Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “continuing professional development”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 973 records · Page 54Linked to original sources
PubMed2001

Nursing migration: global treasure hunt or disaster-in-the-making?

International nurse migration--moving from one country to another in the search of employment--is the focus of this article. The majority of member states of the World Health Organization report a shortage, maldistribution and misutilisation of nurses. International recruitment has been seen as a solution. The negative effects of international migration on the 'supplier' countries may be recognised today but are not effectively addressed. Nurse migration is motivated by the search for professional development, better quality of life and personal safety. Pay and learning opportunities continue to be the most frequently reported incentives for nurse migration, especially by nurses from less-developed countries. Career opportunities were considered key incentives for nurses emigrating from high-income countries. Language was reported to be a significant barrier. The positive global economic/social/professional development resulting from international migration needs to be weighed against a substantial 'brain and skills drain' experienced by supplier countries. The vulnerable status of migrant nurses is also of concern in certain cases. The focus on short-term solutions as opposed to resolving the problem of a worldwide shortage of nurses causes great concern. Recent initiatives attempt to curb or channel international recruitment. The delicate balance between recognising the right of individual nurses to migrate and a collective concern for the health of a nation's population must be achieved.

Attitude of Health Personnel↗
PubMed1994

Pacific Americans and the National Health Care Act: Where we fit.

PURPOSE OF THE PAPER. The purposes of this report were to identify Pacific American health care priorities, recommend how these needs can be addressed in national health care reform legislation, and inform national leaders of the cultural and social context withing which these needs must be met. SUMMARY OF METHODS UTILIZED. In concert with a team of researchers, the authors compiled and analyzed extant literature on the health care of Pacific Americans; discussions were held with health care professionals, state and territorial health care leaders, and agencies and organizations with substantial experience and expertise in health care promotion and development; a two-day health symposium was conducted by Pacific American health care community leaders to review the initial findings, conclusions, and recommendations of the draft report; and follow up meetings were heald with actual communitiy health care providers to validate the data and recommendations of the report. PRINCIPAL FINDINGS. Pacific Americans have collective historical and political relationship not only with the federal government and the continental United States, but also to each other's island state or territory. Thus, common needs and unique interrelationships serve to highlight the importance of the differences between western-oriented and Pacific American health care providers. There is a profound lack of health resources in many Pacific American communities, and even when health resources are potentially available, poor access to health care compounds the need. Pacific Americans are a mobile people with large numbers residing in California, Oregon, Washington, Nevada, Texas, Utah, and the New York-Virginia corridor. Their health needs continue even when they do not reside in their home bases. CONCLUSIONS. Pacific Americans know best how to bridge the cultural gap that continues to exist between them and western-oriented health care providers; improvements in their health care is best accomplished by Pacific Americans themselves. Pacific American health care did not start from an "Even playing field"; hence, the mismatch in resources and needs is so pronounced that it argues not only for continued but also greatly expanded federal support for enabling services, research development, and professional education and development. The federal government must collect and develop better demographic and health access information specifically and separately for Pacific Americans. Baseline data for Pacific American populations, regardless of their residence, must be available and analyzable in terms of community and/or geographic areas. Only then can effective programs be established, managed, evaluated, and improved. KEY WORDS. American Samoans; Chamorrors; Hawaiians; Pacific Americans; Pacific Islanders&semi.

Journal Article↗
PubMed2003

Breast cancer and hormonal replacement therapy.

Understanding the association between hormone replacement therapy (HRT), the diagnosis of breast cancer, and the clinical outcome of women who develop breast cancer in the setting of HRT continue to present important challenges for health professionals and the public. The general impression in the medical community is that breast cancer is diagnosed more frequently after prolonged HRT; however, whether a causative relationship exists between HRT and breast cancer remains uncertain. Despite the increase in breast cancer diagnosis, clinical outcome of the disease appears favorable for women who develop breast cancer after HRT; HRT users tend to present with more localized tumors that exhibit favorable histology, and overall death from breast cancer appears reduced. The history of breast cancer constitutes a contraindication for HRT as a general rule, based on the concern that HRT may activate dormant cancer cells. Direct evidence for this practice is very limited; available studies are small and mostly retrospective, but do not indicate an adverse effect of HRT on breast cancer recurrence. In reaching a clinical decision regarding HRT, the expected benefits (largely improvement of menopausal symptoms) must be weighed against the potential risks of HRT (especially breast cancer) for each individual woman.

Age Distribution↗
PubMedDate not supplied

Staff development challenge: assuring nurses' competency in quality assessment and improvement.

Nursing administrators and nursing staff development educators face a challenge to insure that nursing staff are prepared to participate in quality assurance, assessment and improvement. This challenge is influenced by the evolving nature of quality assessment and improvement and the need to stay current in the field. This article suggests that staff development for quality assessment and assurance is a feasible approach to remedy the gap between the educational preparation and clinical practice expectations of nurses. Considerations to provide nurses with staff development offerings about quality assessment and improvement are discussed. Program topics are suggested.

