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At least 865 records · Page 48Linked to original sources
PubMed2006

Pre-registration children's and young people's nurse preparation. A SWOT analysis.

An investigation was undertaken into the views of nurse educators on current approaches to preparing children's and young people's nurses in the UK. A convenience sample of lead academics in 17 child health nursing departments of British universities was contacted by email and invited to liaise with colleagues to generate lists of the strengths, weaknesses, opportunities and threats (SWOT) of the educational system. Thirteen departments provided data that were analysed and themed. Major themes included the common foundation programme, clinical skills learning, clinical placements and employment. More detailed evaluative work should be undertaken before wholesale changes are made to a relatively new curriculum.

Child↗
PubMedDate not supplied

Marketing your expertise.

Marketing an existing or new venture is a vital part of business. For the nurse entrepreneur, marketing involves applying previously learned skills to new situations. The methods used to market a service may mean the difference between success and failure. Unfortunately many entrepreneurs think that because they have a great idea, clients will beat a path to their door. Marketing requires planning, creativity, time, and money. It is an ongoing process that must be evaluated regularly. When marketing achieves results, clients commit to using the entrepreneur's services and profits are realized. Basic marketing concepts are considered, and strategies for developing a workable marketing plan are presented.

Advertising↗
PubMed1999

Assisted bibliotherapy: effective, efficient treatment for moderate anxiety problems.

Specific psychological treatments of proven effectiveness for moderate anxiety disorders are not often easily accessible in general practice. In this study, selected patients were supported in learning skills to manage their symptoms. This approach was efficient, acceptable, and led to clinically significant symptom reduction for a high proportion of patients. This improvement was well sustained at three-month follow-up.

Adult↗
PubMed2000

Learning to implement the medical home in communities.

Practicing the Medical Home within communities is prefaced by university training through pediatric residency programs. Through collaboration experiences, future and practicing pediatricians can learn skills to form effective interprofessional relationships, thereby supporting families and children. Seeing parents as enabled partners and creating interdependent relationships with community members and professionals, enhances the medical home's broad base of support for families.

Community Health Services↗
PubMed2000

Training specialist registrars in general surgery: a qualitative study in Tayside.

BACKGROUND: Owing to decreased hours of work and duration of training, there is a need to refashion the training of surgical specialist registrars (SpRs) in the United Kingdom. This requires more guidance for trainers, but consensus regarding good trainer attributes does not exist. This study describes the training practices of Tayside general surgical trainers working with SpRs and highlights good training practice involving technical and patient management skills. METHODS: 1) Semi-structured interviews carried out with eighteen consultant trainers and twelve SpRs, 2) Action inquiry (i.e. observations and dialogue with participants) during ward, theatre, outpatient clinic and other hospital-based settings with eleven consultant and SpRs pairs. RESULTS AND CONCLUSION: Participants reflected on multiple training episodes and evaluated their impact. Relatively positive or negative impacts on their skill learning, self-esteem and relationship with the trainee or trainer were described. These are presented and discussed in terms of their implications for equipping trainers with techniques for training registrars and those factors which have hindered the adoption of successful strategies.

Clinical Competence↗
PubMed2000

The UCSF post-baccalaureate reapplication program: a preliminary report.

The University of California San Francisco School of Dentistry initiated a pilot project in 1998 to assist economically and/or educationally disadvantaged students to gain admission to dental school. Students entering the program have completed the requirements for admission to dental school, have applied, and been denied admission, and have expressed a desire to care for underserved populations. The program features a summer preparation course for the Dental Admission Test (DAT), learning skill workshops, seminars, and assistance in the reapplication process. The students participate in clinical clerkships and during the fall and spring semesters are enrolled in upper-division and graduate-level science courses at a local university. Five students participated in the pilot project in 1998; they were admitted in 1999 and have successfully completed the first year of dental school. The sixteen students enrolled in 1999 have now been admitted to one or more dental schools. Fourteen students are currently enrolled in the 2000/2001 academic year program.

