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At least 937 records · Page 52Linked to original sources
PubMed1996

Manipulation: a manager's perspective.

Stressors of change affect staff, managers, and patient services. Destructive behavior, such as manipulation, further disrupts teamwork and flow of information within an organization, diverting energy that could be used positively for planning and problem resolution. Understanding manipulative behavior and corresponding interventions may assist the nurse manager in personal growth, anticipatory staff development, and proactive care in a changing environment. Manipulation does not promote efficient, efficacious care.

Humans↗
PubMed1992

Innovative approach to genetic counseling services for the deaf population.

Genetic service providers have stressed the importance of genetic counseling that is nondirective and specific to the personal needs of consultants. Successful genetic counseling for deaf persons often requires special provisions for complex family histories, syndromic conditions, and diversity in communication methods and cultural orientation. The Gallaudet University Genetic Services Center (GSC) was established in 1984 to provide genetic education and counseling services to the deaf community. The GSC staff developed and implemented a standardized system of data collection (family and medical history), clinical evaluation by consultant clinical geneticists, and counseling in sign language. In addition to clinical services, an in-depth educational program for professionals and consumers was developed and carried out. During a 6-year period, over 220 educational presentations were made and 659 deaf persons were seen for genetic evaluation and counseling. Most of these persons were self-referred. Sign language was the preferred means of communication of more than 90% of these individuals. A genetic cause of deafness was diagnosed in over 50% of the deaf consultants and was confirmed by segregation analysis, which had results similar to those reported for other studies of students in schools for the deaf. Special materials and strategies were developed in order to provide genetic services that were sensitive to the cultural and linguistic differences of the deaf population. These included written and visual materials that contained culturally neutral terminology and training of all staff members in sign language and the culture of the deaf.

Adolescent↗
PubMed1990

Nosocomial infection rates during a one-year period in a nursing home care unit of a Veterans Administration hospital.

Infections in long-term care institutions are a constant source of morbidity in residents in these facilities. We report our experience with infection rates during a 1-year surveillance period in a 120-bed nursing home care unit of a Veterans Administration hospital. Our purpose was (1) to establish our own infection rate and (2) to ascertain the relationships (a) between infection rate and level of required nursing care and (b) between infection rate and staffing adequacy. Our overall nosocomial infection rate for 1987 was 4.6 infections/1000 patient days. The majority of infections were urinary tract infections, with the predominant pathogen Proteus mirabilis. One ward in the nursing home care unit had a significantly higher infection rate compared with that of the other wards (p less than 0.05), and there was a significantly higher infection rate in residents who required total nursing care versus less dependent residents (p less than 0.05). We were unable to find a direct relationship between the degree of staff shortages and infection rate. This prolonged infection control surveillance indicated our nosocomial infection rates were similar to those in previously published reports. We also identified problem infections in certain areas, which led us to develop staff in-service programs to address these problems. In summary, we believe this information is useful not only for us but for others involved in the care of residents in long-term care facilities inasmuch as there are little published data on yearly infection rates per patient days.

Cross Infection↗
PubMed1997

Effectiveness of two strategies for dissemination of sun-protection policy in New South Wales primary and secondary schools.

With rising rates of skin cancer in Australia, there is a need to examine strategies to reduce sun exposure among children. This study aimed to determine the effectiveness of a multifaceted dissemination strategy compared with a simple mail-out strategy in promoting the adoption of comprehensive SunSmart skin protection policies and practices in primary and secondary schools in New South Wales. It also aimed to examine characteristics of the primary and secondary schools that adopted a comprehensive SunSmart policy before and after the intervention. Four hundred randomly selected primary schools and all 381 high schools in New South Wales were randomised to one of two intervention groups. Pretest and post-test surveys of principals were undertaken in 1991 and 1992. Intervention 1 was a simple mail-out of a sample sun-protection policy kit. Intervention 2 comprised the mail-out of the policy kit and a follow-up mail-out of a staff development module. There was a strong intervention effect on adoption of a comprehensive sun-protection policy in primary schools (21 per cent for the 'mail' group compared with 44 per cent for 'mail and staff support' group) but not in high schools (6 per cent and 11 per cent). There was little relationship between adoption of a comprehensive sun-protection policy and sun-protection practices in primary or secondary schools. Further research is needed to determine the most effective ways of ensuring that adoption of a comprehensive sun-protection policy results in effective implementation of sun-protection practices in schools.

