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Negotiating strategic direction for education staff development: the Southampton experience.

The School of Medicine at the University of Southampton has identified and implemented strategic direction for education staff development. This paper reports on the processes of consultation and negotiation undertaken to ensure the success of a strategic approach and reflects on the difficulties involved. In particular, it reports on the development of a successful training programme for established teachers and course coordinators. The authors recommend adopting a transformational style of leadership for staff development and argue that focusing on student needs helps overcome tensions between the institution and individual staff members.

Curriculum↗

Computer applications for staff development and patient education.

The changing and evolving profession of nursing necessitates extensive staff development activities on the part of nursing management. This ongoing responsibility is essential to maintaining the currency and competence of practicing nurses and facilitating their professional growth. Simultaneously there are economic constraints coinciding with increased consumer demands for patient education. The purpose of this paper is to explore an innovative teaching method, the use of instructional computing for staff development and patient education programs. The theoretical frameworks for this instructional modality are identified and general advantages and disadvantages of instructional computing applications are described. Specific examples of programs from the literature are briefly discussed.

Attitude to Computers↗

Retaining graduate nurses: a staff development challenge.

The high attrition of graduate nurses in their first nursing positions has a significant and costly impact on Staff Development Departments. Orientation of these new practitioners demands increased use of resources (educators, money, and energy) which in turn decreases the availability of these resources for the career development of the more experienced RN staff. To justify this investment, the new graduate must be retained beyond the first year. Staff development educators are challenged to create and test new strategies to facilitate this retention. This article describes one strategy, support groups, and its effect upon the retention and job satisfaction of graduate nurses during their first year of employment.

Education, Nursing, Continuing↗

Games in nursing staff development.

Adult learners have different learning styles and needs. To facilitate learning in a mixed group, various strategies must be used. Games have proven to be effective in basic and continuing nursing education. Educational games are gaining popularity in nursing staff development. This article discusses games in nursing staff development.

Education, Nursing, Continuing↗

The Nursing Fellowship: innovation in staff development.

The Nursing Fellowship is an example of a staff development program developed to meet the current day needs of nurses and hospitals. Across the country, hospitals are confronted with a paucity of specialty-prepared registered nurses. The Fellowships prepare RNs for certification examinations offered by the national specialty organizations. The Fellowships are under the umbrella of the Institute for Advanced Nursing Clinical Education and include: Oncology, Critical Care, Gerontology, Psychiatry, Medical Surgical, Perinatal and Perioperative Nursing. They are didactic and clinical and are developed and led by Master's-prepared clinical nurse specialists who are certified in the specialty area. The Fellowships continue to evolve but appear both subjectively and objectively to be successful in increasing knowledge in the specialty area. Early evaluation of the Fellowships suggests they may be an important tool for recruitment purposes and in retention of nursing staff.

Certification↗

Creativity in nursing staff development.

The use of creative teaching techniques in nursing staff development generates enthusiasm for learning in both the learner and the educator. We report the process used to develop alternative teaching approaches and examples of these programs. A cost analysis of a traditional versus an innovative program is provided. Advantages and disadvantages of these approaches are reviewed.

Creativity↗

Quality assurance. A staff development concern.

To ensure high standards of nursing care, staff development educators need to develop a quality assurance (QA) plan specifically designed to monitor the outcome of educational activities. This article focuses on the design of a QA plan and its use in assessing nursing education programs for their quality, appropriateness, and clinical application.

Humans↗

Participation of a preschooler with visual impairments on the playground: effects of musical adaptations and staff development.

The purpose of this study was to evaluate the adaptations of a playground, and subsequently staff development, on the participation of a 3-year-old boy with congenital blindness. A single-subject design with three conditions (baseline, adaptations of the playground, and staff development) was used. The playground adaptation involved adding musical stations in strategic locations on the playground and connecting them with a "path" that provided auditory feedback. The staff training involved the music therapist providing individualized instruction to the staff who supervised the child. The child's participation was measured in terms of social interaction with peers or adults, play and engagement with materials, movement on the playground, and stereotypic behaviors. The playground adaptation resulted in no changes in the child's social interactions with peers or adults, increases in engagement, no change in movement on the playground, and a decrease in stereotypic responses. Staff training resulted in increased but variable interactions with adults and peers, in additional increases in engagement, less movement, and similar levels of stereotypic behavior. The findings suggest that musical adaptations of physical environments may he helpful but not sufficient for promoting desired outcomes.

