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PubMed2001

The new senior volunteer: a bold initiative to expand the supply of independent living services to older adults.

This article presents findings of the evaluation of the Experience Corps for Independent Living (ECIL) initiative. The ECIL initiative was a two-year demonstration program designed to test innovative ways to use the experience, time, and resources of volunteers over 55 to significantly expand the size and scope of volunteer efforts on behalf of independent living services for frail elders and their caregivers in specific communities. Six demonstration sites were selected to participate in this initiative. The intensive volunteers, the critical component of the program, were more highly skilled than typical volunteers from existing senior volunteer programs. ECIL volunteers collaborated with agency partners to develop new programs, supervise direct service activities, and enhance the performance of the agencies being served. The ECIL initiative was particularly successful in meeting its goals of expanding the supply of independent living services to frail elders and their families in the communities served.

Activities of Daily Living↗
PubMedDate not supplied

A research agenda for bridging the 'quality chasm.'.

Realizing the vision of the IOM's landmark report, Crossing the Quality Chasm, will require new knowledge to support new policy and management. This paper lays out a research agenda that must be pursued if the health care system is to bridge the quality chasm. Based on a consensus process involving leading health care researchers and authorities, the paper highlights knowledge gaps and research directions in five areas identified by the Quality Chasm report as critical to its goals of building organizational supports for change; applying evidence to health care delivery; developing information technology; aligning payment policies with quality improvement; and preparing the workforce.

Education, Continuing↗
PubMed2002

East Timor in transition: health and health care.

East Timor was liberated from 400 years of conquest and exploitation in an armed struggle that ended, in September 1999, in a conflagration that destroyed its social and physical infrastructures. For two years the territory has been under United Nations administration. Political conditions remain unstable as the result of many intrinsic and external factors. Its economy continues to depend upon infusions of funds from multilateral, bilateral, and private sources. Efforts by expatriates to introduce Euro-American cultural and technical models have been applied to the factors that determine health, with modest results. East Timor expects to be totally independent of foreign control early in 2002. Its future health will depend upon continuing collaboration between international and local leadership in evolving effective government, economy, and health services designed, managed, and executed by Timorese.

Communicable Diseases↗
PubMedDate not supplied

Paediatric surgery in Cambodia.

More than half of Cambodia's nine million people are under 17 years of age, but there are no certified paediatric surgeons. On a mission sponsored by CARE Australia and the International Federation of Surgical Colleges, Paddy A Dewan investigated the surgical care of Cambodia's children.

Adolescent↗
PubMed1992

Nurturing the nurturers.

The nurse-retention problem plagues hospitals nationwide, but nowhere is the crisis more evident than in rural areas, where, if nothing is done, more hospitals likely will join the growing numbers that have simply closed. Researchers designed a study to identify effective strategies for managers and administrators to pursue in retaining nurses in rural hospitals. They asked nurses to rate 43 strategies according to the degree of influence each would have on the decision to remain on the job. "Winning" strategies fit into four major categories: (1) self- and professional development, (2) monetary needs, including benefits, (3) internal management, and (4) staffing and scheduling. Among the study's suggestions are these: Managers should increase opportunities for upward mobility to alleviate some of the nurses' frustrations at feeling trapped in one position. If a higher educational level is a prerequisite for upward mobility, hospital managers should simplify the process of obtaining that education. Rural nurses clearly do not believe they are being compensated enough for their efforts. Hospitals must respond accordingly if they intend to maintain an adequate nursing staff. Nurses want to know that when conflicts or disruptions arise, they will have a simple, direct means of resolution. Hospitals should manage conflict through communication and training and support at all primary care levels. Because nurses provide the majority of client care, they must have a more active, participative role in staffing and scheduling policies.

Attitude of Health Personnel↗
PubMed1995

Continuing education at reasonable cost: a case study.

Since January 1, 1995, the American Registry of Radiologic Technologists (ARRT) has mandated that radiologic technologists earn 24 units of continuing education every 24 months. Enforcement will begin in 1997, but the credits must be earned in the two-year period preceding the technologist's birth-month in 1997. Those who have earned 24 credits between their birth-months in 1993 and 1995 will be recognized for voluntary compliance. This article describes how a local affiliate of the California Society of Radiologic Technologists and a hospital in-service program provide continuing education for technologists in a semi-rural area. In 1986 two technologists from Kaweah Delta Hospital organized the Sequoia District Study Group (now called Sequoia District Affiliate). In 1992 that group recognized the need to meet upcoming continuing education requirements and made plans to provide 12 continuing education units per year. The Kaweah Health Care District offers financial support of the group's program and pays an annual fee to the ASRT to receive designated providership of continuing education. Individuals who pay a small annual membership fee to the Sequoia District Affiliate attend meetings for free and receive a discount on registration for an annual seminar. Staff involvement in soliciting speakers generates greater interest and better attendance. Cooperation between staff and management can facilitate the implementation of a low-cost education program that meets ARRT requirements.

California↗
PubMedDate not supplied

Bridging the gaps in geriatric care. Volunteers help meet the elderly's nonmedical needs.

Concerned about the paucity of services for elderly who need care but prefer to live at home, Our Lady of Lourdes Medical Center, Camden, NJ, embarked on an effort to obtain grant funds while seeking creative ways to meet the elderly's nonmedical needs. One of the first programs developed was a Senior Companion Program. This federally funded program recruits low-income elderly citizens, trains them, and places them in the homes of seniors who need nonmedical services to remain in the community. The program's success led to the establishment of Helping Hands in the Community, which recruits volunteers of all ages and incomes to serve as companions for seniors. An extension of this program, Helping Hands in Business, sought to help employers reduce the costs associated with lost productivity because of employees' responsibilities as care givers for elderly family members. Finally, the Camden Senior Community Support Program uses aggressive case management in the emergency room and the hospital to determine whether the elderly need to be admitted to the hospital or can receive support from family or others to remain in the community.

Aged↗
PubMedDate not supplied

Laboratory cross training needs assessment.

OBJECTIVE: To define the continuing education topics and methods in the area of chemistry and hematology, that if developed, would best support the cross-training needs of hospital based laboratories in the State of Georgia. DESIGN: A cross sectional study of hospital based laboratories in Georgia was completed using surveys sent to 181 hospital laboratory managers and administrators. Descriptive statistics were used to evaluate the survey results. SETTING: Department of Medical Technology, Medical College of Georgia, Augusta GA. PARTICIPANTS: Laboratory managers and administrators. INTERVENTION: Not applicable. MAIN OUTCOME MEASUREMENTS: Four descriptive outcome measurements were requested from each participant: 1) demographic questions, 2) cross-training topics desired, 3) training material desired, and 4) computer literacy and equipment assessment. RESULTS: Sixty-six surveys were completed and returned in a usable form (36% return rate). Demographically, the respondent group is a representative sample of hospital based laboratories in the State of Georgia with 46% of the respondents from facilities of 100 hospital beds or less. Respondents desired that case study training topics be developed using paper and computer assisted instruction mediums. Additionally, respondents desired that Professional Acknowledgement for Continuing Education (P.A.C.E.) be associated with the training material. They were willing to pay for this administrative service. CONCLUSION: This cross sectional study assessed the cross-training needs of hospital based laboratories in Georgia. Findings will allow educators to focus and develop continuing education packages that best meet the needs of the laboratorian workforce.

Chemistry, Clinical↗