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PubMedDate not supplied

Preventing violence in an academic setting: one school of nursing's approach.

Workplace violence occurs in many different contexts, including academic settings. However, the types of violence that make headlines are less common than the everyday behaviors that, left unchecked, may lead to extreme situations. This article describes how a school of nursing developed a program of workplace violence prevention, intervention, and response. Descriptions of the program, definitions, and workplace violence resources are included.

Anger↗
PubMed1992

Drug-food interaction counseling programs in teaching hospitals.

The results of a survey to characterize drug-food interaction counseling programs in teaching hospitals and solicit opinions on these programs from pharmacists and dietitians are reported. A questionnaire was mailed to the pharmacy director and the director of dietary services at teaching hospitals nationwide. The questionnaire contained 33 questions relating to hospital characteristics, drug-food interaction counseling programs, and the standard calling for such programs issued by the Joint Commission on Accreditation of Healthcare Organizations. Of 792 questionnaires mailed, 425 were returned (response rate, 53.7). A majority of the pharmacists and dietitians (51.2%) did not consider their drug-food interaction counseling program to be formal; some had no program. The pharmacy department was involved more in program development than in the daily operation of such programs. The most frequent methods of identifying patients for counseling were using lists of patients' drugs and using physicians' orders. A mean of only five drugs were targeted per program. Slightly over half the respondents rated the Joint Commission standard less effective than other standards in its ability to improve patient care. A majority of teaching hospitals did not have formal drug-food interaction counseling programs. Pharmacists and dietitians did not view these programs as greatly beneficial and did not believe that the Joint Commission has clearly delineated the requirements for meeting its standard.

Dietetics↗
PubMedDate not supplied

A brief introduction to the National Data Bank for Rheumatic Diseases.

The National Data Bank for Rheumatic Diseases (NDB) is a research data bank with a broad agenda and approach to important clinical, regulatory, epidemiological, safety, effectiveness, outcome and patient care questions that cannot be answered by conventional data banks. It has systematic, ongoing quality control programs that assure high quality data. NDB-developed programs result in very efficient analytic capabilities and rapid publication.

Biomedical Research↗
PubMedDate not supplied

Promoting nursing as a career choice.

Fewer young people are considering nursing as a career. This project was designed to present nursing as a viable career option to middle school students. A questionnaire was administered to six classes of middle school students before and after a presentation on nursing as a career. Results showed the presentation improved student attitudes and perceptions toward nursing as a career. Nurses can use this project as a stepping stone to develop additional programs to interest students in nursing as a career before the students discard the notion altogether.

Adolescent↗
PubMedDate not supplied

Pediatric resuscitation: development of a mock code program and evaluation tool.

Effective and efficient resuscitation skills are especially significant for pediatric care providers because of the increased neurologic morbidity and mortality associated with pediatric arrests. A mock code system was initiated to assess and enhance the competency of the medical and nursing staff who respond to pediatric arrests in all areas of an acute care general hospital. Two mock codes are conducted each month using a data collection tool. All of the critical skills involved in a pediatric resuscitation are listed in the tool and each skill is evaluated as met or not met. The tool identifies areas for further education and quantifies improvement in skills over a period of time. In addition, the Pediatric CPR Committee uses the data from the mock codes to initiate systems and equipment improvements.

Cardiopulmonary Resuscitation↗
PubMed1994

Collaboration, consultation, and care: developing an effective donor program.

The worsening shortage of organ and tissue donors in the United States has led to new clinical and legislative initiatives designed to increase the number of organs and tissues available for donation. Inlight of these new initiatives, this article reexamines the relationship between hospitals and organ and tissue procurement agencies who coordinate the donation process.

Family↗
PubMedDate not supplied

Program planning for faculty development in allied health education.

The increased movement of allied health programs from hospitals into colleges and university settings has created a role-transition for the allied health practitioner from a predominately service/secondarily educational role to a predominately educational/secondarily service role. Equally significant is the fact that allied health faculty are employed largely on the basis of specific discipline preparation and work experiences and less on specific preparation for teaching. Thus an acute need exists for faculty development programs designed specifically to address a definite lack of preparation in instructional methodologies. This paper describes a conceptual model readily employable for planning and implementing a faculty development program. The simplicity and flexibility of this model lends well to acquiring a few participant-centered objectives in a one-day workshop or to several over an extended period of time.

Faculty, Medical↗
PubMedDate not supplied

Establishing a doctor of philosophy program in nursing in an historically black college or University.

The planning and implementing of a Doctor of Philosophy (PhD) program at Southern University Agricultural & Mechanical College in Baton Rouge, LA (SUBR), an Historically Black College or University (HBCU), are discussed. The steps for initiating this new program in Southern University School of Nursing (SUSON) are included. Background information on the university and the Graduate Nursing Program. The use of consultants, their recommendations for program development, and the SUSON's responses to these recommendations are presented. Additional information is provided about the need for offering the PhD, program objectives, strengths of the SON, the Office of Nursing Research, funded research, faculty development, the curriculum, and financial assistance for students.

Black or African American↗
PubMed1993

Nursing staff attitudes on the use of physical restraints in a teaching nursing home.

