Building a culture of service excellence.
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Arizona↗
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Results for “Staff Development”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
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Imparting wisdom to evolving leaders. New leadership program at Geisinger focuses on case-based discussions mixed with personal experience.
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Anecdotes as Topic↗
Screen test.
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Computer-Assisted Instruction↗
Identification of competencies for effective dental faculty.
A faculty of sufficient size and possessing the appropriate skills is critical to dental education. Faculty shortages have been identified, but little has been written about the skills and abilities necessary for dental faculty to be effective. This project identified consensus lists of competencies in the areas of teaching and research. A panel of dental education experts used a web-based Delphi method to refine competency lists. The final lists of competency statements were organized into foundational competencies that applied to all areas and several areas of major competencies that were defined by supporting competencies. The panel rated the importance of each competency statement for each of three dental faculty categories: 1) clinical teachers, 2) clinical scholars, and 3) research-intensive scholars. The identification of a consensus list of competency statements for effective dental faculty will facilitate the development of programs for faculty to attain and maintain these competencies. ADEA could play a coordinating role in this faculty development effort.
Consensus↗
Facility uses Six Sigma to improve quality.
Initiative demonstrates a 23% improvement in first bed assignment to a private isolation room. Keys to improvement found in enhanced communication and staff training. Staff develop reporting mechanism to sustain and institutionalize project results.
Academic Medical Centers↗
A Delphi survey of clinical nursing research priorities in Western Australia.
In 1989-1990 an investigation was undertaken to ascertain which problems WA nurses considered required researching. A modified Delphi technique was employed to obtain data from nurses in hospitals and health care agencies throughout the metropolitan and rural regions in the state. Participants worked in areas of acute care, mental health, paediatrics, gerontology, community health and domiciliary services and addictions. Problems identified were categorised into three streams; clinical, management and staff development. Respondents were required to assign a value to items according to their importance to nurses and to patients. They were also asked to indicate whether they considered there was an adequate research base relevant to each item. Results reported here are based on the 10 priority items identified in the clinical stream.
Clinical Nursing Research↗
Patient controlled analgesia in pediatrics.
Patient controlled analgesia is a new, upcoming method of managing pain in the pediatric population. Introducing it to the nursing division of a children's hospital requires that the nursing staff development educator assess, plan, implement, and evaluate its method of introduction and use. The educator must involve multidisciplinary team members to facilitate this change.
Analgesia, Patient-Controlled↗
Getting started.
Taking the time to address both the internal and external evaluation components for every offering is without a doubt very time consuming. However, with today's focus on quality and cost effectiveness, staff development educators must take the necessary time. Further, the data can often be used to justify continuing programs that administration may want to cut, especially when the external evaluation indicates a significant change in on-the-job performance.
Education, Nursing, Continuing↗
Future preparation of occupational health nurse managers.
This article presents the results of a national survey of job activities of corporate level occupational health nurse managers. The survey was designed to identify the relative amount of time spent and importance attributed to specific areas of their current job. In general this sample tended to have more management experience and educational preparation than previously cited studies: over 50% had completed a graduate degree. The scores for importance and time spent were highly correlated. That is, occupational health corporate nurse managers seemed to allocate their time to job responsibilities they considered most important. Management activities related to policy, practice standards, quality assurance, staff development, and systems for client care delivery appear to represent the core responsibilities of occupational health nursing management. Curriculum recommendations for management positions in occupational health include: health policy, program planning, and evaluation; business strategy; applications of management information systems; quality assurance; and marketing.
Curriculum↗
Patient-controlled analgesia in the postanesthesia care unit: one unit's approach.
The use of patient-controlled analgesia (PCA) pumps in the PACU has grown in the last several years. A PACU staff-developed method for using the maximum potential of PCA for postoperative pain control is described.
Analgesia, Patient-Controlled↗
Training health care professionals to enhance their patient teaching skills.
Lack of training interferes with health-care professionals' ability to teach effectively. Nursing staff development educators are seeking strategies to overcome teaching-skill deficits. A 30-hour program was designed to improve teaching skills. Evaluation was based on operationally defined teaching skills. Sixty-six course participants' teaching skills improved from the beginning to the end of the course. Further research is needed to determine whether effects persist in practice, whether patients benefit, and whether "training of trainers" is feasible.
