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PubMed2002

A collaborative approach to the implementation of clinical supervision.

AIM: This paper discusses a collaborative approach to implementing clinical supervision, which was initiated between a primary care trust and a school of nursing and midwifery. BACKGROUND: To enable clinical supervision to proceed successfully and to be perceived as beneficial, this necessitates a collaborative partnership between clinicians, managers and educationalists. KEY ISSUES: The different stages of the initiative will be explored and the paper will consider examples of the collaborative processes involved. The evaluation of the project is examined and suggestions for the future continuation of the initiative are discussed. CONCLUSION: There is evidence that this has been a successful initiative and that a collaborative way of working can be beneficial when implementing clinical supervision.

Attitude of Health Personnel↗
PubMed1999

Alcohol policy and the young adult: establishing priorities, building partnerships, overcoming barriers.

Young adults (defined here as those 18-29 years of age) in the United States and Canada constitute a demographic group most likely to suffer serious alcohol problems, yet the alcohol policy field has made little effort to develop prevention strategies that respond specifically to their circumstances and needs. This paper briefly reviews relevant research, analyzes prevention policy priorities, presents the barriers to implementation and outlines strategies for overcoming them. Its main conclusions are: (1) Strategies to reduce alcohol availability and increase alcohol prices will significantly reduce alcohol problems among young adults. (2) A high priority should be given to harm reduction strategies and strategies that target the physical environments where young adults are likely to congregate. (3) The alcohol industries and the industries' allies will vigorously oppose these policy reforms, and their resistance constitutes a formidable barrier to implementation. (4) Resistance from other community institutions, which may benefit from the status quo, is an additional barrier that must be addressed. (5) There is a tendency to compromise with the alcohol industries and others and substitute individual-based prevention strategies for public policy reforms. Individual-based strategies complement public policy reforms but should not replace them. (6) Overcoming barriers will require community organizing, coalition building, media advocacy and policy advocacy and an expanded research effort. The field needs to develop new messages and themes in both media and policy advocacy that address the specific concerns and interests of young adults, thereby encouraging their active leadership in prevention policy development.

Adolescent↗
PubMed1997

Issues in multidisciplinary teamwork for children with disabilities.

This paper presents a review of key issues surrounding multidisciplinary work in relation to the care of children with disabilities and their families. The discussion is based on experience of working in a child development team and research visits to teams around Britain at the beginning of the 1990s. An outstanding feature of child disability services is their organizational diversity. The research found that district interagency planning groups were a rarity, as were multiagency management groups for teams. Thus it was rare for teams to have clear lines of external accountability. Similarly leadership and management structures within the teams had a profound influence on their effectiveness. Issues are highlighted for identifying good practice and for further development of services.

British Columbia↗
PubMed1993

Partnership in education: working toward the baccalaureate degree as entry to nursing practice in Canada.

In the early 1980s Canadian professional nursing associations officially adopted the goal of baccalaureate entry to practice by the year 2000. In the ensuing years, nursing educators have explored a variety of means to work toward achieving this goal. This paper describes a collaborative model of baccalaureate programme delivery developed between a university school and a hospital-based diploma school in Vancouver, British Columbia. The paper documents the history of the collaboration and the organization of human and physical resources for implementation. The issues and challenges encountered in the transition, the strategies used to facilitate the process, and the benefits gained by each partner are discussed.

Communication↗
PubMed1993

The place of research and development in nurse education.

The National Health Service (NHS) document Research for Health, a research and development strategy for the NHS, provides a starting point to explore the place of research and development in nurse education. The thesis focuses on whether research and development in nurse education is the concern of education or nursing. Some parallels are drawn between nursing and teaching. A way forward for the realization of a place for research and development in nurse education is suggested.

Education, Nursing↗
PubMed2001

An inter-university community child health clinical placement programme for medical students.

