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PubMed2001

[CESAMES, French-speaking international scheme for health managers].

A "Programme de création du Cycle d'Etudes Supérieures Africain en Management des Etablissements Sanitaires" (CESAMES, Plan for African hospital management senior course) was officially launched during the VIth International Hospital Events, organised in Libreville (Gabon) from November 21-23rd 2000. In the context of health systems reforms in African countries, priority is given to adapting and upgrading the qualifications of health care managers. Creating CESAMES is a major element within a general strategy aiming at supporting health systems and present reforms. The aim is to develop, from an African teaching body, a French-speaking pool of skills in order to increase the managers' expertise and to address the problem of critical mass of professionals for training within each country. Creating an international training pool will produce a human resources development and expansion tool in the area of health institutions management. This programme should ensure the transfer of know-how and capitalization between training centres. Beyond the training system, creating CESAMES should expand the documentation resources and ensure the creation of a French-speaking professional network of health institution managers.

Africa↗
PubMedDate not supplied

Leadership survey. An evaluation of health care executives' challenges.

Locating and keeping employees represents one of the greatest challenges facing health care leaders today. This is a key finding of the third Leadership Survey of executives in physician practices, managed care organizations and hospitals. The survey is sponsored by the Medical Group Management Association and Hospitals & Health Networks magazine. Other significant results: Practices put the most emphasis on teamwork, training and staff development as methods to combat labor shortages; practice executives count adequacy of reimbursements and physician productivity as top leadership challenges, along with the availability of qualified workers; practices choose print advertising and the addition of new products and services as the best ways for them to build market share.

Attitude of Health Personnel↗
PubMed2001

Limited English proficiency workers. Health and safety education.

1. As the population of adults with limited English proficiency plays an increasingly important role in the United States workplaces, there has been a growing recognition that literacy and limited English skills affect health and safety training programs. 2. Several important principles can be used as the underlying framework to guide teaching workers with limited English proficiency: clear and vivid way of teaching; contextual curriculum based on work; using various teaching methods; and staff development. 3. Two feasible strategies were proposed to improve current situation in teaching health and safety to workers with limited English proficiency in one company: integrating safety and health education with ongoing in-house ESL instruction and developing a multilingual video program. 4. Successful development and implementation of proposed programs requires upper management support, workers' awareness and active participation, collaborative teamwork, a well structured action plan, testing of pilot program, and evaluation.

Adult↗
PubMed2001

The power of a vision. The nurse's journey through health care.

1. Currently, health care is a constant battle between cost and compassion. The most difficult change health care professionals have had to make is expanding the vision of the compassionate caregiver to include the bottom line business professional. 2. Occupational and environmental health nurses need to have more visibility in the companies they work for to get a "seat at the table" with the rest of the management team. One way to gain visibility and credibility is to be a part of the community newsletter via a column "Ask the Nurse" where employees send in questions and nurses answer one or two questions each month. 3. Occupational and environmental health nurses can become the "visionaries" of the companies they work for by formulating a vision of what they want to provide for the employees of their companies and passionately sharing that vision with management and employees alike. If both management and employees buy into that vision, a remarkable transition can take place. 4. The future is very exciting for occupational and environmental health nurses. For those leaving the corporate world, there will be expanding opportunities in research, education, policy making, and lobbying. Occupational and environmental health nurses with the entrepeneurial spirit could consider being a consultant, working for a number of different companies, both here and abroad.

Career Mobility↗
PubMedDate not supplied

A study of factors related to the use of online resources by nurse educators.

A descriptive cross-sectional survey was used to collect data from nurse educators related to the use of online electronic resources for scholarly pursuits. The 35-question survey was divided into 4 sections, Environment, Stressor, Utilization, and Demographics information. Two open-ended questions were also included to allow respondents to elaborate on factors that they believed facilitated or detracted from use of online resources but were not adequately covered in the survey. Data were received from 489 respondents who were faculty members currently teaching in 1 of 38 colleges or universities located in the 6 New England states offering a minimum of a baccalaureate degree in nursing. Quantitative and qualitative data analysis revealed that many of the same issues, previously reported as deterrents to the use of computers, also play a significant role in preventing the use of online resources. The two open-ended questions provided clarification of facilitators and detractors to use of online resources and were used to understand better the quantitative results. Based on the findings of this study, recommendations for administrators, educators, staff developers, and technical support personnel are discussed.

Attitude to Computers↗
PubMedDate not supplied

The infusion nurse and patient complication rates of peripheral-short catheters. A prospective evaluation.

The objective of this study was to compare catheter-related complication rates in patients who had infusion devices placed by infusion nurses with complication rates in patients who had devices placed by generalist nurses. The data demonstrated that peripheral infusion devices placed by infusion nurses exhibited a statistically significant lower rate of leakage, phlebitis, and infiltration complications and remained in the vein significantly longer than those placed by generalist nurses. However, significance was not achieved with pain complication rates between the two groups. The implications of these outcomes for staff development and quality of patient care are discussed.

Adult↗
PubMedDate not supplied

A CD-ROM tutorial for physical examination.

