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PubMedDate not supplied

Deployment of computer-based training programs via a hospital intranet: methods used, lessons learned.

This article reviews the methods used to implement computer-based training via a hospital intranet. Extensive consultation with the members of the Nursing Staff Development Team throughout the five campuses and a close working relationship with Information Services contributed to the success of the project. This article could serve as a valuable resource for nurses who are interested in using hospital intranets for learning.

CD-ROM↗
PubMed2001

Neonatal resuscitation training program in Malaysia: results of the first 2 years.

OBJECTIVES: To determine the number of providers and instructors trained by the initial 37 core instructors during the first 2 years following the launch of the Malaysian Neonatal Resuscitation Program (NRP). To identify remediable problems which interfered with the propagation of the NRP in Malaysia. METHODOLOGY: A prospective observational study carried out over a 2-year period between 2 September 1996 to 2 September 1998. For every training course conducted, the instructors completed a NRP course report form (Form A) that documented the instructors involved in the course. For every participant who attended the course and successfully completed it, the instructors submitted a record form (Form B) that contained the name, hospital address, department, profession, place of work, language used for training and the marks obtained by the individual participant. After each course, completed forms A and B were returned to the NRP secretariat for compilation. RESULTS: Of the 37 core instructors, 35 (94.6%) carried out training courses in their respective home states. A further 513 new instructors and 2256 providers were trained subsequently. A total of 2806 health personnel from all 13 states of Malaysia were NRP-certified during the first 2 years. However, 61.2% (n = 335) of the 550 instructors were inactive trainers, having trained less than four personnel per instructor a year. Most of the NRP-certified personnel were either doctors (32.0%) or nursing staff (64.4%). More than 60% of these worked either in the labour rooms, neonatal intensive care units or special care nurseries. At least one person from all three university hospitals and all general hospitals, 89.3% (92/103) of the district hospitals, 3.5% (73/2090) of the maternal and child health services, and 21% (46/219) of the private hospitals and maternity homes, were trained in the NRP. CONCLUSION: Dissemination of the NRP in Malaysia during the first 2 years was very encouraging. Further efforts should be made to spread the program to private hospitals and the maternal and child health services. In view of the large number of inactive instructors, the criteria for future selection of instructors should be more stringent.

Cohort Studies↗
PubMed1990

Analysis of indications for referral to a multidisciplinary medical genetics clinic: implications for training programs in obstetrics and gynecology.

Clinical genetics has become an integral component of obstetric training. Advances in prenatal screening (particularly maternal serum alpha-fetoprotein) and the clinical applications of molecular technologies have broadened the indications for referral to geneticists. During the study period, 1237 patients were referred for genetics consultation. A total of 596 (48%) were referred because of cytogenetic indications (576 for genetic amniocentesis); 252 (20%) because of multifactorial-developmental abnormalities; 204 (17%) because of risk of diseases attributable to single-gene mutations; 58 (5%) because of antenatal teratogen exposure(s); and 127 (10%) because of other reasons. Herein we summarize our experience as a multidisciplinary genetics unit and offer recommendations for broadening resident training curricula to meet current clinical needs. These data will be useful for enhancement of health care use and more effective direction of limited resources.

Ambulatory Care Facilities↗
PubMed1998

The university training programs in Austria.

A description is given of Austria's currently operational framework of training opportunities and post-doctoral courses in Medical Informatics. The description includes a brief outline of the currently valid curriculum in informatics and the methods on how to specialise in medical informatics within this framework.

Austria↗
PubMed1994

The effect of an abdominal muscle training program on intra-abdominal pressure.

The effect of 10 weeks' specific abdominal strength training (resisted trunk rotations) on intra-abdominal pressure was investigated in 10 healthy males. Isometric rotational force, trunk flexor and extensor torque and intra-abdominal pressure were measured as well as intra-abdominal pressure responses to Valsalva manoeuvres, maximal pulsed pressures, drop jumps and trunk perturbations. The rotational strength increased 29.7% after training without significant change in intra-abdominal pressure. The isometric flexor strength did not change, while the extensor strength increased 11.0%. Valsalva and pulsed pressures increased 11.6 and 9.2%, respectively. The rate of intra-abdominal pressure development during pulsed pressures, drop jumps and trunk perturbations increased after training. The level of intra-abdominal pressure during the latter two tasks remained unchanged. It is concluded that an increase in strength of the trunk rotators with training improves the ability to generate higher levels of voluntarily induced intra-abdominal pressure and increases the rate of intra-abdominal pressure development during functional situations.

Abdomen↗
PubMed1993

[Physicians as leaders. Evaluation of a leadership training program for physicians (Medled)].

In September 1990, 40 doctors started a two year management training programme consisting of six one week courses organised by the Norwegian Medical Association. The programme was evaluated, and this article presents the results of two of the methods, used for evaluation: the first an interview with 12 participants, and the second a questionnaire answered by participants, colleagues at the same department and colleagues at other hospitals (a control group) before and after the course. Compared with colleagues from the same department and from the control group the participants had changed their attitude towards important questions of management. They had become more concerned about the importance of motivating the staff, that the department should give priority to the hospital's objectives in preference to own interests, and that the ultimate responsibility for the department should reside in one person and this person should be a doctor with a relevant specialty. The results of the questionnaire survey are confirmed by the results of the interviews. In addition the results of the interviews suggest that, during the management training programme, the participants had changed from an individual-oriented to a more group-oriented style of management.

Education, Medical, Continuing↗
PubMed1994

[Newborn resuscitation in the delivery room: evaluation of a regional training program conducted in 1990 in the Centre region].