BACKGROUND: Inpatient teaching no longer reflects the full spectrum of paediatric practice and community-based programmes with clearly defined aims and evaluation of learning are becoming increasingly important. Competition for community resources poses threats to the delivery of effective community child health learning programmes by individual medical schools. OBJECTIVES: To develop and evaluate a combined inter-university, child-focused, active learning programme in community child health. METHODS: A total of 55 postgraduate-entry medical students from the Flinders University of South Australia and 97 undergraduate-entry University of Adelaide students were placed with 25 community child health agencies and instructed to assess services from a client perspective by tracking one child and family through multiple agency contacts. Following each placement, achievement of specific programme aims was evaluated by students and agency staff using a 7-point Likert scale. RESULTS: Students and agency staff indicated substantial achievement of programme aims. Mean agency ratings were significantly higher than student ratings for three aims: students' experiencing a wider spectrum of health care problems than in teaching hospitals (5.7 +/- 1.5 versus 4.9 +/- 1.6, P < 0.001); the importance of social and environmental factors (5.9 +/- 1.0 versus 5.2 +/- 1.4, P < 0.001), and the importance of coordinating care (6.0 +/- 1.0 versus 5.2 +/- 1.2, P < 0.001). Ratings from undergraduate-entry students differed from those of postgraduate-entry students only with respect to the importance of social and environmental factors (4.8 +/- 1.4 versus 5.7 +/- 1.1, P < 0.001). CONCLUSIONS: The new collaborative Community Child Health Programme substantially achieved learning aims and demonstrated effective integration of postgraduate- and undergraduate-entry medical students from two universities.

Adult↗
PubMed2002

'So you row, do you? You don't look like a rower.' An account of medical students' experience of sexism.

INTRODUCTION: Medicine has traditionally been considered a masculine pursuit and its undergraduate curriculum criticised as being inherently sexist. Overt sexism, though diminished, still occurs and students report offensive sexual remarks, unwanted sexual advances and unequal learning opportunities. Sexual discrimination also colludes with attitudes that promote the stereotyping of the roles of women both in medicine and in society itself. This study aimed to ascertain medical students' own experience of sexism during undergraduate training, their understanding of these events, what effects the events had on them and, specifically, how they coped. METHODS: Twelve in-depth interviews, each focusing on a critical incident, with individual self-selecting Year 5 medical students took place. Initial qualitative analysis of transcripts produced themes that were further subsetted. RESULTS: Students described situations where they felt their learning had been jeopardised. Male students reported frequent difficulties whilst attached to obstetric and gynaecology firms. Students commented that their gender did sometimes affect their relationships with teaching staff and that affirmation from their teachers was important. Female students coped well with their experiences of sexism, often supporting each other. Male students often felt resigned to being excluded from certain learning opportunities and this sometimes resulted in unresolved frustration. CONCLUSIONS: Developing a non-sexist undergraduate curriculum should be prioritised. Encouraging teaching staff to reflect on their attitudes to gender, approaches to teaching and providing support, such as mentoring, especially for female students frequently lacking appropriate role models, is advised.

Adaptation, Psychological↗
PubMed2003

Barriers to managing mental health in Western Australia.

OBJECTIVE: To explore the views of community-care and mental health workers on barriers to the management of mental health problems in rural Western Australia, and how these could be addressed. DESIGN: Qualitative content analysis of semi-structured interviews. SETTING: Community and mental health services in Esperance. SUBJECTS: One hundred per cent of relevant mental health workers, 86% of community health professionals and representatives from a wide range of community organisations were interviewed (n = 38). MAIN OUTCOME MEASURES: The views of community-care and mental health workers on barriers to the management of mental health, and how these could be addressed. RESULTS: Barriers included confusion about the role of mental health services, limited after-hours access and help for those in situational crisis, communication problems between services, differences in working practices and difficulties in dealing with the stigma of mental illness in rural communities. Suggested solutions were an expansion of counselling services and multi-agency shared care with clinical streams for adults, those aged > 65 and children. CONCLUSION: This study revealed a number of barriers that are being addressed through a memorandum of understanding between services. WHAT IS ALREADY KNOWN: Initiatives to foster collaboration between rural mental health services and general practitioners have not included other providers of primary care. We wished to explore the views of community-care and mental health workers on barriers to the management of mental health problems in rural Western Australia and how these could be addressed. WHAT THIS STUDY ADDS: We identified a number of barriers to collaboration between mental health and community-based services, including poor communication, difficulties with referral and cultural differences between services. Of all these themes, the most significant was the lack of communication at individual, case management and organisational levels.

Attitude of Health Personnel↗
PubMed2003

University and industry partnerships: lessons from collaborative research.

