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At least 1,603 records · Page 89Linked to original sources
PubMed1998

A needs assessment and proposal for HIV education among human resource managers in Singapore.

AIM OF STUDY: To assess the educational needs of human resource managers in Singapore with regard to the management of HIV at the workplace. No such study has been described before in an Asian country. METHOD: A self-administered questionnaire was mailed to all companies (with more than 100 employees) of a local employers federation (n = 368). RESULTS: A response rate of 64.1% was achieved. Respondents' knowledge about HIV transmission was found to be good. However, their attitudes and practices towards infected workers were unfavourable on such issues as pre-employment screening, medical coverage and termination of employment. Possible reasons for this disparity include inadequate information specific to workplace needs, multiple determinants of attitudes (other than knowledge) and various environmental factors. CONCLUSION: Strategies for an educational intervention are proposed to facilitate the development of a rational HIV management policy by local managers.

Adult↗
PubMed2000

Assessment training and team functioning for treating children with disabilities.

OBJECTIVE: To investigate differences in team functioning before and after assessment training. DESIGN: Before-after trial. SETTING: Outpatient rehabilitation and education program in a university medical center-based rehabilitation institute. PARTICIPANTS: A population-based sample of 19 rehabilitation and education specialists. INTERVENTION: Baseline measures were taken during four meetings using the multidisciplinary team approach. Training in a global measure of child development ensued and staff administered the test to children in their care. Test results were then used during four transdisciplinary team meetings. OUTCOME MEASURES: Behavioral ratings of team participation (Transdisciplinary Team Rating Scale), self-report instruments of team development (Team Assessment Questionnaire), treatment planning and goal development (Staff Perception Questionnaire). RESULTS: Results of t tests confirmed two of three hypotheses. There was more team member participation during transdisciplinary meetings than during multidisciplinary meetings (p = .003) and staff members' perceptions of the efficacy of treatment planning and implementation of goals significantly favored the transdisciplinary model (p < .001). No significant difference was found in team development (p = .254). CONCLUSION: This study provides evidence for the value of training in an assessment tool that requires the use of a common, functional language that is comprehensible to all staff members and promotes a transdisciplinary approach to team work.

Ambulatory Care↗
PubMed1998

Staff grades and associate specialists: their continuing professional development and aspirations.

A survey of staff grades and associate specialists in the Oxford deanery showed that there were slightly more females (53%). There were 44% who had on-call commitments, a third of these were first on call. Thirty-eight per cent of the staff grades and 55% of the associate specialists had membership or fellowship of their relevant Royal College. The majority undertake continuing professional development and a majority would like promotion but only a small minority is prepared to relocate to further their training.

Adult↗
PubMed1994

Seamless service: research and action.

Describes the process used by the Mater Infirmorum Hospital in Belfast in 1992-1994 to achieve high quality care (Seamless Service), and motivate staff to deliver and measure performance. Aims of the project include focusing the organization on the customer, improving teamwork and motivation at all levels. After comprehensive data collection from GPs, patients and staff forums developed a full TQM strategy to gain support and maintain momentum including innovative staff events (every staff member was given the opportunity to attend) where multilevel, multidisciplinary workshops enabled staff to design customer care standards, develop teams and lead customer-driven change.

Continuity of Patient Care↗
PubMed1994

Management training for doctors: an in-house approach.

Having recognized the importance and inevitability of doctors becoming involved in the management of National Health Service (NHS) Trusts, the Leicester Royal Infirmary NHS Trust initiated its own in-house management development programme for senior medical staff. Describes the programme and identifies some of the benefits already realized and its role in facilitating s shift in the management agenda from managers to doctors.

Education, Medical, Continuing↗
PubMed2006

Opportunity for change in the future roles for the health library and information professional: meeting the challenges in NHS Scotland.

