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PubMed1983

Talkback telephone network. Techniques of providing library continuing education.

Four lectures on solving medical reference requests were given over a talkback telephone teleconference network which links 110 hospitals throughout the state. Participants in the course were librarians in nonurban public libraries, systems libraries, and small hospital libraries. Professional librarians as well as library personnel with little training took the course. Techniques were developed for providing continuing education over this telephone network to individuals located in remote areas. These techniques are described including analysis of their advantages and disadvantages.

Education, Continuing↗
PubMed2003

Promoting or impeding empowerment? Nurses' assessments of their work environment.

OBJECTIVE: This article reports the results of a quantitative study of individual nurses' views concerning factors promoting or impeding empowerment in healthcare organizations. BACKGROUND: Changes in healthcare have lead to the formation of ever larger units, reduced resources, and an increasing demand for efficiency. Besides having extensive professional knowledge, personnel are expected to be independent decision-makers engaged in continuous development of both themselves and their work. The leadership must be goal-directed, providing support and opportunities to the personnel. Concerns exist as to how to safeguard the attractiveness of the healthcare field in a possible future competition for potential workers and students. METHODS: The concept used as theoretical framework is empowerment, which has widely been found useful not only in developing patient care but also in education and personnel management. Data (n = 416) were collected by a questionnaire based on five categories obtained in an earlier qualitative study. RESULTS: Factors that prevented empowerment included authoritarian leadership, poor access to information, and short working periods. Factors found to increase empowerment were job satisfaction, career consciousness, further training, and commitment. Further research into the effects of personnel governance and organizational changes upon empowerment seems indicated.

Adult↗
PubMed2005

Education for life: the evaluation of an innovative approach to facilitate ongoing learning for nurses.

There is general consensus within the nursing profession that life-long learning is crucial for all nurses irrespective of their educational backgrounds. There currently is a paucity of literature addressing both the problems experienced in accessing and utilising continuing education or innovative programs designed to overcome these problems, despite widespread acknowledgement of the problems encountered. In this paper the findings from the evaluation of the Clinician-Trainer Program, developed by the Centre for Psychiatric Nursing Research and Practice (CPNRP) are presented. This includes an evaluation of the course itself and of its impact on clinical practice. The findings suggest a high level of satisfaction with the course, but more importantly, it appears to be assisting trained clinicians to deliver professional development sessions within their workplace.

Consumer Behavior↗
PubMed1999

Monitoring the quality of pre-registration education: development, validation and piloting of competency based performance indicators for newly qualified nurses.

The clinical competence or 'fitness for purpose' of newly qualified nurses continues to be an important professional and corporate issue that as yet has no objective means of assessment. A mixed group of managers, clinicians and educationalists was commissioned to develop a method for the measurement and evaluation of performance during the first year of employment of newly qualified nurses. Two instruments were developed and the results of the initial pilot study are demonstrated in this article. The results are preceded by a review of the relevant literature. The initial pilot study results indicate that in the case of both instruments the tests designed do give clear results on the small numbers used. A complete picture of the validity of the audit tool will not be seen until the results of the full validation study, including the above exercise, are known. However, the results to date indicate that the instruments have the potential to demonstrate the clinical competency of newly qualified staff on employment in their first post and their development over the first year of employment.

Clinical Competence↗
PubMedDate not supplied

The professional issues forum for primary nurses: a method for professional development.

This article describes a formal mechanism for facilitating a theory-based practice through professional development of primary nurses in a large teaching hospital. The use of the theoretical concepts in clinical decision-making by primary nurses is illustrated by a case presentation. The continuing nurse educator's role in planning and conducting the forums is discussed.

Education, Nursing, Continuing↗
PubMed1982

Quality assurance: a Tri-Level model.

A Tri-Level Quality Assurance Model consisting of state, local, and national levels of organization is described. Quality assurance is defined as a broad concept integrating traditional quality assurance activities with professional education and credentialing. The Iowa Occupational Therapy Association Professional Standards Review System is described as an example of the Tri-Level Model. Components of the Tri-Level model include professional education, professional credentialing, development of standards of practice, liaison activities with the Professional Standards Review Organizations and the Joint Commission on Accreditation of Hospitals, continuing education, external review, and internal review. It is recommended that, with the growth in quality assurance activities, state associations consider the Tri-Level Quality Assurance Model as a valuable tool for professional development.