OBJECTIVE: To evaluate the regional programme designed to train personnel for resuscitation of the neonate in the delivery room and organized in the district of Centre, France in 1990. STUDY: Transversal study. SITE: The different maternities of the district. POPULATION: 31 maternities, 156 persons in charge of neonates in the delivery room including medical personnel (doctors, mid-wives) and paramedics, with or without any special training in 1990. METHOD: A single evaluator visited each maternity and met the personnel involved. The modalities of the evaluation were not given in advance and included a census of the personnel who had participated in the training programme and changes in material. The success of the training programme was evaluated on a theoretical and practical basis for the personnel and on the number of severe meconium aspirations observed. RESULTS: The training programme had reached 53% of the personnel involved. It had a wide impact both in terms of changed material and in neonatal resuscitation rates compared with untrained personnel. The number of severe meconium aspirations fell from 3 in 1989 to 0 in 1990.

Cross-Sectional Studies↗
PubMed1990

Individual and group training program.

We describe the experience of a didactic analysis group during a 3-year period in the Academy of Analytical Psychotherapy placing special emphasis on the training of the psychoanalyst, who, apart from carrying out his individual analysis, must complement it with group training. The advantages of the group analysis are given particular attention when evaluating the training of the candidate from the point of view of the psychoanalyst and the 6 doctors who have received this education. In this type of training for individuals and groups the program aims at a deeper study of the aspects of narcissism, the formation of the self and the social ego which we consider to be the fundamental elements in the development of this didactic experience.

Curriculum↗
PubMedDate not supplied

[Cognitive training and strategy behavior: comparative evaluation of 2 cognitive training programs].

Combining a non-comparative with a comparative evaluation, two modern programs for fostering inductive reasoning, namely the German version of the "Cognitive training for children" by Klauer and Phye (1994; Klauer 1989), and the "DenkMit" by Sydow and Meincke (1994), are compared to each other and to a control program which intends to enhance aspects of memory instead of inductive reasoning. The programs were performed with N = 49 children between six and eight years who had been postponed from regular school because of various reasons or who had been selected as especially in need for particular interventions from first classes. Besides the psychometric test often used for assessing inductive reasoning, i.e. three subtests of the German form of the Culture Fair Test by Cattell (Weiss a. Osterland 1980), tasks of concept formation were applied for assessing changes in strategic behavior of children--a type of task which has been used in connection with inductive reasoning since many years. Counter to expectations, the children whose memory was trained, showed changes in performance in the psychometric test in a similar size as the children whose inductive reasoning was trained. These effects are interpreted in terms of special attention directed to the children during the intervention situation. Moreover, it was found that despite the authors claim to the opposite the DenkMit did not cause any changes in visual perception. In contrast to the author's intentions, the "Cognitive Training for Children" did cause some substantive changes in the area of visual perception. The pattern of results with the concept formation tasks, however, overall indicates that the reasoning programs caused some changes in strategic behaviors of the children. Although these changes are not very impressive, they cannot be attributed to extraneous factors such as special attention.

Attention↗
PubMedDate not supplied

[Effects of elastic lumbar belts on the effect of a muscle training program for patients with chronic back pain].

QUESTION: Aim of the study was to evaluate the influence of elastic lumbar belts on the effect of muscle training for patients with low back pain. METHODS: 97 male subjects aged from 23 to 42 years with and without low back pain participated in the investigation. The low back pain patients (n = 63) were randomized into a training group without and a training group with elastic lumbar belts and a control group. The subjects with healthy backs (n = 34) were divided age-matched into a training group with elastic lumbar belts and a control group. The three training groups took part in a muscle strenghtening program over 8 weeks. The control groups did not receive any alternative physiotherapeutic treatment. All groups were tested at the beginning, after 8 weeks and further 6 months later. RESULTS: The data obtained for the control groups remained virtually unchanged over the period of investigation. However, a significant increase of the muscle flexibility of the lower limbs could be proved for the training groups. Furthermore the coordination between the lumbar spine and pelvis when flexing the trunk deeply forward was more leveled out for the training groups with patients suffered low back pain. The results confirmed a reduction for pain severity and for limitations in activities of daily living as well. The modifications for the criteria investigated were significant stronger for the training group with patients using the elastic lumbar belt. CONCLUSIONS: The effectiveness of the muscle strengthening program for patients with low back pain could be improved significantly by means of the elastic lumbar belt as an applicable therapy instrument in the functional rehabilitation of spinal injuries.

Adult↗
PubMed1994

A practical staff management package for use in a training program for persons with developmental disabilities.

A staff management package was investigated for increasing and maintaining behavioral training skills of direct-care staff. Behaviors of three direct-care staff members were monitored while they conducted a prevocational program with 27 adult clients with severe or profound mental retardation. The intervention was an easy-to-apply checklist used weekly by a supervisor to give feedback to direct-care staff. The management procedure did not require the supervisor to collect quantitative data to be graphed or charted. Use of the checklist during a weekly morning work session in a multiple-baseline design across subjects led to immediate improvement in staff performance during daily morning work sessions. Considerable generalization of improved staff performance to daily afternoon work sessions with a different client group occurred. Further increases in staff performance occurred when the management procedure was added to afternoon work sessions. Staff performance was maintained over 4 months after the management procedure was decreased from weekly to biweekly use. When performance of direct-care staff improved, on-task behavior of most clients also substantially increased. Direct-care staff preferred the staff management package compared to "traditional" methods of supervision, and the training unit adopted the checklist for continuous use at the conclusion of the study.

Adult↗