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At least 1,297 records · Page 72Linked to original sources
PubMed1984

Considerations in the implementation of drug holiday programs in long-term care facilities.

Drug holiday programs have been implemented in many long-term care facilities in North America to reduce drug use, decrease nursing time in drug administration, and assess the need for drugs in elderly patients. Before the program begins, adequate preparation of staff and discussions among patients and families are encouraged. The pharmacist's role is to coordinate inservice programs for nursing and medical staff, develop policies and procedures, dispense drugs as prescribed and assist in program evaluation.

Aged↗
PubMedDate not supplied

Health science library and information services in the hospital.

In an increasingly information-based society, hospitals need a variety of information for multiple purposes--direct patient care, staff development and training, continuing education, patient and community education, and administrative decision support. Health science library and information services play a key role in providing broad-based information support within the hospital. This guide identifies resources that will help administrators plan information services that are appropriate to their needs.

Information Services↗
PubMed1988

A false god? How relevant is competency-based education and training to the NHS?

The competency-based approach to education and training is a new "orthodoxy"--the the emerging "one right way" to pursue the training and development of staff. John Edmonstone explores what is meant by competency-based training, considers how it differs from more "traditional" approaches and examines some of the underlying assumptions. He considers the competency-based approach in the light of three NHS case studies and finally discusses the applicability of the approach to education and training within the service.

Competency-Based Education↗
PubMed1989

Responses of patient, their relatives and professionals to a "home-grown" videotape course on schizophrenia.

The Richmond Mental Health Team of the Greater Vancouver Mental Health Service produced a low-cost, 4-1/2 hour videotape course on schizophrenia using a multidisciplinary panel of team staff and an audience of patients, family members and community groups. The resource people interviewed were from the local area. An interview of a sample of recipients of the videotape course revealed that patient and family understanding of the illness, its treatment and the service delivery system had been elementary before the course. The program improved this understanding and reportedly reduced family conflict in certain areas. Professional consumers were generally pleased with the content and format of the video, but were dissatisfied with the technical quality. Although it was designed for use with patient and family groups in community mental health settings, professional recipients were using the videotape primarily to train staff and paraprofessionals. The manual that accompanied the videotape was seldom used. Given the cost effectiveness of using videotape to design psycho-educational programs, its potentially wide distribution, the staff development spin-offs and its community development applications, we encourage provincial and state services to produce their own videotape programs.

Adult↗
PubMedDate not supplied

Implementation of a total parenteral nutrition program in the skilled nursing facility: role of the nursing director.

Nursing directors of 24 skilled nursing facilities in North Carolina were questioned about implementation of total parenteral nutrition (TPN) therapy in the SNF. Issues addressed were job satisfaction, increased work load for staff nurses and directors, as well as staff development. It was concluded from the results of the study that while 81 percent of the nursing administrators enjoyed TPN therapy, only 50 percent were interested in such a program.

Aged↗
PubMed1986

The expanding role of physician assistants in neonatology.

Thirty physician assistants currently working in neonatology were surveyed to assess average time spent in various nursery settings, frequency of tasks and procedures performed, involvement in staff development, and participation in job-related educational and administrative conferences. The survey was completed by 21 neonatal PAs. When compared to traditional roles, results showed that PAs now perform many time-consuming tasks and procedures previously the responsibility of neonatologists and residents. The survey also demonstrated tht PAs serve as a stable force in neonatal units and as vital educational and administrative resources to other members of the neonatal health care team.

Data Collection↗
PubMedDate not supplied

Hi-tech education: teleconferencing in a hospital setting.

The video teleconference is the educational tool of the future, but it is not as simple as setting a student in a dark room and turning on a machine. Staff development educators will want to use the ideas in this article to initiate, market, and adapt the teleconference to fit the student's real educational needs.

Congresses as Topic↗
PubMed1999

Six stepping stones to better management.

Clinical pathways can help nurse managers develop clinical staff, guide quality improvement, enhance interdisciplinary practice, standardize care delivery, control the budget, and increase patient satisfaction.

Cost Control↗
PubMed1999

Learning how to perform a 12 lead ECG using virtual reality.

The most common cardiac examination ordered by physicians is the 12 lead ECG, frequently obtained with a computerized recording device that not only provides the ECG tracing but, may also provide the diagnosis. In the past, only persons working in the ECG laboratory were allowed to perform a 12 lead ECG on a patient. Today, however, this task has been delegated to a variety of health professionals, including registered nurses, licensed practice nurses, and even nursing assistants in some health care facilities. New nurses are taught the skill of obtaining a 12 lead ECG during their initial hospital orientation. Because of this, it is not uncommon to have staff development nurses teaching groups of health professionals how to perform a 12 lead ECG content and skill as many as 5 times in 1 week. For delivery of repetitive content, the use of an interactive CD ROM can be very cost effective. Many health care institutions purchase commercially made CD ROM products, while elsewhere nurse educators develop their own. An interactive CD ROM based on the principles of best practice in education and using embedded virtual reality, was designed by the author to teach nurses, students, and other health professionals how to perform a 12 lead ECG. This article will: 1) describe the interactive CD ROM reality as a teaching methodology; 2) discuss the preliminary evaluation of learning outcomes using CD ROM as the instructional method; and 3) describe the applications interactive CD ROMs may have in nursing practice and education.

