Sample records for care flexible education

  1. Delivering Flexible Education and Training to Health Professionals: Caring for Older Adults in Disasters. (United States)

    Altman, Brian A; Gulley, Kelly H; Rossi, Carlo; Strauss-Riggs, Kandra; Schor, Kenneth


    The National Center for Disaster Medicine and Public Health (NCDMPH), in collaboration with over 20 subject matter experts, created a competency-based curriculum titled Caring for Older Adults in Disasters: A Curriculum for Health Professionals. Educators and trainers of health professionals are the target audience for this curriculum. The curriculum was designed to provide breadth of content yet flexibility for trainers to tailor lessons, or select particular lessons, for the needs of their learners and organizations. The curriculum covers conditions present in the older adult population that may affect their disaster preparedness, response, and recovery; issues related to specific types of disasters; considerations for the care of older adults throughout the disaster cycle; topics related to specific settings in which older adults receive care; and ethical and legal considerations. An excerpt of the final capstone lesson is included. These capstone activities can be used in conjunction with the curriculum or as part of stand-alone preparedness training. This article describes the development process, elements of each lesson, the content covered, and options for use of the curriculum in education and training for health professionals. The curriculum is freely available online at the NCDMPH website at (Disaster Med Public Health Preparedness. 2016;10:633-637).

  2. Managed care demands flexibility, creativity. (United States)


    The definition of hospice care is changing as home care providers come under managed care regulations. Hospice care for AIDS patients is demanding, requiring extra time from home care providers. The managed care cost-cutting measures require creativitity and patience. The Visiting Nurses and Hospice of San Francisco (VNH) has held seminars to help providers adapt to managed care.

  3. Moral Education and Caring (United States)

    Noddings, Nel


    Michael Slote's very interesting work on moral sentimentalism and moral education raises some important questions on the meaning of empathy, the limitations of "inductions", and the development of moral education from the perspective of care ethics. These questions are addressed in this commentary. (Contains 5 notes.)

  4. Care Ethics in Education. (United States)

    Shelby, Candice L.


    Difficulties with current models of ethics education (correct reasoning, virtue theory, directive moral education) include emphasis on reward/punishment and a presumptive bias toward abstract reasoning. Teaching a care-based ethics would promote a fuller notion of mature moral agents and broaden the school climate beyond compliance. (Contains 19…

  5. Spiritual Care Education of Health Care Professionals

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    Donia Baldacchino


    Full Text Available Nurses and health care professionals should have an active role in meeting the spiritual needs of patients in collaboration with the family and the chaplain. Literature criticizes the impaired holistic care because the spiritual dimension is often overlooked by health care professionals. This could be due to feelings of incompetence due to lack of education on spiritual care; lack of inter-professional education (IPE; work overload; lack of time; different cultures; lack of attention to personal spirituality; ethical issues and unwillingness to deliver spiritual care. Literature defines spiritual care as recognizing, respecting, and meeting patients’ spiritual needs; facilitating participation in religious rituals; communicating through listening and talking with clients; being with the patient by caring, supporting, and showing empathy; promoting a sense of well-being by helping them to find meaning and purpose in their illness and overall life; and referring them to other professionals, including the chaplain/pastor. This paper outlines the systematic mode of intra-professional theoretical education on spiritual care and its integration into their clinical practice; supported by role modeling. Examples will be given from the author’s creative and innovative ways of teaching spiritual care to undergraduate and post-graduate students. The essence of spiritual care is being in doing whereby personal spirituality and therapeutic use of self contribute towards effective holistic care. While taking into consideration the factors that may inhibit and enhance the delivery of spiritual care, recommendations are proposed to the education, clinical, and management sectors for further research and personal spirituality to ameliorate patient holistic care.

  6. Utility of Flexible Bronchoscopy in Intensive Care Unit: Experience of Türkiye Yüksek İhtisas Education and Research Hospital

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    Sema Turan


    Full Text Available Objective: Fiberoptic bronchoscopy (FOB is the most frequently used tool for invasive pulmonary evaluation with high diagnostic yield and low incidence of major complications. These advantages led to increasing use of FOB in intensive care units. In this article, we discussed our experiences of FOB applications in mechanical ventilated critically ill patients. Materials and Methods: We investigated FOB procedures of 118 patients on mechanical ventilation for respiratory failure in intensive care unit retrospectively. All patients’ demographic data, indications, complications and arterial blood gas analyses belong to before and after bronchoscopy were evaluated. Results: FOB indications of the patients were 55.1% for mucoid plug clearance, 9.3% for treatment of atelectasia, 7.6% for identifying hemorrhagic foci, 17.8% for tracheostomy management, 6.8% for bronchoalveolar lavage and 3.4% for exploratory purposes. Overall complication rate of FOB was 11.9%. Arterial blood gas analyses statistically improved after FOB. Conclusion: In this study, we observed that FOB is being performed with many different indications and acceptable complication rates in our intensive care unit and also contributes to diagnose and treatment of intensive care patients. (Journal of the Turkish Society of Intensive Care 2010; 8: 48-53

  7. Entrepreneurship Education in Health Care Education

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    L. Salminen


    Full Text Available This study describes the content of entrepreneurship education in health care education and the kinds of teaching methods that are used when teaching about entrepreneurship. Health care entrepreneurship has increased in many countries in recent decades and there is evidence that entrepreneurs have also a role in public health care. Therefore the health care professionals need to be educated to have the entrepreneurial skills. Education in the field of health care is still based on traditional forms of teaching and does not give enough attention to the issue of becoming an entrepreneur. The data was collected from teachers (n=111 via e-mail from six Finnish polytechnics. The data were analysed statistically and the open-ended questions were analysed via content analysis. Approximately 23% of the teachers had taught about entrepreneurship. The most popular teaching methods were company visits and cases, lecturing, and project work. The courses dealt with establishing a company, entrepreneurship in general, and marketing. Nearly all of the teachers had cooperated with the entrepreneurs or with the companies in question. Approximately 33% of the teachers took entrepreneurship into consideration often in other courses related to entrepreneurship.

  8. Self Care for Educators (United States)

    National Child Traumatic Stress Network, 2008


    Trauma takes a toll on children, families, schools, and communities. Trauma can also take a toll on school professionals. Any educator who works directly with traumatized children and adolescents is vulnerable to the effects of trauma--referred to as "compassion fatigue" or "secondary traumatic stress"--being physically, mentally, or emotionally…

  9. Flexibility as a Management Principle in Dementia Care: The Adards Example (United States)

    Cohen-Mansfield, Jiska; Bester, Allan


    Purpose: Flexibility is an essential ingredient of person-centered care. We illustrate the potential impact of flexibility by portraying a nursing home that uses flexibility in its approach to residents and staff members. Designs and Methods: The paper describes the management strategies, principles, and environmental features used by the Adards…

  10. The Paradox of More Flexibility in Education : Better Control of Educational Activities as a Prerequisite for More Flexibility

    NARCIS (Netherlands)

    Plessius, Henk; Ravesteijn, Pascal


    From the article The paradigm shift towards competency-based education in the Netherlands has a logical counterpart: the need for more flexibility in the curricula. After all, in competency-based education it is recognized that learning not only takes place in designated places (school, university),

  11. Flexibility. (United States)

    Humphrey, L. Dennis


    Flexibility is an important aspect of all sports and recreational activities. Flexibility can be developed and maintained by stretching exercises. Exercises designed to develop flexibility in ankle joints, knees, hips, and the lower back are presented. (JN)

  12. Educating Moral People: A Caring Alternative to Character Education. (United States)

    Noddings, Nel

    An alternative to character education is care ethics. The ethics of care can be seen as fundamentally relational, not individual-agent-based in the way of virtue ethics, and the ethics of care is more indirect than character education. After an introductory chapter that outlines the similarities and differences between character education and care…

  13. "Being flexible and creative": a qualitative study on maternity care assistants' experiences with non-Western immigrant women.

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    Agatha W Boerleider

    Full Text Available BACKGROUND: Several studies conducted in developed countries have explored postnatal care professionals' experiences with non-western women. These studies reported different cultural practices, lack of knowledge of the maternity care system, communication difficulties, and the important role of the baby's grandmother as care-giver in the postnatal period. However, not much attention has been paid in existing literature to postnatal care professionals' approaches to these issues. Our main objective was to gain insight into how Dutch postnatal care providers--'maternity care assistants' (MCA--address issues encountered when providing care for non-western women. METHODS: A generic qualitative research approach was used. Two researchers interviewed fifteen MCAs individually, analysing the interview material separately and then comparing and discussing their results. Analytical codes were organised into main themes and subthemes. RESULTS: MCAs perceive caring for non-western women as interesting and challenging, but sometimes difficult too. To guarantee the health and safety of mother and baby, they have adopted flexible and creative approaches to address issues concerning traditional practices, socioeconomic status and communication. Furthermore, they employ several other strategies to establish relationships with non-western clients and their families, improve women's knowledge of the maternity care system and give health education. CONCLUSION: Provision of postnatal care to non-western clients may require special skills and measures. The quality of care for non-western clients might be improved by including these skills in education and retraining programmes for postnatal care providers on top of factual knowledge about traditional practices.

  14. Education and Health Care Policies in Ghana

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    Ziblim Abukari


    Full Text Available Education and health care policies in Ghana since independence have been universalist in approach providing free universal health care and free basic and tertiary education until the early 1980s. Precipitated primarily by a severe drought, stagnant economic growth, mismanagement, and political instability, Ghana undertook major economic reforms with prodding from the World Bank and International Monetary Fund in a bid to salvage the economy. These economic measures included cost recovery and cutback spending in education and health sectors. However, in recent years, purposive targeted interventions have been pursued to address inequalities in education and health care. These new programs include the Education Capitation Grant, school feeding program, and the National Health Insurance Scheme (NHIS, which are propelling Ghana toward the achievement of the Millennium Development Goals. The prospects of these programs in addressing disparities in access to education and health care in the country and recommendations for improved delivery are discussed.

  15. Towards flexible programmes in higher professional education: An operations-management approach.

    NARCIS (Netherlands)

    Schellekens, Ad


    Schellekens, A. (2004). Towards flexible programmes in higher professional education: An operations-management approach. Unpublished doctoral dissertation, Open University of the Netherlands, The Netherlands.

  16. European Higher Health Care Education Curriculum

    DEFF Research Database (Denmark)

    Koskinen, Liisa; Kelly, Hélène; Bergknut, Eva;


    This article concerns the European Curriculum in Cultural Care Project (2005-2009), which aimed at developing a curriculum framework for the enhancement of cultural competence in European health care education. The project was initiated and supported by the Consortium of Institutes in Higher...... Education in Health and Rehabilitation, whose goal is to nurture educational development and networking among member institutions. The framework is the result of a collaborative endeavor by nine nurse educators from five different European countries. The production of the framework will be described...

  17. Caring to Care: Applying Noddings' Philosophy to Medical Education. (United States)

    Balmer, Dorene F; Hirsh, David A; Monie, Daphne; Weil, Henry; Richards, Boyd F


    The authors argue that Nel Noddings' philosophy, "an ethic of caring," may illuminate how students learn to be caring physicians from their experience of being in a caring, reciprocal relationship with teaching faculty. In her philosophy, Noddings acknowledges two important contextual continuities: duration and space, which the authors speculate exist within longitudinal integrated clerkships. In this Perspective, the authors highlight core features of Noddings' philosophy and explore its applicability to medical education. They apply Noddings' philosophy to a subset of data from a previously published longitudinal case study to explore its "goodness of fit" with the experience of eight students in the 2012 cohort of the Columbia-Bassett longitudinal integrated clerkship. In line with Noddings' philosophy, the authors' supplementary analysis suggests that students (1) recognized caring when they talked about "being known" by teaching faculty who "cared for" and "trusted" them; (2) responded to caring by demonstrating enthusiasm, action, and responsibility toward patients; and (3) acknowledged that duration and space facilitated caring relations with teaching faculty. The authors discuss how Noddings' philosophy provides a useful conceptual framework to apply to medical education design and to future research on caring-oriented clinical training, such as longitudinal integrated clerkships.

  18. European Higher Health Care Education Curriculum

    DEFF Research Database (Denmark)

    Koskinen, Liisa; Kelly, Hélène; Bergknut, Eva


    This article concerns the European Curriculum in Cultural Care Project (2005-2009), which aimed at developing a curriculum framework for the enhancement of cultural competence in European health care education. The project was initiated and supported by the Consortium of Institutes in Higher...

  19. An Ethic of Care and Educational Practice (United States)

    McKenzie, Marcia; Blenkinsop, Sean


    This article explicates the theoretical framework of an ethic of care and outlines recommendations for applying the framework to practice in adventure education, offering possibilities for re-imagining organizations as centrally concerned with compassion and care. Focusing on the work of Gilligan and Noddings, we suggest an understanding of an…

  20. Education for Care and Sustainable Life

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    Victoria Vásquez Verdera


    Full Text Available Reflective paper that presents results of research conducted from the perspective of the ethic of care. To board the issue of what do educational organizations do when they care; a methodology for critical-hermeneutic character is followed. Different texts are selected and interpreted with the intention to argue a speech that is considered not univocal. It draws on original sources to address the topic of how to put into action the philosophy of care education. Challenges arise as the need to: (1 seek collaboration in interpersonal and institutional relations, (2 include plural perspectives to build a public speech that doesn´t obscure the diversity of human experience, and (3 analyze critically and honest our daily practices so as not to legitimize the use of violence. Ways to promote the development from the perspective of the ethic of care and concludes by identifying the key elements of this educational perspective are presented.

  1. Flexible Substrate-Based Devices for Point-of-Care Diagnostics. (United States)

    Wang, ShuQi; Chinnasamy, Thiruppathiraja; Lifson, Mark A; Inci, Fatih; Demirci, Utkan


    Point-of-care (POC) diagnostics play an important role in delivering healthcare, particularly for clinical management and disease surveillance in both developed and developing countries. Currently, the majority of POC diagnostics utilize paper substrates owing to affordability, disposability, and mass production capability. Recently, flexible polymer substrates have been investigated due to their enhanced physicochemical properties, potential to be integrated into wearable devices with wireless communications for personalized health monitoring, and ability to be customized for POC diagnostics. Here, we focus on the latest advances in developing flexible substrate-based diagnostic devices, including paper and polymers, and their clinical applications.

  2. Improving educational preparation for transcultural health care. (United States)

    Le Var, R M


    There is increasing evidence that the health care needs of people from black and ethnic minority groups in England are not being met. A growing number of initiatives are being undertaken to remedy the situation. Many of them are focused on health care delivery at local and national levels. However, unless the preparation of health care professionals in the area of multi-cultural health care is appropriate and effective, a great deal of corrective action will continue to have to be taken. Despite 1997 having been the European Year Against Racism, it is still necessary to consider what educational preparation should be like. The article draws on identified inadequacies in health care provision as well as examples of initiatives taken to improve care provision. The author identifies deficiencies in educational preparation and proposes a range of actions to be taken. The article is focused on nursing, midwifery and health visiting education in England, but is deemed to be relevant to all health care professionals not only in Europe but other continents, as they become increasingly international and multi-ethnic.

  3. Teachers' Care in Higher Education: Contesting Gendered Constructions (United States)

    Mariskind, Clare


    There is little research on care in higher education, and yet for many of those who teach in higher education institutions, care is an important part of their work. Care in the compulsory education sector has traditionally been linked to the feminine, and this paper considers whether this is also the case in higher education. It investigates how…

  4. Providing a Flexible, Learner-Centred Programme: Challenges for Educators (United States)

    Cornelius, Sarah; Gordon, Carole


    This paper presents a case study of the implementation of a flexible learner-centred programme of study which blends face-to-face and online learning. The programme was developed to be flexible in terms of content and study strategies, whilst remaining within more rigid organisational structures and processes. This paper outlines the programme and…

  5. Managing flexible care with a context aware system for ageing-in-place

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    Saskia Robben


    Full Text Available This paper describes the Care4Balance (C4B system for better facilitating communication and task coordination between formal and informal caregivers, and older adults as care receivers. Field-tests with older adults (n=3 and user studies (n=9 were conducted to evaluate the system and the perceived usefulness of the system. A review of related work and the study findings show that (1 the perceived benefit for the older target group was very low. The main motivation for using the system was triggered by the perceived benefit for their closest informal caregivers; (2 Informal caregivers do not regularly seek help for themselves, and (3 Introducing a C4B-like system is more than solving hardware and usability issues. The study suggests that more flexibility in the organizational structure of formal care (in The Netherlands and beyond is needed.

  6. Collaboration in-between The Care Hotel and Designing for Flexible Use

    DEFF Research Database (Denmark)

    Bossen, Claus; Grönvall, Erik


    In this paper, we analyse the challenges of working between organizations and established information infrastructures. The Care Hotel is a municipal healthcare facility where persons, typically following a hospital stay, undergo rehabilitation to enable them to live independently at home. Admission......, stay, and discharge from the Care Hotel entail numerous coordination activities with a variety of frequent and sporadic, heterogeneous, external collaborators, including general practitioners, relatives, and hospitals, some of which are already part of large information infrastructures, whereas others...... are too small or shifting to allow for stable arrangements. Hence, work at the Care Hotel may be characterized as "collaboration in-between". We propose a design solution for flexible use to further stimulate reflection on design implications, and how to meet the challenges of collaboration in...

  7. Funding child care and public education. (United States)

    Zigler, E F; Finn-Stevenson, M


    Ensuring the availability of high-quality, affordable child care to all families who need it is a goal of national importance. The authors suggest that a comprehensive financing and service delivery system for child care is needed to achieve this goal, and the system should ideally be grounded in an existing institution, already present in every community--the public school. The linkage of child care with the public education system would eliminate the false distinction between child care and education, and would create a universally accessible system of child care services for children. The School of the 21st Century is an example of such a system. Initially conceptualized by Zigler, it has now been implemented in 400 schools across 13 states, with the leadership and direction of Finn-Stevenson. This article describes how school districts that have implemented the program employ a mixture of parent fees and local, state, federal, and private dollars to fund it, and then proposes an ideal financing model for the program. In the ideal model, the same mix of funding sources would be retained, but a per-pupil expenditure of about $9,000 per year is advocated to deliver child care and other social services to three- and four-year-olds. Funds for initial start-up could be derived from reallocation of existing dollars, especially state prekindergarten programs, but eventually new funds would be needed to support ongoing operations.

  8. Education and health care in the Caribbean. (United States)

    Swaroop, V


    Primary and secondary education and preventive health care are essential to the well-being of the poor in developing countries. Average expenditures on education and health care as a percentage of the gross domestic product in Caribbean countries exceed those in other developing countries. Such investment has resulted in high literacy rates and steady declines in infant mortality. Barbados, which has provided free and universal primary and secondary education since 1985, ranks first among developing countries in human development indicators (e.g., life expectancy and income). There are concerns, however, that the poor are not benefiting from this public sector investment. Government subsidies for tertiary-level services (e.g., university education and hospital-based curative care) disproportionately benefit higher-income urban families who could afford to pay a substantial portion of the cost of such services. Although primary and secondary school attendance rates are impressive in Caribbean countries, schools in rural areas tend to provide poor instruction and lack appropriate educational materials. Public sector funding should focus on basic services to maximize the returns to society. If the public sector is the primary provider of tertiary services, charges should be introduced to facilitate cost recovery from high-income users.

  9. A Consumer Perspective on Flexibility in Health Care: Priority Access Pricing and Customized Care

    NARCIS (Netherlands)

    T.M. Benning (Tim)


    textabstractThe rise of consumerism and the increasing availability of information through the Internet have increased patients’ demand for care that is more in line with their preferences. Because of this trend the expectation that hospitals act according to each individual patient’s preferences is

  10. Maternal education and childbirth care in Uganda

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    Bbaale E


    Full Text Available BackgroundGlobally, over 500,000 females die of complications relatedto pregnancy and childbirth each year, and of these, over99% of deaths occur in developing countries such asUganda. Utilisation of modern and professional care duringdelivery is important in lowering maternal mortality. Thispaper sets out to investigate the factors associated with theutilisation of modern and professional childbirth care so asto inform policy makers on the pertinent factors that needto be influenced by policy.MethodA nationally representative Uganda Demographic andHealth Survey (UDHS (2006 was used. Sampling was donein two stages. In the first stage 321 clusters were selectedfrom a list of clusters sampled in the 2005/06 UgandaNational Household Survey (UNHS, 17 clusters from the2002 Census frame from Karamoja, and 30 internallydisplaced camps (IDPs. In the second stage, the householdsin each cluster were selected as per the UNHS listing. Inaddition an additional 20 households were randomlyselected in each cluster. Questionnaires were used duringdata collection. During the analysis, a maximum likelihoodprobit technique was employed. Prior to this, a bivariateapproach was used to generate average percentages ofmothers using the childbirth care services by backgroundcharacteristics.ResultsIt is found that maternal education is the strongestpredictor, especially at post-secondary level (highestmarginal effect of 33% and p<0.01, associated with theutilisation of childbirth care. Whereas partner’s education atall levels is important, maternal education is observed toexert a much stronger association. Other factorssignificantly associated with the utilisation of professionalchildbirth care include community infrastructure,occupation, location, and regional differences, wealthstatus, religion, and age cohorts.ConclusionThese findings suggest that whereas all levels of educationare important, the effects of post-secondary education aremore pronounced. Therefore

  11. Medical education and health care in Uganda. (United States)

    Kiely, J M


    Health care and medical education in Uganda, once the best in Black Africa, have been adversely affected by the economic, political, and social upheavals in this developing country during the past decade. Crop failures, inadequate public health measures, shortage of medical equipment and essential drugs, and lack of sufficient medical school faculty have resulted in a major crisis. Substantial aid from the medical profession in developed countries will be necessary to help restore medical practice and education to the level present before the regime of Idi Amin.

  12. Two is better than one: bilingual education promotes the flexible mind. (United States)

    Christoffels, Ingrid K; de Haan, Annelies M; Steenbergen, Laura; van den Wildenberg, Wery P M; Colzato, Lorenza S


    The interest in the influence of bilingualism on our daily life is constantly growing. Speaking two languages (or more) requires people to develop a flexible mindset to rapidly switch back and forth between languages. This study investigated whether and to what extent attending bilingual education benefits cognitive control. We tested two groups of Dutch high-school students who either followed regular classes in Dutch or were taught in both English and Dutch. They performed on a global-local switching paradigm that provides well-established measures of cognitive flexibility and attentional processing style. As predicted, the bilingually educated group showed smaller switching costs (i.e., greater cognitive flexibility) and a decreased global precedence effect than the regular group. Our findings support the idea that bilingual education promotes cognitive flexibility and a bias towards a more focused "scope" of attention.

  13. State Developments in Child Care, Early Education, and School-Age Care, 2001. (United States)

    Ewen, Danielle; Blank, Helen; Hart, Katherine; Schulman, Karen

    This report provides highlights and updates regarding state actions on child care, early education, and school-age care issues during 2001. It is intended to serve as a supplement to "State Developments in Child Care, Early Education, and School-Age Care 2000" and various reports published on this issue between 1997 and 1999. Information in the…

  14. Management Education Benchmarking Designing Customized and Flexible MBA Programs (United States)

    Hall, Owen P., Jr.; Young, Terry W.


    To meet the challenges of the 21st century B-schools are revising curriculum, delivery and outcome assessment modalities. Today, the proportion of electives and other specialty offerings in many MBA programs now constitutes more than 50% of the total curriculum. However, this focus on customization, integration and flexibility is not without its…

  15. Challenging the Post-Fordist/Flexible Organisation Thesis: The Case of Reformed Educational Organisations (United States)

    Brehony, Kevin J.; Deem, Rosemary


    This paper examines claims that recent reforms to UK education have led to significant organisational changes in primary school and higher education. It also examines two main theoretical explanations for these, namely post-Fordism and New Managerialism. Examples of changes in both schools and universities, including flexibility and teamwork, are…

  16. Nurses’ opinions about implementation of a flexible or an open visiting policy in Intensive Care Unit

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    Katika K.


    Full Text Available Introduction: The majority of the ICUs applies a restricted visiting policy, despite the fact that numerous research data support the beneficial impact of a flexible or an open visiting policy for the patients and their families. Aim: The aim of the present study was to explore the perceptions of the ICU nursing staff regarding the implementation of a flexible or an open visiting policy, as well as the impact of these perception on the patients, their families and the nurses themselves. Material – Method: The studied sample consisted of 105 nurses working in the ICUs of five Hospitals of Athens, Greece. The data collection was conducted through the use of a questionnaire, which included the demographic and professional data and questions regarding the nurses’ perceptions in relation to the types of visitation as well as their benefits or not for the patients, their families and the working conditions of the nursing staff. The statistical analysis was performed by the statistical package SPSS, ver. 17.Results: 90.5% of the studied sample was working in an ICU with a restricted type visitation policy and 57.2% was against changing the existing policy, though the participants did not appear to be totally against a flexible policy. There was no statistical correlation between the gender and the nurses’ perception. Working position, educational level and the years of working experience showed statistically significant correlation. Nurses with higher educational level and more experience had recognized the beneficial impact of visitation on patient and were in favor of the implementation of a more flexible policy, recognizing the increased satisfaction of the patients, their families and themselves. However, they are opposed letting the patients themselves or their families decide on the type of visitation to be implemented.Conclusions: The type of visitation in the ICUs affects the patients, their families and the nursing staff of the ICUs. The

  17. The learning organisation and health care education. (United States)

    Al-Abri, Rashid K; Al-Hashmi, Intisar S


    The 'Learning Organisation' is a concept first described by Peter Senge as an organisation where people continuously learn and enhance their capabilities to create. It consists of five main disciplines: team learning, shared vision, mental models, personal mastery and systems thinking. These disciplines are dynamic and interact with each other. System thinking is the cornerstone of a true learning organisation and is described as the discipline used to implement the disciplines. In a learning organisation, health care education aims to educate its members with up to date knowledge to produce competent and safe personnel, who can promote quality in health care services. In addition, there are some educational concepts and theoretical models, which are of relevance to the learning organisation, and can provide a framework for managerial decisions. The stages required to achieve the principles of a learning organisation will be described in detail. Moreover, in a proper culture which supports the learning organisation, members continuously learn to improve the environment and never remain passive recipients.

  18. Impact of Physician Asthma Care Education on Patient Outcomes (United States)

    Cabana, Michael D.; Slish, Kathryn K.; Evans, David; Mellins, Robert B.; Brown, Randall W.; Lin, Xihong; Kaciroti, Niko; Clark, Noreen M.


    Objective: We evaluated the effectiveness of a continuing medical education program, Physician Asthma Care Education, in improving pediatricians' asthma therapeutic and communication skills and patients' health care utilization for asthma. Methods: We conducted a randomized trial in 10 regions in the United States. Primary care providers…

  19. Flexible low-cost cardiovascular risk marker biosensor for point-of-care applications

    KAUST Repository

    Sivashankar, S.


    The detection and quantification of protein on a laser written flexible substrate for point-of-care applications are described. A unique way of etching gold on polyethylene terephthalate (PET) substrate is demonstrated by reducing the damage that may be caused on PET sheets otherwise. On the basis of the quantity of the C-reactive protein (CRP) present in the sample, the risk of cardiac disease can be assessed. This hsCRP test is incorporated to detect the presence of CRP on a PET laser patterned biosensor. Concentrations of 1, 2, and 10 mg/l were chosen to assess the risk of cardiac diseases as per the limits set by the American Heart Association.

  20. When Care Trumps Justice: The Operationalization of Black Feminist Caring in Educational Leadership (United States)

    Bass, Lisa


    In this study, I discuss the benefits of Black feminist caring (BFC) in educational leadership. I suggest that the ethic of care in educational leadership is a manifestation of strength when serving disadvantaged student populations. This article is based on a qualitative, exploratory, multicase study that examines the ethic of care in the…

  1. Velocity, agility, and flexibility performance after handball training versus physical education program for preadolescent children. (United States)

    Oxyzoglou, N; Kanioglou, A; Ore, G


    The performance on velocity, agility, and flexibility after six months of specific handball training or a mainstream physical education program was examined in participants (handball, n = 51; physical education, n = 70) who engaged in 3 sessions per week (60 min./sesson) including ball-handling exercises, horizontal and vertical jump shots, fast breaks, and several defensive skills. Statistically significant differences were observed between the two groups on velocity, agility, and flexibility with differences favouring the handball group. Handball training could significantly improve preadolescents' physical performance.

  2. Microenterprise in health care and health education. (United States)

    Edler, A A


    Over the last decade, development aid has increasingly used a more collaborative model, with donors and recipients both contributing ideas, methods and goals. Though many examples of collateral aid projects exist in agriculture, business administration and banking, few have found their way into health care and health education, a typically donor-dominated model. The following case report describes a collateral project in health care education. This case report analyzes data-inducing project proposals, personal interviews and project reports obtained through standard archival research methods. The setting for this joint project was the collaboration between international nongovernmental (NGO) aid foundations and the faculty of a major sub-Saharan African Medical School's Department of Anesthesia. The initial goal of this project was to improve record keeping for all anesthetic records, both in the operating theatres and outside. Analysis of the data was performed using ethnographic methods of constant comparative analysis. The purpose of the analysis was to critically evaluate both the goals and their results in the Department of Anesthesiology. The findings of this analysis suggested that results included not only quality assurance and improvement programs in the department but also advances in the use of critical incidents as teaching tools, hospital-wide drug and equipment utilization information and the initiation of an outreach program to district hospitals throughout the country for similar projects.

  3. Educational Mismatch and Spatial Flexibility in Italian Local Labour Markets (United States)

    Croce, Giuseppe; Ghignoni, Emanuela


    According to recent literature, this paper highlights the relevance of spatial mobility as an explanatory factor of the individual risk of job-education mismatch. To investigate this causal link, we use individual information about daily home-to-work commuting time and choices to relocate in a different local area to get a job. Our model takes…

  4. Catalog of Changes. Incentives for Quality and Management Flexibility in Higher Education. (United States)

    Green, Joslyn, Ed.

    Policy changes in state higher education since the early 1980s are described. For each innovation, the problem and impetus for change are described, as well as the results. Contact persons and some publications are identified. While two states addressed both quality and flexibility in fiscal reform, 13 states had incremental reforms addressing…


    Directory of Open Access Journals (Sweden)

    Abraham Farias F


    Full Text Available Este trabajo trata sobre la integración de una célula flexible de mecanizado de tipo docente, compuesta por una fresadora didáctica CNC, marca Denford, un brazo robótico articulado de seis ejes, modelo Scorbot -ER Vplus  y un riel deslizante; todos pertenecientes al Laboratorio de Manufactura Integrada por Computador, de la Escuela de Ingeniería Mecánica de la Universidad de Talca. Las tareas que realiza esta célula flexible son controladas por un PC director  a través de un  programa, utilizando el software y el propio control del robot y su objetivo es realizar el ciclo de carga y descarga de un  trozo de material de 65×65×40 mm. (madera y su posterior mecanización. El problema de comunicación entre los equipos involucrados y la fresadora CNC fue resuelto en cuanto su diseño "stand alone" no contemplaba la integración con otros equipos. Por otro lado, se agregaron algunos sistemas electroneumáticos para que la operación fuera automática, como los de sujeción de piezas y la apertura y cierre de puertas. Con esta célula flexible de mecanizado de tipo docente, la facultad de Ingeniería cuenta con una plataforma básica, a la que se puede adicionar otras funciones, como por ejemplo, dotarla de un sistema automático de alimentación de piezas, de un sistema de visión digital para dar más autonomía al robot, incorporar un torno CNC y  generar un programa para administrar las órdenes de trabajo.This paper describes the integration of an educational flexible manufacturing cell, consisting of a Denford CNC mill with six axes, and a Scorbot - ER Vplus robotic arm that slides along a rail. This equipment is located at the Computer Integrated Manufacture Laboratory, at the School of Mechanical Engineering at Universidad de Talca. The flexible cell is controlled by software in a PC that interacts with the software in the robotic arm. The specific tasks described in this paper are loading and unloading a wooden piece (640×65

  6. Researcher's and Parents' Perspectives on Quality of Care and Education (United States)

    Rentzou, Konstantina; Sakellariou, Maria


    Based on arguments according to which the concept of quality is multifaceted, difficult to be defined and defined differently by various stakeholders, it has been suggested that the quality of care and education be evaluated from different perspectives if one aims to create a global picture of the early childhood education and care programmes. The…

  7. The Nordic perspective on early childhood education and care

    DEFF Research Database (Denmark)

    Broström, Stig; Einarsdottier, Johanna; Pramling Samuelsson, Ingrid


    This chapter discusses a number of central dimensions and dilemmas of early childhood education and care (ECEC) in the Nordic countries: Denmark, Finland, Iceland, Norway and Sweden. The two first sections, Early Childhood Education and Care an integrated part of the welfare system, democracy and...

  8. Child care subsidies with endogenous education and fertility

    NARCIS (Netherlands)

    Reijnders, Laurie S.M.


    What are the effects of child care subsidies on education, fertility and the sectoral allocation of the labour force? In a general equilibrium setting the availability of affordable professional child care will have an impact on the relative supplies of educated and uneducated workers and the cross-

  9. Collaboration and Subsidized Early Care and Education Programs in Illinois (United States)

    Spielberger, Julie; Zanoni, Wladimir; Barisik, Elizabeth


    As a result of policy changes following welfare reform in 1996 and the costs associated with providing high-quality early care and education for children of low-income working families, agency collaboration in the state of Illinois has become an increasingly salient feature of subsidized early care and education programs (SECE). The authors…

  10. Student Perception of Caring Teaching in Physical Education (United States)

    Larson, Anne


    Student perceptions of caring physical education teaching were examined. Critical incident forms eliciting descriptions of caring teaching were administered to 518 United States elementary and secondary students. The forms were content analyzed and coded inductively to reveal 11 clusters of perceived caring teaching: showed me how to do a skill,…

  11. Strengthening Nursing Education To Improve End-of-life Care. (United States)

    Ferrell, Betty R.; Virani, Rose; Grant, Marcia


    As the members of the health care team who spend the most time with patients who are facing death, nurses are aware of the need for improved end-of-life (EOL) care and have identified resources to achieve that goal by improving education. A survey of 725 nursing faculty and state boards indicates an awareness of the need for improved EOL care and…

  12. Essential competencies for the education of nursing assistants and care helpers in elderly care

    NARCIS (Netherlands)

    Oeseburg, Barth; Hilberts, Rudi; Roodbol, Petrie F


    BACKGROUND: The Dutch health care system faces huge challenges with regard to the demand on elderly care and the competencies of professionals required to meet this demand. However, a recent study showed that the curricula in vocational education for nursing assistants and care helpers remains inade

  13. Visiting and office home care workers' occupational health: An analysis of workplace flexibility and worker insecurity measures associated with emotional and physical health


    Zeytinoglu, Isik U.; Denton, Margaret; Davies, Sharon; Seaton, M. Bianca; Millen, Jennifer


    The home health care sector in Canada experienced major restructuring in the mid-1990s creating a variety of flexibilities for organizations and insecurities for workers. This paper examines the emotional and physical health consequences of employer flexibilities and worker insecurities on home health care workers. For emotional health the focus is on stress and for physical health the focus is on selfreported musculoskeletal disorders. Data come from our survey of home health care workers in...

