Development of a pediatric residency program for registered dietitians.
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Curriculum↗
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Preliminary experience with in vitro fertilization-surrogate gestational pregnancy.
This report documents the medical details and 3-year follow-up evaluation of the infertile and surrogate couples involved in the first successful in vitro fertilization gestational surrogate pregnancy and summarizes clinical experience and outcome of all patients treated to date. Results of the first 28 couples treated are presented. The pregnancy rate for 39 cycles reaching attempts at oocyte retrieval is 18%. The procedural aspects, ethical issues, legal issues, and subsequent program development are summarized. Recommendations are of a similar program. There are numerous potential pitfalls and traps for the unwary, but our experience has thus far been gratifyingly positive, and we endorse the further provision, observation, and documentation of this controversial approach to the care of the infertile couple.
Demography↗
Development of an ED teaching program aimed at reducing prehospital delays for patients with chest pain.
OBJECTIVE: Delays in providing thrombolytic agents to patients with chest pain occur mainly in the prehospital arena. To reduce prehospital delay in treating patients with chest pain, we created a discharge teaching video that emphasized calling 911 in the event of a possible heart attack and a written action plan to be posted near the telephone. We also gave patients their EKG readings to bring with them on their next visit to the emergency department. SETTING AND SAMPLE: All patients with chest pain admitted to the Chest Pain Observation Unit at Baystate Medical Center, Springfield, Mass, were eligible for this teaching effort. We tracked 127 nonconsecutive patients from January 1997 to May 1997. Of these patients, 108 were included in the study. RESULTS: We interviewed 102 patients (94%) 3 days after they were discharged from the Chest Pain Observation Unit. Within this group, 92% were able to describe what a heart attack might feel like, and 81.4% said they would call 911 or go to the hospital if they had symptoms of a heart attack. If they thought that their symptoms might be indigestion, 69% said they would take an antacid, then go to the hospital if they did not feel better. Fifty-one percent remembered what to do with their EKG readings, and 60.7% knew how to take their nitroglycerin correctly. CONCLUSION: We concluded that patients understood the message they were given and retained some of the material 3 days after discharge from the Chest Pain Observation Unit. The follow-up telephone calls revealed areas for improvement in the discharge teaching tools.
Chest Pain↗
Strategic development of a master's program on the World Wide Web.
Quality teaching requires more than masterful professors. In today's academic environments, leaders in educational institutions have responsibilities to supply fiscal and human resources that support settings conducive to learning and that instill human, educational, and professional values. Recent technologic advances have shifted the capacities to deliver programs of study outside traditional classrooms. The World Wide Web can deliver nursing courses that are complex, multimedia, and interactive. Planning to offer a degree program on-line requires examining the organization's mission and philosophy as well as allocating human and fiscal resources to the project. As leaders implement innovations, such as distance learning on-line, they must address the organization's political challenges and cultural changes. When leaders seek to introduce innovation within their organizations, they must be prepared for excitement as well as anxiety and resistance. Leadership also requires evaluating performance and outcomes for quality education. In addition, they strive to meet expectations of quality of all stakeholders. J Prof Nurs 17:166-172, 2001.
Education, Nursing, Graduate↗
Developing a restorative care program.
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Activities of Daily Living↗
Developing a worksite lactation program.
This article describes the literature about worksite lactation programs and how such a service might be established to enhance breastfeeding success and lead to healthful outcomes for the mother and the baby. Because studies have demonstrated consistently that breastfeeding is associated with lower rates of infant illness, and that full-time maternal employment decreases breastfeeding duration, establishing an onsite lactation program within a corporation or organization could assist employees in maintaining ideal nutrition for their infants. Net gains for the organization, such as decreased absenteeism and fewer healthcare benefit claims can occur. The author suggests that the establishment of such a program by a nurse can be a successful nursing intervention.
Absenteeism↗
Developing a charge nurse program.
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Curriculum↗
The PDA as a reference tool: libraries' role in enhancing nursing education.
