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Hospitals and the educational institution: an innovative partnership for nursing specialty education.

Rapid technological and economic change require that educational institutions respond efficiently and effectively to the needs of the health care industry. Nurses demand education that is accessible, affordable, and relevant, and demand recognition for educational achievement in terms of credentials and financial rewards. This article describes a partnership between British Columbia Institute of Technology (which is driven by and responds to industry) and The School of Health Science (which prepares nurses for specialty practice). The partnership permits a proactive relationship that utilizes the best qualities of both the health care and educational institutions. Although this alliance has been used extensively to prepare nurses for specialty areas, this partnership model could be implemented by a variety of institutions to meet educational needs in many health care professions.

British Columbia↗

Surviving the nursing shortage: developing a nursing orientation program to prepare and retain intensive care unit nurses.

The shortage of nurses has reached crisis proportions around the world. In response to a critical shortage of qualified neonatal intensive care nurses, one institution developed an educational program so comprehensive that they were able to increase their nursing staff by 20% and staff the neonatal intensive care unit with well-prepared and proficient nurses. This strategy has also resulted in high retention rates, a decrease in overtime, and a relatively low error rate by new nurses.

Attitude of Health Personnel↗

Content validation of instruments: are the perspectives of Anglo reviewers different from those of Hispanic/Latino and American Indian reviewers?

This article reports on the content validation of eight quantitative instruments developed to evaluate the interventions and outcomes for a Nursing Workforce Diversity Grant. During the expert review phase of the content validation process, response patterns to certain instrument items differed, effectively separating the reviewers into two groups. The response patterns of the Hispanic/Latino and American Indian experts were aligned with one another. The responses of the Anglo reviewers were also aligned with one another but not with the responses of the other group, which evaluated as highly relevant instrument items that were organized around five themes: the Importance of a Personal Relationship with Students of Color; the Effect of Isolation from Home and Family; the Importance of Culture and Ethnicity in Personal Identity; the Need for Collaborative, Interactive Learning and a Curriculum of Inclusion; and the Presence of Prejudice, Discrimination, and Racism.

Cross-Cultural Comparison↗

An innocent abroad.

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Developing Countries↗

Health organization in developing countries: innovations in the Peoples Republic of China.

The medical care delivery systems of most low-income countries are largely patterned on those of industrialized societies and are ill suited to the needs of developing countries. The present alternative model of health care in China has evolved after prolonged and often bitter debate extending over twenty years. The system that has been developed is one that appears uniquely suited to the needs of a large rural developing country; but it has been achieved in large part not through the medical profession but by evolving a system based upon participation by the people themselves and the development of new health-worker roles.

China↗

Profile of psychiatric disorders in the Sri Lanka Air Force and the outcome at 6 months.

The epidemiology of mental disorders in the Sri Lanka Air Force is not known, although they have been engaged in front line military service in a civil war for the past two decades. This study aims to identify the mental health needs of military personnel as a means to resource development. Referrals to a specialist psychiatry outpatient service were studied to assess the profile of diagnoses and outcome after 6 months. Fifty percent suffered from adjustment disorder or a stress reaction. In a majority, the onset of the mental health problem was not caused by direct exposure to the war situation. There was a high rate of return to work at 6 months. However, a disproportionately high loss of personnel was seen in the new recruits and trainee soldiers. These data are useful in developing services and resources for mental health care for the workforce.

Adolescent↗

Diversity management: key to future success.

Diversity has been a reality for American's health care field for years. Yet, a 1993 study conducted by the American College of Healthcare Executives and the National Association of Health Services Executives found that management opportunities for minorities are often limited; ethnic and racial minorities represent nearly 20 percent of all hospital employees, yet hold only 1 percent of top hospital management positions; and graduate school enrollments and graduation of minorities have declined. The article will set forth the major business implications of diversity management in health care in an increasingly competitive labor market. It will challenge assumptions and provide a blueprint for health care institutions to position themselves as future industry leaders.

Academic Medical Centers↗