Clinical Clerkship↗
PubMed1998

Teaching evidence-based medicine.

The practice of evidence-based medicine is inherently pedagogical by its nature, requiring one to use tools that are basic lifelong learning skills. To facilitate the teaching of these skills, it is important to emphasise how the average Hong Kong practitioner's difficulty in keeping abreast of the rapidly growing body of medical literature can be efficiently resolved by using evidence-based medicine protocols. Four evidence-based medicine workshops were recently offered in Hong Kong. These workshops were organised and taught in a manner similar to one that had been found to be effective in other settings. Issues related to both the strengths and shortcomings of using this strategy in the local context are discussed. Implications for organising future workshops of this kind are also identified.

Journal Article↗
PubMed2002

Role of semantic control of action in the comprehensive rehabilitation of patients recovering from prolonged post-traumatic coma.

BACKGROUND: Apraxia, broadly understood as the acquired inability to perform learned, skilled movements not caused by paresis or incomprehension, occurs with greater frequency among patients recovering from prolonged post-traumatic coma than has previously been reported. The present article prevents an evaluation of the effectiveness of a rehabilitation program called Semantic Priming, aimed at rebuilding praxis in these patients. MATERIAL/METHODS: Out of a consecutive series of 51 patients with post-traumatic coma lasting longer than 4 weeks treated at the centers represented by the authors, 24 were found to have pathological scores on the Boston Test of Praxis. These patients were divided into two matched groups, of whom the experimental group received the Semantic Priming program (involving the systematic use of verbal cues to prime movement activation patterns), and the control group did not. Progress was measured by the Boston Test of Praxis and a test developed by the authors on the basis of Luria's procedure for testing praxis. RESULTS: After 5 weeks of therapy the patients in the experimental group showed significantly greater improvement in all measured parameters (p<0.001). CONCLUSIONS: Apraxia in the broader sense is a more common problem among post-coma patients than heretofore recognized, and causes concrete problems in rehabilitation and adjustment to daily living. Our program based on the use of semantic priming of activation proved to be highly successful in remediating apraxia in these patients.

Activities of Daily Living↗
PubMedDate not supplied

Family characteristics and sexual risk behaviors among black men in the United States.

CONTEXT: Past research indicates that family characteristics are associated with sexual risk-taking behaviors in adolescence and adulthood Because the prevalence of sexually transmitted diseases is higher among black males than among males of other races, it is important to understand factors associated with sexual risk in this group. METHODS: Data from 1,125 black men participating in the 1991 National Survey of Men were used in structural equation modeling to examine the association of individual and family characteristics with age at sexual initiation and the lifetime number of sexual partners. RESULTS: Men whose mothers worked were likely to have first intercourse at a younger age than others (beta, -.104), whereas those raised by both parents were likely to delay sexual initiation (.072) and to have fewer partners during their lifetime (-.062). Men who were married or had had first intercourse at an old erage were likely to have a lower total number of partners than others (-.297 and -.369, respectively). CONCLUSIONS: School and community programs should provide culturally appropriate and accessible activities for black youth, and should reach black males early, while they are still in elementary school. Programming targeted at parents mayhelp them learn skills for communicating effectively with children about sexuality-related issues.

Adult↗
PubMed2002

Avoiding your greatest fear--malpractice.

This article discusses ten clinically based behavioral approaches to minimizing the risk of a malpractice claim. Suggestions are stated in both a positive and negative way and ranked from least significant to most significant. Recommendations include the need to develop effective listening skills; learning to communicate with patients verbally and in writing; keeping patient expectations realistic; being thorough when examining and diagnosing; and knowing one's limitations. Also included is the need to inform patients concerning adverse events; keeping written records of what was said and done; discussing alternatives, risks, complications, and fees in advance; and developing a relationship with patients based on mutual respect and trust. Case examples are presented for each approach.