  14. Application of Flexible Management in High Quality Care%柔性管理在优质护理中的应用

    Institute of Scientific and Technical Information of China (English)

    白群; 李玉莲


    从建立柔性管理工作模式、强化培训、加强缺陷管理等方面,总结了柔性管理在优质护理中的应用实践.指出柔性管理有利于提高护士满意度,有利于护理队伍的建设与稳定,有利于优质护理的持续开展.%The paper summed up the practice of flexible management in implementing high quality care from the aspects of establishment of flexible work pattern, intensive training, enhancement of the flexible care and defect management, team building, implementation of flexible incentives, management of family visits, hospital cost management, etc. The flexible management can improve nurse satisfaction, construction and stability of the care team, continuity and effective implementation of high quality care.

  15. Teaching excellence in nursing education: a caring framework. (United States)

    Sawatzky, Jo-Ann V; Enns, Carol L; Ashcroft, Terri J; Davis, Penny L; Harder, B Nicole


    Nursing education plays a central role in the ability to practice effectively. It follows that an optimally educated nursing workforce begets optimal patient care. A framework for excellence in nursing education could guide the development of novice educators, establish the basis for evaluating teaching excellence, and provide the impetus for research in this area. However, a review of the social sciences and nursing literature as well as a search for existing models for teaching excellence revealed an apparent dearth of evidence specific to excellence in nursing education. Therefore, we developed the Caring Framework for Excellence in Nursing Education. This framework evolved from a review of the generic constructs that exemplify teaching excellence: excellence in teaching practice, teaching scholarship, and teaching leadership. Nursing is grounded in the ethic of caring. Hence, caring establishes the foundation for this uniquely nursing framework. Because a teaching philosophy is intimately intertwined with one's nursing philosophy and the ethic of caring, it is also fundamental to the caring framework. Ideally, this framework will contribute to excellence in nursing education and as a consequence excellence in nursing practice and optimal patient care.

  16. Indications for performing flexible bronchoscopy: Trends over 34 years at a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Ankit Amar Gupta


    Full Text Available Background and Aim: Due to its easy maneuverability, patient comfort and documented safety as an outpatient procedure, flexible bronchoscopy (FB has replaced rigid bronchoscopy for routine diagnostic use. Herein, we report our 34-year experience with outpatient performance of FB. Materials and Methods: This was a retrospective analysis of all FB procedures performed between September 1979 and November 2013 (period I: 1979-1990; period II: 1991-2000; period III: 2001-2013 in a tertiary care hospital. Demographic profile of patients, indications for performing FB, and annual and seasonal trends were noted from the records. Results: A total of 24,814 bronchoscopies were performed during the study period. The mean (SD age of patients (71.6% males was 48.4 (15.5 years. The number of procedures performed per decade showed an absolute increase by 322%. The most common indication for FB was suspected bronchogenic carcinoma (32.2% followed by pulmonary infections (18.6% and interstitial lung diseases (13%. The proportion of annual cases due to interstitial lung diseases (3.9% in period I to 16.2% in period III increased over the years, whereas disorders such as hemoptysis and pleural effusion showed a declining trend as an indication for FB. A seasonal trend was observed for diseases such as sarcoidosis, bronchogenic carcinoma and pulmonary infections. Six deaths were encountered during the study period in patients undergoing FB. Conclusion: FB is increasingly being performed in the diagnosis of respiratory disorders and is a safe outpatient procedure. Although bronchogenic carcinoma remains a common indication for performing FB, benign conditions such as pulmonary infections and sarcoidosis constitute important indications in the Indian scenario.

  17. Nano-engineered flexible pH sensor for point-of-care urease detection (United States)

    Sardarinejad, A.; Maurya, D. K.; Tay, C. Y.; Marshall, B. J.; Alameh, K.


    Accurate pH monitoring is crucial for many applications, such as, water quality monitoring, blood monitoring, chemical and biological analyses, environmental monitoring and clinical diagnostic. The most common technique for pH measurement is based on the use of conventional glass pH electrodes. Glass electrodes have several limitations, such as mechanical fragility, large size, limited shapes and high cost, making them impractical for implementation as Lab-onchips and pH sensor capsules. Various metal oxides, such as RuO2, IrO2, TiO2, SnO2, Ta2O5 and PdO have recently been proposed for the realization of pH sensing electrodes. Specifically, ruthenium oxide exhibits unique properties including thermal stability, excellent corrosion resistance, low hysteresis high sensitivity, and low resistivity. In this paper, we demonstrate the concept of a miniaturized ion selective electrode (ISE) based pH sensor for point-of-care urease monitoring. The sensor comprises a thin film RuO2 on platinum sensing electrode, deposited using E-beam and R.F. magnetron sputtering, in conjunction with an integrated Ag/AgCl reference electrode. The performance and characterization of the developed pH/urea sensors in terms of sensitivity, resolution, reversibility and hysteresis are investigated. Experimental results show a linear potential-versus-urea-concentration response for urea concentrations in the range 0 - 180 mg/ml. Experimental results demonstrate super-Nernstian slopes in the range of 64.33 mV/pH - 73.83 mV/pH for RF sputtered RuO2 on platinum sensing electrode using a 80%:20% Ar:O2 gas ratio. The RuO2 sensor exhibits stable operation and fast dynamic response, making it attractive for in vivo use, wearable and flexible biomedical sensing applications.

  18. Commentary: educating the present and future health care workforce to provide care to populations. (United States)

    Garr, David R; Margalit, Ruth; Jameton, Andrew; Cerra, Frank B


    The crisis of the rising cost of health care in the United States is stimulating major changes in the way care is being delivered. New models such as patient-centered medical homes and accountable care organizations are being developed with the expectation that health care professionals will address and improve the health of populations. Electronic health records and interprofessional teams will be critical to achieving the goal of better health. It is now time to bring together educators and clinicians at academic health centers, public health educators and practitioners, along with researchers, representatives from the health care delivery and financing systems, and community partners to reengineer health professions education to prepare health professions students for the health care system of the future.

  19. Principle-based concept analysis: Caring in nursing education (United States)

    Salehian, Maryam; Heydari, Abbas; Aghebati, Nahid; Moonaghi, Hossein Karimi; Mazloom, Seyed Reza


    Introduction The aim of this principle-based concept analysis was to analyze caring in nursing education and to explain the current state of the science based on epistemologic, pragmatic, linguistic, and logical philosophical principles. Methods A principle-based concept analysis method was used to analyze the nursing literature. The dataset included 46 English language studies, published from 2005 to 2014, and they were retrieved through PROQUEST, MEDLINE, CINAHL, ERIC, SCOPUS, and SID scientific databases. The key dimensions of the data were collected using a validated data-extraction sheet. The four principles of assessing pragmatic utility were used to analyze the data. The data were managed by using MAXQDA 10 software. Results The scientific literature that deals with caring in nursing education relies on implied meaning. Caring in nursing education refers to student-teacher interactions that are formed on the basis of human values and focused on the unique needs of the students (epistemological principle). The result of student-teacher interactions is the development of both the students and the teachers. Numerous applications of the concept of caring in nursing education are available in the literature (pragmatic principle). There is consistency in the meaning of the concept, as a central value of the faculty-student interaction (linguistic principle). Compared with other related concepts, such as “caring pedagogy,” “value-based education,” and “teaching excellence,” caring in nursing education does not have exact and clear conceptual boundaries (logic principle). Conclusion Caring in nursing education was identified as an approach to teaching and learning, and it is formed based on teacher-student interactions and sustainable human values. A greater understanding of the conceptual basis of caring in nursing education will improve the caring behaviors of teachers, create teaching-learning environments, and help experts in curriculum development

  20. Use of the Semantic Web to solve some basic problems in Education: Increase flexible, distributed lifelong learning, decrease teacher's workload

    NARCIS (Netherlands)

    Koper, Rob


    Please refer to: Koper, R. (2004). Use of the Semantic Web to Solve Some Basic Problems in Education: Increase Flexible, Distributed Lifelong Learning, Decrease Teacher's Workload. Journal of Interactive Media in Education, 2004 (6). Special Issue on the Educational Semantic Web. ISSN:1365-893X [

  1. Leadership Readiness for Flexibility and Mobility: The 4th Dimensions on Situational Leadership Styles in Educational Settings (United States)

    Rajbhandari, Mani Man Singh; Loock, Coert; Du Plessis, Pierre; Rajbhandari, Smriti


    In educational settings, leadership flexibility and mobility is essential factor for leadership readiness. This incorporates both factors concerning the situational needs and followership situational readiness. Leadership in education require multi facet dimensional approaches that enables the educational leaders to fill in the gaps and reduces…

  2. Educating Medical Laboratory Technologists: Revisiting Our Assumptions in the Current Economic and Health-Care Environment

    Directory of Open Access Journals (Sweden)

    Regina Linder


    Full Text Available Health care occupies a distinct niche in an economy struggling to recover from recession. Professions related to the care of patients are thought to be relatively resistant to downturns, and thus become attractive to students typically drawn to more lucrative pursuits. Currently, a higher profile for clinical laboratory technology among college students and those considering career change results in larger and better prepared applicant pools. However, after decades of contraction marked by closing of programs, prospective students encounter an educational system without the capacity or vigor to meet their needs. Here discussed are some principles and proposals to allow universities, partnering with health-care providers, government agencies, and other stakeholders to develop new programs, or reenergize existing ones to serve our students and patients. Principles include academic rigor in biomedical and clinical science, multiple points of entry for students, flexibility in format, cost effectiveness, career ladders and robust partnerships.

  3. Flexible Subjects: Educational Policy Neoliberal Rationalities Sujetos flexibles: racionalidades Neoliberales y políticas educativas. Vol. 13 No. 44

    Directory of Open Access Journals (Sweden)

    Lucia Gomez Sanchez


    Full Text Available Flexible Subjects: Neo-liberal Rationalities and Education Policy. This article aims to examine training and employment programmes for the young (more specifically, the Spanish Social Guarantee Schemes—Programas de Garantía Social in relation to neoliberal political rationalities. We believe the introduction of neoliberal policies to have been greater and faster precisely in the periphery of the educational system. To that end, we intend to make teachers' participation in the operation of the policies conceptually visible. The professionals’ discourse about the socio-labour integration of the young –a discourse that legitimises their daily work – will be analysed on the basis of qualitative materials from in-depth interviews. This analysis allows us to: 1 show the new ways of defining and valuing the teaching activity required and generated by these practical and institutional changes; 2 the analysis evidences some of the effects of the emerging discourses as well as the strategic roles they play in connection with neoliberal governance styles. En este texto nos proponemos examinar los programas de formación e inserción sociolaboral para jóvenes (concretamente, los llamados Programas de Garantía Social desarrollados por el estado español en relación con las racionalidades políticas neoliberales. Consideramos que es, precisamente, en los ámbitos periféricos del sistema educativo, donde la introducción de estas políticas neoliberales ha sido mayor y más acelerada. Para ello, pretendemos hacer visible la participación de los docentes en el funcionamiento de esas mismas políticas. Así, analizaremos los discursos que los profesionales de la inserción sociolaboral para jóvenes emplean para legitimar su actividad laboral cotidiana a partir de material cualitativo extraído de entrevistas en profundidad. El análisis nos permitirá, en primer lugar, mostrar las nuevas formas de definir y valorar la actividad docente

  4. Educating primary care providers about HIV disease: multidisciplinary interactive mechanisms.


    Macher, A; Goosby, E; Barker, L; Volberding, P; Goldschmidt, R.; Balano, K B; Williams, A; Hoenig, L; Gould, B; Daniels, E.


    As HIV-related prophylactic and therapeutic research findings continue to evolve, the Health Resources and Services Administration (HRSA) of the Public Health Service has created multidisciplinary mechanisms to disseminate new treatment options and educate primary care providers at rural and urban sites throughout our nation's health care system. HRSA has implemented (a) the International State-of-the-Art HIV Clinical Conference Call Series, (b) the national network of AIDS Education and Trai...

  5. Development of an educational module on provider self-care. (United States)

    Meadors, Patrick; Lamson, Angela; Sira, Natalia


    Intensive care providers who care for traumatized populations often face multiple traumas for extended periods and are vulnerable to developing lasting symptoms of compassion fatigue and secondary traumatization. Symptoms are often not recognizable until compassion fatigue or secondary traumatization negatively affects the providers' ability to care for their patients. More attention needs to be given to the care of the provider to ensure high-quality patient care, decrease turnover in the profession, and increase productivity. This article provides a framework for the development of an educational module for healthcare providers' self-care. This educational module created the opportunity to share with providers (a) how to explore their own professional experience; (b) how to recognize the different symptoms of compassion fatigue, primary traumatization, and secondary traumatization; (c) factors related to grief reactions; and (d) personal and professional strategies to decrease compassion fatigue and secondary traumatization.

  6. Values and Values Education in Estonian Preschool Child Care Institutions (United States)

    Ülavere, Pärje; Veisson, Marika


    The objective of the study was to provide an outline of the values that principals, teachers and parents of preschool child care institutions consider important to be taught to children, and which activities, in their estimation, should be used to implement values education in child care institutions. A total of 978 respondents from all 15…

  7. Views on Pre-School Education and Day Care. (United States)

    Rambusch, Nancy McCormick

    There is a clear need in our country today for early education programs aimed at accelerating the cognitive development of disadvantaged children. Another need is for centers to care for the children of working mothers. Our traditional nursery schools have deemphasized early cognitive development while day care programs have been focused on…

  8. Caring, Competence and Professional Identities in Medical Education (United States)

    MacLeod, Anna


    This paper considers the multiple discourses that influence medical education with a focus on the discourses of competence and caring. Discourses of competence are largely constituted through, and related to, biomedical and clinical issues whereas discourses of caring generally focus on social concerns. These discourses are not necessarily equal…

  9. Nurses’ opinions about implementation of a flexible or an open visiting policy in Intensive Care Unit



    Introduction: The majority of the ICUs applies a restricted visiting policy, despite the fact that numerous research data support the beneficial impact of a flexible or an open visiting policy for the patients and their families. Aim: The aim of the present study was to explore the perceptions of the ICU nursing staff regarding the implementation of a flexible or an open visiting policy, as well as the impact of these perception on the patients, their families and the nurses themselves. Mater...

  10. Media-Educational Habitus of Future Educators in the Context of Education in Day-Care Centers (United States)

    Friedrichs-Liesenkötter, Henrike


    This research explores these questions: (1) How are the forms of media-educational habitus of future educators shaped? (2) What conditions influence whether or not media education is done in day-care centers? The qualitative study consists of six semi-structured interviews with media education teachers in educator training, four focus group…

  11. Interprofessional education: preparing psychologists for success in integrated primary care. (United States)

    Cubic, Barbara; Mance, Janette; Turgesen, Jeri N; Lamanna, Jennifer D


    Rapidly occurring changes in the healthcare arena mean time is of the essence for psychology to formalize a strategic plan for training in primary care settings. The current article articulates factors affecting models of integrated care in Academic Health Centers (AHCs) and describes ways to identify and utilize resources at AHCs to develop interprofessional educational and clinical integrated care opportunities. The paper asserts that interprofessional educational experiences between psychology and other healthcare providers are vital to insure professionals value one another's disciplines in health care reform endeavors, most notably the patient-centered initiatives. The paper highlights ways to create shared values and common goals between primary care providers and psychologists, which are needed for trainee internalization of integrated care precepts. A developmental perspective to training from pre-doctoral, internship and postdoctoral levels for psychologists in integrated care is described. Lastly, a call to action is given for the field to develop more opportunities for psychology trainees to receive education and training within practica, internships and postdoctoral fellowships in primary care settings to address the reality that most patients seek their mental health treatment in primary care settings.

  12. Evolution of self-care education. (United States)

    Ambizas, Emily M; Bastianelli, Karen M S; Ferreri, Stefanie P; Haines, Seena L; Orr, Katherine Kelly; Stutz, Misty M; Vanamburgh, Jenny A; Wilhelm, Miranda


    During the past 15 years, the curriculum content for nonprescription medication and self-care therapeutics has expanded significantly. Self-care courses ranging from stand-alone, required courses to therapeutic content and skills laboratories, have evolved in colleges and schools of pharmacy to accommodate rapid changes related to nonprescription medications and to meet the needs of students. The design of and content delivery methods used in self-care courses vary among institutions. Teaching innovations such as team-based learning, role playing/vignettes, videos, and social media, as well as interdisciplinary learning have enhanced delivery of this content. Given that faculty members train future pharmacists, they should be familiar with the new paradigms of Nonprescription Safe Use Regulatory Expansion (NSURE) Initiative, nonprescription medications for chronic diseases, and the growing trends of health and wellness in advancing patient-care initiatives. This paper reviews the significant changes that may be impacting self-care curriculums in the United States.

  13. Diabetes Care as an Active Learning Model of Postgraduate Education and Training for Pharmaceutical Care. (United States)

    Koda-Kimble, Mary Anne; Batz, Forrest R.


    In a University of California continuing pharmacy education course in diabetes care, practicing pharmacists lived as patients with diabetes for two days and role-played in small groups. One year later, participants reported making changes in their diabetes care-related practice, suggesting its effectiveness in improving practitioners' skill…

  14. Development of a flexible higher education curriculum framework for geographic information science (United States)

    Veenendaal, B.


    A wide range of geographic information science (GIScience) educational programs currently exist, the oldest now over 25 years. Offerings vary from those specifically focussed on geographic information science, to those that utilise geographic information systems in various applications and disciplines. Over the past two decades, there have been a number of initiatives to design curricula for GIScience, including the NCGIA Core Curriculum, GIS&T Body of Knowledge and the Geospatial Technology Competency Model developments. The rapid developments in geospatial technology, applications and organisations means that curricula need to constantly be updated and developed to maintain currency and relevance. This paper reviews the curriculum initiatives and outlines a new and flexible GIScience higher education curriculum framework which complements and utilises existing curricula. This new framework was applied to the GIScience programs at Curtin University in Perth, Australia which has surpassed 25 years of GIScience education. Some of the results of applying this framework are outlined and discussed.

  15. Education in Young Offender Institutions and Secure Youth Care Institutions (United States)

    Smeets, Ed


    The main goal of this study was to gain a better insight into efforts made to provide optimum education to juveniles in young offender institutions and in secure youth care institutions, and into barriers with which educators are confronted in this process. Results show that for a substantial number of juveniles insufficient information is…

  16. Education and multidisciplinary team care concepts for pediatric and adolescent diabetes mellitus. (United States)

    Brink, Stuart J; Miller, Marilyn; Moltz, Kathleen C


    The DCCT scientifically established the basis for optimizing blood glucose control in type 1 diabetes mellitus around the world using a multidisciplinary team approach and patient-centered adjustments of food and insulin based upon blood glucose data generated by the patient. Pediatric diabetologists no longer believe that it is prudent to allow higher blood glucose levels in prepubertal children but much educational emphasis must be placed upon minimizing serious episodes of hypoglycemia. Individualized treatment should be determined by a close working relationship between highly trained diabetes nurses, educators and dieticians with the patient as the focus of self-care decisions, and a pediatric diabetologist ideally setting the philosophical and medical goals. Rather than the diabetes health care team being the only ones to initiate treatment, patient and parents should be empowered to analyze their own data, identify patterns, solve problems with food and activity, and do so based upon actual blood glucose results. This empowerment paradigm helps decrease care frustrations and improve treatment outcomes. Survival education followed by in-depth problem solving education and organized follow-up education are all needed steps for successful diabetes management. Identification of psychosocial barriers and energy diverting behavioral and family issues just as knowledge about learning styles play key roles in this process. Dogma should be avoided. More physiological utilization of insulin analogs, greater insulin dosing flexibility with a multidose insulin regimen coupled with adaptation of insulin to food and activity, should allow maximum benefit. Four major types of learning styles are reviewed: concrete sequential learners, abstract sequential learners, abstract random learners and concrete random learners. Health Belief Models, Locus of Control constructs, and Self-Efficacy models all provide sophisticated ways to help identify and overcome learning and self-care

  17. Palliative care providers' perspectives on service and education needs. (United States)

    Sellick, S M; Charles, K; Dagsvik, J; Kelley, M L


    To obtain the information necessary for coordinated regional program development, we examined (a) the multidisciplinary viewpoint of palliative care service provision and (b) the continuing education needs reported by non-physician service providers. Of 146 surveys distributed to care providers from multiple settings, 135 were returned. Respondents cited these problems: fragmented services, poor pain and symptom control, lack of education for providers, lack of public awareness, problems with the continuity and coordination of care, lack of respite, and lack of hospice beds. Stress management for caregivers, pain management, communication skills, and symptom assessment were rated as priorities in continuing education. Lectures, small group discussions, practicum, and regular medical centre rounds were the preferred learning formats, while costs and staff shortages were cited as educational barriers.

  18. [Virtual educational proposal in cardiopulmonary resuscitation for the neonate care]. (United States)

    Gonçalves, Gilciane Ribeiro; Peres, Heloisa Helena Ciqueto; Rodrigues, Rita de Cássia; Tronchin, Daisy Maria Rizatto; Pereira, Irene Mari


    The purpose of this study was to develop an educational proposal using virtual multimedia resources, to innovate, stimulate and diversify areas of communication and interaction, facilitating nurses' autonomous and reflexive process of teaching and learning. This is an applied research, following the cyclical and interactive phases of designing, planning, developing and implementing. The educational proposal was developed on the TelEduc platform, using specific tools for content organization and communication between students and administrator. The teaching modules were on the following themes: Module 1--Fundamentals of the heart anatomy and physiology in newborns; Module 2--Risk factors for the occurrence of cardiorespiratory arrest in newborns; Module 3--Planning nursing care; Module 4--Medications used in cardiopulmonary arrests in newborns; and Module 5--Cardiorespiratory arrest care in newborns. This study may contribute to innovating teaching in nursing from a virtual educational proposal on the important issue of newborn cardiopulmonary resuscitation care.

  19. Education guidelines for self-care living with diabetes. (United States)

    Prater, B


    Educational processes for those with diabetes can occur in a variety of settings. Major problems in education and implementation of programs for this population continue to be discussed. Methods for assessing programs' effectiveness in establishing adherence to individual regimens are developing. Health care professionals have assumed that individuals who are better informed make better decisions. This assumption implies that exposure to a body of facts and opportunities to develop technical skills provide the necessary elements for self-care and thus responsibility for self-health-care. Until sufficient data either confirm or negate these assumptions, programs to develop these skills and knowledge will continue. Educational program planning should occur in a systematic way with the process of the learning experiences identified along with an evaluation of the outcome of the program objectives. This educational model described (SURVIVAL, HOME MANAGEMENT, and LIFE STYLE) provides a systematic method for developing educational programs in a variety of health care and community settings. Diabetes self-care programs can be evaluated for content, design, and process. Their outcome in terms of short-term health behavior skills can also be measured. The yet unanswered question remains: Do educational programs resulting in desirable individual behaviors (adherence) make a difference in the long-term effects, quality of life, and avoidance of disability in the diabetic population? The answers may come in the future through well controlled and defined evaluative research studies. The profession of dietetics is an important part of the future. Have we been effective in our counseling or educational endeavors and, if so, can that professional function be documented? Current economic trends are stimulating to cost-effective research. Although research studies to demonstrate such effectiveness are difficult to design, the current "Guidelines" provide a model for evaluating


    Directory of Open Access Journals (Sweden)

    A. S. Mikhalev


    Full Text Available The paper shows how applying an analogy method it is possible to describe complicated hierarchic educational systems while using such robotics notions as «synergy», «flexibility», «service» and «mobility» which are well developed and filled with mathematical content. It has been shown that the indicated notions positively supplement terminology and main principles of organizational designing, system analysis and an idea of staff management while using mathematical knowledge-activity personnel models in order to form and manage innovation projects. 




    Este trabajo trata sobre la integración de una célula flexible de mecanizado de tipo docente, compuesta por una fresadora didáctica CNC, marca Denford, un brazo robótico articulado de seis ejes, modelo Scorbot -ER Vplus  y un riel deslizante; todos pertenecientes al Laboratorio de Manufactura Integrada por Computador, de la Escuela de Ingeniería Mecánica de la Universidad de Talca. Las tareas que realiza esta célula flexible son controladas por un PC director  a través de un  programa, utiliz...

  2. A Simple, Flexible and Scalable Approach for Generating Tailored Questionnaires and Health Education Messages (United States)



    Tailored health information is important for generating patient-specific recommendations in clinical decision support systems and for crafting health education materials that are specifically customized to a patient. Many previous attempts to generate tailored information require complex representations, lack general applicability, and are inflexible to content alterations. In this article, we describe a simple, yet flexible approach for tailoring health communication. This generalized and scalable approach relies on a flexible state representation of each individual and an expandable rule drafting and processing engine. It utilizes a relational database schema and a simple table structure to maintain each individual's past and current health information. Content for tailored communication is represented in a single table which stores predefined logic describing the rules for selecting content applicable to specific individuals. The flexibility, scalability, and simplicity of this approach are demonstrated by describing two diverse projects. One project has provided patient-tailored decision support for physicians for over 82,000 patient encounters and the other generates tailored health questions and messages for patients through a tool developed in less than 4 months. PMID:16292046

  3. Crossing the Chasm--Introducing Flexible Learning into the Botswana Technical Education Programme: From Policy to Action (United States)

    Richardson, Alison Mead


    This paper reports on a longitudinal, ethnomethodological case study of the development towards flexible delivery of the Botswana Technical Education Programme (BTEP), offered by Francistown College of Technical & Vocational Education (FCTVE). Data collection methods included documentary analysis, naturalistic participant observation, and…

  4. Promoting new norms and true flexibility : Sustainability in combining career and care

    NARCIS (Netherlands)

    Vinkenburg, C.J.; van Engen, Marloes; Peters, C.P.; de Vos, A.; van der Heijden, B.I.J.M.


    In light of current demographic developments and recent technological innovations common to industrialized nations, how to create and promote sustainability in combining career and care is an increasingly important social issue. In this contribution, we focus on the role of societal norms about care

  5. On Marcuse and Caring in Education (United States)

    Shel, Tammy


    Can caring and standardized testing coincide? Marcuse criticized the misuse of science because it also legitimizes social and economic hierarchy. By the same token, scholars develop standardized testing, claiming these tests are scientific and can measure objectively individuals' learning and intelligence capabilities. However, if inclusive caring…

  6. Characteristics of Swedish Preschools That Provide Education and Care to Children with Special Educational Needs (United States)

    Lundqvist, Johanna; Westling, Mara Allodi; Siljehag, Eva


    In Sweden, preschool inclusion is embraced and preschools are open for children both with and without special educational needs. The purpose of this study was to examine the characteristics of a number of preschool units in Sweden that provide education and care to children with special educational needs with regard to organisation, resources and…

  7. Quality of Health Care Activity in Educational Institutions: Conceptual Aspect

    Directory of Open Access Journals (Sweden)

    N. V. Tretyakova


    Full Text Available The paper deals with one of the priority tasks of Russian educational system – developing the health responsibility. The recent health deterioration trend among children and adolescents calls for the complex health care measures, equally affecting the learning outcomes. The authors argue that there is a need for proper definition and specification of the key term of health care quality. However, the analysis of the available scientific and documentary recourses demonstrates the absence of such unified definition. The authors describe the existing approaches to defining the health care quality, and examine structural components of the health care activity, their interrelations and interdependence. In authors’ opinion, the synthesis of the available research materials provides the basis for further studies in the theory and practice of quality management activities regarding the health protection of children, adolescents and young adults in educational institutions. 

  8. [From anthropocentrism to ecocentrism: educating for ecological care in health]. (United States)

    Backes, Marli Terezinha Stein; Backes, Dirce Stein; Drago, Lívia Crespo; Koerich, Magda Santos; Erdmann, Alacoque Lorenzini


    The focus of the paper is the meaning of ecological care as understood by students and educators and how this issue is addressed in programs in the fields of health sciences and health care in a federal public institution in southern Brazil. Our goal is to discuss the central category. The methodology adopted was Grounded Theory. Ten interviews were carried out among two sample groups between September, 2008, and April, 2009. The results led to the design of the theory: considering ecological care as broad and complex phenomenon, and the core category: the ecological care that results from relations, interactions and associations within the global environment. We concluded that rejecting anthropocentrism is not enough for the survival of all forms of life in the planet. This survival demands educating for ecocentrism and for systemic-functional interactivity and adaptability. We must go beyond speeches and world conferences and redo the web of interdependence of all beings and elements of nature.

  9. Quality of Health Care Activity in Educational Institutions: Conceptual Aspect

    Directory of Open Access Journals (Sweden)

    N. V. Tretyakova


    Full Text Available The paper deals with one of the priority tasks of Russian educational system – developing the health responsibility. The recent health deterioration trend among children and adolescents calls for the complex health care measures, equally affecting the learning outcomes. The authors argue that there is a need for proper definition and specification of the key term of health care quality. However, the analysis of the available scientific and documentary recourses demonstrates the absence of such unified definition. The authors describe the existing approaches to defining the health care quality, and examine structural components of the health care activity, their interrelations and interdependence. In authors’ opinion, the synthesis of the available research materials provides the basis for further studies in the theory and practice of quality management activities regarding the health protection of children, adolescents and young adults in educational institutions. 

  10. Interdisciplinary education on discussing end-of-life care. (United States)

    Rose, Chrissian; Bonn, Ashley; MacDonald, Kaitlyn; Avila, Secia


    The interactions and observations of residents speaking with patients and family members about end-of-life decisions indicated a need for more empathy. Nursing and medical students have been called to learn and work together so they can work more effectively. A review of the evidence on interdisciplinary education of residents concerning end-of-life care and communicating with patients and their family members was the inspiration for this study. This article applies evidence related to interdisciplinary education in critical care settings. This pilot project was a collaboration of medical education between a critical care service in a public hospital and baccalaureate nursing students assisting family members in making end-of-life decisions. As nursing students, we were able to effectively present content on end-of-life decision making to medical residents.

  11. Affective learning in end-of-life care education: the experience of nurse educators and students. (United States)

    Brien, Louise-Andrée; Legault, Alain; Tremblay, Nicole


    Preparing future nurses to care for dying patients and their families represents a challenge for nursing education. Affective learning, essential to nurture a caring perspective in end-of-life care, can elicit strong emotional reactions in students, to which nurse educators must remain keenly sensitive. This article presents the experience of nurse educators and students with experiential and reflective activities addressing the affective domain of learning, within an intensive 4-week undergraduate course on end-of-life care, developed with a competency-based approach. It stressed the importance of strategic teaching for developing interpersonal competencies in end-of-life care, but revealed difficulties for both nurse educators and students in assessing outcomes derived from affective learning.

  12. Health education during antenatal care: the need for more

    Directory of Open Access Journals (Sweden)

    Al-Ateeq MA


    Full Text Available Mohammed A Al-Ateeq,1 Amal A Al-Rusaiess21College of Medicine, King Saud Bin Abdul-Aziz University for Health Sciences, 2Department of Family Medicine and Primary Health Care, King Abdul-Aziz Medical City, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia Abstract: The aim of health education during ante natal is to provide advice, education, ­reassurance and support, to address and treat the minor problems of pregnancy, and to provide effective screening during the pregnancy. Exploring current practices in this regard revealed the need for more organized educational activities to ensure high quality and clients satisfaction. Keywords: antenatal care, health education, pregnant women, postpartum, misconceptions

  13. CARE: Creating Augmented Reality in Education (United States)

    Latif, Farzana


    This paper explores how Augmented Reality using mobile phones can enhance teaching and learning in education. It specifically examines its application in two cases, where it is identified that the agility of mobile devices and the ability to overlay context specific resources offers opportunities to enhance learning that would not otherwise exist.…

  14. Ecotourism Development: Educational Media of Environmental Care

    Directory of Open Access Journals (Sweden)

    Mohd. Hatta


    Full Text Available One of appropriate tourism management models to be implemented while maintaining the sustainability and the beauty of the nature is sustainable tourism activities that have low impact on the environment, otherwise known as ecotourism. With the concept of ecotourism, which combines tourism with nature conservation, is believed to develop the rest of the environmental potential. Developing the natural ecotourism with alignments principles on nature and will be very beneficial to humans. Its usefulness is not only availability of a healthy environment and climate, maintaining flora and fauna that increasingly rare, but also can be a direct lecturing media, both formal and informal levels. Availability of valuable educational ecotourism area has to be monitored seriously so that the chain of intergenerational education of nature is not interrupted. Through ecotourism promoting the values of education, future generations will be more familiar with nature as an integral part of life. Keywords: Ecotourism, educational media, environmentCopyright © 2015 by Al-Ta'lim All right reserved

  15. Current experiences and educational preferences of general practitioners and staff caring for people with dementia living in residential facilities

    Directory of Open Access Journals (Sweden)

    Scherer Samuel


    , communication, knowledge regarding dementia, aspects of person centred care, system factors and the multidisciplinary team were consistently and frequently cited. Small group education which is flexible, individualized, practical and case based was sought. Conclusion The effectiveness and sustainability of an educational intervention based on these findings needs to be tested. In addition, future interventions should focus on supporting cultural change to facilitate sustainable improvements in care.

  16. Spica cast care: a collaborative staff-led education initiative for improved patient care. (United States)

    Reed, Cynthia; Carroll, Lee; Baccari, Susan; Shermont, Herminia


    One of the most challenging aspects for nurses caring for incontinent children in spica casts is maintaining healthy skin integrity. Noting an increase in the number of phone calls from parents of discharged children in spica casts concerning diaper rash and skin breakdown, inpatient orthopedics staff nurses lead an interdisciplinary quality improvement and educational initiative. They standardized pediatric spica cast care and education by creating an intranet narrated PowerPoint presentation for staff and parents of children with spica casts. A take-home DVD of this education module is now produced and given to parents, reinforcing nursing discharge teaching and giving parents the opportunity to review these new skills at home as needed. The purpose of this article is to share this experience of improving patient outcomes and empowering other orthopedics nurses to develop creative educational solutions.

  17. Disciplinary Regimes of "Care" and Complementary Alternative Education (United States)

    Thomson, Pat; Pennacchia, Jodie


    In schools, the notion of "care" is often synonymous with welfare and disciplinary regimes. Drawing on Foucault, and a study of alternative education (AE) across the UK, and looking in depth at two cases of complementary AE, we identify three types of disciplinary regimes at work in schools: (1) dominant performative reward and…

  18. Preschool Education and Day Care for Swedish Children. (United States)

    Mueller, Jeanne

    A comprehensive study of the types of care provided for Swedish children is presented. The point is made that the three major frameworks which support the Swedish philosophy of early childhood education are those of Arnold Gesell, Jean Piaget, and Erik H. Erikson. From all three sources, preschool teachers learn the concept of epigenesis, the…

  19. Caring and Agency: Noddings on Happiness in Education (United States)

    Alexander, Hanan


    In this short essay I express my own deep sympathy with Nel Noddings's ethic of care and applaud her stubborn resistance in "Happiness and Education" to what John Dewey would have called false dualisms, such as those between intelligence and emotion, theory and practice, or vocation and academic studies.However, I question whether…

  20. Rethinking Research in Early Care and Education: Joining Sally's Quest (United States)

    New, Rebecca S.