"The PDA as a Reference Tool: The Libraries' Role in Enhancing Nursing Education" is a pilot project funded by the University of Massachusetts President's Office Information Technology Council through their Professional Development Grant program in 2004. The project's goal is to offer faculty and students in nursing programs at two University of Massachusetts campuses access to an array of medical reference information, such as handbooks, dictionaries, calculators, and diagnostic tools, on small handheld computers called personal digital assistants. Through exposure to the variety of information resources in this digital format, participants can discover and explore these resources at no personal financial cost. Participants borrow handhelds from the University Library's circulation desks. The libraries provide support in routine resynchronizing of handhelds to update information. This report will discuss how the projects were administered, what we learned about what did and did not work, the problems and solutions, and where we hope to go from here.
Advertising↗
Preceptor preparation: an investment in the future.
Preceptor preparation is critical to the success of all orientation programs. This article focuses on the purposes of preceptor preparation and a series of programs developed for the staff of Surgical Services. The programs are leveled and focus on basic and advanced concepts. The advanced program is a means of reward and recognition for preceptors in the various surgical services areas. The programs are designed for nurses and other staff involved in precepting new employees.
Attitude of Health Personnel↗
Development of a telemedicine program: a review of 1,000 videoconferencing consultations.
OBJECTIVE: To examine the financial and organizational characteristics, demand for services, and satisfaction outcomes of a growing telemedicine program serving both urban or suburban and rural populations. DESIGN: Retrospective review of 1,000 consecutive telemedicine consultations in the University of California (UC) Davis Telemedicine Program. SETTING: Telemedicine videoconferencing units, used to integrate care in the UC Davis Health System among the UC Davis Medical Center and several urban or suburban primary care clinics, rural hospitals, and clinic affiliates. SUBJECTS: A total of 657 consecutive patients who consented to a telemedicine consultation. Main outcome measures Demographic information about the patient population, the rural and urban or suburban clinics, the types of specialty consultations, and telemedicine equipment used in the UC Davis Health System. Patient and physician satisfaction were measured on a 5-point Likert scale. RESULTS: Patients and primary care physicians reported high levels of satisfaction. Rural clinics requested more and a greater variety of specialist consultations than urban or suburban clinics. CONCLUSION: Although referring physicians and patients indicate a high level of satisfaction with telemedicine services and insurers are negotiating reimbursement policies, additional research must investigate the reasons why some payers, patients, and providers resist participation in these services.
Attitude of Health Personnel↗
Developing a psychiatric residency program: focus on the community.
A three-year general residency program intended to train psychiatrists to be as competent in group therapies and community work as in psychoanalytic psychotherapy was set up in a crisis center in the Bronx. Community members from the center's catchment area were actively involved in the planning for the training program and the center. The psychiatric residents in the program plan and revise their own curriculum, in collaboration with the faculty, and they work closely with faculty and staff in an apprentice system of learning. In this paper two faculty members describe the program's planning and the first year of operation; they also comment briefly on the program's current status. In the following paper two former residents present their view of the program's development and some of their experiences during the first year.
Community Mental Health Services↗
Development of a mentoring program for new authors.
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Authorship↗
Resource guide to occupant protection programs and materials.
This article lists public and private sector associations and organizations concerned with occupant protection. Many of these organizations will provide catalogues and other public information materials on occupant protection. Some have operational programs designed to influence their members in the health professions or the general public. All of the organizations have printed material available. Some provide additional resources on occupant protection such as educational kits, consumer information pamphlets, posters, written testimony, public service announcements, sample legislation, and audio visual aids useful in conjunction with health promotion program development. For information relative to state occupant protection programs, readers should contact their State Office of Highway (Traffic) Safety, Governor's Office, Regional Office of the National Highway Safety Administration, Regional Office of the Department of Health and Human Services, State Health Department or Department of Preventive Health Services, and regional or state affiliate chapters of national organizations, such as the Child Passenger Safety Associations and the National Safety Councils.