Humans↗
PubMed1979

Deep hypothermic arrest: observations on later development in children.

Thirty-two children were reviewed following closure of ventricular septal defect in infancy. Fifteen had undergone continuous perfusion and 17 had been subjected to core cooling followed by deep hypothermic arrest. Parental and professional evaluations of intellectual and motor development, at periods between 7 and 72 months following operation, suggest that there is a higher incidence of developmental abnormality in the subgroup treated with deep hypothermic arrest.

Cardiopulmonary Bypass↗
PubMed2004

Ka Lŏkahi Wăhine: a culturally based training for health professionals.

Native Hawaiian women in Hawai'i suffer the highest breast cancer incidence and death rates among women from Hawai'i's five major ethnic groups. Native Hawaiian women have the third highest breast cancer mortality rate in the nation, following African American and Native American/Alaska Native women. While overall cancer mortality rates in other U.S. populations have improved, epidemiological research shows mortality rates among Native Hawaiians has dramatically increased since 1976. Several barriers prevent Native Hawaiian entry into health care. Frequently cited barriers are: a history of oppression; high prevalence of behavioral risk factors; ineffective screening, prevention and treatment efforts; poor utilization of existing services; poor financial and geographical access to care; an absence of culturally appropriate programs, and few Native Hawaiian health professionals. To address poor health service utilization and to sensitize the health care system in Hawai'i, the Native Hawaiian Breast Cancer Sub-Committee (NHBCSC) of the American Cancer Society Hawai'i Pacific, developed and implemented a culturally based training for health professionals. The training is designed to meet continuing medical and professional education requirements. Professional in-service training began in 2001, with over 300 of Hawai'i's health care professionals participating, to date (March 2004). This training provides a model for other cultural and ethnic groups.

Breast Neoplasms↗
PubMedDate not supplied

Professional development framework. Pathway to the future.

Staff development educators in a large midwestern university hospital developed a framework for professional development. The framework, applicable to all nurses, has four levels of professional development, from professional awareness to professional mastery. Within each developmental level five dimensions of nursing practice are identified: nursing process and practice skills, communication/collaboration, leadership, professional integration, and research/evaluation. This framework for professional development is reported and its potential use in the areas of planning, development and evaluation of staff development programs; restructure of a clinical ladder for nurses; and individual career development is discussed.

Communication↗
PubMed1995

Towards a high standard of surgical oncology throughout Europe.

To retain their role in co-ordinating the multidisciplinary management of cancer, surgeons must adapt to new developments in oncology. In addition to technical skill in operative surgery, all surgeons treating cancer patients must add new information in tumour biology, chemotherapy and radiotherapy to their range of knowledge. Such a broad approach is needed nowadays in order to give a valid clinical opinion and is indispensable in the planning of operative strategies. Although considerable differences in cancer treatment exist within Europe, centres of excellence can be defined. The European Society of Surgical Oncology is planning, with the co-operation of national surgical oncology groups, to devise Guidelines for Good Practice in Surgical Oncology which will be acceptable throughout Europe. Identification of centres for training, registration and accreditation of trainees and a system of continuing education for established surgical oncologists will be proposed. The aims of these proposals are (i) to promote excellence in treatment, (ii) to facilitate an exchange of information, (iii) to encourage participation in clinical trials, (iv) to improve education of medical and para-medical personnel about oncology and (v) to point the way to research opportunities. In medical practice abundant evidence exists that (a) a high standard of clinical care promotes educational activity, (b) good education stimulates research and (c) research in turn activates improvements in service and care. Because of its complexity and the need to involve many disciplines in its management, the treatment of patients with cancer requires a high standard of professional training and competence. Moreover, because of rapid developments in cancer research and treatment, mechanisms for continuing medical education for oncologists are essential.

Europe↗
PubMedDate not supplied

Creating and using staff development standards.

This article is an overview of the development of the revised Scope and Standards of Practice for Nursing Professional Development, published by the American Nurses Association in 2000. It provides some background information about the standards, and discusses implications for staff development educators. The framework for these revised standards is continuing competence, which is essential to promote evidence-based practice.

American Nurses' Association↗
PubMed1995

The urban environment, poverty and health in developing countries.