    The article considers three domains of Sally Lubeck's scholarship as illustrations of her orientation to research on early care and education: her critique of positivism in general and the field of developmental psychology (and the sub-discipline of child development) specifically as the primary source of a "knowledge base" for the field of early…

  1. CARES: AACN's New Competencies and Recommendations for Educating Undergraduate Nursing Students to Improve Palliative Care. (United States)

    Ferrell, Betty; Malloy, Pam; Mazanec, Polly; Virani, Rose


    Nurses spend the most time of any health care professional caring for patients and families dealing with the challenges of serious illness. The demand for nursing expertise in palliative care is growing as more people are living with chronic, life-limiting illnesses. Nursing faculty must prepare future nurses to meet this demand. The new American Association of Colleges of Nursing Palliative Competencies And Recommendations for Educating undergraduate nursing Students document, released February 2016, identifies the 17 competencies that all undergraduate nursing students should achieve by the time of graduation. This historic document is a revision of the 1998 American Association of Colleges of Nursing Peaceful Death document and is now the guiding framework for undergraduate nursing education. In an effort to support nursing faculty and prepare nursing students to deliver quality palliative care, an innovative, interactive on-line undergraduate End-of-Life Nursing Education Consortium (ELNEC) curriculum is under development and will be released in January 2017. This new curriculum will meet the competencies and recommendations for achieving those competencies outlined in the Competencies And Recommendations for Educating undergraduate nursing Students document.


    Directory of Open Access Journals (Sweden)

    Pradeep Kumar Mishra


    Full Text Available In the 21st century, technology serves to reinforce the educational bedrock of any country. Technology has revolutionized the teaching learning process by integrating different source of knowledge - clearly visible from primary to post-tertiary level. This paper examines the introduction of ICT in early childhood years centred on the relationship of ICT with the cognitive, emotional and social development of children. The paper discusses various aspects of the ongoing debate around ICT usage in the early years and tries to answer some of the relevant issues namely, the rationale for early introduction of ICT, the perceived risks and benefits involved in its usage, the role of the parents, and fostering appropriate application of ICT in the early childhood classrooms.

  3. California Alliance For Radiotracer Education, CARE

    Energy Technology Data Exchange (ETDEWEB)

    Sutcliffe, Julie [Univ. of California, Davis, CA (United States)


    The report contains a summary of the accomplishments made during the CARE proposal. The overall goal of this proposal was to train graduate students and postdoctoral fellows in the field of radiochemistry. The goal was to expose trainees to the fundamentals of radioisotope production, radiochemistry synthesis, synthetic organic chemistry as well as applications and hands on experience in small animal imaging. In summary approximately 30 trainees were involved including trainees both at the graduate and postdoctoral levels. This funding has to date resulted in publications in high impact journals such as Med Chem Comm, Journal of Nuclear Medicine and Molecular Imaging and Biology. Trainees have gone on to further their careers in both academia, industry and the private sector. The funding will result in seven Master’s and six Ph.D dissertations. Without the DOE funding it simply would not have been possible to continue to train the next generation of radiochemists needed to assure a future US-based Nuclear and Radiochemistry Expertise.

  4. Leadership, Education and Awareness: A Compassionate Care Nursing Initiative. (United States)

    Simmonds, Anne H


    The Canadian Nurses' Association Code of Ethics (2008) and the College of Registered Nurses of Nova Scotia (CRNNS) Standards of Practice for Registered Nurses (CRNNS 2011) identify the provision of safe, compassionate, competent and ethical care as one of nursing's primary values and ethical responsibilities. While compassion has historically been viewed as the essence of nursing, there is concern that this has become an abstract ideal, rather than a true reflection of nursing practice. This paper describes a compassionate care initiative undertaken by the CRNNS and the initial outcomes of these educational workshops. This work is informed by an exploration of the multiplicity of factors that have brought this issue to the fore for nursing regulators, educators, administrators, the public as well as front-line staff. The two most significant areas of learning reported by workshop participants included understanding the connection between mindfulness, non-judgmental care and compassion/self-compassion and recognizing possibilities for action related to compassionate care, even in the face of personal and environmental constraints. Implications for nursing regulators and leaders include consideration of their roles and responsibilities in supporting nurses to meet professional practice standards, such as provision of compassionate care.

  5. Preoccupied with the Self: Towards Self-Responsible, Enterprising, Flexible and Self-Centred Subjectivity in Education (United States)

    Brunila, Kristiina; Siivonen, Päivi


    In the neoliberal order, the ideal self is self-responsible, enterprising, flexible and self-centred. Regarding this ideal we argue that the rise of therapisation in society, and in education, particularly, links both the therapeutic and enterprising discourses. The article examines how these discourses jointly produce and legitimate the ideal,…

  6. Working with simulated forms of interaction in health care education

    DEFF Research Database (Denmark)

    Olesen, Birgitte Ravn; Nordentoft, Helle Merete

    in which role-play of practice situations - both live and performed on video - formed the launching-pad for participants’ oral and written reflections. Our findings show that role-play has the potential to 1) develop professionals’ sensitivity to the significance of unexpected, embodied and emotional...... aspects of health care practices and 2) to display tensions between participants’ different perspectives on the same situation. We conclude that the dialogical process of raising reflexive awareness of tensions makes role-play a powerful creative method in health care education....

  7. Critical perspectives on danish early childhood education and care

    DEFF Research Database (Denmark)

    Jensen, Anders Skriver; Broström, Stig; Hansen, Ole Henrik


    This paper discusses trends in contemporary Danish early childhood education and care (ECEC). Data are sourced from various policy documents, along with material from ongoing research projects in which the authors are involved. It is claimed that contemporary policy on Danish day care services has...... a tendency to emphasize narrow curriculum improvements and standardized testing. The democratic dimensions are still relatively strong, but at the moment these dimensions are interpreted within a skills-and-testing framework, which is leading to a situation where the political masquerades as the technical....

  8. Working with simulated forms of interaction in health care education

    DEFF Research Database (Denmark)

    Nordentoft, Helle Merete; Olesen, Lektor Birgitte Ravn

    This paper argues that role-play as a simulated form of interaction - live and performed on video - is a creative method which has the potential to generate and support authentic dialogues in practice. In the paper we draw on experiences from 6 interdisciplinary workshops at a Danish hospital...... aspects of health care practices and 2) to display tensions between participants’ different perspectives on the same situation. We conclude that the dialogical process of raising reflexive awareness of tensions makes role-play a powerful creative method in health care education....

  9. Integrated Pest Management: A Curriculum for Early Care and Education Programs (United States)

    California Childcare Health Program, 2011


    This "Integrated Pest Management Toolkit for Early Care and Education Programs" presents practical information about using integrated pest management (IPM) to prevent and manage pest problems in early care and education programs. This curriculum will help people in early care and education programs learn how to keep pests out of early…

  10. Flexible Management Experience in the Application of Neurology Care%柔性管理在神经内科护理的应用体会

    Institute of Scientific and Technical Information of China (English)

    刘英; 王靖雯


    Objective To study the combined effect of flexible management in neurology care. Methods Flexible management theory to neurology care, to create a "flexible management culture" ideas to improve their own quality caregivers to achieve the level of care the jump. Results Results will be implemented before and after the two nurses change the quality of care and dispute cases were compared and found that the use of flexible management of care. Conclusion Flexible management both for health care workers or patients are not without benefits, positive effects for application in other departments.%目的:研究柔性管理在神经内科护理的综合效果。方法将柔性管理理论运用于神经内科护理中,营造“柔性管理文化”理念,提高护理者自身素质,实现护理水平的跃升。结果将实施前后两年护理人员变化、护理质量及纠纷发生情况进行对比,发现采用柔性管理对护理工作产生积极影响,团队向心力、凝聚力、整体素质、护理水平均提升显著。结论采用柔性管理无论是对护理工作者还是对患者都不无裨益,积极效果适合在其他科室推广应用。

  11. Infections related to health care in nurses’ education

    Directory of Open Access Journals (Sweden)

    Suellen Karina de Oliveira Giroti


    Full Text Available Objective: to analyze the introduction of the theme infections associated to health care in nurses’ education. Methods: this is a qualitative study, with documentary analysis of 16 interdisciplinary modules of a nursing integrated curriculum from a State University in Paraná, conducted in 2013. Results: in the first year of the course there were no references to infections. From the second to the fourth years there were 44 entries that approached: hand washing, actions to prevent infections in newborns, children, adults, pregnant women and surgical patients in different health environments, biosecurity, Regulatory Standard n. 32, dental-medical-hospital supplies processing, among others. One highlighted strengths and flaws on the approach of this theme in many moments of an integrated curriculum. Conclusion: the infections associated to health care, given their relevance and complexity, should be introduced in a transversal and continuous way in nurse’s education, providing nursing students with a reflexive and critical learning.

  12. Education in cancer prevention for primary care clinicians. (United States)

    Love, R R; Stone, H L; Hughes, B


    In response to increased public interest in cancer prevention and rapidly escalating health care costs, the National Cancer Institute supported the development of cancer prevention courses for health professionals. A multidisciplinary group of physicians, behavioral scientists, and educators developed, field-tested, revised, and evaluated a 12-module, 24-classroom-hour clinical preventive oncology course for primary care physicians. A rationale for education in cancer prevention is presented, the new clinical discipline of preventive oncology is defined, and contributory disciplines are identified. A curriculum based upon detailed learning objectives is described, short-term evaluation data are presented, and a methodology for incorporating a didactic course into a residency program is suggested. The positive reception given to this course by residents warrants optimism concerning application of a biopsychosocial or self-regulative model rather than the traditional biomedical one to clinical medicine and its teaching.

  13. Nursing students and mental health education in primary care

    Directory of Open Access Journals (Sweden)

    Fernanda Tiemi MIYAI

    Full Text Available The University of Sao Paulo School of Nursing (EEUSP went through a period of transition from undergraduate syllabus between the years 2009 and 2010. This change was made to integrate basic and clinical cycles and to reduce fragmentation of the disciplines. The mental health nursing education was included in many modules including the primary care. This qualitative study aimed to identify how the service offered to people with mental illness was performed by 20 undergraduate students in the context of primary care and how they were prepared. Data collection was conducted through semi-structured interviews, in August 2012, in EEUSP. After thematic analysis, we separated in categories: Teaching-learning process, Basic Health Unit and Mental health-illness process. The socially constructed conception of madness added to the problems related to academic training may result in lack of preparation in nursing mental health care.

  14. Tracing detached and attached care practices in nursing education

    DEFF Research Database (Denmark)

    Soffer, Ann Katrine B.


    of care are not explicated in the curriculum or textbooks; however, they surfaced once this crooked approach to studying care in a simulated practice was applied. The article starts from the assertion that detached engagements are not recognized within the field of nursing education as an equal component...... to attachments. Yet empirical cases from the skills lab and hospitals illustrate how students sometimes felt emotionally attached to plastic dummies and how experienced nurses sometimes practised a degree of detachment in relation to human patients. Detached engagements will therefore be presented as part...... of care practices of nurses rendering the ability to detach in engagement with patients a professional skill that students also need to learn. In the analysis to follow, attached and detached engagements are located on an equal plane by integrating both in to the same conceptual framework, rather than...

  15. Learning to Care during Storytime in the Current Context: Moral Education from the Perspective of Care Ethics (United States)

    Rabin, Colette


    Through an examination of storytelling in the present context, this study addresses the teaching of moral education from the standpoint of care ethics. Through observations, interviews, and surveys in one school committed to care ethics, this study aims to show how the philosophical perspective of care ethics can inform practice. Teachers engaged…

  16. Care for the Other's Selfhood: A View on Child Care and Education through Heidegger's Analytic of Dasein (United States)

    Joensuu, Kosti


    Philosophical analysis concerning selfhood and care is of fundamental importance for child care and education. Martin Heidegger's analytic of Dasein introduces the concepts of self and care within the ontological domain while structuring the holistic understanding of human existence. Because of the ontological emphasis, Heidegger's concepts of…

  17. [Continuous nursing education to improve the quality of health care]. (United States)

    Fumić, Nera; Marinović, Marin; Brajan, Dolores


    Health care and today's medical and technical achievements and approved standards of treatment provide comprehensive quality, safety and traceability of medical procedures respecting the principles of health protection. Continuous education improves the quality of nursing health care and increases the effectiveness of patient care, consequently maintaining and enhancing patient safety. Patient health problems impose the need of appropriate, planned and timely nursing care and treatment. In providing quality nursing care, attention is focused on the patient and his/her needs in order to maintain and increase their safety, satisfaction, independence and recovery or peaceful death, so the health and nursing practices must be systematized, planned and based on knowledge and experience. Health and nursing care of patients at risk of developing acute and chronic wounds or already suffering from some form of this imply preventive measures that are provided through patient education, motivation, monitoring, early recognition of risk factors and causes, and reducing or removing them through the prescribed necessary medical treatment which is safe depending on the patient health status. Except for preventive measures, nursing care of patients who already suffer from some form of acute or chronic wounds is focused on the care and treatment of damaged tissue by providing appropriate and timely diagnosis, timely and proper evaluation of the wound and patient general status, knowledge and understanding of the wide range of local, oral and parenteral therapy and treatment, aiming to increase patient safety by preventing progression of the patient general condition and local wound status and reducing the possibility of developing infection or other complications of the underlying disease. In the overall patient management, through nursing process, medical interventions are implemented and aimed to maintain and optimize health status, prevent complications of existing diseases and

  18. Medical Education: Barefoot Doctors, Health Care, Health Education, Nursing Education, Pharmacy Education, Part I. (United States)

    Parker, Franklin


    This is part I of a two-part annotated bibliography of selected references on medical education in the People's Republic of China. The references date from 1925 to 1983. Most of the references are from the 1970's. (RH)

  19. Early Childhood Education and Care in Europe: Tackling Social and Cultural Inequalities. Lithuania (United States)

    Seibokiene, Grazina


    In Lithuania early childhood education and care embraces children of the age from one to seven and is an integrated part of the education system. According to Lithuanian education classification, it belongs to the zero level of education. Though defined as pre-school education yet this stage is composed of two parts--pre-school education of…

  20. Establishing an education program for chronic wound care in China. (United States)

    Yu, Ying; Fu, Xiaobing


    Chronic wounds in China are an important issue. However, wound care knowledge and the skill of health care professionals varies among hospitals and cities. The Chinese Tissue Repair Society (CTRS) has developed a 3-year training program in wound care in China that is sponsored by the World Diabetes Foundation and the Coloplast Access to Healthcare foundation. The project focuses on training physicians and nurses in wound care for patients with diabetic mellitus and other chronic skin wounds. In the past 2 years, 1618 health care professionals, including 915 physicians and 703 nurses, have been trained. Participants are from more than 200 hospitals in 21 provinces. About 1200 patients per month, on average, have benefited from this project. In total, 13 hospitals have become training bases to continue the education program. The aim of the program is to help Chinese medical professionals efficiently manage chronic wounds, thereby shortening the wound healing time, reducing the amputation rate and treatment costs, and improving quality of life.

  1. Education in methodology for health care--EuroMISE. (United States)

    Zvárová, J


    In January 1993 the Joint European Project "Education in the methodology field of health care", EuroMISE (European Education in Medical Informatics, Statistics and Epidemiology) started under the European TEMPUS program. Training and education in EuroMISE consist of three overlapping methodology branches: medical informatics, medical statistics, and epidemiology. A teaching scheme has been developed in cooperation between Charles University, Prague, and EC universities and organizations involved in the EuroMISE project. One of the main tasks of the project is to design a modularly structured EuroMISE course set, to develop teaching materials and tools in the English language, and to link the EuroMISE project with other programs and projects in this field. Running EuroMISE courses, firstly for university teachers, will have a major impact in disseminating the acquired knowledge and skills.

  2. Guidelines for Primary Health Care teaching in undergraduate medical education

    Directory of Open Access Journals (Sweden)

    Marcelo Marcos Piva Demarzo


    Full Text Available These are a set of guidelines built by the Brazilian Association of Medical Education (ABEM and the Brazilian Society of Family and Community Medicine (SBMFC with the aim of supporting medical schools in a practical and objective manner, when elaborating pedagogical-political projects on Primary Health Care (PHC. The advent of the Brazilian National Curricular Guidelines for Medical Education, which are approved by the Ministry of Education in 2001 have since improved the teaching of undergraduate medical students on PHC, but there are still wide variations in implementation and quality of it in medical curricula. These guidelines by ABEM/SBMFC partnership can exert considerable influence on medical curricula by establishing minimum requirements and core competencies for PHC in Brazil.

  3. Care and education in the Danish Créche

    DEFF Research Database (Denmark)

    Broström, Stig; Hansen, Ole Henrik


    This article seeks to identify the relation between policy and lived life, for the small child in the Danish crèche. To accomplish this, the article integrates demography, traditions, national curriculum and psychological, educational, and recent developments in research. It is an attempt to reveal...... research articles. It is used in the exploration of meanings of political, social, and cultural phenomena as experienced by the involved individuals themselves, in their natural context. It is a presumption that the child’s development is a consequence of emotional and cognitive stimulation. To outline...... that, it is vital to emphasize the influence that policy causes on educational practice in the crèche, e.g., the conceptualization of education and care....

  4. The impact of a palliative care educational component on attitudes toward care of the dying in undergraduate nursing students. (United States)

    Mallory, Judy L


    Nurse educators have identified that historically nurses have not been prepared to care for dying patients. Research also has identified that nursing students have anxieties about death, dying, and caring for dying patients. Several factors have been identified as affecting nurses' and nursing students' attitudes toward care of the dying. Factors addressed in this research were current and previous death education. This research incorporated experiential learning using a model of death education and transformative learning theory. The educational experiences were geared to help students understand the skills needed to care competently and compassionately for the dying. The use of the End of Life Nursing Education Consortium (ELNEC) education package along with experiences at the hospice, the funeral home, the anatomy laboratory, and role play helped facilitate transformative learning in the nursing students. The study examined the effects of an educational experience to determine if a one-time educational experience provides sufficient, lasting effects in a 6-week format. Results of this study indicate that education can have a positive effect on nursing students' attitudes toward care of the dying. Nursing students in the intervention group had a significant positive increase in their attitudes toward care of the dying after the intervention. The attitude change increased slightly after a 4-week period.

  5. Improving Rural Geriatric Care Through Education: A Scalable, Collaborative Project. (United States)

    Buck, Harleah G; Kolanowski, Ann; Fick, Donna; Baronner, Lawrence


    HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE Instructions: 1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at In order to obtain contact hours you must: 1. Read the article, "Improving Rural Geriatric Care Through Education: A Scalable, Collaborative Project," found on pages 306-313, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website to register for contact hour credit. You will be asked to provide your name, contact information, and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until June 30, 2019. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. OBJECTIVES Describe the unique nursing challenges that occur in caring for older adults in rural areas. Discuss the

  6. Medical Education: Barefoot Doctors, Health Care, Health Education, Nursing Education, Pharmacy Education, Part II. (United States)

    Parker, Franklin


    This is Part II of a two-part annotated bibliography of selected references on medical education in the People's Republic of China. The references date from 1913 to 1982. Most of the references are from the 1960's and 1970's. (RH)

  7. Flexibilidad en la educación superior: revisión de expectativas Flexibility in Higher Education: Revisiting Expectations

    Directory of Open Access Journals (Sweden)

    Betty Collis


    Full Text Available Llevamos bastantes años estudiando la construcción de la flexibilidad en la educación superior, tanto desde la óptica de la investigación como de la práctica. Entendemos por flexibilidad la opción de ofrecer a los estudiantes la posibilidad de elegir cómo, qué, dónde, cuándo y con quién participan en las actividades de aprendizaje mientras están en una institución de educación superior. En el libro que escribimos sobre esta temática en 2001 identificamos opciones posibles para los estudiantes de educación superior con la finalidad de incrementar la flexibilidad de su participación. Lo estudiamos no solo desde la perspectiva del estudiante sino también desde las implicaciones para los profesores y para las instituciones de educación superior, y examinamos el papel fundamental que desempeñan el cambio pedagógico y la tecnología en el aumento de la flexibilidad. Ahora, diez años después, revisamos los temas clave relacionados con la flexibilidad en la educación superior e identificamos, en términos generales, hasta qué punto se ha ido estableciendo el incremento de la flexibilidad, si todavía está evolucionando o si ha evolucionado de una forma que no pudimos prever hace diez años. Revisamos también nuestros escenarios para el cambio en la educación superior relacionados con la flexibilidad y los contrastamos con un estudio más reciente llevado a cabo en el Reino Unido. Nuestra conclusión principal es que la cuestión de la flexibilidad en la educación superior sigue siendo tan pertinente en 2010 como lo era en 2001.We have studied the construct of flexibility in higher education for many years, as researchers and practitioners. In this context we define flexibility as offering the student choices in how, what, where, when and with whom he or she participates in learning-related activities while enrolled in a higher education institution. In a textbook we wrote on the topic in 2001 we identified options that

  8. Care and education: Towards a new paradigm in early childhood education

    DEFF Research Database (Denmark)

    Broström, Stig


    . This paper propose that this is a false contradiction thar can keep early childhood education in a romantic child-centred position. Instead, the paper identifies a unity of care, teaching, and upbringing as a starting point for children's well-being, learning, development, and Bilding. Because the concept...

  9. Early Care and Education as Educational Panacea: What Do We Really Know about Its Effectiveness? (United States)

    Lowenstein, Amy E.


    Most young children in the United States regularly spend time in early care and education (ECE) settings. Institutionalized messages surrounding ECE claim that it has the potential to promote children's life-long success, especially among low-income children. I examine the legitimacy of these claims by reviewing empirical evidence that bears on…

  10. Educators' Curriculum Guide. Quality Assurance and Animal Care: Youth Education Program. (United States)

    Busboom, Jan R.; Newman, Jerry A.; Shulaw, William P.; Jeffreys, J. Bradford

    This curriculum guide contains a six-unit, two-level program combining animal science and veterinary care for youth club leaders and members in grades three through twelve. The Facilitator and Educator/Leader Introductions describe the program, the goals, and the students who will participate. The six lesson plans contain what the lesson is about,…

  11. Responses of Canada's health care management education programs to health care reform initiatives. (United States)

    Angus, D E; Lay, C M


    Canada's provincial health care systems have been experiencing significant changes, mostly through horizontal integration achieved by merging hospitals, and, in a few cases, through vertical integration of public health, long term care, home care and hospital services. The government motivation for forcing these changes seems to have been primarily financial. In a few cases, the integration seems to have resulted in a stable and successful outcome, but, in most others, there has been destabilization, and in some, there has been chaos. The question posed in this research was how the five accredited Canadian graduate programs in health care management were responding to these changes. Two of the programs have recently made major changes in structure and/or delivery processes, following careful examination of their perceived environments. One has rationalized by subdividing courses. Another is repatriating courses from the business school in order to achieve more health-related content. Four of the five programs have added a number of courses in the last few years, or plan to do so in the next year or two, either because of accreditation criteria or student or faculty interest. The program directors viewed the educational requirements for clinicians and non-clinicians as being identical. In spite of the major structural changes, and the resulting destabilization of the health care organizations (and even governments), none of the programs emphasized the changes as factors in their plans for program changes. They expressed some concern about the possibility of fads as opposed to significant changes. It may be that these changes are dealt with in the content of individual courses. This aspect was not examined by the survey nor by interviews with the directors. Each of the programs has emphasized its own niche, with no consensus about changes required.

  12. Health care interprofessional education: encouraging technology, teamwork, and team performance. (United States)


    It is critical to prepare nurses for future practice to work in teams by engaging students in interprofessional education (IPE) that fosters positive attitudes toward teamwork. The purpose of this study was to examine the effects of computer-supported IPE on students’ attitudes and perceptions toward health care teamwork and team performance. A hybrid approach to IPE was used to provide students with an educational experience that combined the benefits of traditional face-to-face communication methodology with a computer-mediated platform that focused on reflection and team building. A statistically significant difference was found in students’ perceptions of team performance after engaging in computer-supported IPE. No statistically significant difference in students’ pretest–posttest composite attitude toward teamwork scores was noted; however, there was a positive trend toward improved scores.

  13. Stability and Patterns of Classroom Quality in German Early Childhood Education and Care (United States)

    Kuger, Susanne; Kluczniok, Katharina; Kaplan, David; Rossbach, Hans-Guenther


    Many education systems worldwide have dedicated a significant amount of resources to improve quality levels in early childhood education and care. Research can contribute to this goal by providing information about conditions of high-quality education and care and reasons for changes in the quality provided to children. This study therefore…

  14. Advances in health informatics education: educating students at the intersection of health care and information technology. (United States)

    Kushniruk, Andre; Borycki, Elizabeth; Armstrong, Brian; Kuo, Mu-Hsing


    The paper describes the authors' work in the area of health informatics (HI) education involving emerging health information technologies. A range of information technologies promise to modernize health care. Foremost among these are electronic health records (EHRs), which are expected to significantly improve and streamline health care practice. Major national and international efforts are currently underway to increase EHR adoption. However, there have been numerous issues affecting the widespread use of such information technology, ranging from a complex array of technical problems to social issues. This paper describes work in the integration of information technologies directly into the education and training of HI students at both the undergraduate and graduate level. This has included work in (a) the development of Web-based computer tools and platforms to allow students to have hands-on access to the latest technologies and (b) development of interdisciplinary educational models that can be used to guide integrating information technologies into HI education. The paper describes approaches that allow for remote hands-on access by HI students to a range of EHRs and related technology. To date, this work has been applied in HI education in a variety of ways. Several approaches for integration of this essential technology into HI education and training are discussed, along with future directions for the integration of EHR technology into improving and informing the education of future health and HI professionals.

  15. Improvement of teamwork in health care through interprofessional education

    Directory of Open Access Journals (Sweden)

    Simin Dragana


    Full Text Available Introduction. Collaboration, within and between healthcare teams, facilitates effective healthcare. Internationally, the development of interprofessional education, as a means to facilitate more effective teamwork in health care, has been recognized for over forty years. Objective. The aim of this paper is to evaluate students' attitudes toward the influence of interprofessional education on improvement of collaboration and teamwork. Methods. The research was conducted by interviewing students at the Medical Faculty in Novi Sad in the form of cross-sectional study. The study sample included students from two undergraduate programmes: School of Nursing (n=52 and Integrated Studies of Medicine (n=53. Students admitted to the research had to be exposed to clinical experience. The instrument used in this study was the Readiness for Interprofessional Learning Scale (RIPLS. Results. As many as 93.3% of students indicated that basics of teamwork skills should be obtained prior to graduation, whereas 96.2% considered that interprofessional education would enable them to improve mutual trust and respect. The majority of interviewees indicated that patients would ultimately benefit if healthcare students worked together to solve patient problems. Multivariate procedures MANOVA p<0.05 and discriminative analysis p<0.05 of students' attitudes toward teamwork and collaboration showed significant differences between the students of medicine and nursing. Conclusion. The students of the Integrated Studies of Medicine and School of Nursing had a positive attitude toward the influence of interprofessional education on the improvement of collaboration and teamwork.

  16. Critical Perspective on Situational Leadership Theory. Leadership Readiness for Flexibility and Mobility. The 4th Dimensions on Situational Leadership Styles in Educational Settings (United States)

    Rajbhandari, Mani Man Singh


    In educational settings, leadership flexibility and mobility is essential factor for leadership readiness. This incorporates both factors concerning the situational needs and followership situational readiness. Leadership in education require multi facet dimensional approaches that enables the educational leaders to fill in the gaps and reduces…

  17. Practical strategies for increasing efficiency and effectiveness in critical care education. (United States)

    Joyce, Maurice F; Berg, Sheri; Bittner, Edward A


    Technological advances and evolving demands in medical care have led to challenges in ensuring adequate training for providers of critical care. Reliance on the traditional experience-based training model alone is insufficient for ensuring quality and safety in patient care. This article provides a brief overview of the existing educational practice within the critical care environment. Challenges to education within common daily activities of critical care practice are reviewed. Some practical evidence-based educational approaches are then described which can be incorporated into the daily practice of critical care without disrupting workflow or compromising the quality of patient care. It is hoped that such approaches for improving the efficiency and efficacy of critical care education will be integrated into training programs.

  18. Practical strategies for increasing efficiency and effectiveness in critical care education (United States)

    Joyce, Maurice F; Berg, Sheri; Bittner, Edward A


    Technological advances and evolving demands in medical care have led to challenges in ensuring adequate training for providers of critical care. Reliance on the traditional experience-based training model alone is insufficient for ensuring quality and safety in patient care. This article provides a brief overview of the existing educational practice within the critical care environment. Challenges to education within common daily activities of critical care practice are reviewed. Some practical evidence-based educational approaches are then described which can be incorporated into the daily practice of critical care without disrupting workflow or compromising the quality of patient care. It is hoped that such approaches for improving the efficiency and efficacy of critical care education will be integrated into training programs. PMID:28224102

  19. Programmable bio-nano-chip system: a flexible point-of-care platform for bioscience and clinical measurements. (United States)

    McRae, Michael P; Simmons, Glennon W; Wong, Jorge; Shadfan, Basil; Gopalkrishnan, Sanjiv; Christodoulides, Nicolaos; McDevitt, John T


    The development of integrated instrumentation for universal bioassay systems serves as a key goal for the lab-on-a-chip community. The programmable bio-nano-chip (p-BNC) system is a versatile multiplexed and multiclass chemical- and bio-sensing system for bioscience and clinical measurements. The system is comprised of two main components, a disposable cartridge and a portable analyzer. The customizable single-use plastic cartridges, which now can be manufactured in high volumes using injection molding, are designed for analytical performance, ease of use, reproducibility, and low cost. These labcard devices implement high surface area nano-structured biomarker capture elements that enable high performance signaling and are index-matched to real-world biological specimens. This detection modality, along with the convenience of on-chip fluid storage in blisters and self-contained waste, represents a standard process to digitize biological signatures at the point-of-care. A companion portable analyzer prototype has been developed to integrate fluid motivation, optical detection, and automated data analysis, and it serves as the human interface for complete assay automation. In this report, we provide a systems-level perspective of the p-BNC universal biosensing platform with an emphasis on flow control, device integration, and automation. To demonstrate the flexibility of the p-BNC, we distinguish diseased and non-case patients across three significant disease applications: prostate cancer, ovarian cancer, and acute myocardial infarction. Progress towards developing a rapid 7 minute myoglobin assay is presented using the fully automated p-BNC system.

  20. Person-Oriented Organization of Academic Process – the Way of Genuine Flexibility and Individualization of Educational Curricula

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    B. A. Sazonov


    Full Text Available The paper deals with the necessity for Russian universities to switch over from the conservative stream-group scheduling to progressive individual scheduling of educational process where each particular student becomes an object of planning and implementing the higher educational curricula. The new liberal student- centered form called the «credit system» or in Russian variant the «credit units system» brings forward the students interests and rights. Gradually, such system tends to prevail in the world environment of vocational education, though in Russian higher school it still exist as an experiment and is not fast adopted. The prevailing stream-group model of educational process with steady group division throughout the whole academic period indicates our serious technological lagging behind the leaders of the world educational market. Rejection of traditional stream-group educational model and steady group formation brings about new opportunities for Russian universities providing real flexibility and individualization of educational curricula, giving students the option for individual term planning and scheduling, as well as the right for choosing teachers. Combining the modern approach to students’ assessment and person-oriented organization of academic process, the complete mass adoption of the model in question in bachelor and specialists training can guarantee a qualitative leap in developing Russian higher educational system. 

  1. A cluster-randomised trial of staff education to improve the quality of life of people with dementia living in residential care: the DIRECT study.

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    Christopher Beer

    Full Text Available BACKGROUND: The Dementia In Residential care: EduCation intervention Trial (DIRECT was conducted to determine if delivery of education designed to meet the perceived need of GPs and care staff improves the quality of life of participants with dementia living in residential care. METHODOLOGY/PRINCIPAL FINDINGS: This cluster-randomised controlled trial was conducted in 39 residential aged care facilities in the metropolitan area of Perth, Western Australia. 351 care facility residents aged 65 years and older with Mini-Mental State Examination ≤ 24, their GPs and facility staff participated. Flexible education designed to meet the perceived needs of learners was delivered to GPs and care facility staff in intervention groups. The primary outcome of the study was self-rated quality of life of participants with dementia, measured using the QOL-Alzheimer's Disease Scale (QOL-AD at 4 weeks and 6 months after the conclusion of the intervention. Analysis accounted for the effect of clustering by using multi-level regression analysis. Education of GPs or care facility staff did not affect the primary outcome at either 4 weeks or 6 months. In a post hoc analysis excluding facilities in which fewer than 50% of staff attended an education session, self-rated QOL-AD scores were 6.14 points (adjusted 95%CI 1.14, 11.15 higher at four-week follow-up among residents in facilities randomly assigned to the education intervention. CONCLUSION: The education intervention directed at care facilities or GPs did not improve the quality of life ratings of participants with dementia as a group. This may be explained by the poor adherence to the intervention programme, as participants with dementia living in facilities where staff participated at least minimally seemed to benefit. TRIAL REGISTRATION: ACTRN12607000417482.

  2. Flexible Learning and Teaching: Looking Beyond the Binary of Full-time/Part-time Provision in South African Higher Education

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    Barbara M Jones


    Full Text Available This paper engages with literature on flexible learning and teaching in order to explore whether it may be possible, within the South African context, to have flexible learning and teaching provide a third way which goes beyond the current practice of full-time/part-time provision. This binary classification of students is a proxy for day-time/after-hours delivery.  The argument is made that effective, flexible learning and teaching requires a fundamental shift in thinking about learning and teaching in higher education that moves us beyond such binaries. The paper proposes that in order to ensure access and success for students, ‘common knowledge’ (Edwards, 2010 will need to be co-constructed which understands flexible learning and teaching in ways which will meet needs of a diversity of students, including working students. It will require ‘resourceful leadership’ (Edwards, 2014 within the university that recognises, enhances and gives purpose to the capability of colleagues at every level of the systems they lead. Also, it will require the building of ‘common knowledge’ between certain sectors of universities and particular workplaces.    

  3. Improving stroke care: Quality of care and health education in patients with a stroke or transient ischemic attack

    NARCIS (Netherlands)

    E. Maasland (Lisette)


    textabstractThis thesis focuses on the applicability of results of clinical trials of stroke and TIA patients in everyday practice and on measurement of quality of stroke care. A third aim is to further expand an underexposed aspect of stroke care, namely health education in stroke patients. Chapter

  4. Exploring valid and reliable assessment methods for care management education. (United States)

    Gennissen, Lokke; Stammen, Lorette; Bueno-de-Mesquita, Jolien; Wieringa, Sietse; Busari, Jamiu


    Purpose It is assumed that the use of valid and reliable assessment methods can facilitate the development of medical residents' management and leadership competencies. To justify this assertion, the perceptions of an expert panel of health care leaders were explored on assessment methods used for evaluating care management (CM) development in Dutch residency programs. This paper aims to investigate how assessors and trainees value these methods and examine for any inherent benefits or shortcomings when they are applied in practice. Design/methodology/approach A Delphi survey was conducted among members of the platform for medical leadership in The Netherlands. This panel of experts was made up of clinical educators, practitioners and residents interested in CM education. Findings Of the respondents, 40 (55.6 per cent) and 31 (43 per cent) participated in the first and second rounds of the Delphi survey, respectively. The respondents agreed that assessment methods currently being used to measure residents' CM competencies were weak, though feasible for use in many residency programs. Multi-source feedback (MSF, 92.1 per cent), portfolio/e-portfolio (86.8 per cent) and knowledge testing (76.3 per cent) were identified as the most commonly known assessment methods with familiarity rates exceeding 75 per cent. Practical implications The findings suggested that an "assessment framework" comprising MSF, portfolios, individual process improvement projects or self-reflections and observations in clinical practice should be used to measure CM competencies in residents. Originality/value This study reaffirms the need for objective methods to assess CM skills in post-graduate medical education, as there was not a single assessment method that stood out as the best instrument.