Adolescent↗
PubMed1994

Gaming: a creative strategy for staff education.

Providing staff development in a stimulating, innovative manner is the challenge of all nurse educators. This article discusses gaming, a creative teaching strategy that can help meet these needs. Games designed specifically for the education of dialysis staff will be reviewed. Advantages of the various games will also be examined.

Dialysis↗
PubMed2000

Fostering Professional Development in Dietetics Practice: A Workshop.

The aim of this project was to develop and implement a workshop for dietitians who guide students through the achievement of professional practice competencies in the Stage component of a university dietetics program. The specific objective was to offer an intervention that would emphasize the importance of the guiding/facilitating function as an integral part of the dietitian's role. The intent was to provide information on, and an opportunity to hone, facilitating skills, and to offer a continuing education opportunity with application in other practice areas, such as employee training, staff development and patient education. The six topics of the one-day workshop, "Fostering Professional Development in Students and Others," were: the art of mentoring; what to do on a student's first day; using questions to promote thinking; feedback as a form of teaching; teaching strategies; and evaluating yourself as a facilitator. Participants' initial reactions, learning and behaviour changes were assessed using self-administered questionnaires; positive results were indicated. Ensuring that qualified professionals are given the tools for effectively training students, interns and staff may encourage learners to model what they have seen when they are in a position to foster the professional development of others.

Journal Article↗
PubMed1998

Use of immigration policy to manage nursing shortages.

PURPOSE: To examine long-term implications of using temporary, nonimmigrant nurse programs to manage fluctuations in the demand for registered nurses. ORGANIZING FRAMEWORK: This discussion is located in the full context of migration--reviewing theories and concepts of labor migration--referring to experience with guest-worker programs worldwide, outlining recent nursing shortages in the United States, describing the Immigration Nursing Relief Act (INRA), and raising questions for nurses in the United States and in the global marketplace. SOURCES: Review of scholarly literature on international migration, existing studies on nurse migration to the United States, and original research, conducted between 1992 and 1994, for the Immigration Nursing Relief Advisory Committee (INRAC) Report. METHODS: Policy analysis of theories, concepts, and perspectives related to nurse migration. FINDINGS: In the United States, highly skilled foreign nurses tend to complement rather than displace local labor. Yet recruiting foreign-educated nurses for entry-level jobs perpetuates patterns of dependency in the sending country and delays creative solutions to staff development in the host country. Nonimmigrant status creates a vulnerable workforce. There may be a disparity between the ideal of nurse migration as collaborative exchange and the reality of institutionalized occupational migration networks. CONCLUSIONS: While foreign nurse recruitment might solve short-term needs, repetitive temporary nurse migration programs create long-term consequences that are not in the best interests of the profession. The absence of consistent policy creates an opportunity for nursing to take an active role in developing the rules and direction of future nurse migration.

Emigration and Immigration↗
PubMedDate not supplied

A check on nurses' knowledge and sense of responsibility for discharge planning.

Nurse educators and managers have identified discharge planning as a critical step in the nursing process. Appropriate discharge planning has the potential to facilitate the patients' return to wellness and to provide a cost effective measure of health care. Staff nurses' and nurse administrators' knowledge of discharge planning is identified, as well as both groups' perceptions of the staff nurse responsibility relative to discharge planning. The results showed that staff nurses have significantly less knowledge than nurse administrators. A discharge planning program for implementation by staff development personnel is reported.

Administrative Personnel↗
PubMed2004

A partnership between nursing education and practice: using an empowerment model to retain new nurses.

A school of nursing and a health system in Massachusetts developed a unique partnership to create a system to attract and retain new nurses in acute care. The structure of this partnership was designed to increase the faculty of the school of nursing and add to the educational expertise in the department of staff development in the health system's major acute care hospital. The process was developed using an empowerment model. The authors describe the structure, process, and outcomes of this partnership.