The process of urbanization could be described as one of the major global environmental changes directly affecting human health today. Populations particularly affected are in developing countries where rapid urban growth has been accompanied by massive urban poverty. Urban environmental health impacts, particularly the impact on adults of an environment of poverty, are still poorly understood. Definitions of the urban environment tend to be physical, excluding the complex ramifications of a social setting of disadvantage. This paper provides a brief overview of existing knowledge on the links between environment, poverty and health in urban areas of developing countries, with an emphasis on the policy implications implied by research on health differential between groups within cities. The paper argues that urban poverty and inequalities in conditions between groups within cities present a central crisis confronting urban policy in terms of human health and quality of life. The paper suggests that definitions of the urban environment tend to consider only the physical, and not the social complexity of the urban setting. The review concludes that the scale and the complexity of the urban crisis in developing countries demands a real commitment to re-thinking the management of cities to address multiple deprivation. The paper suggests that this challenges urban professionals who continue to act with a bias towards unintegrated single sector solutions despite claims to the contrary.

Developing Countries↗
PubMed2001

Continuing education meetings and workshops: effects on professional practice and health care outcomes.

BACKGROUND: Educational meetings and printed educational materials are the two most common types of continuing education for health professionals. An important aim of continuing education is to improve professional practice so that patients can receive improved health care. OBJECTIVES: To assess the effects of educational meetings on professional practice and health care outcomes. SEARCH STRATEGY: We searched the Cochrane Effective Practice and Organisation of Care Group specialised register, MEDLINE (from 1966), the Research and Development Resource Base in Continuing Medical Education in January 1999 and reference lists of articles. SELECTION CRITERIA: Randomised trials or well designed quasi-experimental studies examining the effect of continuing education meetings (including lectures, workshops, and courses) on the clinical practice of health professionals or health care outcomes. DATA COLLECTION AND ANALYSIS: Two reviewers independently applied inclusion criteria, assessed the quality of each study, and extracted study data. We attempted to collect missing data from investigators. We conducted both qualitative and quantitative analyses. MAIN RESULTS: Thirty-two studies were included with a total of 36 comparisons. The studies involved from 13 to 411 health professionals (total N= 2995) and were judged to be of moderate or high quality, although methods were generally poorly reported. There was substantial variation in the complexity of the targeted behaviours, baseline compliance, the characteristics of the interventions and the results. The heterogeneity of the results was best explained by differences in the interventions. For 10 comparisons of interactive workshops, there were moderate or moderately large effects in six (all of which were statistically significant) and small effects in four (one of which was statistically significant). For interventions that combined workshops and didactic presentations, there were moderate or moderately large effects in 12 comparisons (eleven of which were statistically significant) and small effects in seven comparisons (one of which was statistically significant). In seven comparisons of didactic presentations, there were no statistically significant effects, with the exception of one out of four outcome measures in one study. REVIEWER'S CONCLUSIONS: Interactive workshops can result in moderately large changes in professional practice. Didactic sessions alone are unlikely to change professional practice.

Congresses as Topic↗
PubMed2003

Transitioning care of the pediatric recipient to adult caregivers.

The development of transitional care is one of the major challenges for the twenty-first century as the survival rates and medical outcomes for child and adolescent recipients of solid organ transplants continue to improve. Such developments must include pediatric and adult care providers and require training of professionals in both arenas. Transition is a process in which the transfer to adult care is only one event within that process. The key elements of transition for pediatric recipients are discussed, and the importance of a coordinated, structured, multidisciplinary approach involving the adolescents themselves is highlighted.

Adolescent↗
PubMed1998

Preventing and controlling oral and pharyngeal cancer. Recommendations from a National Strategic Planning Conference.