Collaborative research between educational institutions and health agencies is being increasingly used as a method of achieving joint outcomes and bringing together theory and practice. This paper reports on the experiences of collaboration that arose out of just such a project carried out in a residential aged care setting. The research team included university academics, two nurses in management positions in the aged care facility and a senior research assistant. In this paper, we explore some of the unexpected issues that emerged during implementation of the research project. The major challenges to successful collaboration arose not from within the collaborative research team, but from the responses of the broader staff who generally had little, if any, experience of research. Despite efforts to inform and involve staff, deep suspicions about the 'real' motives of the project proved difficult to shift. Trust and commitment are vital dimensions of successful collaborative research, yet gaining these from some staff proved elusive. Collaborative relationships between educational and practice settings need to be viewed as long-term endeavours driven by a common unifying goal to enhance client care. This has implications for costs and timelines which might be difficult to manage.

Activities of Daily Living↗
PubMed2003

Overcoming subject recruitment challenges: strategies for successful collaboration with novice research agencies.

In most studies, the investigator reaches out to locate potential research subjects using direct strategies such as targeted radio advertising, recruitment posters, and newspaper advertisements. However, other studies may depend on indirect methods of locating potential subjects and work through intermediary contacts in clinics and hospital outpatient departments. Some agency personnel may not have had prior experience with clinical research protocols and may be unfamiliar with screening potential subjects; these personnel are likely to be employed in agencies unaffiliated with academic health sciences centers. In cases in which agency staff members are new to clinical research, special attention is required to keep agency personnel updated about the status of the research and subject recruitment efforts. This article provides an overview of practical tips designed to engage and sustain the interest of novice research agencies in subject recruitment. The article concludes with a case overview of recruitment issues that occurred during a clinical trial addressing occupational low back pain.

Back Pain↗
PubMed2005

Emotional intelligence: a primer for practitioners in human communication disorders.

Emerging research clearly shows a link between emotions and the overall productivity of the participants in any service organization or business. The ability to understand one's own emotions and the emotions of others, and to express feelings in a proactive manner, is referred to as "emotional intelligence." The purpose of this article is to introduce the essential components of emotional intelligence and provide practical strategies for improving one's own emotional intelligence and that of colleagues, staff, or clients.

Adaptation, Psychological↗
PubMed1996

Participation of life-science faculty in research relationships with industry.

BACKGROUND: Recent research on academic-industrial research relationships in the life sciences has examined their frequency, benefits, risks, and evolution from the standpoint of industrial sponsors of research. We collected information on the extent and effects of academic-industrial research relationships from the standpoint of faculty members who participate in them. METHODS: We used a mailed questionnaire to collect data between October 1994 and April 1995 from 2052 faculty members (of 3169 eligible respondents; response rate, 65 percent) in the life sciences at the 50 U.S. universities receiving the most research funding from the National Institutes of Health. RESULTS: Twenty-eight percent of the respondents received research support from industry. Faculty members receiving industrial funds had more peer-reviewed articles published in the previous three years, participated in more administrative activities in their institutions or disciplines, and were more commercially active than faculty members without such funding. However, faculty members receiving more than two thirds of their research support from industry were less academically productive than those receiving a lower level of industrial support, and their articles were less influential than those by researchers with no industrial support. Faculty members with industrial support were significantly more likely than those without industrial support to report that trade secrets had resulted from their work (14.5 percent vs. 4.7 percent, P<0.001) and that they had taken commercial considerations into account when choosing research topics (35 percent vs. 14 percent, P<0.001). CONCLUSIONS: Faculty members with industrial research support are at least as productive academically as those without such support and are more productive commercially. However, faculty members who have research relationships with industry are more likely to restrict their communication with colleagues, and high levels of industrial support may be associated with less academic activity without evidence of proportional increases in commercial productivity.

Biology↗
PubMedDate not supplied

Collaboration: an innovative education/business partnership.

Healthy People 2010 initiatives encourage the collaborative partnership goals described in this article. The partnership developed between a UB School of Nursing faculty member, her students, and several case managers at Health-Now Now has been a richly rewarding experience. The opportunities afforded by this partnership have expanded experiences for faculty, students, and case managers in a managed care environment. This partnership has enabled participants to initiate practical, cost-effective methods for improving community-based services. These partnerships should yield significant changes in health behaviors and health outcomes among the American public. Valanis states it most succinctly: "The nurse of the 21st century must innovate, coordinate, and monitor services for populations within the health care system in which she works and interacts with crucial services outside the system. Her or his patient is not only an individual or even the family but the entire community."

Case Management↗