Education, Nursing↗
PubMedDate not supplied

Moving forward: creating a new nursing services orientation program.

Discovering ways to engage new employees and make the orientation period prior to unit orientation more meaningful is a challenge for staff development educators. This important period focuses on patient safety and employee introduction to the organization. This article describes the redesign of a nursing services orientation program that led to increased employee satisfaction and an increased level of comfort with preparedness to deliver safe patient care.

Attitude of Health Personnel↗
PubMed2004

The concept of health promoting schools to enhance positive youth development.

The concept of Health Promoting Schools improves the school's physical and social environment, its curriculum, teaching and learning methods, and the personal and social development of students. It will enable the participating schools create a 'learning perspective', 'community perspective', and 'capacity building' environment to improve both educational and health outcomes of students. As the scheme promotes self-esteem of students, staff development, parental education, involvement of the whole school community and linkage with different stakeholders, it will also enhance positive youth development. It will help to shift the paradigm from handling crisis to prevention approaches emphasizing on youth support before problem behaviours occur, and also address the circumstances (families, schools, communities, peer groups) of youth's lives.

Adolescent↗
PubMedDate not supplied

Lessons learned in implementing a staff education program in pain management in the acute care setting.

With the release of Acute Pain and Cancer Pain Guidelines from the federal government, many healthcare agencies will be instituting programs to improve pain management. The authors describe a pilot project in acute pain management that did not yield desired results. On the basis of this experience and through a review of the literature, information is provided to staff development educators about problems and issues in planning and executing a program in pain management using structure, process, and outcome as a framework.

Acute Disease↗
PubMed1984

Development of a pediatric dosing sheet for use in the critical care setting.

Choosing the correct dose for pediatric patients in the critical care setting is made difficult by conflicting recommendations in the medical literature. Hence, the University of California at San Francisco (UCSF) Intensive Care Unit medical, pharmacy, nursing, and respiratory therapy staffs developed their own pediatric dosing guidelines, based on a review of the literature and the advice of pediatric and critical care specialists. The sheets have been successfully used in the unit for the past 6 years and are well received by both physicians, pharmacists, and nurses.

California↗
PubMedDate not supplied

Analysis of the roles and responsibilities of rehabilitation nursing staff.

This article describes a study whose purpose was to identify the roles and the responsibilities of rehabilitation nursing staff members, specifically the registered nurses and the nurse extenders, or rehabilitation technicians. The members of the nursing staff kept work diaries, listing each work activity and the time spent on that activity. Results of the study indicated that the majority of the registered nurses' time was focused on either direct or indirect patient care. The majority of the rehabilitation technicians' time was focused on direct patient care; however, rehabilitation technicians on the evening shifts spent significantly more time in indirect patient care and unit maintenance than did their day-shift counterparts. Data analysis indicated that 33% of evening-shift rehabilitation technicians' time and 36% of day-shift rehabilitation technicians' time was unaccounted for in the work diaries. As a result of this study, the authors recommend a review of the job description for rehabilitation technicians. Furthermore, the results identify a need for staff development education for rehabilitation technicians so that they can expand their roles and responsibilities.

Humans↗
PubMedDate not supplied

Nursing research. Making it easier.

Conducting nursing research, whether to fulfill a requirement for a graduate degree or to satisfy professional curiosity, often is frustrating for the novice researcher. This article presents strategies that can be used by staff development educators to assist nurse researchers in conducting research more efficiently.

Humans↗
PubMedDate not supplied

A literature review of competency-based orientation for nurses.

This article is a literature review of competency-based orientation (CBO), which includes a description of the component parts of CBO, its efficiency and effectiveness, and a discussion of how various hospitals have implemented CBO. Suggestions for approaching the design of CBO may help staff development educators make a decision to change to CBO.

Clinical Competence↗
PubMedDate not supplied

The nurse internship experience: a dynamic learning environment for the novice.

This article highlights the history of nurse internship programs and reviews the application process, the content, and the design of a nurse internship program. The program described has proven to be a developmental process for the nurse intern, the preceptor, and the staff development specialist. Recommendations are presented for implementation of a successful nurse internship program.

Education, Nursing, Continuing↗