    Directory of Open Access Journals (Sweden)

    Ljaljević Agima


    Full Text Available Introduction: The aim of this study was to determine perceptions of service providers in the healthcare on their awareness and knowledge about HIV/AIDS, as well as the relationship of the above parameters and the existence of stigma and discrimination against people with HIV/AIDS. Method: The type of the study was a behavioral cross sectional study. The survey was conducted in 2012, on a representative sample of health workers in Montenegro. The main survey instrument was specifically designed questionnaire that consisted of six parts, out of which one was related to knowledge about HIV and AIDS. Data were analyzed by methods of inferential statistics. Results: More than four out of ten respondents have never attended educational workshops on HIV/AIDS. Research has shown that there is a highly significant statistical correlation between estimates of their own knowledge about HIV / AIDS and previous educations. Almost two-thirds of respondents, who attended some type of education in the field of HIV/AIDS, believe to have a satisfactory level of knowledge in the area. Conclusion: Health care service providers evaluate their knowledge of HIV/AIDS as insufficient.

  6. Why we need interprofessional education to improve the delivery of safe and effective care

    Directory of Open Access Journals (Sweden)

    Scott Reeves


    Full Text Available Interprofessional education (IPE is an activity that involves two or more professions who learn interactively together to improve collaboration and the quality of care. Research has continually revealed that health and social care professionals encounter a range of problems with interprofessional coordination and collaboration which impact on the quality and safety of care. This empirical work resulted in policymakers across health care education and practice to invest in IPE to help resolve this collaborative failures. It is anticipated that IPE will provide health and social care professionals with the abilities required to work together effectively in providing safe high quality care to patients. Through a discussion of a range of key professional, educational and organization issues related to IPE, this paper argues that this form of education is an important strategy to improve the delivery of safe and effective care

  7. Inequality in Pre-School Education and Care in Germany: An Analysis by Social Class and Immigrant Status (United States)

    de Moll, Frederick; Betz, Tanja


    In recent years, early childhood education and care have gained increasing public attention. This has led to an expansion of education and care programmes. Yet, little is known about how parents use different options of education and care. Take, for example, kin care, paid caregivers and out-of-kindergarten activities. Drawing on social…

  8. Evaluating educators using a novel toolbox: applying rigorous criteria flexibly across institutions. (United States)

    Gusic, Maryellen E; Baldwin, Constance D; Chandran, Latha; Rose, Suzanne; Simpson, Deborah; Strobel, Henry W; Timm, Craig; Fincher, Ruth Marie E


    Valuing faculty as educators is essential for medical schools to fulfill their unique mission of educating physicians. The 2006 Consensus Conference on Educational Scholarship, sponsored by the Association of American Medical Colleges (AAMC) Group on Educational Affairs, provided educators seeking academic promotion with a portfolio-based format for documenting activities in five domains, using evidence of quantity, quality, a scholarly approach, and educational scholarship. Yet, the lack of a rigorous, widely accepted system to assess educator portfolio submissions during the promotion and tenure process continues to impede the ability to fully value educators and educational scholars.The AAMC Task Force on Educator Evaluation was formed in 2010 to establish consensus guidelines for use by those responsible for the rigorous evaluation of the educational contributions of faculty. The task force delineated the educational contributions currently valued by institutions and then fulfilled its charge by creating the Toolbox for Evaluating Educators, a resource which contains explicit evidence-based criteria to evaluate faculty in each of the five domains of educator activity. Adoption of such criteria is now the rate-limiting step in using a fair process to recognize educators through academic promotion. To inform institutional review and implementation of these criteria, this article describes the iterative, evidence- and stakeholder-based process to establish the criteria. The authors advocate institutional adoption of these criteria so that faculty seeking academic promotion as educators, like their researcher colleagues, can be judged and valued using established standards for the assessment of their work.

  9. Flexibility for Survival: State Funding and Contingent Faculty Employment at Public Higher Education Institutions (United States)

    Frye, Joanna R.


    The dynamics of state funding for public higher education in the United States are changing. Per-student state appropriations to higher education have decreased over the past few decades and have become increasingly volatile from year to year. As public higher education institutions seek ways to educate more students with fewer and less…

  10. Flexibilidad curricular: elemento clave para mejorar la educación bibliotecológica Curricular flexibility: a key element to introduce better Library Science education

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    Lina Escalona Ríos


    Full Text Available El presente trabajo contiene algunas reflexiones sobre lo que significa el currículo flexible, sus características y ventajas, y lo contextualiza en las políticas de educación superior a nivel internacional, para después enumerar las características de la educación bibliotecológica y finalmente vincular las posibilidades que ofrece un currículo flexible a la calidad de la educación bibliotecológica.The present work contains some reflections on what flexible curriculum means, its characteristics and advantages, and contextualizes it in the policies of higher education at international level, later to enumerate the characteristics of the bibliothecological/librarian education and finally relating the possibilities that flexible curriculum offers to the quality of the bibliothecological/librarian education.

  11. The Need To Define "Care" in Pharmaceutical Care: An Examination across Research, Practice and Education. (United States)

    Galt, Kimberly A.


    This article examines the concept of "care" and how it relates to pharmacy. Five areas from a cross-discipline review of the literature are presented: the definition of care, care as behavior, the relationship of caring behaviors to health, the relationship of caring behaviors to outcomes, and the teaching of caring behaviors. (Author)

  12. Integrating Compassionate, Collaborative Care (the "Triple C") Into Health Professional Education to Advance the Triple Aim of Health Care. (United States)

    Lown, Beth A; McIntosh, Sharrie; Gaines, Martha E; McGuinn, Kathy; Hatem, David S


    Empathy and compassion provide an important foundation for effective collaboration in health care. Compassion (the recognition of and response to the distress and suffering of others) should be consistently offered by health care professionals to patients, families, staff, and one another. However, compassion without collaboration may result in uncoordinated care, while collaboration without compassion may result in technically correct but depersonalized care that fails to meet the unique emotional and psychosocial needs of all involved. Providing compassionate, collaborative care (CCC) is critical to achieving the "triple aim" of improving patients' health and experiences of care while reducing costs. Yet, values and skills related to CCC (or the "Triple C") are not routinely taught, modeled, and assessed across the continuum of learning and practice. To change this paradigm, an interprofessional group of experts recently recommended approaches and a framework for integrating CCC into health professional education and postgraduate training as well as clinical care. In this Perspective, the authors describe how the Triple C framework can be integrated and enhance existing competency standards to advance CCC across the learning and practice continuum. They also discuss strategies for partnering with patients and families to improve health professional education and health care design and delivery through quality improvement projects. They emphasize that compassion and collaboration are important sources of professional, patient, and family satisfaction as well as critical aspects of professionalism and person-centered, relationship-based high-quality care.

  13. Exploring the Connections between Caring and Social Behaviors in Physical Education (United States)

    Gano-Overway, Lori A.


    Purpose: This study explored the relationship between the caring climate, empathy, prosocial behaviors, and antisocial behaviors, like bullying, in physical education, plus investigated whether empathy mediated the possible relationships between caring and social behaviors for boys and girls. Method: Middle school physical education students…

  14. Caring in the Gym: Reflections from Middle School Physical Education Teachers (United States)

    Gano-Overway, Lori; Guivernau, Marta


    Caring has been discussed as foundational to developing quality physical activity settings that promote social and personal responsibility and are synonymous with effective teaching practice in physical education. However, how physical educators practice caring in the gym is unclear. Therefore, the purpose of this study was to explore how physical…

  15. Nutrition Standards for Child Care Programs: Meeting Children's Nutrition and Education Needs. Nutrition, Health and Safety. (United States)

    Briley, Margaret E.; Grey, Cynthia R.


    Presents information on standards for American child care and early education programs participating in the Child and Adult Care Food Program. Topics discussed include meal plans, nutritional requirements, food preparation and food service, cultural diversity, food safety and sanitation, nutrition education, and emotional climate at mealtimes. (KB)

  16. Coaching to Quality: Increasing Quality in Early Care and Education Programmes through Community-University Partnership (United States)

    Gilbert, Jaesook Lee; Harte, Helene Arbouet


    This paper describes efforts to increase the quality in early care and education through targeted coaching. A collaborative including several community agencies and a university developed a framework of support for early care and education providers, using coaching as its foundational basis, called Coaching to Quality (CTQ). This paper provides a…

  17. A Special Challenge for Europe: The Inclusion of Roma Children in Early Years Education and Care (United States)

    Klaus, Sarah; Marsh, Adrian


    Provision of early childhood education and care (ECEC) for Roma children serves as a litmus test for the broader social inclusion agenda in Europe. The majority of Roma children and families live in substandard, often insecure and isolated housing and have limited access to quality health, social care and education services. There is a growing…

  18. An Online Educational Program Improves Pediatric Oncology Nurses' Knowledge, Attitudes, and Spiritual Care Competence. (United States)

    Petersen, Cheryl L; Callahan, Margaret Faut; McCarthy, Donna O; Hughes, Ronda G; White-Traut, Rosemary; Bansal, Naveen K

    This study evaluated the potential impact of an online spiritual care educational program on pediatric nurses' attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. It was hypothesized that the intervention would increase nurses' positive attitudes toward and knowledge of spiritual care and increase nurses' level of perceived spiritual care competence. A positive correlation was expected between change in nurses' perceived attitudes toward and knowledge of spiritual care and change in nurses' perceived spiritual care competence. A prospective, longitudinal design was employed, and analyses included one-way repeated-measures analysis of variance, linear regression, and partial correlation. Statistically significant differences were found in nurses' attitudes toward and knowledge of spiritual care and nurses' perceived spiritual care competence. There was a positive relationship between change scores in nurses' attitudes toward and knowledge of spiritual care and nurses' spiritual care competence. Online spiritual care educational programs may exert a lasting impact on nurses' attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. Additional studies are required to evaluate the direct effects of educational interventions patient outcomes.

  19. Healthcare organization-education partnerships and career ladder programs for health care workers. (United States)

    Dill, Janette S; Chuang, Emmeline; Morgan, Jennifer C


    Increasing concerns about quality of care and workforce shortages have motivated health care organizations and educational institutions to partner to create career ladders for frontline health care workers. Career ladders reward workers for gains in skills and knowledge and may reduce the costs associated with turnover, improve patient care, and/or address projected shortages of certain nursing and allied health professions. This study examines partnerships between health care and educational organizations in the United States during the design and implementation of career ladder training programs for low-skill workers in health care settings, referred to as frontline health care workers. Mixed methods data from 291 frontline health care workers and 347 key informants (e.g., administrators, instructors, managers) collected between 2007 and 2010 were analyzed using both regression and fuzzy-set qualitative comparative analysis (QCA). Results suggest that different combinations of partner characteristics, including having an education leader, employer leader, frontline management support, partnership history, community need, and educational policies, were necessary for high worker career self-efficacy and program satisfaction. Whether a worker received a wage increase, however, was primarily dependent on leadership within the health care organization, including having an employer leader and employer implementation policies. Findings suggest that strong partnerships between health care and educational organizations can contribute to the successful implementation of career ladder programs, but workers' ability to earn monetary rewards for program participation depends on the strength of leadership support within the health care organization.

  20. "Being flexible and creative": a qualitative study on maternity care assistants’ experiences with non-western immigrant women.

    NARCIS (Netherlands)

    Boerleider, A.W.; Francke, A.L.; Reep, M. van de; Manniën, J.; Wiegers, T.A.; Devillé, W.L.J.M.


    Background: Several studies conducted in developed countries have explored postnatal care professionals' experiences with non-western women. These studies reported different cultural practices, lack of knowledge of the maternity care system, communication difficulties, and the important role of the

  1. "Being flexible and creative": a qualitative study on maternity care assistants' experiences with non-western immigrant women

    NARCIS (Netherlands)

    A.W. Boerleider; A.L. Francke; M. van de Reep; J. Manniën; T.A. Wiegers; W.L.J.M. Devillé


    Background: Several studies conducted in developed countries have explored postnatal care professionals' experiences with non-western women. These studies reported different cultural practices, lack of knowledge of the maternity care system, communication difficulties, and the important role of the

  2. Multimedia Education Increases Elder Knowledge of Emergency Department Care

    Directory of Open Access Journals (Sweden)

    Thomas E. Terndrup


    Full Text Available Introduction: Elders who utilize the emergency department (ED may have little prospectiveknowledge of appropriate expectations during an ED encounter. Improving elder orientation toED expectations is important for satisfaction and health education. The purpose of this study wasto evaluate a multi-media education intervention as a method for informing independently livingelders about ED care. The program delivered messages categorically as, the number of tests,providers, decisions and disposition decision making.Methods: Interventional trial of representative elders over 59 years of age comparing pre andpost multimedia program exposure. A brief (0.3 hour video that chronicled the key events after ahypothetical 911 call for chest pain was shown. The video used a clinical narrator, 15 ED healthcare providers, and 2 professional actors for the patient and spouse. Pre- and post-video testsresults were obtained with audience response technology (ART assessed learning using a 4point Likert scale.Results: Valid data from 142 participants were analyzed pre to post rankings (Wilcoxon signedranktests. The following four learning objectives showed significant improvements: number oftests expected [median differences on a 4-point Likert scale with 95% confidence intervals: 0.50(0.00, 1.00]; number of providers expected 1.0 (1.00, 1.50; communications 1.0 (1.00, 1.50;and pre-hospital medical treatment 0.50 (0.00, 1.00. Elders (96% judged the intervention asimproving their ability to cope with an ED encounter.Conclusion: A short video with graphic side-bar information is an effective educational strategy toimprove elder understanding of expectations during a hypothetical ED encounter following calling911.

  3. Nursing Informatics Education: From Automation to Connected Care. (United States)

    Skiba, Diane J


    The use of health information technologies has evolved over the last 50 years. These technologies have moved from the automation of data and data processing to connected care tools that are part of a health care ecosystem that provides the best care at the point of care. To correspondence with the evolution of technologies and their disruptions within the health care delivery system, there is a need to re-examine the necessary competencies of health care professionals.

  4. Post-Fordism and Distance Education--A Flexible Strategy for Change. (United States)

    Raggatt, Peter


    Discusses strategic choices facing the Open University (United Kingdom) and other distance education institutions with the availability of electronic data processing and an increasingly competitive environment in traditional higher education institutions. Topics addressed include distance education and industrial production; production in the Open…

  5. Primary Early Care and Education Arrangements and Achievement at Kindergarten Entry. NCES 2016-070 (United States)

    Rathbun, Amy; Zhang, Anlan


    Young children experience various types of early care and education environments the year before they enter kindergarten. Some children attend center-based arrangements such as preschools, childcare centers, or Head Start programs, while others are cared for in relatives' or nonrelatives' homes or are normally cared for only by their parents.…

  6. Commitment, Community, and Passion: Dimensions of a Care-Centered Approach to Teacher Education. (United States)

    Goldstein, Lisa S.


    Builds on Nel Noddings' work on caring encounters to develop a care-centered approach to teacher education. This model emphasizes the important contributions to the process of preparing caring teachers made by enhanced interpersonal commitment, membership in a community of learners, and passion for the creative, intellectual aspects of teaching.…

  7. "Quien Sabe Mas Lucha Mejor": Adult Educators' Care of the Self Practices within Social Movements in Buenos Aires, Argentina (United States)

    O'Donnell, Jennifer Lee


    This article looks at popular adult educators' care of the self practices within social movements in Buenos Aires, Argentina. It answers the following questions: How is popular adult education practiced amongst educators in social movements? What can studying popular adult educators' care of the self practices offer the field of adult education?…

  8. Implementing genetic education in primary care: the Gen-Equip programme. (United States)

    Paneque, Milena; Cornel, Martina C; Curtisova, Vaclava; Houwink, Elisa; Jackson, Leigh; Kent, Alastair; Lunt, Peter; Macek, Milan; Stefansdottir, Vigdis; Turchetti, Daniela; Skirton, Heather


    Genetics and genomics are increasingly relevant to primary healthcare but training is unavailable to many practitioners. Education that can be accessed by practitioners without cost or travel is essential. The Gen-Equip project was formed to provide effective education in genetics for primary healthcare in Europe and so improve patient care. Partners include patient representatives and specialists in genetics and primary care from six countries. Here, we report the progress and challenges involved in creating a European online educational program in genetics.

  9. Educational Needs of Health Care Providers Working in Long-Term Care Facilities with Regard to Pain Management

    Directory of Open Access Journals (Sweden)

    Yannick Tousignant-Laflamme


    Full Text Available BACKGROUND: The prevalence of chronic pain ranges from 40% to 80% in long-term care facilities (LTCF, with the highest proportion being found among older adults and residents with dementia. Unfortunately, pain in older adults is underdiagnosed, undertreated, inadequately treated or not treated at all. A solution to this problem would be to provide effective and innovative interdisciplinary continuing education to health care providers (HCPs.

  10. Translational educational research: a necessity for effective health-care improvement. (United States)

    McGaghie, William C; Issenberg, S Barry; Cohen, Elaine R; Barsuk, Jeffrey H; Wayne, Diane B


    Medical education research contributes to translational science (TS) when its outcomes not only impact educational settings, but also downstream results, including better patient-care practices and improved patient outcomes. Simulation-based medical education (SBME) has demonstrated its role in achieving such distal results. Effective TS also encompasses implementation science, the science of health-care delivery. Educational, clinical, quality, and safety goals can only be achieved by thematic, sustained, and cumulative research programs, not isolated studies. Components of an SBME TS research program include motivated learners, curriculum grounded in evidence-based learning theory, educational resources, evaluation of downstream results, a productive research team, rigorous research methods, research resources, and health-care system acceptance and implementation. National research priorities are served from translational educational research. National funding priorities should endorse the contribution and value of translational education research.

  11. A standardised graphic method for describing data privacy frameworks in primary care research using a flexible zone model.

    NARCIS (Netherlands)

    Kuchinke, W.; Ohmann, C.; Verheij, R.A.; Veen, E.B. van; Arvanitis, T.N.; Taweel, A.; Delaney, B.C.


    Purpose: To develop a model describing core concepts and principles of data flow, data privacy and confidentiality, in a simple and flexible way, using concise process descriptions and a diagrammatic notation applied to research workflow processes. The model should help to generate robust data priva

  12. The Quality of Early Childhood Educators: Children's Interaction in Greek Child Care Centers (United States)

    Rentzou, Konstantina; Sakellariou, Maria


    Though quality in early childhood education and care has attracted last decades enormous research interest there is still not a unanimous agreement about its definition. Yet, almost all definitions attempted include interaction, group size, adult:child ratio and early childhood educators' level of education, as important indices of quality.…

  13. Child Sexual Abuse in Early-Childhood Care and Education Settings (United States)

    Briggs, Freda


    When the author was adviser to the Australian Minister for Education for writing the national Safe Schools Framework (2003), meetings were held with early-childhood care and education administrators from all state, Catholic and independent sectors. Their unexpected message was that educators were facing new problems, those of child sexual abuse in…

  14. Getting the Message Across: Does the Use of Drama Aid Education in Palliative Care? (United States)

    O'Connor, Margaret; Abbott, Jo-Anne; Recoche, Katrina


    Drama is a promising means of delivering educational messages in palliative care. Research studies have found drama to be an effective means of delivering educational messages in other domains of learning, such as teaching health education to children and adults and engaging the general public in health policy development. This paper discusses the…

  15. Educating advanced practice nurses in using social media in rural health care. (United States)

    Rutledge, Carolyn M; Renaud, Michelle; Shepherd, Laurel; Bordelon, Michele; Haney, Tina; Gregory, Donna; Ayers, Paula


    Health care in the United States is facing a crisis in providing access to quality care for those in underserved and rural regions. Advanced practice nurses are at the forefront of addressing such issues, through modalities such as health care technology. Many nursing education programs are seeking strategies for better educating students on technology utilization. Health care technology includes electronic health records, telemedicine, and clinical decision support systems. However, little focus has been placed on the role of social media in health care. This paper describes an educational workshop using standardized patients and hands-on experiences to introduce advanced practice nurses in a Doctor of Nursing Practice program to the role of social media in addressing issues inherent in the delivery of rural health care. The students explore innovative approaches for utilizing social media for patient and caregiver support as well as identify online resources that assist providers in a rural setting.

  16. Culture care theory: a framework for expanding awareness of diversity and racism in nursing education. (United States)

    Lancellotti, Katherine


    As American society becomes increasingly diverse, and the nursing profession does not, there has been a focus on promoting both cultural competence and diversity within the profession. Although culture and diversity are widely discussed in nursing education, the issue of racism may be avoided or suppressed. Institutionalized racism within nursing education must be acknowledged and discussed before nursing education may be transformed. Madeleine Leininger's Culture Care Theory is an established nursing theory that emphasizes culture and care as essential concepts in nursing. Theoretical frameworks abound in nursing, and Culture Care Theory may be underutilized and misunderstood within nursing education. This article examines the issue of racism in nursing education and recommends Culture Care Theory as a relevant framework for enhancing both cultural competence and diversity.


    Directory of Open Access Journals (Sweden)

    Carrie Griffin Basas


    Full Text Available Much of the literature in education has focused on the experiences of teachers and school leaders as they encounter students with individualized or “special” learning needs and their families.  This body of literature places the professional at the center of its concern by studying such phenomena as burnout and compassion fatigue.  In this article, the Author argues that this vigilance for the experience of schools has overlooked the material, psychological, and social impact on families that must advocate for their students in the U.S. educational system.   Examining educational conflicts that occur in special education and English Language Learner [ELL] settings, the Author defines this “advocacy fatigue” as the increased strain on resources that comes from continued exposure to system inequities and inequalities.   In the final section of the Article, she identifies strategies for collaboratively addressing educational equity that range from resistance to self-care, community wholeness to professional development.   Une bonne partie de la littérature en matière d’éducation a été consacrée aux expériences que vivent les enseignants et les directeurs d’école lorsqu’ils doivent interagir avec des élèves ayant des besoins d’apprentissage individuels ou « spéciaux » et leurs familles. Cette littérature place le professionnel au cœur des préoccupations en mettant l’accent sur des phénomènes comme l’épuisement professionnel et l’usure de compassion. Dans cet article, l’auteure déplore que l’on ait ainsi occulté les répercussions matérielles, psychologiques et sociales auxquelles font face les familles qui doivent défendre les intérêts de leurs enfants dans le système d’éducation américain. Examinant les conflits pédagogiques qui surviennent dans les milieux de l’éducation spécialisée et de l’apprentissage de l’anglais [ELL], l’auteure définit le phénomène qu

  18. Caring Teacher in Developing Empathy in Moral Education (United States)

    Narinasamy, Ilhavenil; Mamat, Wan Hasmah Wan


    In this paper, a case study of an experienced teacher is highlighted illuminating her understanding as a caring agent in the classroom, her caring ways to enhance teacher-student relationships and how she incorporated empathy as a basis of caring in her moral lessons. Methods such as non-participant observations, semi-structured interviews,…

  19. Analysis in application of flexible management in nursing care of general surgery department%柔性管理在普外科护理中的应用分析

    Institute of Scientific and Technical Information of China (English)

    刘燕玲; 焦伟华; 罗惠凤


    目的 探讨柔性管理在普外科护理中的应用效果.方法 以2007年1~10月普外科护理人员21人和患者836例作为研究对象,对其实施柔性管理.以实施柔性管理前2006年1~12月普外科护理人员21人和住院患者797例作为对照,比较柔性管理对护士、患者的影响及护理满意度变化.结果 实施柔性管理后,护士工作和学习热情大大提高,学历和职称层次较实施前明显提高;实施前患者平均住院28 d,人均住院费用12 131元,实施后患者平均住院日下降为20 d,人均住院费用为8764元,实施前后比较差异显著;实施前护理满意度为87.0%,实施后则为97.0%,实施后患者的满意度显著高于实施前.结论 柔性管理在普外科护理中的应用效果显著,适合在实践中更多应用.%Objective To investigate the application effect of flexible management in nursing of general surgery department. Methods 21 nursing staff and 836 patients from January to October, 2007 were selected as research object, and were given flexible management. 21 nursing staff and 797 patients from January to December were selected as the control. The influence of flexible management on nurses and patients and satisfaction degree with nursing work before and after application of flexible management were compared. Results Working and learning enthusiasm greatly improved,educational background and professional titles of nurses increased after application of flexible management. The average hospitalization time was 28 days,the per capita cost was 12 131 yuan,satisfaction degree with nursing was 87.0% before application of flexible management, but the average hospital stay of patients decreased to 20 days, the per capita cost decreased to 8764 yuan and satisfaction degree with nursing increased to 97.0% after application of flexible management. Conclusions Application of flexible management in nursing care of general surgery department showed significant effect,it is

  20. Ultrasensitive and low-volume point-of-care diagnostics on flexible strips – a study with cardiac troponin biomarkers (United States)

    Shanmugam, Nandhinee Radha; Muthukumar, Sriram; Prasad, Shalini


    We demonstrate a flexible, mechanically stable, and disposable electrochemical sensor platform for monitoring cardiac troponins through the detection and quantification of cardiac Troponin-T (cTnT). We designed and fabricated nanostructured zinc oxide (ZnO) sensing electrodes on flexible porous polyimide substrates. We demonstrate ultrasensitive detection is capable at very low sample volumes due to the confinement phenomenon of target species within the ZnO nanostructures leading to enhancement of biomolecular binding on the sensor electrode surface. The performance of the ZnO nanostructured sensor electrode was evaluated against gold and nanotextured ZnO electrodes. The electrochemical sensor functions on affinity based immunoassay principles whereby monoclonal antibodies for cTnT were immobilized on the sensor electrodes using thiol based chemistry. Detection of cTnT in phosphate buffered saline (PBS) and human serum (HS) buffers was achieved at low sample volumes of 20 μL using non-faradaic electrochemical impedance spectroscopy (EIS). Limit of detection (LOD) of 1E-4 ng/mL (i.e. 1 pg/mL) at 7% CV (coefficient of variation) for cTnT in HS was demonstrated on nanostructured ZnO electrodes. The mechanical integrity of the flexible biosensor platform was demonstrated with cyclic bending tests. The sensor performed within 12% CV after 100 bending cycles demonstrating the robustness of the nanostructured ZnO electrochemical sensor platform.

  1. Caring for dying patients: Attitude of nursing students and effects of education

    Directory of Open Access Journals (Sweden)

    Mojtaba Jafari


    Full Text Available Background: Education about caring for dying patients could be effective in changing nursing students′ attitude toward caring for dying patients. Aim: The aim of the present study was to examine the nursing students′ attitude toward caring for dying patients and effects of education on their attitude. Materials and Methods: The present study enjoys a quasi-experimental method with using one-group pre-test/post-test design conducted in Bam in southeast of Iran. The attitude of nursing students was measured using Frommelt Attitude Toward Care of the Dying (FATCOD scale before and after an educational intervention. Data were analyzed using non-parametric tests in Statistical Package for the Social Sciences (SPSS 18 software. Results: Of 32 students, 30 participated in this study (response rate of 94%. Only 20% of the students reported previous experience of dying patients in their clinical courses. Students showed moderately negative to neutral attitudes toward caring for dying patients. Education has improved students′ attitude significantly (mean score of FATCOD before study were 3.5 ± 0.43 and after intervention were 4.7 ± 0.33 ( P < 0.001. Conclusion: Educational programs about death and caring for dying patients should be added to undergraduate nursing curricula. Further research recommended examining nursing students′ knowledge about caring for dying patients and the effect of education on their knowledge.

  2. Improving Flexibility and Accessibility of Higher Education with Web 2.0 Technologies: Needs Analysis of Public Health Education Programs in Bulgaria

    Directory of Open Access Journals (Sweden)

    I. Sarieva


    Full Text Available The case study presented in this paper aims to address the issues related to the use of Web 2.0 technology in public health education in a particular college in Bulgaria in relation to providing flexible and accessible education consistent with the current trends in public health practices. The outcomes of the case study suggest that systematic steps are needed in order to assure effective inclusion of technology into the learning process; these steps include the completion of systematic studies of attrition rate and the reasons for student drop-out, training of administration and faculty members in effective incorporation of Web 2.0 technologies, introduction and promotion of Medicine 2.0 practices, and initiating the planning of design and development of Web 2.0 learning applications and environments in Bulgarian which is the language of instruction.

  3. An Overview of Research in Ireland Pertaining to Early Childhood Education and Care 1990-2003


    Walsh, Thomas


    The Centre for early Childhood Development and Education (CECDE) was launched in 2002 by the Minister for Education and Science and is jointly managed by the Dublin Institute of Technology and St. Patrick’s College. The remit of the CECDE is to develop, co-ordinate and enhance early childhood care and education in Ireland. The 3 objectives of the CECDE are to: > To develop a quality framework for early childhood education, > To develop targeted interventions on a pilot basis for childre...

  4. "Flexible Control": Towards a Conception of Personal Autonomy for Postmodern Education (United States)

    Aviram, Roni; Yonah, Yossi


    This article offers a way to salvage the ideal of the autonomous person from the predicament besetting it and to reclaim it as a worthy and respectable ideal. Carefully maneuvering around this ideal, jettisoning its obsolete qualities while reaffirming its sound ones, the authors offer outlines for a conception of personal autonomy suitable for…

  5. The Family, Flexible Work and Social Cohesion at Risk. (United States)

    Carnoy, Martin


    Because of women's increased participation in the labor market, there is an increasing pressure on families. Women are expected to provide stability, focus on child development, and bolster colleagues against unemployment and retraining, whereas society is expected to provide child care facilities and flexible education. (JOW)

  6. Adding flexibility to physician training. (United States)

    Mahady, Suzanne E


    Demographic changes among junior doctors are driving demand for increased flexibility in advanced physician training, but flexible training posts are lacking. Suitable flexible training models include flexible full-time, job-share and part-time positions. Major barriers to establishing flexible training positions include difficulty in finding job-share partners, lack of funding for creating supernumerary positions, and concern over equivalence of educational quality compared with full-time training. Pilot flexible training positions should be introduced across the medical specialties and educational outcomes examined prospectively.

  7. Supporting Nutrition in Early Care and Education Settings: The Child and Adult Care Food Program (CACFP) (United States)

    Stephens, Samuel A.


    Child care centers, Head Start programs, and family child care providers serving young children--as well as after school programs and homeless shelters that reach older children, adults, and families--are supported in providing healthy meals and snacks by reimbursements through the Child and Adult Care Food Program (CACFP). Administered by the…

  8. Flexible Learning in a Digital World. (United States)

    Collis, Betty; Moonen, Jef


    Defines flexible learning and describes components of flexible learning in higher education, including technology, pedagogy or instructional approach, implementation strategies, and institutional framework. Considers factors constraining learning flexibility; changing student characteristics; and the need for lifelong learning, particularly in the…

  9. The impact of self-care education on life expectancy in acute coronary syndrome patients

    Directory of Open Access Journals (Sweden)

    Mahshid Choobdari


    Conclusion: Hospitalized acute coronary syndrome patients have a lower levels of life expectancy. Their life expectancy can increase through providing them with self-care education, which will lead to their independence promotion and self-esteem.

  10. Fragile X-Associated Disorders (FXD): A Handbook for Families, Health Care Providers, Counselors, and Educators (United States)

    Fragile X-associated Disorders (FXD) A Handbook for Families, Health Care Providers, Counselors, and Educators For Personal Use Only ... contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Section 1: Genetics of Fragile X-Associated Disorders . . . . . . . . . . . . . . . 2 Case Scenario of a Family . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...

  11. 实施柔性教育 发展高职教育%On the development of the high vocation education by implementing flexible way

    Institute of Scientific and Technical Information of China (English)

    周晖; 刘建兰; 曹黎华


    We should lay emphasis on the flexibility of the high vocation education, which is implemented by means of working out the flexible talent training pattern, using the flexible teaching way and adopting the flexible teaching management.%高等职业教育的发展必须强调教育的弹性和灵活性,在高职教育中实施柔性教育成为必然。高职院校可以通过制订柔性人才培养模式、运用柔性教学方式、采取柔性教学管理三个途径来实施柔性教育。

  12. International E-Benchmarking: Flexible Peer Development of Authentic Learning Principles in Higher Education (United States)

    Leppisaari, Irja; Vainio, Leena; Herrington, Jan; Im, Yeonwook


    More and more, social technologies and virtual work methods are facilitating new ways of crossing boundaries in professional development and international collaborations. This paper examines the peer development of higher education teachers through the experiences of the IVBM project (International Virtual Benchmarking, 2009-2010). The…

  13. It Effectiveness and Flexibility versus Strategic Alignment: Assessing the Correlative Effects in Higher Education (United States)

    Burke, Michael F.


    Fiscal challenges are forcing institutions of higher education to do more with less, while retaining the quality of service that the institution has established. The net result is that these institutions need to prepare themselves to achieve a sustained competitive advantage. In business, the focus has been on strategic alignment of IT to provide…

  14. Interprofessional education for students of the health professions: the "Seamless Care" model. (United States)

    Mann, K V; Mcfetridge-Durdle, J; Martin-Misener, R; Clovis, J; Rowe, R; Beanlands, H; Sarria, M


    "Seamless Care" was one of 21 grants awarded by Health Canada to inform policymakers of the effectiveness of interprofessional education in promoting collaborative patient-centred practice among health professionals. The "Seamless Care" model of interprofessional education was designed with input from three Faculties at Dalhousie University (Medicine, Dentistry and Health Professions). The design was grounded in relevant learning theories--Social Cognitive Theory, Self-efficacy, Situated Learning theory and Constructivism. The intervention was informed by principles of active learning, problem-based learning, reflection and role modeling. The primary goal of Seamless Care was to develop students' interprofessional patient-centred collaborative skills through experiential learning. Fourteen student teams, each including one student from medicine, nursing, pharmacy, dentistry and dental hygiene, learned with, from and about each other while they were mentored in the collaborative care of patients transitioning from acute care to the community. Student teams providing collaborative care assisted patients experiencing a chronic illness to become more active in managing their health through development of self-management and decision-making skills. This paper describes the Seamless Care model of interprofessional education and discusses the theoretical underpinnings of this experiential model of interprofessional education designed to extend classroom-based interprofessional education to the clinical setting.

  15. Education secured? The school performance of adolescents in secure residential youth care

    NARCIS (Netherlands)

    Harder, Annemiek T.; Huyghen, Anne-Marie N.; Knot-Dickscheit, Jana; Kalverboer, Margrite E.; Köngeter, Stefan; Zeller, Maren; Knorth, Erik J.