In August 1996, CDC convened a national conference to develop strategies for preventing and controlling oral and pharyngeal cancer in the United States. The conference, which was cosponsored by the National Institute of Dental Research of the National Institutes of Health and the American Dental Association, included 125 experts in oral and pharyngeal cancer prevention, treatment, and research; both the private and public sectors were represented. Participants at the conference developed recommendations concerning advocacy, collaboration, and coalition building; public health policy; public education; professional education and practice; and data collection, evaluation, and research. A follow-up meeting consisting of selected participants of the 1996 conference was held in September 1997. During this meeting, changes that had occurred in the political and scientific arenas since the 1996 conference were considered, and 10 recommended strategies from the conference were selected for priority implementation. These 10 strategies were to a) establish a mechanism to implement and monitor the recommended strategies developed during the conference; b) urge oral health professionals to become more actively involved in community health; c) require instruction in preventing and controlling tobacco and alcohol use at all levels of training in dental, medical, nursing, and other related health-care disciplines; d) encourage Medicaid, Medicare, traditional insurance plans, and managed-care entities to consider making oral cancer examinations an integral part of comprehensive physical and oral examinations; e) designate federal funding for a national program of oral cancer prevention, early detection, and control; f) after assessing local needs, develop, implement, and evaluate statewide models to educate all relevant groups; g) develop and conduct a national promotional campaign to raise public awareness of oral cancer and its link to tobacco use and heavy alcohol consumption; h) develop health-care curricula that require competency in prevention, diagnosis, and multidisciplinary management of oral and pharyngeal cancer; i) sponsor and promote continuing education for health-care professionals on the multidisciplinary management of all phases of oral cancer and its sequelae; and j) strengthen organizational approaches to reducing oral cancer by developing organized cooperative and collaborative arrangements, funding formal centers, and involving commercial firms. CDC will use these recommended strategies to develop programs to reduce the burden of oral and pharyngeal cancer in the United States. Through the Oral Cancer Roundtable, a group of conference and meeting participants, CDC will communicate to interested agencies, organizations, and state health departments ways in which they can implement elements of the national plan. The Roundtable will help CDC track the efforts and progress of these groups.

Congresses as Topic↗
PubMed2004

Quality assurance: the key for amendments of the EU-directive/s regulating veterinary training in Europe.

The free movement of persons, goods and services within the European Union (EU) is one of the major principles established by the European treaties. This free movement shall now be reinforced through the full application of the new general system for the mutual recognition of professional qualifications, in which veterinary medicine is included. The success of this measure for internal market development imposes availability of professionals with the highest possible basic training and opportunities for continuing education and specialisation. Such benchmark definition requires the establishment of veterinary training throughout the EU to focus on the qualitative aspects of the basic training they impart. New production forms, new labour markets and a higher degree of consciousness of the producers and the consumers, together with an ever-increasing load of new information and knowledge in most veterinary fields had forced changes in veterinary education strategies. These changes have led to the adaptation of curricula and the application of new pedagogical concepts ultimately leading to the design of new, exciting programmes of veterinary training. Some of them use a combination of basic education and elective terms while others have focused training in species-oriented tracks already by the time students enter the clinical level. There is general consent that the quality of basal training must enable the student to achieve a level of confidence in life-long learning so he/she would be able to follow relevant CPD's and, eventually, pursue specialisation. At the same time, veterinary establishments are concerned with their ability to achieve these goals, mostly due to the usual high costs of veterinary training that constrain their chances to maintain equality of training levels through the EU. We need to find tools to harmonise veterinary training among the establishments of veterinary education in Europe, beyond the compulsory subject and training minimum requirements laid down by the Directive 78/1027. Harmonisation requires regulations but also awareness. Establishments of veterinary education must not only comply with regulations but also become aware of the advantages of quality assurance of their basic training. The present paper is a series of personal reflections by the author who ultimately addresses veterinary educators and interest organisations such as the European Association of Establishments for Veterinary Education (EAEVE) and the Federation of Veterinarians of Europe (FVE) to focus on strategies of quality assurance as the basis for claims of amendments of the EU-Directive/s regulating veterinary training in Europe.

Curriculum↗
PubMed1976

New Jersey's coordinated CME system.

After six years of collaboration between professional associations and academic institutions, a coordinated system of continuing medical education has been developed in New Jersey. The functions of institutional accreditation, program review, and educational development have been clarified and then assumed by appropriate organizations. Delegation of these functions at the state level has in turn fostered the development of accredited CME programs in more than half of New Jersey's community hospitals.

Accreditation↗
PubMed2002

Emergency relief during Europe's famine of 1817 anticipated crisis-response mechanisms of today.

Humanitarian professionals continue to seek best practice guidelines for famine relief. Many emergency interventions in developing countries draw on recent lessons from the 20th century, although attention has also been paid to historical experiences such as the 19th century evolution of India's Famine Codes and responses to Ireland's famine of the 1840s. This presentation goes further back in time to examine public responses to the pan-European famine of 1816-1817. It finds that many of the experimental actions set in place at that time contributed to a growing public acceptance of the role of government action in times of crisis, while establishing a variety of viable approaches that continue to be used today.

Emergencies↗