Dental Care↗
PubMed2001

Intervention options: Participation in work activities for people with schizophrenia.

Vocational rehabilitation is a method by which people with disabilities are able to learn skills and receive supports that are necessary to take part in work activities. Vocational rehabilitation interventions can be used in a wide variety of settings with many different populations of people with disabilities, including those with schizophrenia. However, there is little available research to help guide clinicians to identify which vocational rehabilitation intervention methods may be the most effective for their clients. OBJECTIVES: The purpose of this paper is to identify what is the best practice for obtaining and maintaining participation in work activities for people with schizophrenia. STUDY DESIGN: This paper reviewed sixteen previously conducted studies (seven specific solely to schizophrenia) to identify which vocational rehabilitation method is the best practice to aid those with schizophrenia to obtain and maintain participation in work activities. RESULTS: The reviewed literature suggests that there are a variety of vocational rehabilitation intervention methods that may be effective treatment interventions. The effective interventions were those programs that had a client-centered approach and enabled the client to play an active role in his/her vocational rehabilitation. CONCLUSION: With this study review, clinicians will be able to examine a variety of successful client-centered vocational rehabilitation methods that may aid in helping their clients with schizophrenia to obtain and maintain participation in work activities.

Journal Article↗
PubMed2000

[Functional aging and compensation of elder workers and ergonomic design].

It was probably inappropriate to use chronological age as the only index for assessing the functional capacities of elder workers. In fact, some functions of elder workers were remained or improved for compensation. The characteristics of functional aging of elder workers were summed up and analyzed. The compensatory mechanisms of accommodation and strategy change, experience and expertise, environmental and social support, and skill learning and retraining were discussed. Finally, the perspective of elder worker ergonomics was depicted in the paper. It is believed that functional age, rather than chronological age, is a scientific index in evaluating the working capacities of elder workers.

Aged↗
PubMed2001

Slow down, you move too fast: emotional intelligence remains an "elusive" intelligence.

Commentators on the R. D. Roberts, M. Zeidner, and G. Matthews (2001) article on the measurement of emotional intelligence (EI) made various pertinent observations that confirm the growing interest in this topic. This rejoinder finds general agreement on some key issues: learning from the history of ability testing, developing more sophisticated structural models of ability, studying emotional abilities across the life span, and establishing predictive and construct validity. However, scoring methods for tests of EI remain problematic. This rejoinder acknowledges recent improvements in convergence between different scoring methods but discusses further difficulties related to (a) neglect of group differences in normative social behaviors, (b) segregation of separate domains of knowledge linked to cognitive and emotional intelligences, (c) potential confounding of competence with learned skills and cultural factors, and (d) lack of specification of adaptive functions of EI. Empirical studies have not yet established that the Multi-Factor Emotional Intelligence Scale and related tests assess a broad EI factor of real-world significance.

Adaptation, Psychological↗
PubMedDate not supplied

Effects of summer employment on student nurses: implications for recruitment and retention of staff nurses.

Nursing students often seek summer employment in hospital settings to practice and refine previously learned skills. Nursing administrators possibly view this employment as a means of relieving short-term staffing problems. However, if summer employment is seen as a potential strategy for recruiting future graduate nurses, then one needs to address the following: how to provide support for the student nurse to deal with the same concerns and issues as the new graduate (role confusion and reality shock); how to ensure that appropriate feedback is provided to enhance clinical skills. A pilot study of the effects of summer employment in a Quebec hospital on six second year CEGEP (diploma) nursing students explored these issues. The findings suggest actions which might suitably be taken by an agency in order to reinforce and facilitate the maintenance and promotion of excellence in patient care, as well as commitment to the profession and integration into the nursing culture.

Employment↗
PubMed2004

[Ketogenic diet as antiepileptic therapy: a description of the clinical experience and the multidisciplinary approach at the metabolic-neurogenetic clinic at the Wolfson Medical Center].