    Despite poor school performance by adolescents in secure residential care and the potential importance of education during care, little is known about how to achieve academic success with these adolescents. Therefore, the aim of the present study is to assess adolescents' academic achievement during

  16. Educating Gerontologists for Cultural Proficiency in End-of-Life Care Practice (United States)

    Stein, Gary L.; Sherman, Patricia A.; Bullock, Karen


    An educational program was developed to train practitioners to provide care for patients and families that are responsive to cultural concerns. The aim was to increase knowledge and improve attitudes toward providing culturally proficient and culturally sensitive care for patients and families facing life-threatening illnesses. The program…

  17. End-of-Life Care Education for Psychiatric Residents: Attitudes, Preparedness, and Conceptualizations of Dignity (United States)

    Tait, Glendon R.; Hodges, Brian D.


    Objective: The authors examined psychiatric residents' attitudes, perceived preparedness, experiences, and needs in end-of-life care education. They also examined how residents conceptualized good end-of-life care and dignity. Methods: The authors conducted an electronic survey of 116 psychiatric residents at the University of Toronto. The survey…

  18. The Ethic of Care in Globalized Societies: Implications for Citizenship Education (United States)

    Zembylas, Michalinos


    Illustrating the tensions and possibilities that the notion of the ethic of care as a democratic and citizenship issue may have in discourses of citizenship education in western states is the focus of this article. I first consider some theoretical debates on the definition of an ethic of care, especially in relation to issues of justice and…

  19. The Influence of Immigration Status on Early Childhood Education and Care Enrollment (United States)

    Greenberg, Joy Pastan; Kahn, Jessica M.


    Early childhood education and care has become the norm for children in the United States and most European countries. In the United States, immigrant children, a growing demographic, are under-enrolled, particularly in formal settings. This research revealed that younger children of immigrant mothers were less likely to be in non-parental care,…

  20. Food Reciprocity and Sustainability in Early Childhood Care and Education in Aotearoa New Zealand (United States)

    Ritchie, Jenny


    This article offers a perspective from early childhood care and education in Aotearoa New Zealand. It draws from the data of four recent studies to demonstrate pedagogical practices informed by Indigenous (Maori) perspectives. Maori values, such as "manaakitanga" (caring, hospitality, generosity) and "whanaungatanga"…

  1. Educational needs of general practitioners in palliative care : Outcome of a focus group study

    NARCIS (Netherlands)

    Meijler, WJ; Van Heest, F; Otter, R; Sleijfer, DT


    Background. The objective of this study was to identify the general practitioner's perception of educational needs in palliative care. Method. A qualitative study with focus groups was performed. Results. General practitioners estimate palliative care as an important and valuable part of primary car

  2. Psychological Care in Nursing Education and Practice: A Search for Definition and Dimensions. (United States)

    Priest, Helena M.


    A literature review and analysis of nursing textbooks found little agreement on definition and dimensions of psychological care in nursing. Most texts stress the importance of patients' need for information and education, with less agreement about emotional care, counseling, assessment, and support. (SK)

  3. Values in Danish early childhood education and care

    DEFF Research Database (Denmark)

    Broström, Stig; Jensen, Anders Skriver; Hansen, Ole Henrik


    . The study is part of a larger Nordic project that aims to generate new knowledge on institutionalized fostering of values in Nordic child cares. Democratic values deal with children’s autonomy and possibilities of participation. Caring values are linked to a special relationship that targets and supports...

  4. Globalizing Flexible Work in Universities: Socio-technical dilemmas in internationalizing education

    Directory of Open Access Journals (Sweden)

    Michael Singh


    Full Text Available We engage with and respond to the debate raised by this theme issue of the International Review of Research in Open and Distance Learning with a particular question in mind: namely, as universities are using new labor displacing technologies to export degrees to meet the international demand for higher education, how is this influencing – negatively and positively – the workers involved? Contemporary transitions in political and economic globalization are being used to press universities into becoming ‘transnational businesses,’ seemingly driven by a primary concern for marketing educational commodities. The neo-liberal politics driving these currents in universities are increasing the multiple online and offline networks. These local/ global meshworks engage the labors of a small but growing percentage of the world’s population (Singh, 2002, pp. 217-230. Writing this paper at Jilin University in China, we find that many of our academic colleagues and students have limited access to a personal desktop computer, the Internet, and email. They must pay for timed access to their email accounts and for downloading attachments. They do not have access to high-speed data networks. A timer indicates how long it will take to open and send emails. Around us, construction workers are building massive facilities to house the burgeoning on-campus student population. Their offline education is being supplemented – but not replaced by ever-advancing online technologies.

  5. Quality of Care and Education Provided by Greek Day-Care Centres: An Approach from Researcher's and Early Childhood Educators' Perspective (United States)

    Rentzou, Konstantina


    The present study is aimed at examining the level of quality and care provided by Greek preschool programmes, from the researcher's and early childhood educators' perspectives and verify whether they evaluate with the same way. Research results indicate that according to the researcher's assessment both preschool and infant/toddler classrooms…

  6. Spirituality and spiritual care in in the context of nursing education in South Africa

    Directory of Open Access Journals (Sweden)

    Sandhya Chandramohan


    Full Text Available Background: In order for nursing education to prepare nurses for holistic patient care, it is critical that educators become more aware of the religious and spiritual dimensions in patien tcare and be able to provide adequate knowledge and skills for nurses to offer spiritually-basedc are in an ethical way. Furthermore, spiritual care is an essential component in the nursing context, as nurses have to care for patients who may often turn to the spiritual dimension to cope and heal. These aspects are important issues to be considered in planning what should be taught as part of spiritual care.Objectives: This paper presents findings from a study on nursing practitioners’ views on the role of spiritual care in nursing practice and whether current nursing education has integrated this dimension into teaching.Method: A descriptive survey using a cross-sectional design with 385 nurses was conducted between December 2012 and February 2013. Participants were recruited through multistage random sampling. Data analysis was undertaken using SSPS 0.20.Results: All the participants (n = 385 concurred that spiritual care was a salient component of holistic patient care. They however stated that the primary barriers to providing spiritual care related to uncertainty on how to provide this type of care, and a lack of educational preparedness for this role.Conclusion: The study found that nurses were very accepting of the need for spiritual care as part of their nursing role but that nursing education had not paid adequate attention to integrating this dimension into the nursing curriculum.

  7. Social Work and Interprofessional Education in Health Care: A Call for Continued Leadership (United States)

    Jones, Barbara; Phillips, Farya


    A report from the Interprofessional Education Collaborative and another from the Institute of Medicine cite working as part of interdisciplinary teams as a core proficiency area for improving health care. This article discusses the core competencies of interprofessional education and the essential role for social workers as leaders and…

  8. Early Childhood Education and Care in the Netherlands : Quality, Curriculum, and Relations with Child Development

    NARCIS (Netherlands)

    Slot, P.L.


    The studies reported in this dissertation are part of the national cohort study pre-COOL to evaluate the developmental and educational effects of early childhood education and care (ECEC) provisions in the Netherlands. More specifically, we evaluated the quality of a large representative sample of E

  9. A systematic review of the impact of master's-educated nurses on inpatient care

    Directory of Open Access Journals (Sweden)

    Song Ge


    Conclusion: Developing master's education for nurses may improve the current standard of health care and help meet modern challenges. This topic deserves additional attention at the academic and policy level. This review provides an important reference for Chinese nursing educators and policy makers.

  10. Cooperative Agencies Resources for Education (CARE): 1989-90 Annual Report. (United States)

    Scott-Skillman, Thelma; Fong, Cheryl

    Established by Assembly Bill (AB) 3103, the Cooperative Agencies Resources for Education (CARE) program, currently administered in 44 community colleges throughout the state of California, was developed to help low-income, educationally disadvantaged, welfare-dependent single parents break the dependency cycle. The program provides educational…

  11. Fiction and Film as Teaching Instruments in Higher Health Care Education (United States)

    Persson, Ingrid A. -L.; Persson, Karin


    Teaching of the sciences of behaviour in higher health care education is sparse. The authors believe that students with increased knowledge and education of the human mind and soul would have a wider understanding of the human nature. Physiology describes the anatomy and function of the body, but in order to describe life/the living human, they…

  12. Food and Nutrition Practices and Education Needs in Florida's Adult Family Care Homes (United States)

    Dahl, Wendy J.; Ford, Amanda L.; Gal, Nancy J.


    A statewide survey was carried out to determine food and nutrition practices and education needs of Florida's adult family care homes (AFCHs). The 30-item survey included questions on food and nutrition education, supplement use, and menu planning. Infrequent use of menus and nutrition supplements was reported. A strong need was indicated for…

  13. Food and Nutrition Practices and Education Needs in Florida's Adult Family Care Homes (United States)

    Dahl, Wendy J.; Ford, Amanda L.; Gal, Nancy J.


    A statewide survey was carried out to determine food and nutrition practices and education needs of Florida's adult family care homes (AFCHs). The 30-item survey included questions on food and nutrition education, supplement use, and menu planning. Infrequent use of menus and nutrition supplements was reported. A strong need was indicated for…

  14. Knowledge of Child Abuse and Reporting Practices among Early Care and Education Providers (United States)

    Dinehart, Laura; Kenny, Maureen C.


    This study sought to assess child abuse knowledge and reporting practices of a diverse sample of early care and education (ECE) practitioners. One hundred and thirty-seven practitioners in the state of Florida completed the "Early Childhood Educators Child Abuse Questionnaire." Results revealed that only a minority of participants have…

  15. Processes of Categorisation and the Politics of Belonging in Early Childhood Education and Care: An Infant's Experience in Multi-Age Family Day Care (United States)

    Stratigos, Tina


    Belonging is emerging as an important concept for early childhood education and care. However, it is one that requires further theorisation beyond everyday or romanticised understandings. The politics of belonging provides a potentially productive focus for thinking about belonging in early childhood education and care because of its attention to…

  16. Educational differences in the cognitive functioning of grandmothers caring for grandchildren in South Korea. (United States)

    Jun, Hey Jung


    This study examined the effects of grandchild care on the cognitive functioning of Korean grandmothers and the moderating role of education. Data were drawn from the Korean Longitudinal Study of Ageing (KLoSA), a nationally representative sample of middle-aged and older adults (N = 2,341). Contrary to much of the current literature, grandchild care was found to be potentially beneficial for grandmothers. For the entire sample, child care had instantaneous effects on grandmothers' cognition, although there were no longitudinal effects. However, when the sample was divided into grandmothers with higher and lower education, child care was both instantaneously and longitudinally beneficial to cognition for grandmothers with higher education. For less educated grandmothers, child care did not have either immediate or lagged effects on cognition. The results partially support the "Use It or Lose It" hypothesis and the "Scaffolding Theory of Cognitive Aging," suggesting that engagement in social activities is beneficial to cognitive health in later life. Results are congruent with previous studies noting that the effects of grandchild care on grandparents are contingent on various conditions and factors such as the educational level of grandparents.

  17. A palliative care educational intervention for frontline nursing home staff: the IMPRESS project. (United States)

    Wen, Aida; Gatchell, Greg; Tachibana, Yukako; Tin, Maung Maung; Bell, Christina; Koijane, Jeannette; Zeri, Kenneth; Masaki, Kamal


    The purpose of this study was to examine nursing home staff perceptions of end-of-life (EOL) care skills after an educational intervention. IMPRESS (IMproving PRofessional Education and Sustaining Support) was a quality improvement EOL care educational intervention (six lectures on core palliative care concepts) for frontline nursing home staff at five community nursing homes. Questionnaires were completed to evaluate frequency of application of palliative care skills before and after the educational series. Nursing home staff reported applying palliative care skills significantly more frequently after the intervention. A significant dose-response association was noted between number of inservice sessions attended and improvement in scores: Scores increased 0.04 points for staff who attended two of the six sessions, 0.12 for four sessions attended, and 0.46 for five to six sessions attended (p = 0.03). The results indicate that frontline nursing home staff who attend inservice sessions on core palliative care topics can significantly increase self-reported application of palliative care skills.

  18. Construction of elderly identity within an education programme for care workers

    DEFF Research Database (Denmark)

    Jensen, Anne Winther

    , the paper focuses on how elderly identity is constructed within an adult basic education programme in the social and health care sector in Denmark. The programme being involved is for adults who would like to work in the social and health care sector at a basic level; the programme consists of theoretical......Elderly living in nursing homes or receiving home help in their private homes are often very dependent on the help provided by care workers. The paper deals with how the character of the provided help is influenced by the way the care workers perceive the elderly and their situation. In particular...... an educational research project; however as the programme being studied is withinThe Basic Social and Health Education Programmes in Denmark, Elderly Identity is an important subtheme....

  19. Palliative Care Education: Focusing on Care and Not Just Disease | Division of Cancer Prevention (United States)

    At the Institute for Palliative Medicine (IPM) in San Diego, medical residents are re-tooling for one of the most essential aspects of medicine: caring for seriously ill patients. “The goal is to teach them the core competencies in palliative care,” explained Dr. Charles von Gunten, the institute’s provost. |

  20. Investing in Our Future: The Early Years. First Singapore Conference on Preschool Education: Promoting Quality Care and Education for Preschoolers (Singapore, December 2-3, 1998). (United States)

    Tan-Niam, Carolyn, Ed.; Ling, Quah May, Ed.

    Informed by current thinking and supported by data gathered in Singapore, this volume compiles a selection of papers presented at the First Singapore Conference on Preschool Education: Promoting Quality Care and Education for Preschoolers. The papers are: (1) "Introduction: Issues in Quality Provision for Preschool Care and Education" (Carolyn…

  1. Development of Automatic Live Linux Rebuilding System with Flexibility in Science and Engineering Education and Applying to Information Processing Education (United States)

    Sonoda, Jun; Yamaki, Kota

    We develop an automatic Live Linux rebuilding system for science and engineering education, such as information processing education, numerical analysis and so on. Our system is enable to easily and automatically rebuild a customized Live Linux from a ISO image of Ubuntu, which is one of the Linux distribution. Also, it is easily possible to install/uninstall packages and to enable/disable init daemons. When we rebuild a Live Linux CD using our system, we show number of the operations is 8, and the rebuilding time is about 33 minutes on CD version and about 50 minutes on DVD version. Moreover, we have applied the rebuilded Live Linux CD in a class of information processing education in our college. As the results of a questionnaires survey from our 43 students who used the Live Linux CD, we obtain that the our Live Linux is useful for about 80 percents of students. From these results, we conclude that our system is able to easily and automatically rebuild a useful Live Linux in short time.

  2. Caring behaviours of student nurses: Effects of pre-registration nursing education. (United States)

    Loke, Jennifer C F; Lee, Kah Wai; Lee, Bryant K; Mohd Noor, Asmah


    In an increasing technologised and cost-constrained healthcare environment, the role of pre-registration nursing education in nurturing and developing the professional caring disposition of students is becoming far more critical than before. In view of this growing demand, the aim of this study was to evaluate the impact of Singapore's pre-registration nursing programmes on students' concept of caring. A descriptive quantitative cross-sectional survey collected data using the Caring Behaviour Inventory from first and final year student nurses, nurse lecturers and nurses in practice. The findings based on student surveys indicated a statistically significant reduction in the overall level of caring behaviour in first to final year students. When compared with the findings of lecturers and nurses, less variance to lecturers than to nurses was found amongst the first years' score, and the lowest variance to nurses was demonstrated amongst the final year. A greater reduction was evidenced amongst Singaporean students, which was exaggerated with exposure to pre-enrolled nursing education and magnified with caring job experience. This study indicates more effort is necessary to harness student caring attributes in students' entire educational journey so that expressive caring is not subsumed in the teaching of students to meet demands of complicated contemporary care.

  3. Expanding palliative care nursing education in California: the ELNEC Geriatric project. (United States)

    Kelly, Kathe; Thrane, Susan; Virani, Rose; Malloy, Pam; Ferrell, Betty


    In the past decade, the Robert Wood Johnson Foundation's 2002 report Means to a Better End: A Report on Dying in America Today and other studies brought attention to deficiencies in care of the dying in the USA. Palliative care's mandate is to promote a 'good death' through expert symptom management and compassionate care that addresses the psychosocial needs and dignity of persons at the end of life. The End-of-Life Nursing Education Consortium (ELNEC) Geriatric 'train-the-trainer' project was launched in 2007 to increase the knowledge and educational skills of nurses and unlicensed staff providing end-of-life care for older adults in nursing homes, skilled nursing facilities, long-term care, and hospices. From 2007 through 2009, 351 California-based nurses and nursing home staff attended one of four ELNEC Geriatric courses. This paper describes programme development, implementation, follow-up evaluations, and examples of participants' use of the ELNEC Geriatric curriculum.

  4. Flexible supercapacitors

    Institute of Scientific and Technical Information of China (English)

    Shan Shi; Chengjun Xu; Cheng Yang; Jia Li; Hongda Du; Baohua Li; Feiyu Kang


    Flexible supercapacitors show a great potential for applications in wearable,miniaturized,portable,largescale transparent and flexible consumer electronics due to their significant,inherent advantages,such as being flexible,lightweight,low cost and environmentally friendly in comparison with the current energy storage devices.In this report,recent progress on flexible supercapacitors,flexible electrodes and electrolytes is reviewed.In addition,the future challenges and opportunities are discussed.

  5. A novel educational programme to improve knowledge regarding health care-associated infection and hand hygiene. (United States)

    Fitzpatrick, Maureen; Everett-Thomas, Ruth; Nevo, Igal; Shekhter, Ilya; Rosen, Lisa F; Scheinman, Stephen R; Arheart, Kristopher L; Birnbach, David J


    Lack of hand hygiene by health-care workers is the most significant cause of health care-associated infection. This programme was designed to make health-care workers want to wash their hands, to change their knowledge regarding hand hygiene and health care-associated infection, and influence practice. Improvement between pre- and post-test scores was statistically significant. Compliance is a multifactorial problem that involves knowledge and behaviour. Educational awareness and frequent reminders are critical to maintain high rates of hand hygiene compliance.


    Directory of Open Access Journals (Sweden)

    Ricardo Antunes


    Full Text Available Our presentation treats the proposed theme – Mode of production and education – by seeking an initial sistematisation of this problematic in the form of three notes. The first suggests some elements for a broad understanding of Marx’s concept of mode of production. The second suggests some differences present in different forms of alienation and estrangement present in the Twentieth century, and the third explores some distinct modes of education for capital under capitalism, which we define as the pragmatism of specialisation, in its taylorist-fordist variant, and the pragmatism of flexible liofilization in the eara of toyotism and flexible accumulation. I have concluded with a brief excerpt introducing some angles for considering education beyond the constraints of capital.

  7. Caring for the Ethical Ideal: Nel Noddings on Moral Education (United States)

    Bergman, Roger


    Nel Noddings is arguably one of the premier philosophers of moral education in the English-speaking world today. Although she is outside the mainstream theory, research, and practice traditions of cognitive-developmentalism (the Kohlberg legacy) and of character education (which is in public ascendancy), her body of work is unrivalled for…

  8. Pharmaceutical Education and the Translation of Pharmaceutical Care into Practice. (United States)

    Newton, Gail D.


    A systematic approach to reform of pharmaceutical education is seen as necessary to link intended outcomes of reform to a progressive and generally accepted mission of professional practice. Cooperation between pharmaceutical education, professional organizations, and regulatory agencies is viewed as necessary and refinement of professional…

  9. The Role of Medical Informatics in Primary Care Education

    Directory of Open Access Journals (Sweden)

    PJ McCullagh


    Full Text Available This paper investigates the ability of a group of Primary Care professionals to acquire appropriate document retrieval skills, so that they can apply evidence based health care techniques to their various Primary Care roles. The participants, most of whom had little prior experience of the Internet, were enrolled on a two-year part-time Postgraduate Diploma / MSc in Primary Care. As part of the course, they took a compulsory 12-week module in Medical Informatics. A specific task was set: to find appropriate information on Meningococcal Meningitis and Public Health, by using National Library of Medicine's PUBMED bibliographic retrieval system and other unspecified Internet sources. A supplementary piece of coursework required the group to become information providers by providing tutorials on the world wide web. Analysis of the reports showed that the participants were able to learn and use the information tools successfully and that appropriate skills can be transferred in a short time. Overall nine were positive as to the benefits of the evidence-based approach contributing to local health care, with nine expressing mixed views and two having more negative opinions.

  10. Self-care instructions: do patients understand educational materials? (United States)

    Wong, M


    As health care providers we are not in a position to teach reading. We do, however, have a legal and an ethical obligation to provide patients with self-care instructions they can understand. Because the methods presented for enhancing patient understanding of self-care instructions are relatively new, and because nurses are just beginning to be aware of the need for such interventions, it will be a while before the ideal situation exists. Ideally, each pamphlet or set of instructions would be coded with the reading grade level needed to understand it and each patient's reading level would be recorded in the chart. Under such "perfect" circumstances it would be easy for nurses to provide patients with instructions at the appropriate reading level. For now, any step that nurses take toward making self-care a reality for patients who read poorly is a step in the right direction. People with poor reading skills are less adept at formulating questions than good readers because they lack vocabulary and the ability to analyze written material. Rather than be regarded as stupid, many choose not to verbalize their lack of understanding. This phenomenon puts a large group of patients at risk for health complications related to inadequate understanding of self-care directions.

  11. Development of a food allergy education resource for primary care physicians

    Directory of Open Access Journals (Sweden)

    Teuber Suzanne S


    Full Text Available Abstract Background Food allergy is estimated to affect 3–4% of adults in the US, but there are limited educational resources for primary care physicians. The goal of this study was to develop and pilot a food allergy educational resource based upon a needs survey of non-allergist healthcare providers. Methods A survey was undertaken to identify educational needs and preferences for providers, with a focus on physicians caring for adults and teenagers, including emergency medicine providers. The results of the survey were used to develop a teaching program that was subsequently piloted on primary care and emergency medicine physicians. Knowledge base tests and satisfaction surveys were administered to determine the effectiveness of the educational program. Results Eighty-two physicians (response rate, 65% completed the needs assessment survey. Areas of deficiency and educational needs identified included: identification of potentially life-threatening food allergies, food allergy diagnosis, and education of patients about treatment (food avoidance and epinephrine use. Small group, on-site training was the most requested mode of education. A slide set and narrative were developed to address the identified needs. Twenty-six separately enrolled participants were administered the teaching set. Pre-post knowledge base scores increased from a mean of 38% correct to 64% correct (p 95% indicated that the teaching module increased their comfort with recognition and management of food allergy. Conclusion Our pilot food allergy program, developed based upon needs assessments, showed strong participant satisfaction and educational value.

  12. Watson’s Human Caring Theory: Pertinent Transpersonal and Humanities Concepts for Educators

    Directory of Open Access Journals (Sweden)

    Carey S. Clark


    Full Text Available Jean Watson’s Theory of Human Caring and the caring moment are based in part in the concepts of transpersonal psychology. This paper will provide a historical background around transpersonal psychology and how it relates to Watson’s human caring moment. The purpose of explicating these humanities-based concepts is to support nurses and nurse educators in creating a deeper understanding of Watson’s caring-healing moment as a time-space continuum, where the nurse’s caring supports a mutually created environment for healing. The article provides useful background information, as well as outlining simple steps to revising nursing curricula so that they become supportive of nursing students’ growth as transpersonal-caring beings.

  13. Conversation Salons: A Flexible Format for Open Discourse in Dental Education. (United States)

    Quick, Karin K


    A series of conversation salons was created at the University of Minnesota School of Dentistry as an innovative format with the objective of engaging students, faculty, staff, and practitioners in discussion to promote reflection. The aim of this study was to explore the nature of students' abilities in the salons to connect experiences through reflection and apply what they learned to practice. Reflective essays (written during the summer and fall semesters of 2014) from 108 fourth-year dental students (all members of the Class of 2015) were read and assessed for the nature of reflection, number of connections, references to the past, applications to the future, and use of examples. For analysis, the theoretical works of Schön and Mezirow provided a useful framework. Overall, the results showed that the participants found the salon experience to be positive, and student participation was strong. When asked about learning, the most frequent responses were topic-related. At this stage of dental education, the students were largely focused on their future practice and found it easier to connect to an imagined future than a past experience. In terms of student abilities to reflect, the majority were skilled at simple reflection, based on these essays since only 18% were non-reflective and 15% showed strong critical reflection skills. The open and respectful environment of the salons enabled discussion and promoted reflection. These results suggest that more opportunities for collegial conversations and instruction in reflective practice earlier in the dental curriculum may be beneficial.

  14. Incorporating human rights into reproductive health care provider education programs in Nicaragua and El Salvador. (United States)

    Reyes, H Luz McNaughton; Zuniga, Karen Padilla; Billings, Deborah L; Blandon, Marta Maria


    Health care providers play a central role in the promotion and protection of human rights in patient care. Consequently, the World Medical Association, among others, has called on medical and nursing schools to incorporate human rights education into their training programs. This report describes the efforts of one Central American nongovernmental organization to include human rights - related content into reproductive health care provider training programs in Nicaragua and El Salvador. Baseline findings suggest that health care providers are not being adequately prepared to fulfill their duty to protect and promote human rights in patient care. Medical and nursing school administrators, faculty, and students recognize the need to strengthen training in this area and are enthusiastic about incorporating human rights content into their education programs. Evaluation findings suggest that exposure to educational materials and methodologies that emphasize the relationship between human rights and reproductive health may lead to changes in health care provider attitudes and behaviors that help promote and safeguard human rights in patient care.

  15. Exploring the meaning of caring amongst student midwives, professional midwives and educators in Tshwane, South Africa

    Directory of Open Access Journals (Sweden)

    Mmajapi E.T. Masala-Chokwe


    Full Text Available Background: In spite of caring being the core of midwifery and nursing, there is a constant public outcry about uncaring behaviours of midwives towards clients. Local media reports and recent discussion in the health system have highlighted the concerns regarding caring behaviours of midwives. Thus, there is a need to compare the meaning of caring from the perspectives of student midwives, midwives and educators.Aims: The aim of this article was to determine the meaning of caring from the perspectives of the undergraduate student midwives, the professional midwives, and the educators teaching midwifery in Tshwane.Setting: The study was conducted at healthcare institutions which the undergraduate studentmidwives attended for work integrated learning and at nursing education institutions inTshwane, South Africa.Methods: The strategy was qualitative and exploratory in nature. The population comprised student midwives, professional midwives and educators. Purposive sampling was done. Focus group discussions were held with student midwives and professional midwives, whilst the naïve sketch form was used as data-collection instrument for educators. Content data analysis was done. The total sample realised was 38.Results: The findings revealed that ‘caring’ was taken to mean being well conversant, up to-date and proficient in the field of work as well as considerate and respectful to others. The professional midwives indicated that they have seen colleagues demonstrate uncaring behaviour whilst educators emphasised respect as caring.Conclusion: The student midwives, professional midwives and educators described caring as being a competent nurse with compassion and respect for others.

  16. Advancing patient-centered care through transformative educational leadership: a critical review of health care professional preparation for patient-centered care

    Directory of Open Access Journals (Sweden)

    Lévesque MC


    Full Text Available Martine C Lévesque,1,2 Richard Bruce Hovey,2,3 Christophe Bedos2,4 1Faculté de médecine, Université de Montréal, Montréal, QC, Canada; 2Division of Oral Health and Society, Faculty of Dentistry, McGill University, Montreal, QC, Canada; 3Faculty of Medicine, University of Calgary, Calgary, AB, Canada; 4Département de médecine sociale et préventive, Faculté de médicine, Université de Montréal, Montréal, QC, Canada Abstract: Following a historical brief on the development of patient-centered care (PCC, we discuss PCC's value and role in counterbalancing the evidence-based movement in health care. We in turn make a case for a philosophical shift in thinking about the PCC concept, one based on a consideration for how knowledge is produced, used, and valued within care provision processes. A “shared epistemology” foundation is presented, defined, and promoted as essential to the authentic and ethical realization of “shared decision making” between patient and health care provider, and, more generally, of PCC. In accordance with these views, this article critically reviews the literature on health care professional education for the development of PCC. We uncover the disturbing ways in which education frequently undermines the development of patient centeredness, despite curricular emphasis on professionalism and ethical PCC. We also establish the need to raise awareness of how dominant approaches to evaluating student or practitioner performance often fail to reinforce or promote patient centeredness. Finally, we identify successful and inspiring cases of teaching and learning experiences that have achieved perspective transformation on PCC and on new ways of providing care. The pertinence of adopting the theoretical foundations of adult transformative learning is argued, and a call to action is proposed to the leadership of health professional educators across all disciplines. Keywords: patient-centered care, health professional

  17. Osteopathic Students' Graduate Medical Education Aspirations Versus Realities: The Relationship of Osteopathic Medicine and Primary Care. (United States)

    Cummings, Mark


    Osteopathic medicine is closely identified with primary care. The mission statements of a majority of colleges of osteopathic medicine (COMs) mention the goal of producing primary care physicians. By far, there are more family medicine and internal medicine residency programs in the American Osteopathic Association graduate medical education (GME) system than programs for any other specialty. In addition, the osteopathic profession is embarking on a new direction to ensure COM graduates are trained as practice-ready primary care physicians. In counterpoint to the osteopathic profession's emphasis on primary care, the majority of entering and graduating osteopathic medical students express preferences for residencies in non-primary care specialties. When graduating students confront their GME options, however, they discover their choices for non-primary care specialties are limited. Currently, approximately two-thirds of COM graduates end up in a primary care residency. The creation of a unified GME accreditation system under the Accreditation Council for Graduate Medical Education (ACGME) may further consolidate the osteopathic identity with primary care: Osteopathic training institutions may reduce the number of non-primary care programs they offer, which would allow them to increase enrollment in primary care programs to meet ACGME standards and remain below their Medicare caps. Additionally, in the National Resident Matching Program Match, selection patterns by program directors for competitive non-primary care residencies currently favor U.S. MDs. Therefore, while osteopathic students enter COMs aspiring to careers in non-primary care specialties, they are encountering a GME environment that offers them a shrinking number of alternatives.

  18. Nurses’ Empowerment in Self-Care Education to Stroke Patients: An Action Research Study (United States)

    Aslani, Zahra; Alimohammadi, Nasrollah; Taleghani, Fariba; Khorasani, Parvaneh


    ABSTRACT Background: Self-care needs are major problems among stroke patients. Nurses can support them through interventions such as education, a change in their attitude and emphasis on their remaining abilities. However, research has shown some weak points in the quality of care given to these patients. So the aim of this study was to improve the nurses’ practice in self-care education to stroke patients. Methods: The findings of evaluation phase showed that during action research, approaching the nurses’ empowerment in self-care education to stroke patients has been set in motion. The nursing practice improvement, knowledge based practice, nurses’ attitude change, ability to respond against routinization, and motivation promotion emphasize the success of change process. Facilitators and barriers of educating patients are acknowledged by the participants as a factor influencing the continuation of change. Results: The lack of nurses’ educating performance skills was overcome using action research and changes were made to improve the performance of nurses. Conclusions: The lack of nurses’ educating performance skills was overcome using action research and changes were made to improve the performance of nurses. PMID:27713896

  19. Determinants of and opportunities for continuing education among health care professionals in public health care institutions in Jimma township, Southwest Ethiopia

    Directory of Open Access Journals (Sweden)

    Fentahun N


    Full Text Available Netsanet Fentahun,1 Ashagre Molla21Department of Health Education and Behavioral Sciences, 2Department of Nursing, Jimma University, Jimma, EthiopiaBackground: An effectively prepared and continually updated workforce of health professionals is essential to maintenance and improvement in patient care. The major goal of continuing education is to improve and promote quality care. Continuing education is also important to an organization's strategic plan because of its positive influence on the quality of care provided. The purpose of this study was to identify the determinants of and opportunities for continuing education among health care professionals at public health facilities in Jimma township.Methods: A cross-sectional study of 319 health care professionals working in the public health facilities of Jimma township was conducted from January 10, 2012 to February 28, 2012. A self-administered questionnaire was used to collect the data. First, descriptive analysis was done to describe the characteristics of the study participants. Finally logistic regression was then used to determine the independent predictors of continuing education.Results: Only 70 (25% of the study participants were participating in continuing education. As working experience increased, participation in continuing education did not steadily increase. The working hours per week were higher for diploma holders than for those with any other qualification. One hundred and fifty-three (71.8% participants mentioned lack of support from their current employer as the reason for not participating in continuing education. Health care professionals with a lack of support from management were 2.4 times more likely not to participate in advanced education. Health care professionals with lack of funding were 0.3 times less likely to participate in advanced education. Health care professionals with lack of resources other than financial were 2.2 times more likely not to participate in

  20. The facilitators’ point of view regarding the primary health care planning as a continuing education program

    Directory of Open Access Journals (Sweden)

    Kênia Lara Silva


    Full Text Available This is a qualitative study that aims at analyzing the Primary Health Care Strategic Planning in a continuing education process, as well as the professional’s formation to work as facilitators in it. Data was obtained through interviews with 11 nurses that had acted as the plan’s facilitators in a municipality within Belo Horizonte. The results indicate that the experience as facilitators allowed them to reflect on the work process and this practice contributed to the incorporation of new tools to the primary health care system. The participants reported the difficulties faced when conducting the experience and the gap in the professionals’ formation to act in the PHC and to put into practice the processes of continuing education on a day to day basis. In conclusion, the Planning represents an important continuing education strategy and it is significance to transform processes and practices in the primary health care service.

  1. Importance of patient education on home medical care waste disposal in Japan

    Energy Technology Data Exchange (ETDEWEB)

    Ikeda, Yukihiro, E-mail:


    Highlights: • Attached office nurses more recovered medical waste from patients’ homes. • Most nurses educated their patients on how to store home medical care waste in their homes and on how to separate them. • Around half of nurses educated their patients on where to dispose of their home medical care waste. - Abstract: To determine current practices in the disposal and handling of home medical care (HMC) waste, a questionnaire was mailed to 1965 offices nationwide. Of the office that responded, 1283 offices were analyzed. Offices were classified by management configuration: those attached to hospitals were classified as ”attached offices” and others as “independent offices”. More nurses from attached offices recovered medical waste from patients’ homes than those from independent offices. Most nurses educated their patients on how to store HMC waste in their homes (79.3% of total) and on how to separate HMC waste (76.5% of total). On the other hand, only around half of nurses (47.3% from attached offices and 53.2% from independent offices) educated their patients on where to dispose of their HMC waste. 66.0% of offices replied that patients had separated their waste appropriately. The need for patient education has emerged in recent years, with education for nurses under the diverse conditions of HMC being a key factor in patient education.

  2. The impact of managed care on graduate medical education and academic medical centers. (United States)

    Bolognia, J L; Wintroub, B U


    The goal of this article is to examine the present and future impact of managed care on graduate medical education (GME) and academic medical centers. Obviously, the later 2 entities are closely intertwined and will share in the consequences of changes in our medical care systems. However, there are differences in the funding of medical schools as compared with GME provided by teaching hospitals, and an appreciation of the vital issues and concerns requires that each be discussed separately.