CD-ROM↗
PubMed1999

Transformational management style positively affects financial outcomes.

Two specific examples from the author's experience demonstrate the central theme that positive financial outcomes are a function of a transformational leadership style of management. The article focuses on participation competencies utilizing involvement, empowerment, and accountability. Developing staff and empowering them to make decisions about their work and outcomes are necessary to achieve a high-quality, cost-effective outcome, the key to financial success.

Financial Management, Hospital↗
PubMed1999

Implementation of a nurse practitioner role in an acute care setting.

During the implementation, the authors strived to clearly identify a person to focus on patient outcomes. Thus, they limited the ARNP's involvement in central functions and direct management of the staff. The overall implementation of the demonstration project has benefited patients, staff, and the health care team. The continuity provided allows the patient and family to interact with a consistent person. The ARNP functions as the key to directing patient care in a holistic manner while facilitating staff development. The demonstration project has given the authors an opportunity to evaluate the management structure and redefine roles to achieve those outcomes in the management arena.

Acute Disease↗
PubMed2000

Launching a new continuing professional development programme from the Raven Department of Education.

In recent years the quality agenda has taken centre stage in the medical arena. Coupled with this, the present era of rapid scientific and technological advance means that all professionals are engaged in a continuing process of life-long learning. With the pace of change increasing all the time, new thinking challenges conventional wisdom and traditional methods are constantly being superseded. Continuing professional development is the only way for surgeons to stay at the leading edge in such as challenging environment at every stage in their career, to progress--to be participants in these changes rather than merely observers.

Education, Medical, Continuing↗
PubMed2000

General practice. Hit and miss.

A survey of practices in a primary care group in outer London found many were poorly prepared for implementing clinical governance. More than half consisted of one doctor, and a quarter of practices were not computerised. Only a third had a staff development plan. Only a minority had sought patients' views about new services. Although three-quarters of practices were using guidelines, few had been trained in the use of protocols and guidelines.

Clinical Audit↗
PubMed2000

Reviewing a service--discovering the unwritten rules.

In our previous article we looked at the history of quality development and discussed how the implementation of clinical governance provides the opportunity to begin the cultural shift necessary to underpin quality in the modern NHS. This article begins an explanation of the model of quality improvement followed by delegates to the Clinical Governance Development Programme by looking at the service review process delegate teams undertake.

Data Collection↗
PubMed2000

International health services management education: an overview of major efforts and lessons learned during the 1990s.

In this paper, the authors examine select major pedagogical and methodological issues concerning health care management executive training and academic program development in the former Soviet sphere of influence during the 1990s. Experience from programs offered during the 1990s has direct implications for the continued development of health care management programs and faculty in the United States. In essence, each of the nations that were involved represented an experimental setting for the introduction and improvement of management skills in the health care sector and the development of professional health care managers. Evaluative findings should help to inform future efforts to construct and deliver effective international and domestic management educational programs.

Cooperative Behavior↗
PubMed2000

Three approaches to use of questioning by clinical lecturers: a pilot study.

In the current health care climate nurses require very good problem solving and critical thinking skills. Questioning as a teaching strategy is viewed as one way to promote such student learning. Using a comparative descriptive quantitative and a qualitative approach, this pilot study investigated the types of questions asked of students by lecturers working within the preceptorship model in the clinical setting. A convenience sample of five volunteer nursing lecturers were tape recorded during their interactions with undergraduate students (n = 8). Initially two auditing approaches were used to analyse the interview data: relevant parts of Mogan and Warbinek's (1994) Observation of Nursing Teachers in Clinical Settings instrument (ONTICS Tool) and Craig and Page's (1981) conceptual framework as adapted by Sellappah, Hussey, Blackmore and McMurray (1998). The data were further analysed by qualitative content analysis. This study supported the findings of the ONTICS tool and Sellappah et al's framework that teachers asked predominantly directive style and low level questions. What the two approaches did not adequately capture was the complexity of the lecturers' questioning behaviours or the effects of contextual factors. The content analysis process however, identified three broad categories forming a model that effectively integrated aspects of the context of the lecturer/student interaction. It also represented lecturer questioning behaviours more comprehensively. The preliminary model offered has the potential to highlight the importance of lecturers asking questions that lead students to extend their thinking about practice. It could also contribute to student learning by assisting lecturers to understand the value and critical nature of their questioning and serve as a framework for staff development.

Education, Nursing, Baccalaureate↗