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PubMedDate not supplied

A culture fair: a creative, fun, and informative method of cultural awareness education.

Nursing has long realized that the impact of a person's culture is an important component of planning the care of individuals. Recently the Joint Commission on the Accreditation of Health Care Organizations has begun to require evidence that healthcare workers have knowledge of the impact of cultural background on patient and family response to health and illness. An education fair is a creative and fun method of educationg large numbers of employees with consideration for cost, time, and resource management. This article will address how to assess and utilize available resources for organizing and setting up a culture fair.

Attitude of Health Personnel↗
PubMedDate not supplied

Using a self-learning module to teach nurses about caring for hospitalized children with tracheostomies.

The purpose of this study was to determine the effectiveness of using a self-learning module (SLM) to teach nurses about caring for hospitalized children with tracheostomies. Data analysis using an independent samples t test showed that statistically significant learning occurred after completion of the SLM (p = 0.014, n = 85). These findings can influence the way staff education is provided, giving the nurse educator an alternative, cost-effective, and timesaving method of presenting information.

Child↗
PubMedDate not supplied

Refresher course for inactive RNs facilitates workforce reentry.

A refresher course developed in conjunction with a local community college has been successful in facilitating workforce reentry by inactive and retired RNs. Support of the program by the hospital and exposure to the hospital during the clinical practicum, has reaped benefits as the majority of participants have sought employment upon completion of the course.

Adult↗
PubMedDate not supplied

An innovative interdisciplinary approach to self-directed learning with a focus on the continuum of patient care.

Current regulatory review standards emphasize the hospital's role in providing continuum of care. Today, patient care staff must know more about the "continuum of care" concept so they can help patients more fully understand their treatment and take an active role in their own care. One of the challenges is finding creative and effective ways to get the message across to everyone on the staff. This article describes one approach to self-directed learning that takes into consideration individual learning styles and level of proficiency with a focus on the continuum of patient care.

Arizona↗
PubMed2003

An educational intervention to prevent catheter-associated bloodstream infections in a nonteaching, community medical center.

OBJECTIVE: To evaluate the effectiveness of an evidence-based intervention to prevent catheter-associated bloodstream infections among intensive care unit patients at a nonteaching, community hospital. DESIGN: Nonrandomized pre/post observational trial. SETTING: Two intensive care units at Missouri Baptist Medical Center, Saint Louis, MO. PARTICIPANTS: Nurses and critical care physicians. INTERVENTION: A ten-page, self-study module on the prevention of catheter-associated bloodstream infections, lectures, and posters given between July and September 1999. MEASUREMENTS: The incidence of nosocomial catheter-associated bloodstream infection and patient demographics were measured for patients admitted between March 1998 and July 2000. MAIN RESULTS: Thirty cases of catheter-associated bloodstream infections during 6110 catheter-days were noted in the preintervention period (4.9 cases/1000 catheter-days) vs. 11 cases during the 5210 catheter-days in the postintervention period (2.1 cases/1000 catheter-days). The relative risk for catheter-associated infection in the postintervention period was 0.43 (95% confidence interval, 0.22-0.84). Among catheterized patients, Acute Physiology and Chronic Health Evaluation II score (25.2 preintervention vs. 25.1 postintervention; p =.86), hemodialysis (91 of 647 [14%] patients vs. 69 of 541 [13%]; p =.70), and the mean number of catheter days per patient (9.1 vs. 9.6 days; p =.46) did not differ between the pre- and postintervention periods. CONCLUSIONS: A focused, educational intervention among nurses and physicians in a nonteaching community hospital resulted in a significant, sustained reduction in the incidence of catheter-associated bloodstream infection.

Aged↗
PubMed2003

Effect of standardized orders and provider education on head-of-bed positioning in mechanically ventilated patients.

OBJECTIVE: Semirecumbent head-of-bed positioning in mechanically ventilated patients decreases the risk of developing ventilator-associated pneumonia (VAP). The purpose of this study was to determine whether the addition of a standardized order followed by the initiation of a provider education program would increase the frequency with which our patients were maintained in the semirecumbent position. DESIGN: Prospective, pre-, and postintervention observational study. SETTING: A tertiary care, U.S. Army teaching hospital. PATIENTS: Mechanically ventilated medical and surgical intensive care unit patients. INTERVENTIONS: The first intervention involved the addition of an order for semirecumbent head-of-bed positioning to our intensive care unit order sets. This was followed 2 months later with a second intervention, which was a nurse and physician education program emphasizing semirecumbent positioning. MEASUREMENTS AND MAIN RESULTS: Data regarding head-of-bed positioning were collected on 100 patient observations at baseline and at 1 and 2 months after each of our interventions. The mean angle of head of bed increased from 24 +/- 9 degrees at baseline to 35 +/- 9 degrees (p <.05) 2 months after the addition of the standard order. The percentage of observations with head of bed >45 degrees increased from 3% to 16% 2 months after the standardized order (p <.05). Two months after our provider education program, the mean angle of the head of bed was 34 +/- 11 degrees and the percentage of patients with head of bed >45 degrees was 29% (p = NS compared with values after the first intervention). Data collected 6 months after completion of our education programs showed that these improvements were maintained. CONCLUSIONS: Standardizing the process of care via the addition of an order specifying head-of-bed position significantly increased the number of patients who were placed in the semirecumbent position. In an era of cost-conscious medicine, interventions that utilize protocols and education programs should be emphasized.

Female↗