[Basis for the future education in the nursing professions (Sigriswiler Model)].
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The purpose of this study was to develop a model of direct communication in American Sign Language for mainstreamed adult education courses. The model uses an individual instruction format with limited lecture time. Data were collected for 23 students (12 hearing and 11 deaf) newly enrolled in a mainstreamed word processing class. They were compared on average hours required to complete an exercise, average rates of attendance, and weekly drop rate. Attendance and drop rates were compared for new and returning students in the mainstreamed class (34 students) and 25 hearing students from a nonmainstreamed class. In addition, the average number of hours required to complete the exercises was compared for 10 new hearing students from the mainstreamed class and 11 new hearing students from the nonmainstreamed class. No significant differences were found in any of the comparisons. The study recommends further research to compare this Direct Instructor Communication Model with other more traditional deaf education models.
This paper reports the outcomes of a 3-year faculty development project, the Nursing School Education Collaborative (NSEC), implemented in four baccalaureate schools of nursing. The focus of the NSEC was to strengthen educational programs through faculty development and curriculum integration in the area of substance abuse and addictions education. A comprehensive needs assessment process is outlined, and faculty development and curriculum integration activities are detailed. Faculty development has resulted in significant improvements in each school's substance abuse curriculum. Outcomes at each participating school have included continuing education activities, acquisition of additional teaching resources, the development of an integration model, and increased curriculum and clinical contact hours. With the increasing recognition of substance abuse as a number one public health problem and nursing as a major health workforce, this project serves as a model for replication.
A program for the integration of chronic psychiatric patients into independent living in the community is described and data indicating its success are presented. The program is based on an educational, behavioral, social systems model, where "educational" refers directly to teaching skills which a person lacks, "behavioral" deals with providing the motivation to perform these skills and to precisely operationalize and measure the effectiveness of the steps in learning them, and "social systems" describes influencing clients' social environments in their interests. The model has wider implications for reintegrating a variety of socially marginal individuals into the mainstream of society.
Advanced, professional education is the key to shift the correctional health nursing role from isolated practice behind bars to a seamless community-based, managed-care approach. From a public health perspective, the state of health or illness of the correctional population reflects the state of health or illness of the community of which they are a part. The aim of correctional health is to close the health-trauma cycle and to restore the inmate's health to a state and a process of being, and the inmate to an integrated and whole person within the community.
At many academic health centers, medical students in internal medicine, family medicine, and pediatrics are working with a new form of attending physician, the hospitalist. Although a growing literature demonstrates the benefits of hospitalists for patients and housestaff, the influence of hospitalists on students has been underemphasized. Advantages of the hospitalist model for students can include hospitalists' expertise in general inpatient medicine, their availability to teach throughout the day, and their role-modeling of the provision of high-quality and efficient care. However, the change in the ward attending workforce from non-hospitalist generalists, subspecialists, and biomedical researchers to generalist-hospitalists potentially limits students' exposure to the broad range of career opportunities the former group represents. The authors propose a research agenda to investigate the educational impact of the hospitalist model, suggest strategies to mitigate the limitations in students' exposures to subspecialty faculty, and recommend professional development in teaching for hospitalists to ensure that student education thrives in this new environment of inpatient medicine.
An emphasis on patient safety and an administrative mandate to have information systems in place in most health care agencies in the USA by 2014 has put pressure on nursing informatics programs to increase the number of graduates. At the same time a need for change in health professions education was emphasized at an educational summit sponsored by the Institute of Medicine. Interprofessional education (IPE) will help to provide needed educational reform in informatics and is defined as planned occasions when two or more professions learn from each other and about each other in a structured manner. This paper discusses an evolving interprofessional (IPE) model of informatics education that has been developed at the University of Utah. Because of interprofessional collaboration, faculty, students, and support staff from both the medical and nursing informatics programs moved into a suite on the fifth floor of a state-of-art technology-rich health sciences education building. The co-located space has enabled the informatics programs to increase activities that promote interprofessional education.