  3. Phenomenological perspectives of self-care in healthcare professionals' continuing education

    Directory of Open Access Journals (Sweden)

    Daniele Bruzzone


    Full Text Available Healthcare professionals, daily confronted with existential failty, feel themselves emotionally vulnerable too. For this reason, they need knowledge and tools in order to take care for themselves. Phenomenology provides an epistemological model that includes subjective and affective dimensions and legitimates lived experience as a source of cognition. In the undergraduate and continuing education of healthcare professionals, the phenomenological approach can represent a way of promoting self-care through personal narrative and reflection.

  4. Patient safety skills in primary care: a national survey of GP educators


    Ahmed, Maria; Arora, Sonal; McKay, John; Long, Susannah; Vincent, Charles; Kelly, Moya; Sevdalis, Nick; Bowie, Paul


    Background Clinicians have a vital role in promoting patient safety that goes beyond their technical competence. The qualities and attributes of the safe hospital doctor have been explored but similar work within primary care is lacking. Exploring the skills and attributes of a safe GP may help to inform the development of training programmes to promote patient safety within primary care. This study aimed to determine the views of General Practice Educational Supervisors (GPES) regarding the ...

  5. Educating surgeons for the new golden hours: honing the skills of palliative care. (United States)

    Huffman, Joan L


    All surgeons should maintain a lifetime commitment to education and learning. Those who already are in practice need to make the effort to obtain or refresh their education in basic competencies in palliative care and to provide a measured balance between philosophy and practical skills. Many resources and teaching tools are available to assist in this continuing process: surgical peers (and peers from other medical specialties),journals, textbooks, CME conferences, surgical governance and educational organizations, and palliative care websites. A tremendous summary article on palliative care education for surgeons was published recently in JACS[24]. Surgeons must be competent in the following palliative care skills:communication, holistic patient evaluation, control of pain and symptoms,understanding legal/ethical issues, withdrawing care, and the continuum of acute to chronic to terminal care. If they cannot attend to all of these areas individually, they need to be aware of the local, regional, and national resources that are available to assist the patient (or their surrogate decision maker) and themselves in the end-of-life arena. Consultations and referrals should be accomplished in such a manner that the patient does not feel abandoned by his/her surgeon at such a critical point in his/her life. Practicing surgeons also must be involved actively in the education of resident and medical students in didactic and clinical situations. Most importantly, they must model the appropriate behaviors for their charges personally, whether it be in the consultation room breaking bad news compassionately or at the bedside easing the path to the next world. In these golden hours, the educated surgeon who wields new and mighty resources can be the greatest champion of the patient who is at the end of life.

  6. Connecting Arctic/Antarctic Researchers and Educators (CARE): Supporting Teachers and Researchers Beyond the Research Experience (United States)

    Warburton, J.; Warnick, W. K.; Breen, K.; Fischer, K.; Wiggins, H.


    Teacher research experiences (TREs) require long-term sustained support for successful transfer of research experiences into the classroom. Specifically, a support mechanism that facilitates focused discussion and collaboration among teachers and researchers is critical to improve science content and pedagogical approaches in science education. Connecting Arctic/Antarctic Researchers and Educators (CARE) is a professional development network that utilizes online web meetings to support the integration of science research experiences into classroom curriculum. CARE brings together teachers and researchers to discuss field experiences, current science issues, content, technology resources, and pedagogy. CARE is a component of the Arctic Research Consortium of the U.S. (ARCUS) education program PolarTREC--Teachers and Researchers Exploring and Collaborating. PolarTREC is a three-year (2007-2009) teacher professional development program celebrating the International Polar Year (IPY) that advances polar science education by bringing K-12 educators and polar researchers together in hands-on field experiences in the Arctic and Antarctic. Currently in its second year, the program fosters the integration of research and education to produce a legacy of long-term teacher-researcher collaborations, improved teacher content knowledge through experiences in scientific inquiry, and broad public interest and engagement in polar science. The CARE network was established to develop a sustainable learning community through which teachers and researchers will further their work to bring polar research into classrooms. Through CARE, small groups of educators are formed on the basis of grade-level and geographic region; each group also contains a teacher facilitator. Although CARE targets educators with previous polar research experiences, it is also open to those who have not participated in a TRE but who are interested in bringing real-world polar science to the classroom

  7. Interprofessional education in practice: Evaluation of a work integrated aged care program. (United States)

    Lawlis, Tanya; Wicks, Alison; Jamieson, Maggie; Haughey, Amy; Grealish, Laurie


    Health professional clinical education is commonly conducted in single discipline modes, thus limiting student collaboration skills. Aged care residential facilities, due to the chronic and complex health care needs of residents, provide an ideal placement to provide a collaborative experience. Interprofessional education is widely acknowledged as the pedagogical framework through which to facilitate collaboration. The aim of the evaluation was to assess student attitudes towards collaboration after active involvement in an interprofessional education program. Students studying nursing, occupational therapy, and aged care were invited to complete a version of the Readiness for Interprofessional Learning Scale before and after participating in a three-week pilot interprofessional program. A positive change in student attitudes towards other health professionals and the importance of working in interprofessional teams was reported with significant differences between two statements indicated: Learning with health-care students before qualifications would improve relationships after qualifications; and I learned a lot from the students from the other disciplines. The innovative pilot project was found to enhance student learning in interprofessional teams and the aged care environment. Further development of this and similar interprofessional programs is required to develop sustainable student projects that have health benefits for residents in aged care residential facilities.

  8. Effect of Education on the Awareness of Primigravida Couples toward Infant Care

    Directory of Open Access Journals (Sweden)

    Maryam Bagheri


    Full Text Available Background: Infancy is one of the most critical stages of life, which requires parents to have adequate knowledge in order to provide careful nursing, attention and care for newborns. Given the importance of infant health, it is essential to teach proper child care techniques and principles to primigravida parents. This study aimed to evaluate the effect of education on the awareness of primigravida couples toward infant care. Methods: This clinical trial was conducted on 50 couples in the healthcare centers affiliated to Mashhad University of Medical Sciences, Mashhad, Iran. Study tools were researcher-made questionnaires, and data analysis was performed in SPSS version 16 using analysis of variance (ANOVA. Results: In this study, poor awareness of infant care was observed in the couples before training, which improved to moderate awareness after the educational sessions. Moreover, mean score of parental awareness significantly increased in mothers (P=0.005 and fathers (P=0.05 after the training. Conclusion: According to the results of this study, educational intervention could promote parental awareness in primigravida couples. Therefore, application of this method could help parents to provide nursing care for their newborns.

  9. Nurses′ knowledge and education about oral care of cancer patients undergoing chemotherapy and radiation therapy

    Directory of Open Access Journals (Sweden)

    Radhika R Pai


    Setting and design: A cross sectional descriptive survey was conducted among 158 staff nurses working in oncology related areas from 4 different hospitals of Dakshina Kannada district and Udupi district of Karnataka state, India. Statistical Analysis: descriptive and inferential statistics was used by using SPSS 16 version. Results: Majority 81 (51.3% of the staff nurses had poor knowledge of oral care in cancer patients whereas 87 (55.1% reported that knowledge acquired through basic education in oral care is not sufficient. Most of the staff nurses 115 (72.8% did not receive basic education in oral care of cancer patients. There was significant association between knowledge and variables such as designation (.005, years of work experience (.040 and years of experience in cancer wards (.000 at 0.05 levels. Conclusion: Lack of knowledge suggest the need to develop and implement continuing nursing education programs on oral care specifically for patients receiving cancer treatments, for improving knowledge of staff nurses′ in order to render comprehensive care to the patients. This study also recommends the importance of inclusion of cancer patient specific oral care in the curriculum which can enhance competency of the qualified nurses in cancer wards.

  10. Evaluation of education materials using Orem's self-care deficit theory. (United States)

    Wilson, Feleta L; Mood, Darlene W; Risk, Joanna; Kershaw, Trace


    This article presents Orem's self-care deficit nursing theory as the conceptual framework in the development, design, selection, and evaluation of appropriate written patient education materials for patients with low literacy skills. The model, which includes essential evaluation factors used in literacy research, offers nurses and other professionals a more comprehensive means to judge the suitability of health information and instructional materials. Nurses have a critical role in educating consumers and their families and for providing patients with useful information that will influence their decision-making and participation in care.

  11. High educational attainment moderates the association between dental health-care supply and utilization in Europe. (United States)

    Schulz, Maike; Kunst, Anton E; Brockmann, Hilke


    In line with the theory of supplier-induced demand, an increased physician density often goes along with a higher utilization of medical services, including dental services. This study aimed to assess whether dentist density and self-employment are related to dental care use, and whether these relationships are moderated by patients' educational attainment. We used data from the Survey of Health, Ageing, and Retirement in Europe (SHARE) from over 20,000 respondents, 50 + yr of age, in 13 countries. We conducted multilevel logistic regressions with probability and type of dental treatment on individual education, country-specific dentist density, and dentist remuneration, and their cross-level interaction. Patients with a high educational level were more likely to report a dentist visit (OR = 2.1, 95% CI: 1.912-2.305) and to receive preventive care (OR = 1.9, 95% CI: 1.697-2.043) than those with a low educational level (reference category). Cross-level interaction effects indicated that high dentist density decreases dental care utilization differences between patients with high (OR = 0.996, 95% CI: 0.993-0.999), medium (OR = 0.995, 95% CI: 0.991-0.999), and low education levels. This was also true for prevention use (OR = 0.996, 95% CI: 0.992-0.999 for patients with a high education level, and OR = 0.996, 95% CI: 0.993-1.000 for patients with a medium education level). The findings suggest that although dentist density is positively associated with dental care utilization, patients have differing susceptibilities to dental care supply.

  12. Ethnocultural empathy among students in health care education. (United States)

    Rasoal, Chato; Jungert, Tomas; Hau, Stephan; Edvardsson Stiwne, Elinor; Andersson, Gerhard


    In a multicultural society, ethnocultural empathy has become an important element in most health settings and development of this capacity has become a central component for health care professionals in their interactions with patients and clients. In this study, differences in basic empathy and ethnocultural empathy were explored in a sample of 365 undergraduate students at the beginning and end of four master's programs in health care (medicine, psychology, nursing, and social work). Results showed that it was mainly psychology students in the first semester who had significantly higher general empathic skills and ethnocultural empathic skills compared to students in the other study programs. Few signs of differences between students in their first and in later semesters were obtained. The observed differences may be explained by (a) levels of admission grades and applications requirements or (b) different cultures and expectations from the surrounding milieus in the investigated study programs.

  13. A competency-based approach to nurses' continuing education for clinical reasoning and leadership through reflective practice in a care situation. (United States)

    Goudreau, Johanne; Pepin, Jacinthe; Larue, Caroline; Dubois, Sylvie; Descôteaux, Renée; Lavoie, Patrick; Dumont, Katia


    Newly graduated nurses need to demonstrate high levels of competencies when they enter the workplace. A competency-based approach to their education is recommended to ensure patients' needs are met. A continuing education intervention consistent with the competency-based approach to education was designed and implemented in eight care units in two teaching hospitals. It consists of a series of 30-min reflective practice groups on clinical events that newly graduated nurses encountered in their practice. It was evaluated using a descriptive longitudinal evaluative research design, combining individual and group interviews with stakeholders, the analysis of facilitators' journal entries, and a research assistant's field notes. The results suggest that issues associated with the implementation of the continuing education intervention revolved around leadership for managers, flexibility for nursing staff, and role shifting for the facilitators. Newly graduated nurses who participated in the study noted that the reflective practice sessions contributed to the development of both clinical reasoning and leadership. Nursing managers stated the advantages of the intervention on nurses' professional development and for the quality and safety of care. Following the end of the study, participants from two units managed to pursue the activity during their work time.

  14. Collaboration Around Research and Education (CARE) in Prostate Cancer (United States)


    with degrees): Marva L. Mizell Price, DrPH, MPH, FNP , FAANP, FAAN Primary academic appointment: School of Nursing Secondary appointment (if any...Based Approaches to Health Care 3 Credits Fall 2008 N449 Family Nurse Practitioner ( FNP ) Residency, 4 Credits Fall 2008 N449 FNP Residency, 4...Credits Spring 2008 N303 Program Planning and Evaluation, 3 Credits Spring 2008 N449 FNP Residency 4 Credits Fall 2007 N301 Population Based

  15. Educational Needs of Nurses in Intensive Care Unit for Poisoned Patients

    Directory of Open Access Journals (Sweden)

    Dadpour B


    Full Text Available Objectives: Poisoned patients are at risk of impaired ventilation in many situations. The purpose of this descriptive study was to investigate the impact of educational workshops on nurses' knowledge, confidence, and attitude in taking care of poisoned patients. Materials and Methods: This descriptive study was performed on 60 nursing staff in the intensive care unit (ICU for poisoned patients in Imam Reza (p hospital, Mashhad, Iran. Data was gathered by a researcher-designed questionnaire. Studied scales included perceived importance and novelty of educational meeting, matching with professional and educational needs, illustration of practical and knowledge weaknesses and strength and finally satisfaction in holding regular workshops annually. Two, half day workshops were held and various items were taught with various methods. The knowledge of participants was assessed by pretests and post-tests consisting of 12 items related to workshop topics. The impact of these educational meetings was evaluated and the results were analyzed by the SPSS software. Results: According to the results, workshops improved awareness of nurses about their weakness and strength points, professional knowledge and their interest and attention; likewise all participants had the same opinion about a strong need to hold similar workshops more than once and preferably 2 to 3 times annually. Conclusion: It seems that short educational courses in small groups for reviewing the old data and recent findings in the context of critical care are useful in order to promote the knowledge and skills of ICU staff in taking care of poisoned patients

  16. Educators' working conditions in a day care centre on ownership of a non-profit organization

    Directory of Open Access Journals (Sweden)

    Kusma Bianca


    Full Text Available Abstract Background Working conditions of nursery school teachers have not been scrutinized thoroughly in scientific research. Only a few studies have so far examined work-load and strain in this profession. Preferably, subjective perceptions should be corroborated by data that can be quantified more objectively and accurately. The aim of the present observational field study was to evaluate pedagogical staffs' workflow. Methods In 2009 eleven educators in a day care centre were observed throughout three complete workdays. A total of 250 working hours were recorded. Results An educators' workday lasted on average 07:46:59 h (SD = 01:01:10 h. Within this time span, an average of 02:20:46 h (30.14%, SD = 00:28:07 h were spent on caring, 01:44:18 h on playing (22.33%, SD = 00:54:12 h, 00:49:37 h on educational work (10.62%, SD = 00:40:09, and only 00:05:38 h on individual child contact (1.21%, SD = 00:04:58 h. Conclusion For the first time, educators' workflow in day care centres was studied in real time. Some of the educators' self-reported problems were corroborated. The results of this study form a basis upon which further investigations can be built and measures can be developed for an overall improvement of child care.

  17. Expanding acute care nurse practitioner and clinical nurse specialist education: invasive procedure training and human simulation in critical care. (United States)

    Hravnak, Marilyn; Tuite, Patricia; Baldisseri, Marie


    Programs educating advanced practice nurses (APNs), including acute care nurse practitioners (ACNPs) and clinical nurse specialists (CNSs) may struggle with the degree to which technical and cognitive skills necessary and unique to the care of critically ill patients should be incorporated within training programs, and the best ways these skills can be synthesized and retained for clinical practice. This article describes the critical care technical skills training mechanisms and use of a High-Fidelity Human Simulation (HFHS) Laboratory in the ACNP and CNS programs at the University of Pittsburgh School of Nursing. The mechanisms for teaching invasive procedures are reviewed including an abbreviated course syllabus and documentation tools. The use of HFHS is discussed as a measure to provide students with technical and cognitive preparation to manage critical incidents. The HFHS Laboratory, scenario development and implementation, and the debriefing process are discussed. Critical care technical skills training and the use of simulation in the curriculum have had a favorable response from students and preceptors at the University of Pittsburgh School of Nursing, and have enhanced faculty's ability to prepare APNs.

  18. Important themes in research on and education of young children in day care centres: Finnish viewpoints

    Directory of Open Access Journals (Sweden)

    Maritta Hännikäinen


    Full Text Available The aim of this article is to outline important themes, according to Finnish early childhood education researchers, that need to be addressed in researching and educating children under three years of age in Finland. To achieve this aim, the article divides into two parts. First, we present and discuss the results of a small-scale survey, conducted in Finland, on the views of key informants in the early childhood education units of Finnish universities. Second, the views presented in the survey are used as a starting point to introduce two ongoing qualitative case studies on the everyday life of toddlers in Finnish day care centres. In line with the survey findings, these case studies emphasize in particular the importance of the relational, social nature of children, the educational community, and the sensitivity of the adult for children’s wellbeing in day care groups.

  19. A commitment to high-value care education from the internal medicine community. (United States)

    Smith, Cynthia D; Levinson, Wendy S


    The Alliance for Academic Internal Medicine, American Board of Internal Medicine (ABIM), ABIM Foundation, and American College of Physicians are collaborating to enhance the education of physicians in high-value care (HVC) and make its practice an essential competency in undergraduate and postgraduate education by 2017. This article serves as the organizations' formal commitment to providing a foundation of HVC education on which others may build. The 5 key targets for HVC education are experiential learning and curriculum, environment and culture, clinical support, regulatory requirements, and sustainability. The goal is to train future health care professionals for whom HVC is part of normal practice, thus providing patients with improved clinical outcomes at a lower cost.

  20. Integrating hospital medical care data with pharmaceutical education materials for diabetes self management. (United States)

    Wu, Shwu-Jiuan; Yeh, Yu-Ting; Li, Chun-Chuan; Chiu, Yuan-Ting; Huang, Juei-Fen; Liu, Chien-Tsai


    Diabetic patients need long-term treatment and follow-up exams as well as appropriate self-care pharmaceutical education to get the disease under control and to prevent possible complications. Pharmaceutical treatment plays an essential role in diabetes. If patients don't understand the medicines and dosages they take, their blood glucose control may be affected. In addition, the possibility of developing hypoglycemia may be increased. In this paper, we enhance the POEM system, previously developed for diabetic patient education, by providing diabetic patients' pharmaceutical education. The new system integrates both diabetic patients' pharmaceutical education information and medical care information to provide them with more comprehensive personalized medication information so that they can access the on-line system afterwards. It also strengthens patients' understanding of pharmaceutical functions, side-effects and relevant knowledge thus increasing patients' adherence of medication orders and having better control in their blood glucose levels.

  1. European higher health care education curriculum: development of a cultural framework. (United States)

    Koskinen, Liisa; Kelly, Hélène Taylor; Bergknut, Eva; Lundberg, Pranee; Muir, Nita; Olt, Helen; Richardson, Eileen; Sairanen, Raija; De Vlieger, Lily


    This article concerns the European Curriculum in Cultural Care Project (2005-2009), which aimed at developing a curriculum framework for the enhancement of cultural competence in European health care education. The project was initiated and supported by the Consortium of Institutes in Higher Education in Health and Rehabilitation, whose goal is to nurture educational development and networking among member institutions. The framework is the result of a collaborative endeavor by nine nurse educators from five different European countries. The production of the framework will be described in accordance with the following tenets: developing cultural competence is a continuing process, cultural competence is based on sensitivity toward others, and cultural competence is a process of progressive inquiry. Critique concerning the framework will be presented.

  2. [Special Report: Adult Education and Primary Health Care. (United States)

    Vijayendra, T.; And Others


    A series of five case studies examines (1) literacy, health, and conscientization in the Mandar region of India; (2) the training of community health workers in Indonesia; (3) the Chinese strategy combining health, political will, and participation; (4) British community-based health education programs, and (5) participatory methodology for…

  3. Advancing Public Health through Continuing Education of Health Care Professionals (United States)

    Hudmon, Karen Suchanek; Addleton, Robert L.; Vitale, Frank M.; Christiansen, Bruce A.; Mejicano, George C.


    This article describes how the CS2day (Cease Smoking Today) initiative positioned continuing education (CE) in the intersection between medicine and public health. The authors suggest that most CE activities address the medical challenges that clinicians confront, often to the neglect of the public health issues that are key risk factors for the…

  4. An International Partnership in Health Care and Education. (United States)

    Arlton, Donna; Miller, Marie

    The faculty achievements and challenges in an international nursing education project between two colleges are presented. In the spring of 1985, the University of Northern Colorado (UNC) and the University Autonomous of Benito Juarez of Oaxaca (UABJO), Oaxaca, Mexico, entered into an international covenant to develop a baccalaureate nursing…

  5. Abortion care training framework for nurses within the context of higher education in the Western Cape. (United States)

    Smit, I; Bitzer, E M; Boshoff, E L D; Steyn, D W


    The high morbidity and mortality rate due to illegal abortions in South Africa necessitated the implementation of abortion legislation in February 1997. Abortion legislation stipulates that registered nurses who had undergone the proposed abortion care training--certified nurses--may carry out abortions within the first 12 weeks of pregnancy. Currently it seems that an inadequate number of nurses are being trained in the Western Cape to provide pregnant women with counselling, to perform abortions and/or refer problem cases. No real attempts have since been made by higher education institutions in the Western Cape to offer abortion care training for nurses. This case study explores the situation of certified nurses and the context in which they provide abortion care in different regions of the Western Cape. The sampling included a random, stratified (non-proportional) number of designated state health care facilities in the Western Cape, a non-probability purposive sampling of nurses who provided abortion care, a non-probability convenience sample of women who had received abortion care, and a non-probability purposive sampling of final-year pre-registration nursing students. Data was generated by means of questionnaires, a checklist and semi-structured interviews. The main findings of this study indicate that the necessary infrastructure required for legal abortion is in place. However, the ongoing shortage of trained health care practitioners hampers abortion care services. Deficiencies were identified in the existing provincial protocol as some of the guidelines were either not in use or had become obsolete. Certified midwives who had been trained by the regional offices of the Department of Health: Western Cape were skilled in carrying out the abortion procedure, but other aspects of abortion care mainly carried out by other categories of nurses required more attention. This article suggests a training framework that should provide focus for the development of

  6. Which Early Care and Education Centers Participate in Head Start or Public Pre-Kindergarten? National Survey of Early Care & Education. Technical Report. OPRE Report 2015-92a (United States)

    Administration for Children & Families, 2015


    This report draws on newly available data from the National Survey of Early Care and Education (NSECE) to describe early care and education (ECE) centers that participate in two prominent publicly-funded ECE initiatives: Head Start and publicly-funded pre-kindergarten. Although a great deal is known about Head Start programs, and there are sources…

  7. Flexible Software for Flexible Scheduling (United States)

    Economou, Frossie; Jenness, Tim; Tilanus, Remo P. J.; Hirst, Paul; Adamson, Andy J.; Rippa, Mathew; Delorey, Kynan K.; Isaak, Kate G.

    The JAC Observation Management Project (OMP) provides software for the James Clerk Maxwell (JCMT) and the United Kingdom Infrared (UKIRT) telescopes that manages the life-cycle of flexibly scheduled observations. Its aim is to increase observatory efficiency under flexible (queue) scheduled observing, without depriving the principal investigator (PI) of the flexibility associated with classical scheduling.

  8. Play and playfulness in early childhood education and care.

    Directory of Open Access Journals (Sweden)

    Singer E.


    Full Text Available Play and playfulness are basic features in early childhood education. The elements of play are pleasure, a sense of freedom, and the co-construction of shared meaning through the use of rules or rhythms. Play and learning are closely related in early childhood. But when the focus on the educational benefits of play becomes too strong, the most essential feature of play is lost: children’s pleasure. Young children in group settings often have to adapt to the teachers’ demands related to security, hygiene, and social norms and values. But the playfulness of the teachers helps to overcome differences in power in the caregiver-child relationship and prevents young children from becoming overburdened with strict rules and group discipline. Play and playfulness are a resource of shared pleasure and creativity in learning processes.

  9. Simulation as an educational tool in acute nursing care

    DEFF Research Database (Denmark)

    Larsen, Mona


    education consists of classroom lessons and clinical instruction, however learning acute nursing skills, use of simulation-based education may improve the students’ fundamental knowledge on acute nursing and increase self-efficacy. Furthermore, the students’ may experience the learning process more......1 Hospital of Southwest Jutland, Finsensgade 35, 6700 Esbjerg, Denmark 2 University College South Denmark, Degnevej 16, 6705 Esbjerg, Denmark 3 Institute of Regional Health Research, University of Southern Denmark /Centre Southwest Jutland, Finsensgade 35, 6700 Esbjerg, Denmark Objective: Nursing...... satisfying. The purpose of the study was to investigate if theory based lessons in combination with simulation-based lectures (FAM Camp) were superior to theory based lessons alone on above mentioned variables. Method: This was a controlled intervention study among nursing students at University College...

  10. Weaving interdisciplinary and discipline-specific content into palliative care education: one successful model for teaching end-of-life care. (United States)

    Supiano, Katherine P


    While palliative care is best delivered in an interdisciplinary format, courses teaching the interdisciplinary approach to palliative care are rare in healthcare education. This article describes a graduate-level course in palliative care for students in nursing, pharmacy, social work, and gerontology taught by faculty from each discipline. The overarching goals of this course are to convey core palliative care knowledge across disciplines, articulate the essential contribution of each discipline in collaborative care, and to define interdisciplinary processes learners need to understand and navigate interdisciplinary palliative care. Learning outcomes included increased knowledge in palliative care, enhanced attitudes in practice and application of skills to clinical practice settings, increased ability to contribute discipline-specific knowledge to their teams' discussions, and a sense of increasing confidence in participating in the care of complex patients, communicating with families, and contributing to the team as a member of their own discipline.

  11. The Teen Outreach Reproductive Challenge: Improving Adolescent Health Care Delivery through Peer Education Projects (United States)

    DeMairo, Pauline; Dischell, Jackie; Jouthe, Sorahya A.; Horner, Andrea


    The Teen Outreach Reproductive CHallenge (TORCH) is a peer education program that provides information on various topics relevant to adolescent sexual health to a diverse audience, ranging from teens to health care providers. This information is disseminated through various projects by a group of New York City high-school students who are…

  12. Obesity Prevention Interventions in Early Childhood Education and Care Settings with Parental Involvement: A Systematic Review (United States)

    Morris, Heather; Skouteris, Helen; Edwards, Susan; Rutherford, Leonie


    Partnering early childhood education and care (ECEC) and the home together may be more effective in combating obesogenic risk factors in preschool children. Thus, an evaluation of ECEC obesity prevention interventions with a parental component was conducted, exploring parental engagement and its effect on obesity and healthy lifestyle outcomes. A…

  13. Who's Looking after Whom? The Education of Disaffected Children in Care (United States)

    Sutherland, Ingrid


    The social inclusion of vulnerable children is high on the political agenda in Britain. With policy issues concerning children in care or so-called "looked after children" (LAC) at such a pivotal point, now is the time to ensure that the educational needs of these particularly vulnerable children and young people take centre stage. It…

  14. The Worldwide Expansion of Early Childhood Care and Education, 1985-2010 (United States)

    Wotipka, Christine Min; Rabling, Brenda Jarillo; Sugawara, Minako; Tongliemnak, Pumsaran


    Although early childhood care and education (ECCE) enrollments have expanded significantly around the world since the 1960s, little is known about the economic, social, and cultural drivers explaining this growth. Using country fixed effects and a sample of 117 countries, this study explores three predictors framing the growth of ECCE enrollments…

  15. Naptime Data Meetings to Increase the Math Talk of Early Care and Education Providers (United States)

    Trawick-Smith, Jeffrey; Oski, Heather; DePaolis, Kim; Krause, Kristen; Zebrowski, Alyssa


    Classroom conversations about mathematics--math talk--between early care and education providers and young children have been associated with growth in mathematical thinking. However, professional development opportunities to learn about math teaching and learning are limited in many community-based child development centers. New approaches that…

  16. Early Childhood Education and Care in Europe: Tackling Social and Cultural Inequalities. France (United States)

    Fallourd, Pierre, Comp.


    This contribution from France is based on recently-published documents and in particular on the "Report on the Public Infancy Service for Early Childhood," published in February 2007 by a department of the Prime Minister's Office, the Centre of Strategic Analysis, Social Affairs Section and "Early Childhood Education and Care, a…

  17. Professional Identity in Early Childhood Care and Education: Perspectives of Pre-School and Infant Teachers (United States)

    Moloney, Mary


    This paper explores perceptions of professional identity in the early childhood care and educations sector (ECCE) in the Republic of Ireland (ROI). It is concerned with the status, salary and conditions of those working with children aged four to six in pre-school and primary school settings. Using qualitative methodology, the study garnered…

  18. Disseminating educational innovations in health care practice : Training versus social networks

    NARCIS (Netherlands)

    Jippes, Erik; Achterkamp, Marjolein C.; Brand, Paul L. P.; Kiewiet, Derk Jan; Pols, Jan; van Engelen, Jo M. L.


    Improvements and innovation in health service organization and delivery have become more and more important due to the gap between knowledge and practice, rising costs, medical errors, and the organization of health care systems. Since training and education is widely used to convey and distribute i

  19. Disadvantaged Single Teenage Mothers and Their Children: Consequences of Free Educational Day Care. (United States)

    Campbell, Frances A.; And Others


    Examined the benefits of providing free educational day care to children of single teen-age mothers. Results indicated that the children benefitted intellectually from the program, scoring significantly higher than controls on a general cognitive index. Mothers had an increased likelihood of completing high school, obtaining postsecondary…

  20. Facilitating LGBT Medical, Health and Social Care Content in Higher Education Teaching (United States)

    Davy, Zowie; Amsler, Sarah; Duncombe, Karen


    Increasingly, Lesbian, Gay, Bisexual, and Transgender (LGBT) health care is becoming an important quality assurance feature of primary, secondary and tertiary healthcare in Britain. While acknowledging these very positive developments, teaching LGBT curricula content is contingent upon having educators understand the complexity of LGBT lives. The…

  1. Associations between structural quality aspects and process quality in Dutch early childhood education and care settings

    NARCIS (Netherlands)

    Slot, P.L.; Leseman, P.P.M.; Verhagen, J.; Mulder, H.


    The relationship between structural quality and process quality in early childhood education and care (ECEC) has been addressed in several studies. However, the findings are not conclusive. The present study was conducted in the Netherlands, which has a strongly regulated mid-quality ECEC system reg

  2. Effective Early Childhood Care and Education: Successful Approaches and Didactic Strategies for Fostering Child Development (United States)

    Burger, Kaspar


    This research article attempts to determine strategies that can be used to support children's cognitive and social-emotional development in early childhood care and education programs. By synthesizing empirical evidence about pedagogical techniques that promote children's competencies, the article aims to identify those characteristics of programs…

  3. The Discursive Formation of Health. A Study of Printed Health Education Material Used in Primary Care. (United States)

    Selander, Staffan; Troein, Margareta; Finnegan, John, Jr.; Rastam, Lennart


    Printed educational material on cholesterol, food, and health-related lifestyle changes used in primary care in Sweden are evaluated. Materials (211 different products) are analyzed from two theoretically grounded perspectives: orientation of knowledge and rhetoric. Findings are related to patients' ability to make use of the material. (Author/EMK)

  4. Care & Advocacy: Narratives from a School for Immigrant Youth. Educational Leadership for Social Justice (United States)

    Bennett, Jo


    This is a book of oral narratives, collected from participants at a school created for first-generation, immigrant youth. The narrations from the students, teachers, administration, professional staff, and support personnel document the power of caring relationships in an educational setting. The narratives underscore the importance of teachers,…

  5. Health Care and Education Reconciliation Act of 2010 (Public Law 111-152) (United States)

    US Congress, 2010


    The Health Care and Education Reconciliation Act of 2010 (Public Law 111-152) was put in place to provide for reconciliation pursuant to Title II of the concurrent resolution on the budget for fiscal year 2010 (S. Con. Res. 13). The table of contents for this Act is as follows: (1) Sec. 1. Short title; table of contents. (A) Title--Coverage,…

  6. Doing Relationships and Sexuality Education with Young People in State Care (United States)

    Hyde, Abbey; Fullerton, Deirdre; McKeown, Caroline; Lohan, Maria; Dunne, Laura; Macdonald, Geraldine


    Background: Existing literature indicates that young people in state care have particular sexual health needs that include addressing their social and emotional well-being, yet little has been published as to how these components of sex education are actually delivered by service-providers. Objective: The aim of this study was to analyse the…

  7. Family Income Dynamics, Early Childhood Education and Care, and Early Child Behavior Problems in Norway (United States)

    Zachrisson, Henrik D.; Dearing, Eric


    The sociopolitical context of Norway includes low poverty rates and universal access to subsidized and regulated Early Childhood Education and Care (ECEC). In this context, the association between family income dynamics and changes in early child behavior problems was investigated, as well as whether high-quality ECEC buffers children from the…

  8. Constructions of Social Inclusion within Australian Early Childhood Education and Care Policy Documents (United States)

    Wong, Sandie; Turner, Kay


    Social inclusion discourses have been powerful in informing early childhood policy contexts, both internationally and in Australia (the context of the current study) for the past decade or so. But little research has examined the productive aspects of social inclusion discourses particularly within early childhood education and care (ECEC) policy…

  9. Not Solving Problems, Managing Messes: Competent Systems in Early Childhood Education and Care (United States)

    Urban, Mathias


    EU 2020, the current strategic framework of the European Union (European Commission, 2010) sets ambitious policy goals based on a rather bleak analysis of a complex crisis scenario the Union finds itself in. A key role is given to early childhood education and care to achieve these goals, and "'highest benefits" are predicted for…

  10. Educational and research implications of portable human patient simulation in acute care medicine. (United States)

    Kobayashi, Leo; Patterson, Mary D; Overly, Frank L; Shapiro, Marc J; Williams, Kenneth A; Jay, Gregory D


    Advanced medical simulation has become widespread. One development, the adaptation of simulation techniques and manikin technologies for portable operation, is starting to impact the training of personnel in acute care fields such as emergency medicine (EM) and trauma surgery. Unencumbered by cables and wires, portable simulation programs mitigate several limitations of traditional (nonportable) simulation and introduce new approaches to acute care education and research. Portable simulation is already conducted across multiple specialties and disciplines. In situ medical simulations are those carried out within actual clinical environments, while off-site portable simulations take place outside of clinical practice settings. Mobile simulation systems feature functionality while moving between locations; progressive simulations are longer-duration events using mobile simulations that follow a simulated patient through sequential care environments. All of these variants have direct applications for acute care medicine. Unique training and investigative opportunities are created by portable simulation through four characteristics: 1) enhancement of experiential learning by reframing training inside clinical care environments, 2) improving simulation accessibility through delivery of training to learner locations, 3) capitalizing on existing care environments to maximize simulation realism, and 4) provision of improved training capabilities for providers in specialized fields. Research agendas in acute care medicine are expanded via portable simulation's introduction of novel topics, new perspectives, and innovative methodologies. Presenting opportunities and challenges, portable simulation represents an evolutionary progression in medical simulation. The use of portable manikins and associated techniques may increasingly complement established instructional measures and research programs at acute care institutions and simulation centers.

  11. A Danish international MOOC in professional Care Education

    DEFF Research Database (Denmark)

    Buhl, Mie; Andreasen, Lars Birch; Jensen Mondrup, Henrik


    This article will present the planning of a Danish designed MOOC which shall support a NGO educational programme for professional caregivers in Indonesia initiated by a Danish organisation and in collaboration with Indonesian stakeholders. Firstly, a general overview of MOOC will be presented....... Secondly, pedagogical models for cMOOC and xMOOC and the supporting learning theories will be discussed, including a pedagogical model drawing on Scandinavian ideas of learning as an activity of knowledge construction through project- and problem-based processes in relation to MOOC. Thirdly, the particular...