Blindness↗

Educational coordinator--staff development--what is their impact on patient education?

The increasing complexities in the health care system have produced a need for well-planned patient education. Integral to the development of these programs is: the assessment of patient populations' educational needs; the design of a program to meet these defined needs; the implementation of this pre-designed program; and, the evaluation of that total learning experience. The literature suggests that a patient education coordinator facilitates this program planning process. It is also suggested that in agencies where a coordinator position is non-existent, that staff development related to patient education can enhance programming efforts. This investigation examined the impact of staff development and the coordinator on the program-planning process. It researched the effect of these factors singularly and collectively. The results suggest that individually and in tandem both factors have a positive impact on patient education. Best results were observed in institutions having a coordinator and a staff development program.

Administrative Personnel↗

Organizing a staff development department: the Fort Logan Model.

The staff development department at the Fort Logan Mental Health Center in Denver was created to increase interdisciplinary coordination and participation in student- and continuing-education programs. A great deal of interdisciplinary competition was evident at the beginning. Eventually, continued interaction and expanding needs for members' skills eliminated most competition, and staff were able to learn from one another. Most of the staff now have multiple capabilities and are effective not only in teaching but also in systems intervention. The department's services include a preservice program, which is responsible for student and professional training programs; inservice- and continuing-education programs; and a consultation program.

Colorado↗

Fun and games in nursing staff development.

Games can make learning fun and stimulating. This learning strategy is particularly useful in providing factual information to orientees. This article describes a game developed to orient staff nurses and unit clerks at the Calgary General Hospital in Calgary, Alberta, Canada, to agency policies and procedures.

Education, Nursing, Continuing↗

A strategy for staff development: self-care and self-esteem as necessary partners.

Using an inservice education approach, the clinical nurse specialist can play an important role in the development of nursing staff. This article presents 10 self-care strategies (valuing strategies) that, if integrated into a nurse's personal and professional life, can increase self-esteem and healthy self-care practices. Self-care and self-esteem are described as "necessary partners." These self-care strategies can be presented to a variety of nursing groups. Utilizing experimental group exercises can enhance the learning for such lifestyle changes.

Adaptation, Psychological↗

Learning needs assessment as a vehicle for integrating staff development into a professional practice model.

Restructured nursing roles resulting from innovative professional practice models and participative governance systems create a demand for new and expanded competencies. The impact for nursing staff development is the concurrent requirement to develop programs that match the skill/competency requirements of nurses in emerging practice models. This article recounts how one nursing department implemented a learning needs assessment (LNA) process as a means of integrating staff development into professional nursing practice.

Clinical Competence↗

The effect of a competency-based targeted staff development program on nursing productivity.

This study is based on the empirical fact that among nurses large variations occur not only in clinical competency but also in individual productivity. The article proposes that competency-based targeted staff development programs can improve productivity as well as nursing performance. Research presented here shows that the nurses on units using targeted staff development increased the time spent on professional and direct care and reduced nonprofessional and indirect care tasks in comparison to nurses on the control nursing unit.

Clinical Competence↗

Evaluation of a patient teaching skills course disseminated through staff developers.

Effective Patient Teaching (EPT), a course designed to improve health professionals' and health professions students' teaching skills, reliably produces gains in participants' skills when presented by its developers. The objective of this dissemination research study was to investigate whether, using a 'training of trainers' approach, seven nurses with staff development responsibilities in five different sites could teach EPT with similar effectiveness. The evaluation included pre- and post-course analysis of audiotaped patient education sessions conducted by 48 health professional participants who took EPT from one of the trainers in their home institutions. Post-course participant satisfaction surveys were also administered. EPT resulted in teaching skill improvements in four of five sites, and overall teaching skills scores improved significantly (P < 0.01). EPT can improve participants' teaching skills when taught by health professional trainers with staff development responsibilities who have recently received EPT training.

Clinical Competence↗

Political savvy in staff development: building an indispensable department.

Political savvy is not something with which one is born; instead it is a process that is learned, sometimes painfully, always demandingly. The purpose of this article is to identify strategies that will make a staff development department essential to organizational functioning and that will enhance both productivity and political survival. Critical to survival is the promotion of the three Vs of staff development: visibility, viability, and validity. Power and politics must be utilized to create an indispensable department.

Hospital Departments↗