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PubMedDate not supplied

How to organize a study day: a practical account.

Organizing a memorable study day is a great challenge. A good study day has the potential to stimulate innovative ideas and improve nursing practice. It is therefore imperative that study days are of high quality, are relevant and well organized. This article highlights some valuable lessons that were learnt from the experience of organizing a study day at a London hospital. It discusses the processes involved including brainstorming, programme preparation, advertising and the provision of care for delegates. The areas that could have been improved are also highlighted.

Congresses as Topic↗
PubMed1999

Reducing burnout: development of an oncology staff bereavement program.

PURPOSE/OBJECTIVES: To understand the necessity of providing a mechanism for staff bereavement that promotes stress reduction and enhances job longevity in the oncology nursing work environment and to describe the implementation of one such program. DATA SOURCES: Journal articles and on-site resources. DATA SYNTHESIS: Personnel conflicts, job dissatisfaction, and workplace burnout caused by constant patient loss are common in oncology nursing. The work setting must offer support for staff to deal with these conflicts to prevent burnout and decrease dissatisfaction. This can foster a sense of understanding among colleagues and provide support mechanisms for closure and acceptance of perpetual patient loss. CONCLUSION: Conflicts, dissatisfaction, and other sources of burnout must be contained so that oncology nurses remain in their vital roles. The potential for long-term professional fulfillment and improved quality of nursing care for patients and their families is increased by implementation of support mechanisms. IMPLICATIONS FOR NURSING PRACTICE: Educating colleagues about the multifaceted role of the oncology nurse can increase the staff's awareness of the need for support. Implementation of a program to reduce the stressors that oncology nurses encounter will encourage improved care delivery.

Bereavement↗
PubMedDate not supplied

Exploring staff nurses' views on professional development.

AIM: The aim of this study is to explore senior staff nurses' experiences of continuing professional development. METHOD: A hermeneutic phenomenological methodology was used with a purposive sample of five participants. RESULTS: Four key themes were identified: the experience is about being opportunistic; the experience is about keeping up to date with ongoing advances in nursing practice; the experience is about experiential learning and meeting the demands of the informant's current role. CONCLUSION: CPD enabled the nurses who took part in this study to keep up to date with nursing practice. It also illustrates that engaging with this system of skills enhancement helps to reduce work-related stress among nurses, thereby providing further opportunities to enhance confidence and competence as well as developing a workforce that is 'fit for practice' and 'fit for purpose'.

Attitude of Health Personnel↗
PubMed2001

[Development of a questionnaire for assessing motivational conditions for prediction of therapy cooperation of LVA insured patients during inpatient medical rehabilitation--initial results of scale development].

Medical staff working in rehabilitation often criticize their in-patients' lack of motivation to cooperate in therapy. Consequently, very often the aims of the therapy would not be reached. That, again, causes expenses that could be avoided and it also causes frustration on both sides. On the basis of Schwarzer's Health Action Process Approach (HAPA) we designed a questionnaire on motivation to predict the degree of the in-patients' cooperation in therapy during rehabilitation. The results presented here are based on an interim analysis of 508 questionnaires answered by LVA insurees (Landesversicherungsanstalten, wage earners' pension insurance funds) who had applied for rehabilitation in a clinic. The applicants suffered from illness of the back and spine as well as degenerative illness of the joints. A first examination of the scales Specific Outcome Expectancies, Specific Self-efficacy and Intention of the questionnaire showed very good statistical results as well as correlations between these variables that correspond to HAPA. It also turned out that there is a direct connection between the scores of the motivation variables (e.g. Specific Self-efficacy) and that of cooperation in therapy. These initial test results indicate a generic character of the instruments used in this research project. They also point out starting points for interventions to increase motivation that are to be developed.

Adult↗
PubMed1978

Housekeeping: customized training program keyed to hospital's procedures, staff.

Thoughtfully developed, conscientiously applied housekeeping employee training programs are all too scarce. The program described was customized to fit an individual hospital's standard procedures, and it used volunteer models from among the workers to illustrate the video portion of the program. Recognition of employee merit and effective supervision and follow-up were two other key elements.

Hospital Bed Capacity, 500 and over↗
PubMed1993

Involving clients in programme evaluation and research: a new methodology for occupational therapy.