  12. Intercultural educative strategy to Kankuamo day care workers

    Directory of Open Access Journals (Sweden)

    Marina Sánchez Sanabria


    Full Text Available This article is about an ethnographic and qualitative research aimed at identifying cultural values around babysitting in order to justify an educative program on this issue based on Kankuamo culture experience. To do so, some research tools are case study, interviewing and the community phenomena comprehension. The research process is arranged in three different stages. First, background knowledge about healthcare and nutrition according to human life cycle. Secondly, reflections on nutrition and healthcare matters and changes. Finally, interaction activities in order to spawn dynamic attitudes.

  13. Magnetic resonance imaging in Malawi: contributions to clinical care, medical education and biomedical research. (United States)

    Potchen, M J; Kampondeni, S; Birbeck, G L; Hammond, C A; Gonani, A; Phiri, K S; Seydel, K B; Taylors, T E


    Advanced medical imaging technologies are generally unavailable in low income, tropical settings despite the reality that neurologic disorders are disproportionately common in such environments. Through a series of donations as well as extramural research funding support, an MRI facility opened in Blantyre, Malawi in July 2008. Resulting opportunities for studying common tropical disorders, such as malaria and schistosomiasis, in vivo are promising. The subsequent improvements in local patient care were expected and exceptional and include major revisions in basic care protocols that may eventually impact care protocols at facilities in the region that do not have recourse to MRI. In addition, advanced neuroimaging technology has energized the medical education system, possibly slowing the brain drain. Advanced technologies, though potentially associated with significant fiscal opportunity costs, may bring unexpected and extensive benefits to the healthcare and medical education systems involved.

  14. Flexible Query Answering Systems

    DEFF Research Database (Denmark)

    This book constitutes the refereed proceedings of the 10th International Conference on Flexible Query Answering Systems, FQAS 2013, held in Granada, Spain, in September 2013. The 59 full papers included in this volume were carefully reviewed and selected from numerous submissions. The papers are ...

  15. Educational Ethnography in the Field of Health Care

    DEFF Research Database (Denmark)

    Kramer, Tina

    a model to strengthen patient centred interprofessional and cross-sectorial collaboration skills for students. A model where students from medicine-, physiotherapy-, occupational therapy-, clinical dieticians and nursing bachelor degree programs, as a team, focus on a patient pathway through the health...... care system. The research objective is to investigate clinical educator’s practical competence profile in relation to organizational requirements for the development of interprofessional and cross- sectorial collaboration skills. Methodology/approach; The PhD project’s approach is described as 'multi.......ed. Marcus GE. 1995. Ethnography in/of the World System: The Emergence of Multi-Sited Ethnography. Annual Review of Anthropology, Vol.24, p. 96‐117....

  16. Essential basic and emergency obstetric and newborn care: from education and training to service delivery and quality of care. (United States)

    Otolorin, Emmanuel; Gomez, Patricia; Currie, Sheena; Thapa, Kusum; Dao, Blami


    Approximately 15% of expected births worldwide will result in life-threatening complications during pregnancy, delivery, or the postpartum period. Providers skilled in emergency obstetric and newborn care (EmONC) services are essential, particularly in countries with a high burden of maternal and newborn mortality. Jhpiego and its consortia partners have implemented three global programs to build provider capacity to provide comprehensive EmONC services to women and newborns in these resource-poor settings. Providers have been educated to deliver high-impact maternal and newborn health interventions, such as prevention and treatment of postpartum hemorrhage and pre-eclampsia/eclampsia and management of birth asphyxia, within the broader context of quality health services. This article describes Jhpiego's programming efforts within the framework of the basic and expanded signal functions that serve as indicators of high-quality basic and emergency care services. Lessons learned include the importance of health facility strengthening, competency-based provider education, global leadership, and strong government ownership and coordination as essential precursors to scale-up of high impact evidence-based maternal and newborn interventions in low-resource settings.

  17. Changing the Impact of Nursing Assistants’ Education in Seniors’ Care: the Living Classroom in Long-Term Care (United States)

    Boscart, Veronique M.; d’Avernas, Josie; Brown, Paul; Raasok, Marlene


    Background Evidence-informed care to support seniors is based on strong knowledge and skills of nursing assistants (NAs). Currently, there are insufficient NAs in the workforce, and new graduates are not always attracted to nursing home (NH) sectors because of limited exposure and lack of confidence. Innovative collaborative approaches are required to prepare NAs to care for seniors. Methods A 2009 collaboration between a NH group and a community college resulted in the Living Classroom (LC), a collaborative approach to integrated learning where NA students, college faculty, NH teams, residents, and families engage in a culture of learning. This approach situates the learner within the NH where knowledge, team dynamics, relationships, behaviours, and inter-professional (IP) practice are modelled. Results As of today, over 300 NA students have successfully completed this program. NA students indicate high satisfaction with the LC and have an increased intention to seek employment in NHs. Faculty, NH teams, residents, and families have increased positive beliefs towards educating students in a NH. Conclusion The LC is an effective learning approach with a positive and high impact learning experience for all. The LC is instrumental in contributing to a capable workforce caring for seniors.

  18. Innovation – inside out. Change and stability in social and health care education

    DEFF Research Database (Denmark)

    Wegener, Charlotte


    study of collaborative practices in social and health care educations in Denmark, and it explores activities and interactions among people, the work tasks and the artifacts with which they engage. The multi-sited design is based on the theoretically informed hypothesis that crossing boundaries between...... and health care education. The empirical practice is thus understood to be cross-organizational. The study was carried out on three levels, macro, meso and micro: Policy requirements for change (macro level), managerial strategies and collaboration (meso level) and the daily work tasks in educators......’ and students’ everyday practices (micro level). Based on a pragmatic notion of the ‘situation’ as the unit of analysis, innovation is studied as social practices, embedded in work and training activities and interactions -- in situations across sites where work tasks are performed, where change and innovation...

  19. Health care and patients' education in a European inflammatory bowel disease inception cohort

    DEFF Research Database (Denmark)

    Burisch, J; Vegh, Z; Pedersen, Natalia


    was the Internet (92% vs. 88% p=0.23). In Western Europe, significantly more patients were educated by nurses (19% vs. 1%, pcare differed significantly between Eastern and Western Europe in all...... items, but satisfaction rates were high in both geographic regions. Because of the low awareness and the rising incidence of IBD, general information should be the focus of patient organizations and medical societies. In Western Europe IBD nurses play a very important role in reducing the burden...... care and education of patients with inflammatory bowel disease (IBD). METHODS: A quality of care (QoC) questionnaire was developed in the EpiCom group consisting of 16 questions covering 5 items: time interval between the onset of symptoms and diagnosis, information, education, empathy and access...

  20. Forgiveness Flexibility

    Directory of Open Access Journals (Sweden)

    Tuğba Seda Çolak


    Full Text Available Forgiveness flexibility is the skill to minimize the negative effect of an event by using cognitive, affective and behavioral skills while taking a stand at the end of an injurious process. A number of studies were conducted to test the flexibility of the structure of forgiveness. The theoretical structure, structural validity and the confirmatory factor analysis supported the theoretical structure of forgiveness flexibility. The criterion validity evaluated in similar manners was found high. Forgiveness flexibility designed as a three dimensional structure and its sub-dimensions was confirmed theoretically as the recognition of forgivenessand the internalization of forgiveness through insight and its practice.

  1. The primary care clinic as a setting for continuing medical education: program description. (United States)

    Pérez-Cuevas, R; Reyes, H; Guiscafré, H; Juárez-Díaz, N; Oviedo, M; Flores, S; Muñoz, O


    The Mexican Institute of Social Security (IMSS) is Mexico's Largest state-financed health care system, providing care to 50 million people. This system comprises 1450 family medicine clinics staffed by 14,000 family physicians, as well as 240 secondary care hospitals and 10 tertiary care medical centres. We developed a program of continuing medical education (CME) for IMSS family physicians. The program had 4 stages, which were completed over a 7-month period: development of clinical guidelines, training of clinical instructors, an educational intervention (consisting of interactive workshops, individual tutorials and peer group sessions), and evaluation of both physicians' performance and patients' health status. The pilot study was conducted in an IMSS family medicine clinic providing care to 45,000 people; 20 family physicians and 4 clinical instructors participated. The 2 main reasons for visits to IMSS family medicine clinics are acute respiratory infections and type 2 diabetes mellitus. Therefore, patients being treated at the clinic for either of these illnesses were included in the study. The sources of data were interviews with physicians and patients, clinical records and written prescriptions. A 1-group pretest-posttest design was used to compare physicians' performance in treating the 2 illnesses of interest. We found that the daily activities of the clinic could be reorganized to accommodate the CME program and that usual provision of health care services was maintained. Physicians accepted and participated actively in the program, and their performance improved over the course of the study. We conclude that this CME strategy is feasible, is acceptable to family physicians and may improve the quality of health care provided at IMSS primary care facilities. The effectiveness and sustainability of the strategy should be measured through an evaluative study.

  2. Caring as a core concept in educating midwifery learners: A qualitative study

    Directory of Open Access Journals (Sweden)

    Susan C.D. Wright,


    Full Text Available Caring is the core business of nursing and midwifery, involving a relationship in which the carer is committed to the needs of the one being cared for (Mason-Whitehead, Mcintosh, Bryan & Mason. Caring is the emotion which drives a midwife to care, the motive aimed at assisting someone to grow and self-actualise (Watson. The concern in midwifery is that irrespective of caring being central to the midwifery profession, caring taught in theoretical learning does not always translate into caring behaviour in practice. A qualitative exploratory study examined how midwifery educators impart the skill of caring during theoretical learning and clinical accompaniment, in order to respond to the general complaint made both locally and internationally that midwives are uncaring. The aim was to explore caring during theoretical learning and clinical accompaniment from the perspective of midwifery educators. Participants in the study were midwifery educators teaching midwifery in institutions of learning in Tshwane, South Africa. The naive sketch was used to gather data, wherein one central question was asked and the educators were invited to narrate and respond. Three themes emerged: the meaning of caring; how caring was conveyed during theoretical learning; and how it was conveyed during clinical accompaniment. Although the midwifery educators expressed how they conveyed caring to the learner midwives, it was not evident how caring competencies were assessed in order to ensure caring midwives at the end of training.Omgee is die kernwaarde van ‘n verpleegkundige en vroedvrou. Omgee behels ‘n verhouding waar die person wat omgee verbind is om in die behoeftes van die een wat sorg benodig te voldoen (Mason-Whitehead, Mcintosh, Bryan & Mason. Omgee is die emosie wat die vroedvrou noop om om te gee, om ‘n person te help groei en self-aktualiseer (Watson. Die kwelpunt in verloskunde is dat ongeag van die sentrale belang van omgee vir verloskundiges, die

  3. Education for type 2 diabetes mellitus self-care: from compliance to empowerment

    Directory of Open Access Journals (Sweden)

    Antonio Pithon Cyrino

    Full Text Available Through a critical review of the literature on education for diabetes self-care and self-management, it was sought to point out the inappropriateness of traditional approaches towards compliance with treatment and transmission of information, considering the complexity of self-care under chronic conditions. The influence of the social sciences on the field of studies on chronic degenerative diseases in general, and diabetes in particular, was explored. From this perspective, it can be recognized that the fields of anthropology and sociology have been incorporated into research focusing more on individuals as patients, and on the experience gained through this process. Recently, there has been a slight change within the field of health education research relating to diabetes, with the introduction of strategies that seek to value the experience and autonomy of patients as self-care agents. This paper discusses the strategy for empowerment in education for diabetes self-care and self-management, as a dialogue-focused practice that respects patients' moral and cognitive autonomy.

  4. Education for type 2 diabetes mellitus self-care: from compliance to empowerment

    Directory of Open Access Journals (Sweden)

    Antonio Pithon Cyrino


    Full Text Available Through a critical review of the literature on education for diabetes self-care and self-management, it was sought to point out the inappropriateness of traditional approaches towards compliance with treatment and transmission of information, considering the complexity of self-care under chronic conditions. The influence of the social sciences on the field of studies on chronic degenerative diseases in general, and diabetes in particular, was explored. From this perspective, it can be recognized that the fields of anthropology and sociology have been incorporated into research focusing more on individuals as patients, and on the experience gained through this process. Recently, there has been a slight change within the field of health education research relating to diabetes, with the introduction of strategies that seek to value the experience and autonomy of patients as self-care agents. This paper discusses the strategy for empowerment in education for diabetes self-care and self-management, as a dialogue-focused practice that respects patients' moral and cognitive autonomy.

  5. Breast Cancer Survivorship Care: Targeting a Colorectal Cancer Education Intervention

    Directory of Open Access Journals (Sweden)

    Sherri G. Homan


    Full Text Available Breast cancer survivors are at risk of developing a second primary cancer. Colorectal cancer (CRC is one of the leading second primary cancers, and it is often preventable. We developed a multi-component educational tool to inform and encourage women breast cancer survivors to engage in CRC screening. To assess the strengths and weakness of the tool and to improve the relevancy to the target audience, we convened four focus groups of women breast cancer survivors in Missouri. We also assessed the potential impact of the tool on the knowledge, attitudes, and beliefs regarding CRC and collected information on the barriers to CRC screening through pre- and post-focus groups’ questionnaires. A total of 43 women breast cancer survivors participated and provided very valuable suggestions on design and content to update the tool. Through the process and comparing pre- and post-focus group assessments, a significantly higher proportion of breast cancer survivors strongly agreed or agreed that CRC is preventable (78.6% vs. 96.9%, p = 0.02 and became aware that they were at a slightly increased risk for CRC (18.6% vs. 51.7%, p = 0.003. The most cited barrier was the complexity of preparation for colonoscopy.

  6. The effect of robotic telerounding in the surgical intensive care units impact on medical education. (United States)

    Marini, Corrado Paolo; Ritter, Garry; Sharma, Cordelia; McNelis, John; Goldberg, Michael; Barrera, Rafael


    Robotic telerounding is effective from the standpoint of patients' satisfaction and patients' care in teaching and community hospitals. However, the impact of robotic telerounding by the intensivist rounding remotely in the surgical intensive care unit (SICU), on patients' outcome and on the education of medical students physician assistants and surgical residents, as well as on nurses' satisfaction has not been studied. Prospective evaluation of robotic telerounding (RT) using a Likert Scale measuring tool to assess whether it can replace conventional rounding (CR) from the standpoint of patients' care and outcome, nursing satisfaction, and educational effectiveness. RT did not have a negative impact on patients' outcome during the study interval: mortality 5/42 (12 %) versus 6/37 (16 %), RT versus CR, respectively, p = 0.747. The intensivists rounding in the SICU were satisfied with their ability to deliver the same patients' care remotely (Likert score 4.4 ± 0.2). The educational experience of medical students, physicia assistants, and surgical residents was not affected by RT (average Likert score 4.5 ± 0.2, 3.9 ± 0.4, and 4.4 ± 0.4 for surgical residents, medical students and PAs, respectively, p > 0.05). However, as shown by a Likert score of 3.5 ± 1.0, RT did not meet nurses' expectations from several standpoints. Intensivists regard robotic telerounding as an effective alternative to conventional rounding from the standpoint of patients' care and teaching. Medical students, physician assistants (PA's), and surgical residents do not believe that RT compromises their education. Despite similar patients' outcome, nurses have a less favorable opinion of RT; they believe that the physical presence of the intensivist is favorable at all times.

  7. Dental education and changing oral health care needs: disparities and demands. (United States)

    Albino, Judith E N; Inglehart, Marita R; Tedesco, Lisa A


    The population of the United States has changed dramatically over recent decades and, with it, the oral health care needs of the nation. Most notably, the racial/ethnic composition of the population has shifted from a European American majority to what is now a much more diverse population, comprising a variety of racial/ethnic groups that, taken together, will become the majority by mid-century. The proportion of children from minority racial groups will represent more than half of all U.S. children by 2025. These groups are overrepresented among those living below the poverty level and have higher levels of oral disease and are less likely to have access to care than the European American segment of the U.S. population. Most of the population needing dental care in the future will be comprised of these now underserved groups, along with other groups who can be described in terms of the health and social challenges of aging, disabilities, or other special health care conditions. This article provides an overview of these various needs and what they will mean for the dental practitioners of tomorrow and suggests that dental education has not adapted to the changing population and its oral health needs as quickly as it should. As a result, we identify major gaps in current dental curricula and make some recommendations for change. Research has shown that dental education has a crucial influence on future providers' professional attitudes and behavior related to providing care for patients from underserved patient groups. Acknowledging the specific needs of patients and ensuring that future providers are optimally prepared to respond to these challenges must be a major goal of dental education in the twenty-first century. The Journal of Dental Education will continue to play a critical role in informing readers about innovative approaches and best practices that ensure this goal can be met.

  8. 77 FR 18797 - Notice of Submission for OMB Review; Office of Postsecondary Education; Child Care Access Means... (United States)


    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Notice of Submission for OMB Review; Office of Postsecondary Education; Child Care Access Means Parents... review of the information collection. The Department of Education is especially interested in...

  9. The Early Childhood Education and Care Partnership for Bilingualism in Minority Language Schooling: Collaboration between Bilingual Families and Pedagogical Practitioners (United States)

    Bergroth, Mari; Palviainen, Åsa


    Educational partnerships occur at the intersection of early childhood education and care (ECEC), families, and the surrounding community, and have been shown to play a significant role in student success rates in education. There is, however, a gap in research on the role and potential of "partnership" in the case of bilingual families…

  10. A Guide to Education for Children with Osteogenesis Imperfecta. What Is OIF? Care of an Osteogenesis Imperfecta Baby and Child. (United States)

    Ostegenesis Imperfecta Foundation, Inc., Manchester, NH.

    Three pamphlets provide basic information on the care and education of children with osteogenesis imperfecta (OI) a lifelong liability to fractures due to imperfectly formed "brittle bones." The first brochure, a guide to education for children with OI, addresses the importance of attitudes, the value of early education, public school…

  11. A regionalized perinatal continuing education programme: successful adaptation to a foreign health care system and language. (United States)

    Kattwinkel, J; Nowacek, G; Cook, L J; Pietrzyk, J; Borkowski, V; Karasinska-Urbanik, O; Molicki, J; Godlewska, Z; Rozanski, B


    Much of the decline in perinatal mortality over the past two decades in the United States has been attributed to regionalization of perinatal care. Outreach education from regional medical centres to community hospitals is an essential component of regionalization. The Perinatal Continuing Education Program (PCEP) has been successfully used for outreach education in more than 30 states since 1979. This project tested the efficacy of implementing the PCEP strategy in Poland. PCEP was adapted to Polish conditions, translated, and implemented in four phases. The scheme allowed gradual transfer of ownership to Polish leaders and use of the existing regional structure to disseminate information from regional centres to community hospitals. Evaluation included measures of programme use (participation and completion rates) and acceptance (participant evaluation forms), cognitive knowledge (pre- vs. post-tests), and patient care (chart reviews). Of 2093 doctors, nurses and midwives who began, 1615 (77%) completed the programme, with higher completion by regional centre than community hospital staff. All participant groups responded favourably to the materials and expressed moderate confidence in their mastery of the information and skills. Test scores improved significantly for all phases and for all disciplines, with baseline and final scores consistent with degrees of previous professional education. Large baseline and inter-hospital variations in chart review data restricted analysis of care practices. A comprehensive perinatal education programme can be successfully transferred to a foreign health care system. We believe the following to be particularly important: multidisciplinary instructors and students; a self-instructional format; content aimed at practice rather than theory; and an organized implementation strategy co-ordinated by local personnel.

  12. "Attempting to say something without saying it ...": writing haiku in health care education. (United States)

    Biley, F C; Champney-Smith, J


    Over a number of years the authors have been running short haiku writing workshops and have been using haiku as an evaluation tool. This paper describes those experiences and uses the haiku generated in these workshops to illustrate how this poetic form can be used as-for example, part of the process of reflection, to explore emotional and practical issues related to clinical health care practice, to refine writing skills and precision and, it is hoped, to convey to others the essence of the experience of health care provision, education and, perhaps, health, illness, and disease.

  13. Interprofessional education in the integrated medical education and health care system: A content analysis (United States)



    Introduction The current literature supports the inclusion of inter-professional education in healthcare education. Changes in the structure and nature of the integrated medical education and healthcare system provide some opportunities for interprofessional education among various professions. This study is an attempt to determine the perceptions of students and faculty members about interprofessional education in the context of the medical education and healthcare system. Methods This qualitative content analysis study was conducted using purposeful sampling in 2012. Thirteen semi-structured interviews were conducted with 6 faculty members and 7 students at Tehran and Iran Universities of Medical Sciences. Data collection and analysis were concurrent. Results Data analysis revealed four categories and nine subcategories. The categories emerging from individual interviews were “educational structure”, “mediating factors”, “conceptual understanding”, and “professional identity”. These categories are explained using quotes derived from the data. Conclusion Matching the existing educational context and structure with IPE through removing barriers and planning to prepare the required resources and facilities can solve numerous problems associated with implementation and design of inter-professional training programs in Iran.  In this way, promoting the development of a cooperative rather than a competitive learning and working atmosphere should be taken into account. The present findings will assist the managers and policy makers to consider IPE as a useful strategy in the integrated medical education and healthcare system. PMID:27382577

  14. Interprofessional education in the integrated medical education and health care system: A content analysis

    Directory of Open Access Journals (Sweden)



    Full Text Available Introduction: The current literature supports the inclusion of inter-professional education in healthcare education. Changes in the structure and nature of the integrated medical education and healthcare system provide some opportunities for interprofessional education among various professions. This study is an attempt to determine the perceptions of students and faculty members about interprofessional education in the context of the medical education and healthcare system. Methods: This qualitative content analysis study was conducted using purposeful sampling in 2012. Thirteen semi-structured interviews were conducted with 6 faculty members and 7 students at Tehran and Iran Universities of Medical Sciences. Data collection and analysis were concurrent. Results: Data analysis revealed four categories and nine subcategories. The categories emerging from individual interviews were “educational structure”, “mediating factors”, “conceptual understanding”, and “professional identity”. These categories are explained using quotes derived from the data. Conclusion: Matching the existing educational context and structure with IPE through removing barriers and planning to prepare the required resources and facilities can solve numerous problems associated with implementation and design of interprofessional training programs in Iran. In this way, promoting the development of a cooperative rather than a competitive learning and working atmosphere should be taken into account. The present findings will assist the managers and policy makers to consider IPE as a useful strategy in the integrated medical education and healthcare system.

  15. Care concept in medical and nursing students’ descriptions – Philosophical approach and implications for medical education

    Directory of Open Access Journals (Sweden)

    Beata Dobrowolska


    Full Text Available [b]introduction.[/b] Care is seen as something that is peculiar to the medical sciences but its meaning and status for physicians and nurses differs. objectives. The aim of this research was to learn how nursing and medical students understand and define care, and how their definition and views on their practice of caring change as they advance through their studies. [b]material and methods[/b]. The study was conducted among two groups of students: before and after their first practicum (n=102. Analysis of the students’ answers was carried out using Colaizzi’s phenomenological descriptive methodology, which means that a qualitative approach was used. [b]results[/b]. The qualitative analysis shows that the medical and nursing students define care in the same way, using 9 main categories: compassion, commitment, competence, confidence, conscience, communication, patience, courage and support. The nursing students viewed their caring to be within both practical and emotional dimensions and this was a core feature of their identity as nurses. Medical students, on the other hand, viewed the practical dimension of care as an additional activity. All the students in the study underlined the importance of having time to care and showed that, for them, ‘time’ in this context has a moral meaning. What was interesting to the research team centered on the initial attitudes to ‘caring’ from both medical and nursing students. [b]conclusions[/b]. We found that students of both nursing and medicine do not begin their studies with different attitudes and concepts of care. However, after their initial exposure to practical placements a process begins which forges different identities around the concept of care. This implies trends in the division of professional roles during their initial education.

  16. Self-care 3 months after COPD patient education: a qualitative descriptive analysis

    DEFF Research Database (Denmark)

    Mousing, Camilla Askov; Lomborg, Kirsten


    reported that their knowledge of COPD had increased, that they had acquired tools to handle their symptoms; and that the social aspect of patient education had motivated them to utilize their new habits and competencies into everyday life. As a side effect of the study it appeared that the research......Introduction: The literature indicates a conflict between the documented effect of chronic obstructive pulmonary disease (COPD) patient education and the patients' own experiences of the benefit in their everyday life. Aim: To explore from the patients' perspective how group patient education...... influinces their self-care three months after attending the program. Methods: In the period 2009-2010, eleven patients diagnosed with COPD completed an 8-week group education program in a Danish community health center. The patients were interviewed 3 months after completion of the program. Results: Patients...

  17. Review: Increasing Awareness and Education on Health Disparities for Health Care Providers. (United States)

    Nesbitt, Shawna; Palomarez, Rigo Estevan


    The focus of this review is to highlight health care disparities and trends in several common diseases in selected populations while offering evidence-based approaches to mitigating health care disparities. Health care disparities cross many barriers and affect multiple populations and diseases. Ethnic minorities, the elderly, and those of lower socioeconomic status (SES) are more at-risk than others. However, many low SES Whites and higher SES racial minorities have poorer health than their racial or SES peers. Also, recent immigrant groups and Hispanics, in particular, maintain high health ratings. The so-called Hispanic Paradox provides an example of how culture and social background can be used to improve health outcomes. These groups have unique determinants of disparity that are based on a wide range of cultural and societal factors. Providing improved access to care and reducing the social determinants of disparity is crucial to improving public health. At the same time, for providers, increasing an understanding of the social determinants promotes better models of individualized care to encourage more equitable care. These approaches include increasing provider education on disparities encountered by different populations, practicing active listening skills, and utilizing a patient's cultural background to promote healthy behaviors.

  18. Abortion care training framework for nurses within the context of higher education in the Western Cape

    Directory of Open Access Journals (Sweden)

    I. Smit


    Full Text Available The high morbidity and mortality rate due to illegal abortions in South Africa necessitated the implementation of abortion legislation in February 1997. Abortion legislation stipulates that registered nurses who had undergone the proposed abortion care training — certified nurses — may carry out abortions within the first 12 weeks of pregnancy. Currently it seems that an inadequate number of nurses are being trained in the Western Cape to provide pregnant women with counselling, to perform abortions and/or refer problem cases. No real attempts have since been made by higher education institutions in the Western Cape to offer abortion care training for nurses. This case study explores the situation of certified nurses and the context in which they provide abortion care in different regions of the Western Cape. The sampling included a random, stratified (non-proportional number of designated state health care facilities in the Western Cape, a non-probability purposive sampling of nurses who provided abortion care, a non-probability convenience sample of women who had received abortion care, and a non-probability purposive sampling of final-year pre-registration nursing students. Data was generated by means of questionnaires, a checklist and semi-structured interviews. The main findings of this study indicate that the necessary infrastructure required for legal abortion is in place. However, the ongoing shortage of trained health care practitioners hampers abortion care services. Deficiencies were identified in the existing provincial protocol as some of the guidelines were either not in use or had become obsolete. Certified midwives who had been trained by the regional offices of the Department of Health: Western Cape were skilled in carrying out the abortion procedure, but other aspects of abortion care mainly carried out by other categories of nurses required more attention. This article suggests a training framework that should provide

  19. A critique of multiculturalism in heath care: the challenge for nurse education. (United States)

    Culley, L


    This paper is concerned with the way in which discussions of the health status of people from minority ethnic groups and the delivery of health care to such groups has been constructed, in the nursing literature in particular, within a culturalist framework which has many serious drawbacks. The paper reviews the argument for a 'multicultural' approach to health care and also discusses some of the main implications of this analysis for the education of health professionals. It suggests that health workers and those responsible for the education of such workers, need to reassess learning needs in the light of a critique of the effects of an analysis based on 'cultural pluralism' and 'ethnic sensitivity'. The paper suggests ways in which the nursing curriculum must be broadened to take into account the limitations of a culturalist approach and to debate the interplay of racism and other structures of inequality and their influence on health and on a service delivery.

  20. Skin care education and individual counselling versus treatment as usual in healthcare workers with hand eczema

    DEFF Research Database (Denmark)

    Ibler, K.S.; Jemec, G.B.E.; Thomsen, S.F.


    Objective: To evaluate the effect of a secondary prevention programme with education on skin care and individual counselling versus treatment as usual in healthcare workers with hand eczema. Design: Randomised, observer blinded parallel group superiority clinical trial. Setting: Three hospitals...... in Denmark. Participants: 255 healthcare workers with self reported hand eczema within the past year randomised centrally and stratified by profession, severity of eczema, and hospital. 123 were allocated to the intervention group and 132 to the control group. Interventions: Education in skin care...... and individual counselling based on patch and prick testing and assessment of work and domestic related exposures. The control was treatment as usual. Main outcome measures: The primary outcome was clinical severity of disease at five month follow-up measured by scores on the hand eczema severity index...

  1. Comparing Early Childhood Education and Care from a Rights-based Approach

    Directory of Open Access Journals (Sweden)

    Ana Ancheta Arrabal


    Full Text Available This paper pretends to examine how the equal right to quality education and care in the phase of early childhood is developed in different policies, particularly within the processes for the inclusion of children in situations of social risk and exclusion in the European systems of Early Childhood Education and Care (ECEC. Extracted from the findings of the author’s PhD, the following pages include some of the main characteristics, as well as the outcomes and the conclusions of the study, which are briefly described, comprising the structure of a comparison on the ECEC policies between three representative countries in Europe. The work attended to the previous studies on early childhood describing ECEC throughout western European societies, to analyse their impact in equity of opportunity considering ECEC as the long life learning base, and discussing its implications for the inter-generational exclusion, in searching policy recommendations to enhance ECEC and child well-being. 

  2. Effectiveness of educational technology to improve patient care in pharmacy curricula. (United States)

    Smith, Michael A; Benedict, Neal


    A review of the literature on the effectiveness of educational technologies to teach patient care skills to pharmacy students was conducted. Nineteen articles met inclusion criteria for the review. Seven of the articles included computer-aided instruction, 4 utilized human-patient simulation, 1 used both computer-aided instruction and human-patient simulation, and 7 utilized virtual patients. Educational technology was employed with more than 2700 students at 12 colleges and schools of pharmacy in courses including pharmacotherapeutics, skills and patient care laboratories, drug diversion, and advanced pharmacy practice experience (APPE) orientation. Students who learned by means of human-patient simulation and virtual patients reported enjoying the learning activity, whereas the results with computer-aided instruction were mixed. Moreover, the effect on learning was significant in the human-patient simulation and virtual patient studies, while conflicting data emerged on the effectiveness of computer-aided instruction.

  3. [Care with the child's health and validation of an educational technology for riverside families]. (United States)

    Teixeira, Elizabeth; de Almeida Siqueira, Aldo; da Silva, Joselice Pereira; Lavor, Lília Cunha


    This study aimed to assess the knowledge and ways of caring for the child health 0-5 years between riverine (Phase 1), and to validate an educational technology (Phase 2). It was carried out a descriptive qualitative study. With the mothers, focus groups and content analysis were used, and with judges-specialists and target-public-applied, forms. The study revealed that the concern with the care of a child between the riverine families permeates the adversity daily, with dedication and commitment of these families in maintaining the health of their children. The sensitivity listening of mothers indicated the need for a closer relationship between nursing professionals and family. The validation of the educational technology was convergent, within the parameters considered adequate.

  4. Undergraduate medical education in emergency medical care: A nationwide survey at German medical schools

    Directory of Open Access Journals (Sweden)

    Timmermann Arnd


    Full Text Available Abstract Background Since June 2002, revised regulations in Germany have required "Emergency Medical Care" as an interdisciplinary subject, and state that emergency treatment should be of increasing importance within the curriculum. A survey of the current status of undergraduate medical education in emergency medical care establishes the basis for further committee work. Methods Using a standardized questionnaire, all medical faculties in Germany were asked to answer questions concerning the structure of their curriculum, representation of disciplines, instructors' qualifications, teaching and assessment methods, as well as evaluation procedures. Results Data from 35 of the 38 medical schools in Germany were analysed. In 32 of 35 medical faculties, the local Department of Anaesthesiology is responsible for the teaching of emergency medical care; in two faculties, emergency medicine is taught mainly by the Department of Surgery and in another by Internal Medicine. Lectures, seminars and practical training units are scheduled in varying composition at 97% of the locations. Simulation technology is integrated at 60% (n = 21; problem-based learning at 29% (n = 10, e-learning at 3% (n = 1, and internship in ambulance service is mandatory at 11% (n = 4. In terms of assessment methods, multiple-choice exams (15 to 70 questions are favoured (89%, n = 31, partially supplemented by open questions (31%, n = 11. Some faculties also perform single practical tests (43%, n = 15, objective structured clinical examination (OSCE; 29%, n = 10 or oral examinations (17%, n = 6. Conclusion Emergency Medical Care in undergraduate medical education in Germany has a practical orientation, but is very inconsistently structured. The innovative options of simulation technology or state-of-the-art assessment methods are not consistently utilized. Therefore, an exchange of experiences and concepts between faculties and disciplines should be promoted to guarantee a standard

  5. Patient-Centered Cancer Care Programs in Italy: Benchmarking Global Patient Education Initiatives. (United States)

    Truccolo, Ivana; Cipolat Mis, Chiara; Cervo, Silvia; Dal Maso, Luigino; Bongiovanni, Marilena; Bearz, Alessandra; Sartor, Ivana; Baldo, Paolo; Ferrarin, Emanuela; Fratino, Lucia; Mascarin, Maurizio; Roncadin, Mario; Annunziata, Maria Antonietta; Muzzatti, Barbara; De Paoli, Paolo


    In Italy, educational programs for cancer patients are currently provided by the national government, scientific societies, and patient advocate organizations. Several gaps limit their effectiveness, including the lack of coordinated efforts, poor involvement of patient feedback in the planning of programs, as well as a lack of resources on innovative cancer-related topics. This process is parallel to a strong shift in the attitude of patients towards health in general and taking charge of their own health conditions in particular. The National Cancer Institute in the USA and the Organization of European Cancer Institutes encourage comprehensive cancer centers in providing educational programs conceived to overcome these gaps. The goal of this paper is to identify and describe the key elements necessary to develop a global patient education program and provide recommendations for strategies with practical examples for implementation in the daily activities of cancer institutes. A multidisciplinary committee was established for patient education, including patient representatives as equal partners, to define, implement, verify, and evaluate the fundamental steps for establishing a comprehensive education program. Six essential topics were identified for the program: appropriate communication of cancer epidemiology, clinical trial information, new therapeutic technologies, support in the use of medicines, psycho-oncological interventions, age-personalized approaches, and training programs for healthcare providers. Integration of these topics along with patient feedback is the key to a successful model for educational programs. An integrated educational program can transform a comprehensive cancer center to an institution that provides research and care for and with patients.

