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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 127 records · Page 7Linked to original sources
PubMed2006

Information infrastructure for inter-organizational mental health services: an actor network theory analysis of psychiatric rehabilitation.

In the supply of mental health services to communities, data and information are managed not only by clinical organizations, but also by welfare state agencies and charities. The aim of this study is to use methods of analysis from actor network theory to identify organizational interventions necessary for the development of an information infrastructure for inter-organizational mental health services. Data was collected in a project aimed at developing an information system that supports inter-organizational psychiatric rehabilitation in a Swedish municipality. Three organizational interventions were identified: an integrated service policy defined by the national government, a common legal framework allowing sharing of high-level client data, and commissioned support for local inter-agency workspaces. It is concluded that organizational interventions must be regarded when configuring an information infrastructure for mental health services. Organizational interventions should also routinely be addressed in systems design methods to be used in inter-organizational settings.

Interinstitutional Relations↗
PubMed2006

Humor as a facilitative style in problem-based learning environments for nursing students.

Although the nursing and education literature confirm that humor has a role to play in the learning experience, there is little evidence available about the impact and the challenges of using humor to facilitate group process and learning in problem-based learning environments for nursing students. In this paper, we explore humor as a style of communication in PBL environments using examples from the classroom. We then propose a range of strategies to build capacity in PBL tutors and to infuse humor into the PBL classroom such as: acceptance that fun and humor are components of the ground rules in the group; appropriate humor and boundaries; mutual story sharing; and creative activities to moderate stress and build coping strategies to thrive in clinical practice. It is timely for nurse academics and researchers to examine the contribution of humor as a facilitative communication style in the PBL environment. Findings could inform evidence-based teaching of nursing students and foster life-long learning and communication skills.

Adaptation, Psychological↗
PubMed2006

Developing clinical placements in times of scarcity.

This article takes the position that the current shortage of clinical placements may be creating problems, but it can also be seen as an opportunity to reconsider the design of students' clinical experiences and the goals to be attained. It begins with a description of paradoxes in professional education. The following sections examine some of the considerations which need to be incorporated in the development of clinical placements and the way they are incorporated into health care courses. The considerations germane to clinical placement development include social participation in clinical settings, communities of learning, and consumer-centred inter-professional collaboration.

Clinical Competence↗
PubMed2006

New roles to support practice learning - can they facilitate expansion of placement capacity?

The National Health Service (NHS) Plan [Department of Health, 2000. The NHS Plan: A Plan for Investment, a Plan for Reform, The Stationery Office, London] set out an ambitious programme of growth for the number of students undertaking health professional education programmes. To meet this demand there is a growing and widely acknowledged need to increase the number of clinical placements needed by these students. This paper outlines the findings from a regional project that aimed to map the current pattern and availability of clinical placements for healthcare students by the collection of quantitative placement data (such as location, specialty, and number of mentors) as well as in-depth interviews with Clinical Placement Managers (CPMs). This article will focus on the findings from interviews with CPMs and their views and experiences of what role they can play in increasing placement capacity. The study revealed that the introduction of this role had facilitated the development and expansion of placement capacity, as the CPMs filled a gap in the form of up-to-date local knowledge about the clinical areas. The CPMs provided a much needed 'bridge' between the Higher Education Institution (HEI), the student and the clinical area. Recommendations are made in relation to future introduction of similar roles that aim to support student learning in practice. Furthermore, useful insights for ongoing policy implementation and development are highlighted.

Attitude of Health Personnel↗
PubMedDate not supplied

The experience of marginalization in new nursing graduates.

This article discusses the conceptual history of marginalization, suggesting its use as a framework within which to understand some of the causal relationships between the high rate of attrition of new nursing graduates from professional nursing and the difficulties incurred during their transition from student to professionally practicing nurse. The application of marginalization in this article focuses on the vulnerability and alienation that these newly graduated nurses experience during their introduction to acute-care practice. The article further suggests that they are both inadequately prepared by their undergraduate education to enter into the full scope of their new role as professional practitioners, and ineffectually orientated to an oppressive workplace culture that they are expected to sustain.

Acculturation↗
PubMedDate not supplied

The demise of nursing education at a major research university.

The Department of Nursing at the University of Southern California closed in June 2004 after a series of attempts to restructure nursing education programs to adhere to the vision and mission of the parent institution. From a review of the Department's history and strategic plan, it is clear that Nursing did not recognize the University's political and academic plan to strengthen undergraduate education evidenced by increased selectivity of students and showcasing research. This case study analyzes the Department's demise and the contribution of internal and external factors including isolation from the rest of the University by its physical location, the administrative structure within the academic health center, economic constraints, and a lack of continuing permanent leadership. Nursing leaders can learn from this experience that nursing faculty must be scholars and researchers at a comparable level to other disciplines and that the educational programs must be strategically aligned with the University's vision and mission.