Clinical Competence↗
Continuing education for assistants.
This paper explores methods of applying staff development principles to untrained members of the nursing team, specifically care assistants or nursing auxiliaries.
Allied Health Personnel↗
A comprehensive measure of pharmaceutical services: the pharmaceutical-care index.
The construction, validation, and use of a numerical index for measuring the provision of pharmaceutical care are described. The 681 respondents to the 1987 Great Lakes Pharmacy Services Survey were randomly divided into two equal groups of hospitals. Data for the first group (n = 341) were used to construct and validate the pharmaceutical-care index (PCI); data for the second group were used for index analysis. Bivariate analysis of 14 major inpatient pharmaceutical services resulted in one service, admission medication histories, being dropped from the index. Multivariate analysis showed that the remaining services contributed equally to the PCI; they were therefore retained. The possible range of PCI scores was -11.166 to 26.518, with a high score indicating greater provision of service. Analysis of data for the second randomly selected group of hospitals (n = 340) showed that PCI scores differed significantly on the basis of hospital size, hospital teaching affiliation, and pharmacy director's education. The correlation between average daily census and PCI score was fair. Higher scores were associated with the presence of a clinical coordinator or a clinical pharmacist. There were weak associations between PCI score and numbers of pharmacists, pharmacy managers, drug distribution pharmacists, and clinical pharmacists. However, the number of decentralized pharmacists and the number of technicians both showed a fair association with PCI score. Hospitals that had pharmacist participation in ambulatory-care clinics or a staff development program had higher PCI scores than hospitals that did not. The provision of inpatient pharmaceutical services, as assessed by the PCI, may be influenced by hospital size, teaching affiliation, the education of the pharmacy director, and other factors. Further research is needed to extend these findings to other hospitals, expose interactions among the factors that affect pharmaceutical care, and refine the PCI.
Abstracting and Indexing↗
[Job satisfaction in nursing].
Job satisfaction is a relative term that mean different things to different people. Although money was always considered to be the prime motivator of staff, it is only one factor that contribute towards job satisfaction. Other factors include aspects such as available time for personal activities, a need to be involved in decision-making and the right to be informed, to name but a few. Motivation as a tool to ensure a satisfied worker score include strategies, e.g., open communication channels, a better working environment, staff development and managerial leadership.
Career Choice↗
Creating a center of excellence: education and service collaborate.
This case study describes how a nursing educator worked with nursing service administrators and staff to open a new neurological/neurosurgical special care unit. Included are the administrative process needed to set up such an arrangement, the establishment of roles and relationships, methods of maintaining internal consistency, unit and staff development, research involvement, outcomes, and drawbacks and benefits to this type of arrangement.
Faculty, Nursing↗
[Study of the quality of interhospital transport of sick neonates by selected ambulances in the Witwatersrand area].
The quality of the inter hospital transport of ill neonates, by selected ambulances in the Witwatersrand area, was investigated by means of the case study method. Of the fifteen case studies investigated, eleven neonates were transported by a private ambulance and four by provincial ambulances. Data regarding the maternal- and neonatal history, the optimal maintenance of the neonate's condition, the communication system, as well as aspects relating to the transport personnel, were collected by means of a structured instrument. Retrospective auditing of records, structured interviewing and direct observation/inspection were utilised as the research techniques. The quality of the inter hospital transport of ill neonates, especially by the private ambulance, is not up to standard. Deterioration of the neonate's body temperature, heart and respiration rates, as well as the serum glucose values after transport, were of the more important findings. The lack of equipment, especially in the private ambulance, increases the risk of transport. Staff development and formal control by a local committee, as well as a national control body, are recommended.
Ambulances↗
Building confidence: a development programme for newly qualified staff nurses.
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Humans↗
Caring for older people: a challenge for nurse administrators.
The findings of this exploratory study emphasize the importance of communication between and among nurse administrators in various settings for patient education, staff development and coordination of services to provide continuity of care for older people. The nurse administrator in all settings is in a key position to seek internal and external funding for creative programs and establishing standards for care. This study has merely tapped the surface; much more research needs to be carried out, especially in nursing homes, to understand the complex health problems of older people.
Administrative Personnel↗