In 1998 the Committee for University Teaching and Staff Development (CUTSD) awarded a grant of $47,975 to develop an interactive CD-ROM tutorial program to facilitate teaching the process of physical examination of the abdomen, lungs and thorax, to students of nursing. This program was developed to complement current teaching methods and make it possible for tutors to use the available class time to further address students' individual learning needs. It was developed to enable flexible delivery of content, to provide a front seat view of the demonstration of the procedures, and simulated practice opportunities in the safety and privacy of computer simulation. The program was not intended to replace hands-on practice as this learning medium does not address the kinaesthetic component of performing physical examination but it is expected to hasten the development of confidence in practice by strengthening the user's knowledge of the techniques and the sequence of physical examination. Through providing the opportunity to elicit inspection, palpation, percussion and auscultation examination findings in the context of 10 case studies of patients with health problems, it is also expected to facilitate recognition of abnormalities and their significance for health care students who have little clinical experience. The program has been evaluated by senior nursing students for technical problems, effectiveness as a learning aid and user friendliness. Over all, 92% (n=38) of the students considered that the program assisted them to learn physical examination of the abdomen, thorax and lungs and 95% were satisfied with the quality of the product and found that the sounds and images helped their understanding. The content of the program was considered to be logically sequenced, to have assisted understanding, and the case studies were a valuable learning aid. The evaluation data from this trial also indicates that students would like to learn about physical examination of other body systems using this medium.

Attitude of Health Personnel↗
PubMedDate not supplied

Coaching skills for employee development.

Chief nursing officers, in a national research study called the Nursing Leadership Edge, ranked employee coaching and development as the number one leadership skill required in their jobs. As one chief nursing officer said, "Our success depends on having a support team that is successful and perceived by others as being successful. We need to develop our staff to ensure their success."

Leadership↗
PubMed2002

Instructional improvement: how to overcome the barriers?

This is no easy way to improve teaching. Not one or even two activities are right or best for all instructions. The improvement of instruction requires a multi directional approach. When faculty members, departmental heads or interested administrator come across an idea they find appealing, they often tend to be converted and start proselytizing. The way to better teaching lies in review of videotaped teaching samples or diagnostic student evaluation with consultation, or seminars on course design, or monitoring with master teachers, peer assessment or whatever the favored strategy happens to be. All of these are possible ways to better teaching, made right or best only after they have been carefully matched with their instructional needs of the teacher, course content & instructional setting.

Humans↗
PubMed2002

Case acceptance--20 pitfalls.

Dentistry is all about relationship-building. You can improve your productivity, rate of case acceptance--and your quality of life--by: cultivating relationships with your patients. helping your staff develop trusting relationships with patients. developing trust between your practice and referring practices. Remember--practice makes perfect!

Dentist-Patient Relations↗
PubMed2000

Making the most of summer school: a meta-analytic and narrative review.

Summer schools serve multiple purposes for students, families, educators, and communities. The current need for summer programs is driven by changes in American families and by calls for an educational system that is competitive globally and embodies higher academic standards. A research synthesis is reported that used both meta-analytic and narrative procedures to integrate the results of 93 evaluations of summer school. Results revealed that summer programs focusing on remedial or accelerated learning or other goals have a positive impact on the knowledge and skills of participants. Although all students benefit from summer school, students from middle-class homes show larger positive effects than students from disadvantaged homes. Remedial programs have larger effects when the program is relatively small and when instruction is individualized. Remedial programs may have more positive effects on math than on reading. Requiring parent involvement also appears related to more effective programs. Students at all grade levels benefit from remedial summer school, but students in the earliest grades and in secondary school may benefit most. These and other findings are examined for their implications for future research, public policy, and the implementation of summer programs. Based on these results, our recommendations to policy makers are that summer programs (a) contain substantial components aimed at teaching math and reading and (b) include rigorous evaluations, but also (c) permit local control of curricula and delivery systems. Funds should be set aside to foster participation in summer programs, especially among disadvantaged youth. Program implementers should (a) begin summer program planning earlier in the year, (b) strive for continuity of staffing and programs across years, (c) use summer school in conjunction with summer staff development opportunities, and (d) begin integrating summer school experiences with those that occur during the regular school year.

Adolescent↗
PubMedDate not supplied

Promoting the scholarship of research for faculty and students.

Research has become a highly valued activity for nurses. Students at the undergraduate and graduate levels are experiencing more and more research in their programs. As part of the faculty role in higher education, promotion and tenure are tied to the scholarship of research. Yet many schools of nursing do not have a well-developed capacity of nursing faculty members who have the knowledge and skills to competently engage in a research program of their own or to guide and inspire students to pursue a research career. This paper is an attempt to challenge administrators to more aggressively promote research, and faculty and students to think more intensively about the scholarship of research. The challenges of developing a program of research for promoting faculty and students' research are discussed. Strategies for promoting faculty research and advice for beginning researchers are included.

Attitude of Health Personnel↗
PubMed2003

The Association of Academic Health Sciences Libraries Annual Statistics: an exploratory twenty-five-year trend analysis.

This paper presents an exploratory trend analysis of the statistics published over the past twenty-four editions of the Annual Statistics of Medical School Libraries in the United States and Canada. The analysis focuses on the small subset of nineteen consistently collected data variables (out of 656 variables collected during the history of the survey) to provide a general picture of the growth and changing dimensions of services and resources provided by academic health sciences libraries over those two and one-half decades. The paper also analyzes survey response patterns for U.S. and Canadian medical school libraries, as well as osteopathic medical school libraries surveyed since 1987. The trends show steady, but not dramatic, increases in annual means for total volumes collected, expenditures for staff, collections and other operating costs, personnel numbers and salaries, interlibrary lending and borrowing, reference questions, and service hours. However, when controlled for inflation, most categories of expenditure have just managed to stay level. The exceptions have been expenditures for staff development and travel and for collections, which have both outpaced inflation. The fill rate for interlibrary lending requests has remained steady at about 75%, but the mean ratio of items lent to items borrowed has decreased by nearly 50%.

Annual Reports as Topic↗