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At least 163 records · Page 9Linked to original sources

Overcoming barriers to educational mobility in nursing.

A shift in locus of responsibility from the individual to a program for facilitation of educational mobility in nursing calls for an explication and eradication of artificial barriers to such mobility. Drawing upon and extending the analysis found in the educational literature, this articles explores issues such as program autonomy, pedagogical assumptions about the nature of learning, adherence to questionable technical-professional distinctions, blindness to cultural-class differences, and employer practices as socially constructed barriers to educational mobility. The author argues that recognition of these barriers is a critical first step in exposing underlying motives restricting mobility. This article invites the nursing community, and in particular the nursing education community, to come to terms with their role in perpetuating barriers to educational mobility.

Career Mobility↗

ACCESS: keystones for school health promotion.

This article provides a perspective on the three elements that traditionally constitute school health programs in the U.S. and describes a new model called ACCESS. Consisting of five major keystones, ACCESS provides an organizational structure for planning, implementing, and evaluating school health promotion programs. In addition, the model provides a reference point for international comparisons of school health.

Health Promotion↗

United States: perspectives in school health.

An overview is presented of school health programs being conducted in the U.S. as well as the U.S. education system. Major health problems of youth are identified and initiatives to improve the health of school-aged youth are reviewed. With the start of the new decade, it will be important to use and disseminate the findings from ongoing school health programs and research projects, to address the growing social issues for children and adolescents that directly affect their physical health, and to broaden the scope of school health to include issues of psychological or mental health, issues related to social competencies, dysfunctional family lives, or major life events.

Adolescent↗

The Colorado Tobacco-Free Schools and Communities Project.

This article defends the appropriateness of tobacco-free school policies as an effective tool toward ensuring young people develop into healthy and intellectually strong adults, and demonstrates how such a policy can be introduced into a school district. Health education efforts to eliminate tobacco use are widely considered more effective when carried out in concert with school policies and adult role models offering the consistent message that tobacco use is unhealthy and unacceptable. Studies indicate students who attend schools with strict smoking policies are less likely to begin smoking than students who attend schools without such policies. Through research, support, and guidance, the Colorado Tobacco-Free Schools and Communities Project successfully has assisted almost half the 176 school districts in Colorado to adopt such policies.

Adolescent↗

Quality leadership: the key to quality management.

Quality leadership is a precondition for implementing quality management. How organizational leaders structure and direct an organization as well as how they behave within an organization are critical elements to the success of an effective quality management process. This article addresses these leadership issues and presents a plan for quality management implementation. Several behavioral tools are described that address potential obstacles to the implementation process.

Hospital Administrators↗

WHO at country level--a little impact, no strategy.

The acid test of WHO's effect on the world's health is its impact at country level. Unless it has an impact there, all of its declarations, its debates at the World Health Assembly, its conferences, its pamphlets, its political manouvering in Geneva and the regions, all of these come to nothing. Working as it does through national governments, WHO insists that it has no role in directly managing or delivering health care. Judging WHO's impact in individual countries is therefore difficult--its approaches are largely indirect, and initiatives may take years to bear fruit. But from the meagre resources that WHO makes available at country level it is clear why its country operations are criticised as the weakest link in an already weak chain of influence from its headquarters in Geneva to the people in its member states. Poorly funded, undertrained, and with no clear strategy to follow, its staff at country level stand little chance of making an impact.

Global Health↗

Health service accreditation: report of a pilot programme for community hospitals.

Voluntary accreditation in the United Kingdom is being used by health care providers to improve and market their services and by commissioners to define and monitor service contracts. In a three year pilot scheme in the south west of England, 43 out of 57 eligible community hospitals volunteered to be surveyed; 37 of them were ultimately accredited for up to two years by the hospital accreditation programme. The main causes for non-accreditation related to safety, clinical records, and medical organisation. Follow up visits in 10 hospitals showed that, overall, 69% of recommendations were implemented. An independent survey of participating hospitals showed the perceived benefits to include team building, review of operational policies, improvement of data systems, and the generation of local prestige. Purchasers are increasingly influenced by accreditation status but are mostly unwilling to finance the process directly. None the less, the concept may become an important factor moderating the quality of service in the new NHS.

Accreditation↗