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The primary aim of the study was to determine whether Australian undergraduate nursing curricula incorporate the necessary skills and knowledge to prepare graduates for the current health care environment in Australia. The eligibility criteria for inclusion in this evaluation included Australian university undergraduate pre-registration nursing programs. All of the 29 universities offering such programs in Australia were contacted by letter to the Deans of Nursing and their current curriculum document requested. Twenty six of 29 (90%) eligible Australian curricula were included in the curriculum evaluation. A comprehensive and flexible curriculum evaluation framework was developed for the analysis of the 26 curricula. The evaluation revealed the ways in which nursing curricula balance various aspects of courses, respond to changes in society, education and health care industries. Overall it was found that graduates are well prepared for practice. However questions of quality and coordination of clinical learning were highlighted for future focus and major challenges lie in addressing excessive workload and assessment. Also work needs to be done in improving the inclusion of issues around the health of Aboriginal and Torres Strait Islander (ATSI) peoples, people living in remote or rural Australia and older people.
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This paper commences with a brief introduction during which the foundations are laid for the ensuing discussion, in which learning, practical knowledge and expertise, and reflective practice are briefly analysed. Thereafter, it is argued that mentorship is best understood as relationship and function, neither of which is necessarily the same as that of the teacher-practitioner.
The post-registration framework for registered nurses and midwives was set up to provide flexible continuing education programmes for registered nurses. For those students who already have the basic professional qualification specific to their area of practice, professional development programmes are intended as a vehicle for improving their own personal professional competence. However, for those individuals who wish to gain further qualification or to change from one practice context to another, it is argued that the framework does not adequately address their needs. At present, pre-registration diplomates emerge from the Project 2000 programme with a qualification which enables them to work in one specific area of practice only. This early specialization is not in line with current and projected USA and European thinking (Castledine 1995) and may lead to a reduction in the broad base of nursing knowledge. It is further argued that pre-registration programmes should provide a generic base of nursing theory and practice, whereas specialist knowledge and practice should be the main thrust of post-registration work. The authors argue that initial development of nurses in specialist areas at pre-registration level restricts their ability to respond to rapidly changing health care needs later in their careers. The post-registration framework should be a flexible vehicle by which individuals can gain expanded knowledge in a particular field of practice or can change professional direction if they wish. Thus, nurses would have the freedom to develop in a way that is most appropriate to their changing individual needs.
The author's recent research study (Project 2000 assessment of clinical competence: an investigation) plus others (Jowett et al 1991, McEwen et al 1993, Davies et al 1994) have highlighted the Project 2000 students' need for a survival kit in the form of 'practical skills' before going to their allocated practice placements. Interviews at three colleges of nursing and midwifery with 70 students and 80 practitioners and data from 300 student questionnaires and 155 named practitioner questionnaires confirm that which has been echoed ever since Project 2000 began. Students have expressed anxieties and worry about their perceived lack of preparation by the college tutorial staff for practice placements. Their concerns fall into three main categories: (1) fear of doing the patients harm; (2) not belonging to the nursing/caring team; and (3) not being fully competent on registration. Students believe that if they are given the opportunities to practise nursing procedures and caring skills which they and nurse practitioners identify as 'basic nursing care' needed to care for patients without fear of endangering them and feel secure and provide a sense of belonging by being part of the caring team, irrespective of the length of the exposure to that client group and caring team, then their fears and insecurities will be alleviated.
This paper discusses a project undertaken to explore the effectiveness of concept mapping in assisting students to develop positive concepts of health. Positive concepts of health are central to the notion of health promotion. While strategies for health promotion are included in all nursing education programmes in Australia, to date there have been few strategies that are oriented towards promoting the development of positive concepts of health discussed in the literature. If student nurses are to become health-promoting practitioners, health teaching in nursing education must employ teaching strategies which clarify for students the differences between positive and negative concepts of health. One such strategy is concept mapping, which was developed as an educational tool to foster meaningful learning. Concept maps work to identify misconceptions in relation to a topic by clarifying the essential points, thus opening the way for concept change. This paper discusses the results of using concept mapping within the context of an abstract subject such as health, identifies difficulties in evaluating the strategy and makes recommendations about how these might be overcome.
In the past year there has been continued discussion within professional organizations regarding the emergence of the practice doctorate. This in turn has caused concerns among some nurse practitioners. The purpose of this article is to provide an overview of the practice doctorate, current progress and development of the concept, and the potential impact on practicing pediatric and other nurse practitioners.
Comparative Nursing in England and France is taught at the University of Wisconsin Oshkosh every winter interim, usually departing shortly after Christmas and returning the second week in January. A convenience sample of 38 nursing alumni who have completed the same 2-week international study tour during the past 5 years completed the International Education Survey (IES) developed at the University of Wisconsin-Eau Claire School of Nursing. The IES examines the impact of the international experience on the professional nurse role, international perspectives, personal development, and intellectual development.
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