BACKGROUND: NHS Education for Scotland (NES) is the Special Health Board responsible for supporting best practice in education, training and development for all staff groups within NHS Scotland. As part of its remit, the Knowledge Services Group within NES is responsible for the e-Library, a national electronic resource providing and supporting access to the evidence base. The Knowledge Services Group also supports the national development of library services to NHS Scotland. AIMS: This article aims to provide a reflective overview of some recent challenges within the health library and information field in Scotland, and the positive role opportunities these have afforded. METHODS: The information was gathered through extensive professional interaction with staff across the sector over the first year of establishing the new role of Librarian Staff Development Manager. FOCUS: New roles have emerged for health library and information professionals generally; for example, in response to new technology or new user groups. The development of the NHS Scotland e-Library provides examples of role development that emerges symbiotically from core skills applied to a new situation or applied in an innovative way. Role development among health library and information professionals operating at the local service level can be both reactive and proactive. Working together, the partnership between the national Knowledge Services Group and local library and knowledge services for NHS Scotland has resulted in the emergence of additional new roles, extending the role portfolio of the local professional (for example, the Librarian-Tutor role) and supported by other national infrastructures (for example, the competency framework initiative).

Access to Information↗
PubMed2007

Developing bed managers: the why and the how.

AIM: This paper describes and analyses the role of bed managers within hospitals, and how this can be supported through a development programme. BACKGROUND AND KEY ISSUES: Bed management has increased in importance as access targets have developed, and appreciation of the importance of patient flow has grown. The bed management role is usually performed by nurse managers, and can be particularly stressful and managerially complex. Despite calls for training support, little has been available. In response we have developed and delivered a training programme to over 70 staff in the past 2 years. EVALUATION AND CONCLUSIONS: The programme evaluation data is used to show that it has had an impact on the knowledge and skills of the bed managers involved, but also on their subsequent behaviours. These changes have translated into results for the organization and the individual, including staff retention, promotion and fewer cancelled operations. We conclude that the programme is an effective way to enhance the knowledge and skills of bed managers, and that the enhanced profile of bed management raises challenges for nurse managers in many areas of the organization.

Attitude of Health Personnel↗
PubMed1984

Multidisciplinary approach for the patient on a home ventilator.

HFH has had an evolving home ventilator program since 1976 with the greatest growth in organization and volume since 1979. Technical advancements have made long-term home ventilator use a feasible, manageable, adjunctive, therapeutic modality in the care of patients with chronic respiratory failure. It appears to have more potential benefit for patients with sleep apnea and kyphoscoliosis than for persons with COPD. Many questions still are not answered regarding its use in patients with progressive nonrehabilitative neuromuscular disease. Critical components that must be included in all home ventilator programs include: (1) development of a "team" to train patients, families, and staff; (2) development of a standardized method of communication between the hospital personnel, family, durable medical equipment company, and home care agencies; (3) development of a screening mechanism to evaluate patient's/family's self-care potential in the use of home ventilators; (4) development and refinement of networks between acute care settings and the community agencies; and (5) development of clear channels of communication between patients and health care providers.

Adult↗
PubMed1994

Using concept mapping to develop a conceptual framework of staff's views of a supported employment program for individuals with severe mental illness.

This article describes the use of concept mapping to develop a pictorial multivariate conceptual framework of staff views of a program of supported employment (SE) for individuals with severe mental illness. The SE program involves extended individualized supported employment for clients through a mobile job support worker (MJSW) who maintains contact with the client after job placement and supports the client in various ways. All 14 staff members of a psychiatric rehabilitation agency with assignments associated with the SE program. They brainstormed a large number of specific program activity statements (N = 96), sorted and rated the statements, and interpreted the map that was produced through multidimensional scaling and hierarchical cluster analysis. The resulting map enabled identification of 4 issues that should be included in any theory of SE programs--the specific activity sequences that characterize the program itself; the pattern of local program evolution; the definition of program staff roles; and the influence of key contextual factors such as the client's family or the program's administrative structure. The implications of concept mapping methodology for theory development and program evaluation are considered.

Community Mental Health Services↗