Automobiles↗
Applications of microcomputer technology to cytophotometry.
Lack of appropriate software support for microprocessor program development has previously limited the applications of such technology in the field of microspectrophotometry. This paper describes our use of a Vickers M86 integrating microdensitometer coupled through a custom-designed interface circuit to a Processor Technology SOL III microcomputer. W e have developed a series of interactive, user-oriented programs for DNA-Feulgen cytophotometry with this instrument to allow automatic storage of data in files on floppy disks and instant retrieval of sets of measurements for statistical processing. The same data files can also be used to generate graphic displays in the form of bar histograms or plots of linear regressions on a video monitor and to produce hardcopy output of data files and graphic displays through the use of a high speed DIABLO printer.
Animals↗
Interdisciplinary action supporting sexual assault prevention efforts in rural elementary schools.
The purpose of this study was to evaluate if knowledge is gained by rural, elementary school-aged children of sexual assault prevention concepts following implementation of an interdisciplinary prevention program. Rural children (N = 294 pretest and N = 301 posttest) were tested before and after delivery of a theater program developed for teaching sexual assault prevention concepts. The program was delivered to children enrolled in the 3rd and 4th grades of 3 rural elementary schools. Analysis of variance results indicate an increase in knowledge gained in all age groups. Significant difference in knowledge gained occurred in concept areas related to touch by authority figures, secrets, uncomfortable touch by individuals known to them, strangers, and boys' risk of abuse. Results support the need for ongoing interdisciplinary efforts to teach children sexual assault prevention concepts.
Analysis of Variance↗
How to develop and implement a program to continuously demonstrate the value of clinical pharmacy services.
This paper summarizes key elements that support the success of clinical pharmacy services to continuously improve the quality of drug therapy. Five drivers identify a successful model for continuously demonstrating the value of clinical pharmacy services: knowing the organizational culture; providing leadership; recruiting pharmacy sponsors; showing tenacity; and acting with management courage. Difficulties encountered when communicating the value of clinical pharmacy services within a health care organization usually arise because of failure to include one of these drivers.
Drug Therapy↗
Development of a rehabilitation program for people affected with occupational hearing loss. 2. Results from group intervention with 48 workers and their spouses.
A group intervention program was designed to initiate an active search for solutions to listening and communication problems among hearing-impaired workers. Six groups of 8 workers were recruited from different areas of the Province of Québec. The workers were males; they had hearing threshold levels equal to or higher than 30 dB averaged over 0.5, 1, 2 and 4 kHz in at least one ear. The recruitment was conducted by occupational health nurses of local community health centers. The workers were invited to a group meeting with their spouses by means of a home interview. Three groups met during 2-hour weekly evening sessions, and three groups during a 1.5-day weekend session. A follow-up was conducted over a period of 3 months ending with an evaluation meeting. Results based on responses to a handicap questionnaire showed that the workers judged their hearing problem as being significantly less severe after their participation in the session. Group interviews showed that, although they were more conscious of their hearing difficulties, they agreed on being much more confident in dealing with them. Different steps were taken towards improving their situation, including disclosure of their hearing impairment to others, making requests to conversational partners to facilitate communication, and acquiring instrumental aids.
Communication Methods, Total↗
A collaborative approach to nutrition education for college students.
It is well established in the literature that college students have poor eating habits and that many barriers exist to achieving optimal nutrition for this busy population. Little is known about students' perceptions of this problem or suggestions for improving their dietary habits. Similarly, college health professionals need innovative approaches to nutritional education. In an effort to develop an online nutrition resource specifically geared to college students, the authors assessed the availability of Internet-based nutritional information for this population and conducted focus groups with students and health professionals to identify relevant nutrition concerns. They used concept-mapping techniques to conduct a systematic analysis of the qualitative information generated from their focus group participants. Their findings emphasize the need for targeted resources for college students and the importance of using students' suggestions in developing nutrition programs.
Adolescent↗