Cooperative Behavior↗
PubMedDate not supplied

Collaboration: aligning resources to create and sustain partnerships.

Academic-service partnerships are the future. These partnerships require a new paradigm and new practice models that necessitate change in how and where decisions are made as well as who is accountable for both the decisions and the outcomes of those decisions. The role of organizational leaders in this new paradigm becomes aligning resources to create and sustain partnerships. Partnerships are relationships and are only as effective as the communication between all entities. Decision-making is an important outcome of partnerships, yet there is little research regarding specific behavioral strategies that promote quality problem solving and decision-making. This paper extends the work of organizational theorist Ralph Stacey by proposing an event-driven typology of behavioral strategies for problem solving. The typology can assist organizational leaders to align resources for best practices in academic-service partnerships and be used as a framework for future research.

Benchmarking↗
PubMedDate not supplied

The journey toward geriatric excellence in a non-research-intensive university.

In response to the unprecedented rise in the U.S. older adult population, nurse educators have intensified efforts to produce graduates who are sensitive to older adults' health care concerns. Critical to accomplishing this goal is strengthening curricula to include specialized gerontological content. Although the science of gerontological nursing has grown significantly over the past several decades, large-scale research projects are often confined to research or doctoral level universities in which typically more support is available. Faculty members in smaller universities in which a great number of nursing students are educated do not always have the resources to readily contribute to science. Such a challenge was faced by one nursing school in a small Jesuit New England university. This article illustrates a process to develop excellence in gerontological nursing education, as well as to promote scholarship and collaboration among faculty members at baccalaureate or master's level universities. Three years ago, the John A. Hartford Foundation, in collaboration with the American Association of Colleges of Nursing, awarded grants to select nursing programs for curricular enhancement. Implementation of this project at a small Jesuit university led to synergy among faculty that resulted in joint publications, presentations, and newly funded projects. In addition, the school earned local and national recognition for excellence in gerontological nursing education/care. The process leading to the outstanding success of this curricular endeavor is presented as a replicable model for schools in other baccalaureate or master's level settings.

Attitude of Health Personnel↗
PubMed2004

Health pessimism among black and white adults: the role of interpersonal and institutional maltreatment.

Using data from the 1995 Detroit Area Study (N=1106) this paper finds that black adults report significantly worse self-rated health when compared to whites with similar levels of self-reported morbidity. This relationship, called health pessimism, persists despite statistical controls for age, gender, socioeconomic status, health care access, and health related behaviors. Interpersonal maltreatment is found to be positively associated with health pessimism and more importantly, when comparing adults who perceive similar levels of maltreatment, white and black adults do not differ with respect to health pessimism. This suggests that the increased risk of health pessimism among black adults is due in part to race differences in the perception of interpersonal maltreatment.

Adult↗
PubMed2003

Generational diversity--the Nexters.

For the first time in recent history, the workforce includes four generations of employees--Veterans, Baby Boomers, Generation Xers, and Nexters. These generations share some common values and beliefs, but they also exhibit differences stemming from the experiences of their eras. Understanding and appreciating these differences will help decrease generational conflict and support all generations in welcoming diversity. The Nexter generation includes more than 81 million people, approximately 30% of the current population. Nexters will enter the workforce in large numbers and will influence changes in the work environment just as Baby Boomers did.

Adult↗
PubMed1999

Managing the new generation.

As the Silent Generation quickly approaches retirement, and the Baby Boomer generation moves into management and supervisory roles, a new generation is entering the workforce. Generation Xers were born between 1965 and 1975, at a time when the country experienced high prices, wage inflation, stagnant consumer demands, and increased unemployment. Perhaps as a result, newcomers to today's workforce often have different characteristics, behavioral traits, and belief systems from their predecessors. To effectively supervise and motivate individuals from this unique generation, health care managers must begin by understanding the evolutions that have shaped each generation and influenced the workforce. In doing so, managers can create a thriving multigenerational work environment and embrace supervisory concepts that attract and motivate the new generation.

Adult↗
PubMed1999

A systems approach to resolving OR conflict.

Effective communication and courteous interaction with other hospital departments are essential for a smooth-running OR. To function effectively in a perioperative setting, OR personnel need patience, knowledge, and skill in problem-solving techniques. When health care employees are not taught these techniques and protocols are not in place to manage conflict, friction develops and productivity suffers. In this article, conflict situations between two hospital departments and on OR are presented to characterize successful conflict resolution methods using a systems approach. The results include reduction of surgical procedure delays, efficient ordering of supplies, and improved interpersonal relations.

Conflict, Psychological↗