatments and to complete Advance Directives available in their state. Despite efforts at patient and family education, nurses report family difficulty in making end-of-life decisions because they have not fully clarified their values with regard to life-sustaining treatments, making decisions in crisis situations difficult. A brochure that discusses life-sustaining treatments along with Advance Directives is needed to help families understand this information before they reach a critical situation where anxiety makes decision-making difficult. The critical care nurse, clinical nurse specialist, or manager can initiate a multidisciplinary task force to coordinate the development of a brochure used to increase community awareness. The purpose of this article is to help staff develop a brochure that can address these issues.

Advance Care Planning↗

Identifying critical thinking behaviors in clinical judgments.

Continuing education and staff development specialists often collaborate with nursing faculty and managers in evaluating the critical thinking behaviors of new staff and nursing students in clinical judgments. The results of this phenomenological study provide insights into specific objective criteria of critical thinking behaviors of domain-specific knowledge, critical reflection, critical thinking competency, intellectual virtues, and action involvement and improvement.

Attitude of Health Personnel↗

The Professional Socialization of Certified Athletic Trainers in the National Collegiate Athletic Association Division I Context.

OBJECTIVE: To describe the professional socialization process of certified athletic trainers (ATCs) in National Collegiate Athletic Association (NCAA) Division I to guide athletic training education and professional development. DESIGN AND SETTING: We conducted a qualitative study to explore the experiences related to how participants were socialized into their professional roles in Division I. SUBJECTS: A total of 16 interviews were conducted with 11 male (68.75%) and 5 female (31.25%) participants who were either currently or formerly affiliated with an NCAA Division I athletic program. DATA ANALYSIS: The interviews were transcribed, coded, and analyzed inductively using a modified grounded theory approach. Trustworthiness was obtained by peer review, data source triangulation, and member checks. RESULTS: We identified a discernible pattern of socialization experiences and perceptions among the participants. The professional socialization processes of Division I collegiate ATCs is explained as a 5-phase developmental sequence: (1) envisioning the role, (2) formal preparation, (3) organizational entry, (4) role evolution, and (5) gaining stability. CONCLUSIONS: Examining the professional socialization process provides insights into the experiences of Division I collegiate ATCs as they prepare for their job responsibilities and develop professionally. Appropriate socialization tactics, such as the use of a structured mentoring experience, formal orientation, and staff development programming, can be implemented to promote effective professional development. Additionally, undergraduate students may be well served if they are educated to better use informal learning situations during their initial socializing events.

Journal Article↗

The perceptions of students and teachers regarding the introductory module of an enrolled nurse conversion course.

This study sets out to explore the perceptions of students' and their teachers' regarding the Introductory Module of a course to convert Enrolled Nurses to Registered General Nurses. The course has been developed as a joint venture with two local Schools of Nursing as an experiment in joint course management. An illuminative evaluation approach has been adopted utilising the techniques of observation, questionnaires and interviews, in order to provide information by a variety of means upon which the course management team can base their future decisions regarding the course. The findings suggest that the introductory module was perceived by the students and teachers as a valuable learning experience. Issues specific to the course which were highlighted included the need for the involvement of the course teachers from each School of Nursing in the teaching programme, the introduction of negotiated student learning, a joint approach to the assessment of theory and practice and a modification of the maternity and community care experience. General issues related to the students as mature learners included the need for pre-course preparation for the students, the assessment of individual learning needs, the inclusion in the content of essay writing skills and stress management and the need for a comprehensive staff development programme for the teaching staff. The study highlighted the need for evaluation of nurse education programmes and teaching methods in order to provide professional accountability and to ensure nurse education practice is research-based.

Curriculum↗

No more tours: how library tours of the past become today's celebrations.

In 1999, Northwestern University's Galter Health Sciences Library redesigned the library orientation program for first-year medical students. Surveys indicated tours were ineffective and students retained little of the information presented. Furthermore, the tour was not related to the student's curriculum and did not reinforce their learning objectives. As a replacement, the library staff developed a self-directed two-hour library open house. Stations throughout the library showcased the library staff, services, and resources, focusing on the first-year student curriculum. A follow-up survey found this redesign more useful and relevant to the students' course work, indicating libraries should be creating more interactive tours for students allowing them to learn actively.

Chicago↗

Quality assurance and the AIDS patient.

Use of this audit tool has been demonstrated to be effective in evaluating the quality of home care for patients with AIDS. It has been effective in identifying home visiting staff's strengths and weaknesses in their provision of care. The information obtained from the audit will identify areas for staff development, which will provide direction for management in meeting the educational and training needs of its home visiting staff. Knowledgeable and competent staff provide the fundamental basis for assuring that a safe and efficient level of quality care is provided. Standard criteria that measure staff performance provide feedback on the types of resources that may be required for AIDS patients. This has implications for future planning of services to a population of patients that is expected to increase. Finally, having an evaluation tool with standard criteria will provide some insight on the level of staff's adherence to the agency's written policies and procedures, which is equally important when evaluating the level of quality care.

Acquired Immunodeficiency Syndrome↗

Understanding research articles. A pilot study of critical reading of research publications.

Developing nurses' ability to understand and evaluate research articles for potential application to practice is a challenge for staff development professionals. Articles are laden with difficult terminology and may seem too difficult. Yet valuable insights for improving patient care rest within the literature. In this article, the authors describe an instructional tool, designed in the federal nursing sector, called Critical Reading of Research Publications (CRRP). The CRRP is an independent study program that helps small groups of nurses increase research understanding while reading relevant articles of clinical interest.

Education, Nursing, Continuing↗