UNLABELLED: The ketogenic diet, built on a menu that includes a high fat content and low protein and carbohydrate percentages, constitutes an alternative therapy for children with refractory epilepsy. This study describes our clinical experience with the diet, its efficacy, and the adverse effects associated with this treatment modality, which is mainly indicated in patients who do not respond to conventional antiepileptic drugs (AEDs). We place particular emphasis on our multidisciplinary approach, which includes physicians, nurses, social workers, and dieticians. A chart review was performed on all pediatric patients who received the diet in our clinic between 1998 and 2003. We recorded the patients' demographic data, the age at epilepsy onset, the age of the patient at the time the diet was started, the characteristics of the epilepsy, the seizure frequency, the AEDs prior to and during the diet, the patient and family compliance, and the adverse effects. RESULTS: Ten patients were treated. The youngest patient was 8 months old and the oldest was 19 years old at the onset of the diet. Eight children suffered from a well-defined epileptic syndrome. All children had frequent seizures and received between 2 and 9 AEDs prior to the diet. The duration of the diet ranged between 6 weeks and two and a half years. Seven patients experienced over 50% seizure reduction while on the diet. However, total seizure control was not attained in any patient. Adverse effects were minimal. All the patients complied with this rigid diet in a good or excellent manner. Furthermore, we also observed an improvement in the degree of alertness, learning skills, and developmental milestones in most of the children. The diet failed to provide satisfactory seizure control or improvement in the well-being of 3 patients. In conclusion, the ketogenic diet is an effective therapeutic alternative for children with refractory epilepsy, irrespective of the patient's age, gender or disease duration. We attribute our therapeutic success with the diet to the multidisciplinary approach carried out in our clinic.

Adolescent↗
PubMed2003

Validation of medical modeling & simulation training devices and systems.

For almost a decade, research has been conducted in many areas of science to develop medical simulation training devices and even comprehensive training systems. To propel the field, the Telemedicine and Advanced Technology Research Center (TATRC), an agency of the United States Army Medical Research Materiel Command (USAMRMC), has been managing a portfolio of research projects in the area of Medical Modeling and Simulation (MM&S) since 1999. Significant progress has made to identify and harness enabling technologies. Generally, these developments can be categorized in four areas: (1) PC-based interactive multimedia, (2) Digitally Enhanced Mannequins, (3) Virtual Workbench, or "part-task", simulators, and (4) Total Immersion Virtual Reality (TIVR). Many medical simulation-training systems have shown great potential to improve medical training, but the potential shown has been based largely on anecdotal feedback from informal user studies. Formal assessment is needed to determine the degree to which simulator(s) train medical skills and the degree to which skills learned on a simulator transfer to the practice of care. A robust methodology is required as a basis for these assessments. Several scientific workshops sponsored in 2001 focused on algorithm and metrics development in support of surgical simulation. Also in 2001, TATRC chartered a Simulation Working Group (SWG) to develop a robust methodology upon which to base an assessment of the effectiveness of simulation training devices and systems. After the terrorist attacks of September 11, 2001, attention was redirected for a period, and progress was delayed. In the summer of 2002, TATRC chartered a follow-on group called the Validation, Metrics and Simulation (VMAS) Committee. The poster will highlight and summarize the development of the methodology and identify validation studies to be conducted (supported by various funding sources and research programs). The interaction between TATRC and the National Capital Area Medical Simulation Center (NCAMSC) will be noted.

Computer Simulation↗
PubMed2005

Education. A brief history of the NHSU.

o cut bureaucracy and costs, the NHSU is merging with the Modernisation Agency to form the NHS Institute for Learning, Skills and Innovation. The NHSU set out to offer training to all staff, not just clinicians, but the NHS's size and infrastructure made the quality of training patchy. The DoH says NILSI will provide the NHS with a single body responsible for service, technology and personnel development.

Academies and Institutes↗