This study supports the importance of assessing the intrinsic and extrinsic attitudes and perceptions of staff on physical restraints. Any program developed to remove physical restraints in nursing homes should focus on safety issues and behavioral interventions that prevent injury to staff and resident. Environmental adaptations that would enhance residents' safety, such as alarms and wedge cushions, would be useful in a restraint reduction program. Educating staff about the risks of physical restraints and about safe alternative interventions might change their attitudes. By developing an educational program that focuses on a few residents at a time and by involving a multidisciplinary team, a truly individualized approach to restraint-free care for residents might be developed.

Aged↗
PubMed2007

National-level capacity-building assistance model to enhance HIV prevention for Asian & Pacific Islander communities.

OBJECTIVES: Asian & Pacific Islander (A&PI) communities in the United States face increasing risk for HIV, yet have limited access to US culturally competent HIV prevention services. We describe a national HIV prevention capacity-building program for A&PI communities using a multitiered approach addressing systems, institutional, and individual level outcomes. METHODS: The program developed a national network of A&PI HIV and health-focused institutions, and conducts regional-level replication and dissemination of this model to support four areas of capacity building. This network is led by two national organizations coordinating the planning, implementation, and evaluation of the National Capacity-Building Assistance Program. RESULTS: Baseline data are compared with the last 2 years of preliminary data that show increased capacity among community-based organizations and health departments to strengthen culturally competent models of HIV prevention. Systems-level outcomes so far show enhanced leadership skills for HIV-related advocacy efforts, increased ability to leverage the media, and stronger partnerships between peer providers, health departments, and community leaders. CONCLUSION: This program model preliminarily demonstrates that national capacity-building initiatives can foster coalition development, replication of program models, materials sharing, and new leadership that improve HIV-related prevention services for A&PI communities.

Asian↗
PubMed1992

[Severe personality disorders associated with addictive behavior].

After demonstrating the failure of a one dimensional approach to treating addictive behavior coupled with severe personality disorders, the authors suggest an organization of services based on the systemic approach. They recommend a personalized program with both external and internal services. With this in mind, the authors present a program developed by professionals involved in the fields of mental health and addictive behavior. Co-ordinated by a multidisciplinary team, it requires a specific contribution from all members of the team who are involved in different aspects of the person's life. To locate potential users of the program, brochures are sent to CLSCs (community health centres), hospitals, public and private resources, AIDS programs, social workers, and community health workers. Once in treatment, the patient goes through various treatment zones. The first, labelled the reception zone is designated with the initial contact between client and the program. In many instances, a significant other who is close to the client is contacted to take part in the program and help. In the zone of clarification, the client must come to terms with the program and indicate a serious determination to see the program through. The development zone centers on an active reflection of self and the development of new abilities for interpersonal relations, assisting the individual to function autonomously. The goal is for clients to attain a level of self-criticism of their own addiction. The zone of consolidation is optimally reached after about one year in the program. Clients are able to integrate everything learned in the development zone and apply it to their daily life. Community organizations are involved at this stage. The authors conclude that a multidimensional approach, a concerted commitment and a recognition of the contribution of all team members involved in the treatment, are essential elements for tangible results.

Humans↗
PubMed1985

Development of a program package for modelling biochemical systems.

The development of a program for the identification of a model including up to 15 compartments is presented. The identification of the model parameters with this program package is based upon the improved Gauss Marquardt algorithm. This program, implemented on a microcomputer (Data General Eclipse 64 K RAM), uses a calculation and automatic generation of a partial derivative routine. Thus, starting from the differential equations of the model correctly written, there is no longer any risk of error.

Animals↗
PubMed2001

From concept to culture: the WWAMI program at the University of Washington School of Medicine.

Shortages of primary care physicians have historically affected rural areas more severely than urban and suburban areas. In 1970, the University of Washington School of Medicine (UWSOM) administrators and faculty initiated a four-state, community-based program to increase the number of generalist physicians throughout a predominantly rural and underserved region in the U.S. Northwest. The program developed regional medical education for three neighboring states that lacked their own medical schools, and encouraged physicians in training to practice in the region. Now serving five Northwest states (Washington, Wyoming, Alaska, Montana, and Idaho), the WWAMI program has solidified and expanded throughout its 30-year history. Factors important to success include widespread participation in and ownership of the program by the participating physicians, faculty, institutions, legislatures, and associations; partnership among constituents; educational equivalency among training sites; and development of an educational continuum with recruitment and/or training at multiple levels, including K--12, undergraduate, graduate training, residency, and practice. The program's positive influences on the UWSOM have included historically early attention to primary care and community-based clinical training and development of an ethic of closely monitored innovation. The use of new information technologies promises to further expand the ability to organize and offer medical education in the WWAMI region.

Alaska↗
PubMed1979

Development of articulatory competence in mentally retarded children.

Mentally retarded children participated in a verbal stimulation program developed at the Institute for Psychophysiological and Speech Disorders, Belgrade, Yugoslavia. Intensive home therapy was associated with an increase in articulatory competence in both moderately and profoundly retarded children. The development of articulation differed between retardate groups as well as with the sequence of normal phonological production. The results suggest that the order in which wounds are introduced into the therapeutic program may be a critical factor in the over-all development of competent articulation.

Child↗