Eliciting client satisfaction with services has become common in mental health settings and in the planning of service delivery systems. It is also compatible with the client-centred practice of occupational therapy. The traditional approach to collecting satisfaction information involves staff interviewing clients using questionnaires developed by staff. However, there is often a lack of variability in responses and the vast majority of clients report being satisfied. A review of the literature reveals that these favourable reports may be a result of social desirability and of clients being interviewed by treatment providers who have the power to give or withhold care. This paper reviews the relationship between occupational therapy and client involvement, examines the rationale for involving clients in programme evaluation and research, reviews the limitations with traditional methods of collecting information about client satisfaction, and discusses how clients are involved in evaluation and research in today's mental health care setting.

Canada↗
PubMed2001

Stakeholder evaluation of a high-risk prenatal nutrition intervention program in Prince Edward Island.

Since 1971, a Prince Edward Island prenatal program has provided nutrition support to pregnant women at high risk for poor birth outcomes. Provincial changes in the delivery of health care services since 1986 have caused concern that the program is becoming less effective. The current research was designed to evaluate stakeholders satisfaction with the program; it was part of a larger study conducted in 1998 and 1999 to evaluate overall program effectiveness. Nutritionists (n=9), referring health professionals (n=57), and clients (n=50) completed a survey. The results indicated that program satisfaction was high for all stakeholders. Perceived program strengths included the counselling approach, program quality, food and income supplements, and accessibility. Perceived program weaknesses included inadequate staff/time, administrative requirements, limited communication/awareness, the counselling approach, and difficulty contacting clients. Recommendations for improvement fall into four key areas: staff services, program delivery, the counselling approach, and communication. The findings suggest that the components of prenatal education considered important vary among clients and staff, and that the relationship developed between staff and clients during counselling is an important contributor to program success.

Cross-Sectional Studies↗
PubMed2001

Lifelong learning, CPD and you.

The essence of clinical governance is continuing professional development (CPD) for all professional staff. A system is now in place to disseminate and support CPD throughout the NHS, from national to local level.

Education, Nursing, Continuing↗
PubMed1995

Peer social support: a key to care giver morale and satisfaction.

Social support is a group dynamic, but studies have not identified specific strategies for managers to use as direct environmental resources. The authors discuss a study that explored group social support as a component of job morale for bedside care givers. Specific unit-based factors are identified for managers to develop focused staff social support activities. These include means of universal recognition, use of common space, methods to develop team culture and styles, and methods of communication.

Academic Medical Centers↗
PubMed1994

Managing nurses and nursing: short courses as role development.

This paper describes the development over a 3-year-period of short management courses for registered nurses offered as part of a professional development educational programme by Oxfordshire Health Authority (OHA) Clinical Education and Practice Team (OXCEPT). The courses were seen as role development for staff nurses, team leaders, sisters, charge nurses and senior sisters, and the content and length of courses were altered, extended and developed in response to evaluation of the courses by tutors and participants. The emphasis is on integrating participants' clinical, managerial and educational roles, as professional practitioners managing nurses and nursing.

Curriculum↗
PubMedDate not supplied

The role of the nursing staff in promoting the development of preterm infants through their contribution to mother-infant interaction.

Preterm birth constitutes a potential risk factor for infant development. There is evidence that parental sensitivity and responsivity can compensate for biological risk. Since the birth of a preterm infant often constitutes a crisis for parents, they may be impaired in their ability to relate appropriately to their infants. The nursing staff can play a vital role in enhancing the interaction between parents (in particular mothers) and their preterm infants, thereby indirectly promoting optimal infant development. This paper describes the psychological tasks faced by mothers of preterm infants, parents' experiences of preterm birth and suggestions as to what the nursing staff can do to facilitate healthy relationships between parents and their preterm infants, thereby preventing possible pathological development.

Adaptation, Psychological↗
PubMed1992

Economic grand rounds: a forum for cost consciousness.

This article analyzes the implementation of a traditional Economic Grand Rounds (EGR) program in a teaching hospital. The conclusions are that the original concepts of EGR--presentations of treatment costs by clinicians in a grand rounds setting, reinforcement of agreed changes in practice patterns, and subsequent evaluation and participation--are still valid but are inadequate to ensure a successful program. Other factors must be added if EGR is to attain its goals. These factors are administrative and nursing involvement, a provision to make policy changes, and incentives for the medical staff. This article also outlines areas of potential savings achieved through an EGR program in laboratory testing, preoperative laboratory testing, and intravenous therapy with antibiotics.

Clinical Laboratory Techniques↗