  6. Family Income Dynamics, Early Childhood Education and Care, and Early Child Behavior Problems in Norway


    Zachrisson, Henrik Daae; Dearing, Eric


    The sociopolitical context of Norway includes low poverty rates and universal access to subsidized and regulated Early Childhood Education and Care (ECEC). In this context, the association between family income dynamics and changes in early child behavior problems was investigated, as well as whether high quality ECEC buffers children from the effects of income dynamics. In a population-based sample (N = 75,296), within-family changes in income-to-needs predicted changes in externalizing and ...

  7. What is the place of interprofessional education in supporting the continuum of care for patients?

    Directory of Open Access Journals (Sweden)

    Annette Solman


    Full Text Available Advances in science and technology mean more people are living longer, resulting in multimorbidity and increasingly complex presentations later in life. People require healthcare that may include hospital admission, community-based care, social care and private healthcare input to support integrated person-centred healthcare. The aim of integrated care is to improve the quality of care and patient outcomes, so interprofessional education is on today’s health agenda and research is required to establish how best to structure it in the undergraduate setting and for the existing workforce that provides healthcare and supportive services. Interprofessional education occurs when healthcare professionals from two or more disciplines learn about, from and with each other to promote effective collaboration and improve health outcomes (World Health Organization, 2010. The WHO has issued a call to action for undergraduate studies to include interprofessional learning, and to create a suitable workforce, a two-pronged approach is required. First, the inclusion of selected shared-subject learning across undergraduate education programmes, for example in communication and social sciences, and second, a focus on what the existing healthcare workforce requires to be able to work and learn in an interprofessional way across government and non-government agencies to achieve the best outcomes. The development of existing staff requires educational material and experiences that reflect their everyday practice and patient journeys. Such an approach will enable the building of links between the different agencies that support healthcare, and the creation of patient-centred healthcare systems within and across traditional healthcare boundaries.

  8. [The process of demedicalization of women's health care in nursing education]. (United States)

    Vargens, Octávio Muniz da Costa; Progianti, Jane Márcia


    This objective of this study is to present the pedagogic strategies adopted by the Rio de Janeiro State University Nursing School (UERJ--Brazil) for the demedicalization of care in nursing education in women's health. It presents the context of teaching in this area of knowledge. It also presents, from the perspective of concepts by Pierre Bourdieu, three spheres of students' and teachers' performance in this process.

  9. An interdisciplinary approach to palliative care - context and challenges in basic education programmes

    DEFF Research Database (Denmark)

    Sangild Stølen, Karen Marie; Breum, Wanda Elisabeth; Andersen, Tanja Thinggaard


    the course, the students work in interdisciplinary groups. The programme for the course has been developed on the basis of WHO’s definition of palliative care, with special emphasis on the interdisciplinary perspectives and activities in relation to the physical, psychological, social and spiritual areas......Background: In Denmark, persons diagnosed with life-threatening diseases are an essential key task in Danish Health system. Work carried out by health care professionals with these patients and their families requires specific professional expertise. A holistic approach focused on the physical......, psychological, social and existential perspectives is necessary in order to be able to meet the needs of these people. The health education programmes should therefore offer instruction in palliative care. On this background, University College Capital has developed an interdisciplinary elective course...

  10. Emancipatory teaching-learning philosophy and practice education in acute care: navigating tensions. (United States)

    Randall, Carla E; Tate, Betty; Lougheed, Mary


    Much has been written in the nursing literature about the intentions and desires of a transformatory movement in nursing education. However, dialogue and critique related to actual implementation of a curriculum revolution begun in the late 1980s are lacking. The acute care context of nursing practice holds particular challenges for faculty teaching in an emancipatory curriculum. How do faculty implement a philosophy of teaching-learning congruent with the curriculum revolution, in the context of an acute care setting that privileges empirical knowledge and values a behaviorist paradigm? In this article, we provide an example of one teaching approach grounded in an emancipatory ideology: critical questioning. We also discuss some of the tensions we associate with teaching-learning in an acute care context and our experiences of navigating these tensions.

  11. [Innovations in continuing/permanent education methods for the intensive care nurses]. (United States)

    Vázquez Guillamet, B; Guillamet Lloveras, A; Martínez Estalella, G; Pérez Ramírez, F


    Intensive care nursing is carried out in a dynamic environment characterized by the continuous incorporation of new technologies, approaches to care and a request for safety, participation and transparency by the public. Continuing/permanent intensive care nursing training in the acquisition of new competencies is key in this setting. In order to achieve this goal, simulation and problem based learning should be incorporated as essential methodologies to teach these skills. At the same time research should be done on which attitudes, competences, and knowledge are necessary to increase their intellectual knowledge. The core characteristics of ICU and its nursing should allow a deep change in their approach to continuing/permanent nursing education.

  12. Student learning with concept mapping of care plans in community-based education. (United States)

    Hinck, Susan M; Webb, Patricia; Sims-Giddens, Susan; Helton, Caroline; Hope, Kathryn L; Utley, Rose; Savinske, Deborah; Fahey, Elizabeth M; Yarbrough, Sue


    Concept mapping, a learning strategy used to understand key concepts and relationships between concepts, has been suggested as a method to plan and evaluate nursing care. The purpose of this study was to empirically test the effectiveness of concept mapping for student learning and the students' satisfaction with the strategy. A quasi-experimental pre- and posttest design was used to examine the content of concept maps of care plans constructed by junior-level baccalaureate students (n = 23) at the beginning and end of a community-based mental health course. Additionally, students completed a questionnaire to self-evaluate their learning and report their satisfaction with concept mapping. Findings indicated that concept mapping significantly improved students' abilities to see patterns and relationships to plan and evaluate nursing care, and most students (21/23) expressed satisfaction in using the strategy. This study supported concept mapping as an additional learning strategy and has extended knowledge in community-based nursing education.

  13. The Language of Flexible Reuse; Reuse, Portability and Interoperability of Learning Content or Why an Educational Modelling Language

    NARCIS (Netherlands)

    Sloep, Peter


    Sloep, P.B. (2004). Reuse, Portability and Interoperability of Learning Content: Or Why an Educational Modelling Language. In R. McGreal, (Ed.), Online Education Using Learning Objects (pp. 128-137). London: Routledge/Falmer.

  14. Genetic educational needs and the role of genetics in primary care: a focus group study with multiple perspectives

    Directory of Open Access Journals (Sweden)

    van der Vleuten Cees


    Full Text Available Abstract Background Available evidence suggests that improvements in genetics education are needed to prepare primary care providers for the impact of ongoing rapid advances in genomics. Postgraduate (physician training and master (midwifery training programmes in primary care and public health are failing to meet these perceived educational needs. The aim of this study was to explore the role of genetics in primary care (i.e. family medicine and midwifery care and the need for education in this area as perceived by primary care providers, patient advocacy groups and clinical genetics professionals. Methods Forty-four participants took part in three types of focus groups: mono-disciplinary groups of general practitioners and midwives, respectively and multidisciplinary groups composed of a diverse set of experts. The focus group sessions were audio-taped, transcribed verbatim and analysed using content analysis. Recurrent themes were identified. Results Four themes emerged regarding the educational needs and the role of genetics in primary care: (1 genetics knowledge, (2 family history, (3 ethical dilemmas and psychosocial effects in relation to genetics and (4 insight into the organisation and role of clinical genetics services. These themes reflect a shift in the role of genetics in primary care with implications for education. Although all focus group participants acknowledged the importance of genetics education, general practitioners felt this need more urgently than midwives and more strongly emphasized their perceived knowledge deficiencies. Conclusion The responsibilities of primary care providers with regard to genetics require further study. The results of this study will help to develop effective genetics education strategies to improve primary care providers' competencies in this area. More research into the educational priorities in genetics is needed to design courses that are suitable for postgraduate and master programmes for

  15. Restructuring graduate medical education to meet the health care needs of emirati citizens. (United States)

    Abdel-Razig, Sawsan; Alameri, Hatem


    Many nations are struggling with the design, implementation, and ongoing improvement of health care systems to meet the needs of their citizens. In the United Arab Emirates, a small nation with vast wealth, the lives of average citizens have evolved from a harsh, nomadic existence to enjoyment of the comforts of modern life. Substantial progress has been made in the provision of education, housing, health, employment, and other forms of social advancement. Having covered these basic needs, the government of Abu Dhabi, United Arab Emirates, is responding to the challenge of developing a comprehensive health system to serve the needs of its citizens, including restructuring the nation's graduate medical education (GME) system. We describe how Abu Dhabi is establishing GME policies and infrastructure to develop and support a comprehensive health care system, while also being responsive to population health needs. We review recent progress in developing a systematic approach for developing GME infrastructure in this small emirate, and discuss how the process of designing a GME system to meet the needs of Emirati citizens has benefited from the experience of "Western" nations. We also examine the challenges we encountered in this process and the solutions adopted, adapted, or specifically developed to meet local needs. We conclude by highlighting how our experience "at the GME drawing board" reflects the challenges encountered by scholars, administrators, and policymakers in nations around the world as they seek to coordinate health care and GME resources to ensure care for populations.

  16. Advancing geriatric education: development of an interprofessional program for health care faculty. (United States)

    Ford, Channing R; Brown, Cynthia J; Sawyer, Patricia; Rothrock, Angela G; Ritchie, Christine S


    To improve the health care of older adults, a faculty development program was created to enhance geriatric knowledge. The University of Alabama at Birmingham (UAB) Geriatric Education Center leadership instituted a one-year, 36-hour curriculum focusing on older adults with complex health care needs. Content areas were chosen from the Institute of Medicine Transforming Health Care Quality report and a local needs assessment. Potential preceptors were identified and participant recruitment efforts began by contacting UAB department chairs of health care disciplines. This article describes the development of the program and its implementation over three cohorts of faculty scholars (n = 41) representing 13 disciplines, from nine institutions of higher learning. Formative and summative evaluation showed program success in terms of positive faculty reports of the program, information gained, and expressed intent by each scholar to apply learned content to teaching and/or clinical practice. This article describes the initial framework and strategies guiding the development of a thriving interprofessional geriatric education program.

  17. Are lessons from the education sector applicable to health care reforms? The case of Uganda. (United States)

    Okuonzi, S A; Birungi, H


    The decision by donors to use external aid for poverty alleviation in very low-income countries and the redefinition of development to include human aspects of society have renewed interest in education and health services. The debate about accountability, priorities and value-for-money of social services has intensified. Uganda's universal primary education programme (UPE) has within 2 years of inception achieved 90% enrollment. The programme has been acclaimed as successful. But the health sector that has been implementing primary health care and reforms for two decades is viewed as having failed in its objectives. The paper argues that the education sector has advantages over the health sector in that its programme is simple in concept, and was internally designed involving few actors. The sector received strong political support, already has an extensive infrastructure, receives much more funding and has a straightforward objective. Nevertheless, the health sector has made some achievements in AIDS control, in the prevention and control of epidemics, and in behavioural change. But these achievements will not be noticed if only access and health-status are used to assess the health sector. However, UPE demonstrates that a universal basic health care is possible, given the same level of resources and political commitment. The lesson for the health sector is to implement a priority universal health care programme based on national values and to assess its performance using the objectives of the UPE.

  18. Balancing patient care and student education: learning to deliver bad news in an optometry teaching clinic. (United States)

    Spafford, Marlee M; Schryer, Catherine F; Creutz, Stefan


    Learning to counsel patients in a teaching clinic or hospital occurs in the presence of the competing agendas of patient care and student education. We wondered about the challenges that these tensions create for clinical novices learning to deliver bad news to patients. In this preliminary study, we audio-taped and transcribed the interviews of seven senior optometry students and six optometrist instructors at a Canadian optometry teaching clinic. The participants described their experiences in learning to deliver bad news. Using a grounded theory approach, our analysis was informed by situated learning and activity theory. Optometry students received formal classroom training regarding how to deliver bad news, including exposure to the medically-based six-step SPIKES protocol (Baile et al. The Oncologist, 5, 302-311, 2000). Yet, application of this protocol to the teaching clinic was limited by the lack of exposure most instructors had received to this strategy. Determinants of the students' complex learning process during their clinical apprenticeship, included: (i) knowing one's place, (ii) knowing one's audience, (iii) knowing through feedback, and (iv) knowing who speaks. The experiences of these participants pointed toward the need for: (1) more instructional "scaffolding" (Bruner and Sherwood Play: Its role in development and evolution, p. 280, 1976) in the clinical setting when the learning task is complex, and (2) explicit discussions about the impacts that unfold when the activities of patient care and student education overlap. We reflect on the possible consequences to student education and patient care in the absence of these changes.

  19. "Quien Sabe Mas Lucha Mejor": Adult Educators' Care of the Self Practices within Social Movements in Buenos Aires, Argentina (United States)

    O'Donnell, Jennifer Lee


    This article looks at popular adult educators' care of the self practices within social movements in Buenos Aires, Argentina. It answers the following questions: How is popular adult education practiced amongst educators in social movements? What can studying popular adult educators' care of the self practices offer the field of adult…

  20. Canadian Medical Education Journal Survey evaluations of University of British Columbia residents’ education and attitudes regarding palliative care and physician assisted death (United States)

    Spicer, David; Paul, Sonia; Tang, Tom; Chen, Charlie; Chase, Jocelyn


    Background Little prior research has been conducted regarding resident physicians’ opinions on the subject of Physician Assisted Death (PAD), despite past surveys ascertaining the attitudes of practicing physicians towards PAD in Canada. We solicited British Columbia residents’ opinions on the amount of education they receive about palliative care and physician assisted death, and their attitudes towards the implementation of PAD. Methods We conducted a cross sectional, anonymous online survey with the resident physicians of British Columbia, Canada. Questions included: close-ended questions, graded Likert scale questions, and comments. Results Among the respondents (n=299, response rate 24%), 44% received ≥5 hours of education in palliative care, 40% received between zero and four hours of education, and 16% reported zero hours. Of all respondents, 75% had received no education about PAD and the majority agreed that there should be more education about palliative care (74%) and PAD (85%). Only 35% of residents felt their program provided them with enough education to make an informed decision about PAD, yet 59% would provide a consenting patient with PAD. Half of the respondents believed PAD would ultimately be provided by palliative care physicians. Interpretation Residents desire further education about palliative care and PAD. Training programs should consider conducting a thorough needs assessment and implementing structured education to meet this need. PMID:28344712

  1. Identifying the factors influencing minority language use in health care education settings: a European perspective. (United States)

    Roberts, G W; Paden, L


    The recent enhanced status of many minority languages across the European Community has led to increasing demands for their use within the public sector. This is particularly evident in health care, where, in circumstances of stress and vulnerability, denying opportunities for clients to communicate in their preferred language may place them at a personal disadvantage and compromise their health chances. In view of the exclusion of many minority languages from the public domain over the years, their re-introduction demands adaptations to health care education programmes in order to promote language sensitivity in practice. Before embarking on developments which establish such languages within the professional sphere, valuable insight may be gained by examining their current use in practice education. Furthermore, comparing their use across language communities enables the sharing of common experiences and furthers opportunities for developing networks across Europe. This paper describes an ethnographic study of the use, within midwifery education, of the Welsh language in north Wales, the Catalan language in Barcelona and the Irish language in Western Ireland. Semi-structured interviews were conducted with key lecturers, clinical mentors and students across the three communities in order to determine patterns of language use within a range of learning environments. Focus groups were also held in order to confirm the findings. The data reveal many commonalities in terms of language use across the three settings and important factors are identified which support the use of minority languages in practice education. The findings are invaluable for guiding future bilingual initiatives across health care education programmes.

  2. The role of the bilingual/bicultural worker in dementia education, support and care. (United States)

    Boughtwood, Desiree; Shanley, Christopher; Adams, Jon; Santalucia, Yvonne; Kyriazopoulos, Helena; Rowland, Jeffrey; Pond, Dimity


    Members of minority populations often have difficulty knowing about and accessing dementia services. One of the strategies used to promote access is the employment of bilingual/bicultural workers (sometimes referred to as multicultural, link or outreach workers). This study involved interviews with 24 bilingual/bicultural workers in south western Sydney, Australia to gain a better understanding of their role within the dementia field. Seven themes emerged: importance of working with family; process of building trust when moving between two cultures; importance of understanding the culture; self-care and culture; flexibility of their role; linking community members; and linking communities to mainstream services. Bilingual/bicultural workers play a significant and complex role in supporting individuals and families within their community who are affected by dementia. The significance of their role needs to be more clearly acknowledged in the development of policy, further research and service provision within the dementia field.

  3. Interprofessional education: the inclusion of dental hygiene in health care within the United States - a call to action. (United States)

    Vanderbilt, Allison A; Isringhausen, Kim T; Bonwell, Patricia Brown


    There is a lack of access to oral health care in the United States for rural, underserved, uninsured, and low-income populations. There are widely recognized problems with the US health care system, including rapidly increasing costs and access to oral health. During the last decade, there has been a huge influx and push toward interprofessional education programs; however, these programs conveniently leave out dental hygiene. Interprofessional education can bring forth the collaboration, communication, and teamwork necessary to provide a comprehensive health care plan to treat oral health care needs in patients. As the advanced practice for dental hygiene emerges, it is imperative that the educational qualifications of dental hygienists are sufficient to enable them to safely provide the scope of services and care encompassed in these new expanded roles and to effectively participate as an interprofessional team member.

  4. The effect of a multifaceted educational intervention on medication preparation and administration errors in neonatal intensive care

    NARCIS (Netherlands)

    Chedoe, Indra; Molendijk, Harry; Hospes, Wobbe; Van den Heuvel, Edwin B.; Taxis, Katja


    Objective To examine the effect of a multifaceted educational intervention on the incidence of medication preparation and administration errors in a neonatal intensive care unit (NICU). Design Prospective study with a preintervention and postintervention measurement using direct observation. Setting

  5. Educational outreach and collaborative care enhances physician's perceived knowledge about Developmental Coordination Disorder

    Directory of Open Access Journals (Sweden)

    Missiuna Cheryl


    Full Text Available Abstract Background Developmental Coordination Disorder (DCD is a chronic neurodevelopmental condition that affects 5–6% of children. When not recognized and properly managed during the child's development, DCD can lead to academic failure, mental health problems and poor physical fitness. Physicians, working in collaboration with rehabilitation professionals, are in an excellent position to recognize and manage DCD. This study was designed to determine the feasibility and impact of an educational outreach and collaborative care model to improve chronic disease management of children with DCD. Methods The intervention included educational outreach and collaborative care for children with suspected DCD. Physicians were educated by and worked with rehabilitation professionals from February 2005 to April 2006. Mixed methods evaluation approach documented the process and impact of the intervention. Results Physicians: 750 primary care physicians from one major urban area and outlying regions were invited to participate; 147 physicians enrolled in the project. Children: 125 children were identified and referred with suspected DCD. The main outcome was improvement in knowledge and perceived skill of physicians concerning their ability to screen, diagnose and manage DCD. At baseline 91.1% of physicians were unaware of the diagnosis of DCD, and only 1.6% could diagnose condition. Post-intervention, 91% of participating physicians reported greater knowledge about DCD and 29.2% were able to diagnose DCD compared to 0.5% of non-participating physicians. 100% of physicians who participated in collaborative care indicated they would continue to use the project materials and resources and 59.4% reported they would recommend or share the materials with medical colleagues. In addition, 17.6% of physicians not formally enrolled in the project reported an increase in knowledge of DCD. Conclusion Physicians receiving educational outreach visits significantly

  6. Effect of end of life education on medical students' and health care workers' death attitude. (United States)

    Hegedus, K; Zana, A; Szabó, G


    One of the goals of education in end of life care is to make communication more open by exploring critical issues related to fear of dying and death in order to reduce anxiety and improve an individual's attitude to dying patients. The aim of our research was to evaluate the effects of courses for health care workers and medical students in care at the end of life. One hundred and twenty-seven health care professionals and 41 undergraduate medical students completed the Multidimensional Fear of Death Scale (MFODS) on the first and last day of the course. The most significant factors of fear of death are: Fear for Significant Others, Fear of the Dying Process and Fear of the Unknown. Overall fear of death scores were reduced as an effect of the courses. Changes in the components and level of fear of death are influenced by the participants' gender, age and profession. Improvement was evident in the attitudes to dying patients in both groups, which was related to an increase in knowledge of high-quality care of dying patients.

  7. Revision of an undergraduate older adult health care nursing education course. (United States)

    Tenhunen, Monica L; Fitzgerald, Anita


    As the number of older adults continues to increase worldwide, nursing education needs to focus on this population. A revision of an undergraduate nursing course focusing on the care of older adults was completed. Content for the revised course was based on the recommendations of major nursing education organizations. Seventeen topic areas were identified, and objectives for each topic were written. Based on the objectives, classroom and clinical assignments were developed. Assignments were varied to address multiple learning styles using evolving standards of education for nursing students. The revision was piloted with one group of approximately 45 second-semester nursing students. Survey results from the students showed an increase in their comfort level with older adults. Further studies could evaluate the activities after they have been implemented longer to make further adjustments as needed to ensure the best learning for students.

  8. [Nursing care systems and complex thought in nursing education: document analysis]. (United States)

    da Silva, Josilaine Porfírio; Garanhani, Mara Lucia; Guariente, Maria Helena Dantas de Menezes


    The aim of this study was to analyse the inclusion of the subject Nursing Care Systems (NCS) in nursing education. This study was based on qualitative desk research and it was conducted in a nursing programme in southern Brazil that offers an integrated curriculum with NCS as a cross-cutting theme. Data were collected from September to December 2012, by examining 15 planning and development workbooks on the cross-disciplinary modules of the programme. Analysis was divided into four stages: exploratory, selective, analytic and interpretive reading. The adopted theoretical framework was Complex Thought of Edgar Morin, according to the principles of relevant knowledge. Results were arranged into two categories: NCS as a crosscutting theme in nursing education: the context, the global and the multidimensional; and strategies for teaching, learning and assessment of NCS: the complex. The study contributes to the debate on the importance of teaching NCS as a crosscutting theme in nursing education.

  9. An educational multimedia campaign has differential effects on public stroke knowledge and care-seeking behavior. (United States)

    Marx, Juergen J; Nedelmann, Max; Haertle, Birgit; Dieterich, Marianne; Eicke, Bernd M


    To study the differential educational effects of a multimodal educational program on public stroke knowledge, we performed computer-assisted telephone surveys among a random sample of 500 members of the general public, before and immediately after an intense three-month educational campaign. The intervention comprised of poster advertisements, flyers, mail circular, slogans, stroke interest stories etc. in local newspapers, on television and radio, and public events. The main outcome measures were stroke knowledge, the intended behavior in acute stroke and the educational media remembered after the intervention. General knowledge of the nature of stroke (65.7% correct answers before versus 84.9 % after the campaign, p differential effects on public stroke knowledge and individual stroke risk,which does not necessarily lead to a change in care-seeking behavior. Repeated information using short-tailored slogans and cues to action led to a gain in general stroke knowledge, especially in high-risk populations of lower educational background. Large educational campaigns seem unsuitable, however, for mediation of detailed information on stroke.

  10. Care pathways in thrombosis management: the INNOVATE peer-to-peer educational initiative (United States)

    Patel, Raj K


    Context Anticoagulant options for the management of venous thromboembolism (VTE) now include the non-vitamin K antagonist oral anticoagulants (NOACs). The safe and effective integration of these agents into routine clinical practice within different health care settings presents common challenges. Bayer AG created the INternational Network fOr Venous and Arterial Thrombosis Excellence in practice (INNOVATE) program as a professional education network to foster best practice in thrombosis management in the NOAC era. Concept and format Since 2013, INNOVATE has been run as a series of educational 1.5-day global meetings at VTE centers of excellence. The format is based on expert-led discussion rather than lectures; all participants are encouraged to share their own expertise and experience. Through peer-to-peer exchange, less experienced professionals from an array of specialties learn from others in a small-group interactive setting. This format encourages positive engagement and discussion, and the establishment of relationships between health care professionals from different countries. Expansion and localization INNOVATE has successfully expanded to cover a broad spectrum of thromboembolic disorders in which anticoagulation with NOACs plays an important role; now including specific meetings focusing on the management of patients in the community. Local meetings are run in many countries in the local language, facilitating discussion and ensuring applicability to local or regional issues. Implementing learnings INNOVATE delegates have provided consistently positive feedback and have used their attendance to create and improve thrombosis management pathways in their own institutions. Overseen by a Steering Committee, the program responds to feedback, evolving to meet the needs of participants. Conclusion By showcasing best practice in the care of patients requiring anticoagulation, INNOVATE provides a model for the non-promotional support of medical education by

  11. Dementia-Related Work Activities of Home Care Nurses and Aides: Frequency, Perceived Competence, and Continuing Education Priorities (United States)

    Morgan, Debra G.; Kosteniuk, Julie G.; O'Connell, Megan E.; Dal Bello-Haas, Vanina; Stewart, Norma J.; Karunanayake, Chandima


    An understanding of the specific dementia learning needs of home care staff is needed to plan relevant continuing education (CE) programs and supports. The study's objective was to examine frequency and perceived competence in performing 20 dementia-related work activities, and identify CE priorities among home care staff. A cross-sectional survey…

  12. Applications of a Nursing Knowledge Based System for Nursing Practice: Inservice, Continuing Education, and Standards of Care


    Ryan, Sheila A.


    A knowledge base of nursing theory supports computerized consultation to nursing service administrators and staff about patient care. Three scenarios portray different nurses utilizing the system for inservice development, continuing education, and development of standards of care or protocols for practice. The advantages of the system including cost savings are discussed.

  13. How Do Early Childhood Education Teachers Perceive Their Expertise? A Qualitative Study of Child Care Providers in Lapland, Finland (United States)

    Happo, Iiris; Maatta, Kaarina; Uusiautti, Satu


    Every preschool age child in Finland has the right to child care. Well-educated staff consists of all-round experts who work in versatile contexts with various children in a multi-professional collaboration. This staff is one of the strengths of the Finnish child care system. The aim of this article is to clarify the expertise of those early…

  14. Effect of oral healthcare education on knowledge, attitude and skills of care home nurses: a systematic literature review

    NARCIS (Netherlands)

    Lugt-Lustig, K.H. de; Vanobbergen, J.N.; Putten, G.J. van der; Visschere, L.M. De; Schols, J.M.; Baat, C. de


    OBJECTIVES: To systematically review the literature on the effect of providing oral healthcare education to care home nurses on their oral healthcare knowledge and attitude and their oral hygiene care skills. METHODS: A literature search was obtained for relevant articles on oral healthcare educatio

  15. Does Telephone Follow-Up and Education Affect Self-Care and Metabolic Control in Diabetic Patients? (United States)

    Aytekin Kanadli, Keriman; Ovayolu, Nimet; Ovayolu, Özlem


    The major goal of diabetes control is to assist patients to perform self-care and metabolic control. One possible way to achieve this goal is education and regular monitoring of patients by telephone. Thus, the present study was conducted with the aim of investigating the impact of education and telephone follow-up on self-care and metabolic control in diabetic patients. This experimental study was conducted at a hospital in the Central Anatolia region of Turkey, with 88 diabetic patients including 44 intervention subjects and 44 control subjects. After an initial discussion, patients in the intervention group received education and telephone follow-up for 3 months. Required approvals were obtained before initiation of the study. Data were collected using a questionnaire form and the Diabetes Self-Care Scale. The Diabetes Self-Care Scale scores ranged between 140 and 210, where higher scores indicated increased self-care activities of patients. At the end of the study, the self-care score was found to increase from 61.3 ± 10.9 to 89.9 ± 12.3 in the intervention group (P self-care scores and had a positive impact on metabolic control variables. In light of these findings, we suggest that education and tele-health home monitoring may be provided on a continuous basis to help patients sustain self-care behaviors that they have adopted during the study period.

  16. Genetic educational needs and the role of genetics in primary care: a focus group study with multiple perspectives.

    NARCIS (Netherlands)

    Houwink, E.J.; Luijk, S.J. van; Henneman, L.; Vleuten, C.P.M. van der; Dinant, G.J.; Cornel, M.C.


    BACKGROUND: Available evidence suggests that improvements in genetics education are needed to prepare primary care providers for the impact of ongoing rapid advances in genomics. Postgraduate (physician training) and master (midwifery training) programmes in primary care and public health are failin

  17. Effects of a psycho-educational intervention on direct care workers' communicative behaviors with residents with dementia. (United States)

    Barbosa, Ana; Marques, Alda; Sousa, Liliana; Nolan, Mike; Figueiredo, Daniela


    This study assessed the effects of a person-centered care-based psycho-educational intervention on direct care workers' communicative behaviors with people with dementia living in aged-care facilities. An experimental study with a pretest-posttest control-group design was conducted in four aged-care facilities. Two experimental facilities received an 8-week psycho-educational intervention aiming to develop workers' knowledge about dementia, person-centered care competences, and tools for stress management. Control facilities received education only, with no support to deal with stress. In total, 332 morning care sessions, involving 56 direct care workers (female, mean age 44.72 ± 9.02 years), were video-recorded before and 2 weeks after the intervention. The frequency and duration of a list of verbal and nonverbal communicative behaviors were analyzed. Within the experimental group there was a positive change from pre- to posttest on the frequency of all workers' communicative behaviors. Significant treatment effects in favor of the experimental group were obtained for the frequency of inform (p educational intervention can positively affect direct care workers' communicative behaviors with residents with dementia. Further research is required to determine the extent of the benefits of this approach.

  18. Seeking Balance in Motion: The Role of Spontaneous Free Play in Promoting Social and Emotional Health in Early Childhood Care and Education. (United States)

    Hewes, Jane


    There is accumulating scientific evidence of the potential of play and playfulness to enhance human capacity to respond to adversity and cope with the stresses of everyday life. In play we build a repertoire of adaptive, flexible responses to unexpected events, in an environment separated from the real consequences of those events. Playfulness helps us maintain social and emotional equilibrium in times of rapid change and stress. Through play, we experience flow-A feeling of being taken to another place, out of time, where we have controlled of the world. This paper argues that spontaneous free play, controlled and directed by children and understood from the child's perspective, contributes to children's subjective experience of well-being, building a foundation for life-long social and emotional health. The paradoxical nature of young children's spontaneous free play is explored. Adaptability, control, flexibility, resilience and balance result from the experience of uncertainty, unpredictability, novelty and non-productivity. These essential dimensions of young children's spontaneous free play typically produce play which is experienced by adults as chaotic, nonsensical and disruptive. The article concludes with a preliminary discussion of the challenges and possibilities of providing for spontaneous free play indoors, in early childhood care and education programs.

  19. Seeking Balance in Motion: The Role of Spontaneous Free Play in Promoting Social and Emotional Health in Early Childhood Care and Education

    Directory of Open Access Journals (Sweden)

    Jane Hewes


    Full Text Available There is accumulating scientific evidence of the potential of play and playfulness to enhance human capacity to respond to adversity and cope with the stresses of everyday life. In play we build a repertoire of adaptive, flexible responses to unexpected events, in an environment separated from the real consequences of those events. Playfulness helps us maintain social and emotional equilibrium in times of rapid change and stress. Through play, we experience flow—A feeling of being taken to another place, out of time, where we have controlled of the world. This paper argues that spontaneous free play, controlled and directed by children and understood from the child’s perspective, contributes to children’s subjective experience of well-being, building a foundation for life-long social and emotional health. The paradoxical nature of young children’s spontaneous free play is explored. Adaptability, control, flexibility, resilience and balance result from the experience of uncertainty, unpredictability, novelty and non-productivity. These essential dimensions of young children’s spontaneous free play typically produce play which is experienced by adults as chaotic, nonsensical and disruptive. The article concludes with a preliminary discussion of the challenges and possibilities of providing for spontaneous free play indoors, in early childhood care and education programs.

  20. Education versus Family: Institutional Logics in the Early Care and Education Field (United States)

    Colaner, Anna C.


    Non-parental arrangements for young children serve a dual function as supports for parental activities and educational inputs for children. However, arrangements that are suited to meet families' specific needs and preferences are sometimes in tension with experts' definitions of "quality." Researchers and policymakers increasingly…

  1. Facilitating LGBT Medical, Health and Social Care Content in Higher Education Teaching

    Directory of Open Access Journals (Sweden)

    Zowie Davy


    Full Text Available Increasingly, Lesbian, Gay, Bisexual, and Transgender (LGBT health care is becoming an important quality assurance feature of primary, secondary and tertiary healthcare in Britain. While acknowledging these very positive developments, teaching LGBT curricula content is contingent upon having educators understand the complexity of LGBT lives. The study adopted a qualitative mixed method approach. The study investigated how and in what ways barriers and facilitators of providing LGBT medical, health and social care curricula content figure in the accreditation policies and within undergraduate and postgraduate medical and healthcare teaching. This paper illustrates opposing views about curricula inclusion. The evidence presented suggests that LGBT content teaching is often challenged at various points in its delivery. In this respect, we will focus on a number of resistances that sometimes prevents teachers from engaging with and providing the complexities of LGBT curricula content. These include the lack of collegiate, colleague and student cooperation. By investing some time on these often neglected areas of resistance, the difficulties and good practice met by educators will be explored. This focus will make visible how to support medical, health and social care students become aware and confident in tackling contemporaneous health issues for LGBT patients.

  2. Attitudinal Difference Among Women Of Different Educational Status Towards Infant And Mother Care

    Directory of Open Access Journals (Sweden)

    Papiya Upadhyay and Deb Prasad Sikdar


    Full Text Available Children are the gem of the future. They contribute utmost to the national development of a country. If a country has healthy population, it can fight against all odds. In order to achieve this women come into the forefront. Women in their development process become mothers. A healthy mother can only give rise to healthy babies. The concern for the health of women is very significant and thus cannot be neglected. Against this back drop our present study aims to find out the relationship between women’s educational level and their attitudinal difference towards infant and personal care. The effect of marital status and location variations- rural and urban areas of Nadia district are also taken into consideration. The statistical analyses reflect mothers with higher educational status have positive attitude towards mother (personal and infant care. The rural women lag far behind their urban counterparts in this respect. There is no significant difference between married and unmarried women in attitude towards infant and mother care.

  3. Health Education Specialists' Knowledge, Attitudes, and Perceptions of the Patient Protection and Affordable Care Act. (United States)

    Strong, Jessica; Hanson, Carl L; Magnusson, Brianna; Neiger, Brad


    The changing landscape of health care as a result of the Patient Protection and Affordable Care Act (ACA) may provide new opportunities for health education specialists (HES). The purpose of this study was to survey HES in the United States on their knowledge and attitudes of the ACA and assess their perceptions of job growth under the law. A random sample of 220 (36% response rate) certified HES completed a 53-item cross sectional survey administered online through Qualtrics. Findings were compared to public opinion on health care reform. HES are highly favorable of the law (70%) compared to the general public (23%). A total of 85% of respondents were able to list a provision of the ACA, and most (81%) thought the ACA would be successful at increasing insured Americans. Over half (64.6%) believe job opportunities will increase. Those who viewed the law favorably were significantly more likely to score better on a knowledge scale related to the ACA. HES understand publicized provisions but are uncertain about common myths and specific provisions related to Title IV, "Prevention of Chronic Disease and Improving Public Health." Directed and continuing education to HES regarding the ACA is warranted.

  4. Educational Re-Engagement as Social Inclusion: The Role of Flexible Learning Options in Alternative Provision in Australia (United States)

    Myconos, George; Thomas, Joseph; Wilson, Kimberley; Te Riele, