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At least 1,225 records · Page 68Linked to original sources
PubMed2003

Environmental enrichment for dendrobatid frogs.

The Central Park Zoo, one of the Wildlife Conservation Society's Living Institutions in New York, recently renovated an exhibit for dart-poison frogs. Staff developed a new hollow coconut insect feeder in conjunction with this project. When the exhibit change, coconut feeder, and other enrichments were tested for effectiveness, the coconut feeder enrichment produced the greatest increase in frog activity in traditional and new exhibits. This may be due to the coconut feeder's relatively complicated nature, which randomizes the release of insects into the exhibit. The goal of this project was to help develop a best-practices approach to dendrobatid husbandry for zoological facilities to use in the future.

Animal Feed↗
PubMed1990

Expanding community health nursing roles to meet health-care needs of frail elderly. An adult learning model.

The increased training needs for community health nurses (CHNs) working with frail elderly offer a variety of challenges in staff development. Santa Clara County addressed these challenges with an innovative model, and geriatric assessment skills building program presented to 40 CHNs. The model uses a team teaching approach, a preceptorship and adult learning theory, making it readily adaptable to a variety of community health settings.

Aged↗
PubMed1995

The lived experiences of homeless men.

To investigate the phenomenon of social disaffiliation in homeless men, a qualitative study was conducted that used a framework of Bahr's (1973) social disaffiliation theory. Ten homeless men were interviewed to determine their reasons for becoming homeless, their feelings about being homeless, and the specific resources they used for maintaining life on the streets. Using a semistructured interview, audiotapes were made of the responses of the 10 men, 20 to 61 years old, who were using a shelter for the homeless in a U.S. southern city. For data analysis, Giorgi's phenomenological approach (cited in Omery, 1983) was used. Activities and resources that the men used to meet their social, economic, and other needs were described. The following three major themes were identified: rejection, uncertainty, and social isolation. Recommendations include changing nursing curricula and conducting staff development programs, testing interventions to alleviate social isolation, and assisting the homeless to return to the societal mainstream.

Adaptation, Psychological↗
PubMed1999

Training for telemedicine.

All technology requires training. Simply installing videoconferencing equipment in a hospital or health centre, and leaving the manufacturer's manual nearby, is not sufficient to encourage or maintain its use for telemedicine. Presenting clinicians and other users with thick policy and procedure documents to be read and understood is also not helpful. Following initial awareness raising about telemedicine and its potential, staff must be properly trained: not just in how to turn on the equipment but in how to use it effectively for consultation, education and administrative purposes. Training needs to be continual, especially where staff turnover is high. It should be practical, pitched at different levels, incorporated into mainstream activities such as orientation courses and staff development days wherever possible, and supplemented with clear, straightforward protocols and user-friendly instruction manuals.

Computer Communication Networks↗
PubMedDate not supplied

The role of exercise training in patients with chronic heart failure.

The National Institute for Clinical Excellence (NICE) has recommended that exercise training be offered to patients with chronic heart failure (CHF). This recommendation is supported by research-based evidence from a variety of studies over the past 10 years. Initially, the studies were concerned primarily with the safety and effectiveness of exercise in these high-risk patients, but more recent studies have begun to investigate the most appropriate methods of exercise for this patient population. This article presents a systematic review of the literature relating to exercise training and CHE. It then attempts to identify, in light of the evidence, the most effective programme of exercise, including type, duration and degree of exercise. Finally, it discusses practical application and implementation of the research findings into everyday health care, including issues such as staff development and training, assessment, exercise and prescription for individual patients, and evaluation of the service.

Chronic Disease↗
PubMed2003

Should two senior cancer-nursing posts be integrated as one leadership function?

Uncertainty exists regarding the roles of the nurse consultant in cancer and palliative care and the lead cancer nurse. This article argues that there are advantages in combining the two posts. The discussion draws on relevant literature and argues that both posts have the same outcomes, which are achieved through different means and approaches to the delivery of cancer services. In order to make the combined post work within a trust, a particular support and structure is required. There may be a greater potential for cancer nursing because the leadership role combines the strategic perspective of the lead cancer nurse with the nurse consultant's focus on practice development and the professional development of staff.

Education, Nursing, Continuing↗
PubMed2004

Multicomponent psychosocial support for newly diagnosed cancer patients: participants' views.

The diagnosis and treatment of cancer carries a heavy psychological burden, particularly in the first year after diagnosis. The purpose of this study was to investigate and report qualitatively on patients who had completed a 10-session programme consisting of education, social interaction, psychological support, exercise and complementary therapies for newly diagnosed cancer patients. A thematic analysis of data obtained from purposefully selected focus groups revealed that peer support was the most highly valued aspect of the service and that a variety of needs were being met. The relaxed atmosphere, sensitivity of staff and complementary therapies were particularly appreciated. The findings also indicated that patients would like the option of diversional activities and a period of structured group therapy in addition to the services offered and that the revision of information-giving procedures would enhance psychological support. Opportunities for staff development are identified.

Adaptation, Psychological↗
PubMedDate not supplied

Social work designs a humanistic program to enhance patient care.

This article is a description and evaluation of the University of Utah Medical Center's effort to enhance patient care through the establishment of a hospital staff human relations program. The program, focused on select hospital staff, aimed at greater staff awareness and sensitivity to the problems and needs of patients resulting from hospitalization. Because of the positive initial response, the program has been extended and has become a major staff development and education project. This program was presented by a team of social workers and represented a new contribution to the health care system by social work.

Adaptation, Psychological↗
PubMed1976

Social work and liaison psychiatry.

The Liaison Team of the Department of Psychiatry at Cook County Hospital uses a generic, multidisciplinary, crisis intervention approach to mental health consultation to facilitate humane and comprehensive yet cost-effective care for the medically indigent. Social work functions on the team include diagnosis, short-term individual and group treatment, referral, follow-up, staff development, in-service training, program planning, and interdisciplinary clinical instruction.

Hospital Administration↗
PubMed1989

The network trilogy project: linking aging, mental health and health agencies.

There is a striking disparity between the estimated need for mental health care by 18-25% of the nation's elderly, and the minimal utilization of private and publicly funded services by this age cohort. Recognition that the elderly are not well served by existing systems led a trilogy of major Philadelphia aging, mental health, and health organizations to form a partnership for the purpose of improving, expanding, and integrating service delivery for a segment of the population which has been overlooked. A training model was devised to overcome the organizational isolation of agencies serving mutual clients with interrelated problems. For training purposes, the city was divided into five sections. Consultants were recruited to organize staff development groups from the health, mental health and senior centers in the geographic areas to which they were assigned. This paper describes the interagency training experience, the receptivity of the participants, and discusses the issues which must be addressed to improve coordination of elderly services by the aging, health, and mental health systems.

Aged↗
PubMed2003

The geriatric interdisciplinary team training (GITT) program.

Geriatric interdisciplinary team training (GITT) is an initiative funded by the John A. Hartford Foundation since 1995. Building from the substantial knowledge gained from the Veteran's Administration project in interdisciplinary team training and lessons from the Pew Foundation initiative, GITT was reconceived by the Foundation to address the need for teams in the care of older adults in the new era of managed care and health care cost containment. This training program has served to help us understand attitudes toward teams, how teams function, and how teams should be trained in the changing health care environment, where length of stay is dramatically different from the earlier team training projects. This introductory paper provides an overview of GITT, and the companion papers give detail of the GITT curricula, measures and lessons learned.

Aged↗
PubMed1991

Special issues in prenatal care outreach.