Education, Nursing, Continuing↗
PubMed2002

The use of a human patient simulator in the evaluation of and development of a remedial prescription for an anesthesiologist with lapsed medical skills.

The New York State Society of Anesthesiologists' Committee on Continuing Medical Education and Remediation has been charged by the Office of Professional Medical Conduct of the New York State Department of Health to develop a remediation program for individuals ordered into retraining. We describe the development of an anesthesiology-specific evaluation to identify areas of deficiency to both determine a candidate's suitability, as well as to facilitate the creation of an appropriate prescription for retraining. A human patient simulator was used to aid in the gathering of information during the evaluation process. Specifically, the use of simulation allowed the exploration of a candidate's preparation, approach to clinical situations, technical abilities, response to clinical problems, ability to problem solve, and accuracy of medical record keeping. Human patient simulation should be considered a valuable tool in the process of evaluating physicians with lapsed medical skills.

Anesthesiology↗
PubMedDate not supplied

Spiritual development and the dying child: the pediatric nurse practitioner's role.

Dying children require special consideration when it comes to spiritual development. Pediatric nurse practitioners (PNPs) can be a pivotal influence in the manner in which a child progresses from sick child to dying child and an influence on the family at large during the process. The primary care PNP is uniquely positioned to have a premorbid knowledge of the spiritual development and needs of the child and family. The tertiary care PNP has a responsibility to provide continuing spiritual assessment and follow-up with referrals to appropriate professional staff and community resources for spiritual care. Childhood spiritual development within the context of the PNP's role in assessing and meeting the spiritual needs of the dying child is discussed.

Adolescent↗
PubMedDate not supplied

Delirium: a process improvement approach to changing prescribing practices in a community teaching hospital.

An interdisciplinary continuous process improvement team developed an educational intervention for physicians, nurses, and other healthcare professionals that focused on the role of medications in the etiology of delirium among hospitalized patients aged 65 years and older. An analysis of prescribing practices after the educational intervention revealed a reduction in the use for 57% of the drugs targeted. Other outcomes from this process improvement methodology are also examined.

Aged↗
PubMed1989

Education to meet the challenge of AIDS.

Studies of health care providers' attitudes have revealed that many have misconceptions and fears about AIDS and possess negative attitudes about caring for people with the disease. Merely transmitting the basic facts about AIDS is insufficient to prepare health care workers to deal with AIDS patients. This article discusses the need for continuing education for health care professionals and educators and offers a model for the development of educational programs. The model is being developed in the School of Allied Health Professions, State University of New York at Stony Brook. Principles of "andragogy"--involvement of both the learner and the educator in identifying students' needs, planning learning experiences, and ongoing evaluation of the learning process--are discussed.

Acquired Immunodeficiency Syndrome↗
PubMed1998

Education in informatics in medicine and the health sciences--the need for relevance.

At the University of Newcastle, the 5-year undergraduate programme in Medicine has been developed as a problem-based, self-directed, fully integrated curriculum. Curricular integration involves not only the basic and clinical sciences, but also population medicine, critical reasoning and the development of a broad range of professional skills. Medical informatics has been seen as an increasingly important professional skill and the integrated nature of the curriculum has provided an appropriate setting for the introduction and continuing development of this component of the curriculum. Over the last 3 years this component has been developed to be incorporated into the curriculum for the health sciences within the faculty, becoming health informatics. Informatics for undergraduate students in medicine and allied health professions must be developed as a relevant and useful component of the curriculum.

Allied Health Personnel↗
PubMedDate not supplied

Occupational health nurses' work and expertise in Finland: occupational health nurses' perspective.

The purpose of this study was to describe Finnish occupational health nurses' (OHNs) work in terms of its contents, characteristics, necessities, meanings, development areas, changes, and expertise. The data were gathered via essays handwritten by OHNs (n = 20). Qualitative content analysis revealed that occupational health nursing practice included work with individuals, work communities, and various collaborative partners, office tasks, and other duties. Responses about OHNs' work were classified as characteristics of OHNs and of their work with advantages as well as disadvantages. The work of OHNs requires a multidisciplinary knowledge basis, professional skills, certain personal characteristics, and other features. These should be maintained and developed through continual education. The outcomes of OHNs' work were better health and healthier habits for employers, higher productivity for employers and occupational health care units, and health care savings for society. The most significant change that has occurred over the last 20 years was the move from an individual and medicine orientation toward a focus on the work community and on nursing. Expert OHNs were expected to be competent and multiskilled professionals who apply multidisciplinary knowledge in practice. This study brought out the need for further study with a focus on the client's perspective.

Attitude of Health Personnel↗