Approaches to prenatal care outreach taken by public providers vary widely. To date, few have evolved from systematic, data-based casefinding strategies. The following case study describes the findings of a research project concerned with both care seeking and care getting behaviors of low income women and the relationship between those behaviors and birthweight outcomes. Analysis of project data reveals that the greater the delay between seeking and getting care, the greater the likelihood of low birthweight. Application of this research data has yielded information useful to outreach planning, staff development and program evaluation procedures.

Community-Institutional Relations↗
PubMed1977

Management training for public welfare agencies: why the need remains unmet.

This paper presents findings from a 1976 survey of public welfare agencies' offices of staff development and training. These offices primarily provide program-specific training directly related to agencies' ongoing programs. Although they recognize broader managerial training as an important unmet need, they do not feel they have the in-house expertise or free resources to provide it. At the same time, they are prevented from purchasing it outside the agency by its high cost. This need will remain unmet unless substantial federal financial subsidies are provided.

Administrative Personnel↗
PubMed1994

Job satisfaction and retention of social workers in public agencies, non-profit agencies, and private practice: the impact of workplace conditions and motivators.

The authors examine a selected array of agency-influenced work and employment conditions and assess their impact upon social workers' job satisfaction, motivation, and intention to seek new employment. The study makes correlations with past empirical studies on job satisfaction and retention, with staff development concerns as stated in social work administration textbooks, and with conditions subject to administrators' influence. Some specified motivational issues included are salary, fringe benefits, job security, physical surroundings, and safety. The analysis demonstrates the contribution of certain contextual and motivational factors to a prediction of job satisfaction or of intent to leave the organization.

Adult↗
PubMed1999

An examination of two coteaching classrooms.

The present study presents data on two classrooms that used a coteaching approach to provide services to students who were deaf, hard of hearing, and hearing. The author conducted extensive observations, as well as interviews with teachers, students, administrators, and parents. The resulting qualitative data supported coteaching's effectiveness as a service delivery model. However, the research also identified important and specific challenges. Seven subthemes about coteaching are presented, and quotes from various stakeholders are provided to support and illustrate the information reported. Suggestions for future research are provided. The author makes recommendations on how to establish coteaching teams and describes issues surrounding communication, staff development, and family involvement.

Child↗
PubMed2006

Realising the developmental potential of Clinical Governance.

To be effective, Clinical Governance should reach all levels of a healthcare organisation. It requires structures and processes that integrate financial control, service performance, and clinical quality in ways that will engage clinicians and generate service improvements. The Clinical Governance arrangements of many Trusts, however, present several flaws. In particular, the "silos" organisational structure of Clinical Governance is based on generic issues such as risk management, clinical audit, clinical effectiveness and staff development, and it tends to treat clinical work as an undifferentiated aggregate. An alternative model focused on clinical pathways and on a balance between professional autonomy and accountability (responsible autonomy) should be promoted to make Clinical Governance work.

Clinical Medicine↗
PubMed2006

Training of evidence-based assessment and intervention approaches in cross-cultural contexts: challenges and solutions.

Dissemination of evidence-based assessment and intervention approaches for child and adolescent with behavioral and/or emotional problems is now a priority in the field worldwide. However, developing staff competence in evidence-based assessment and intervention approaches in different countries is complicated by some environmental and economic constraints. In this paper a distance training/supervision model is discussed. We describe seven specific challenges encountered and solutions used for overcoming the obstacles in order to implement evidence-based assessment and intervention approaches in different sites in Brazil, Egypt, Israel, and Lebanon.

Adolescent↗
PubMed2004

The role of home care in palliative care services.

This article addresses the increasing interest in end of life care and the need for improving access to palliative care services in patients/families served by the home care industry. The author discusses factors leading to this growing demand as well as some of the recent research conducted in the field of palliative care. The benefits of and underutilization of hospice services are discussed. The author addresses a variety of options for home care providers to consider expanding access to palliative care services including recent changes in regulation that allow for collaboration with Medicare certified hospice programs. A discussion of key topics to include in staff development initiatives related to palliative care is included as are education and clinical practice resources.

Cooperative Behavior↗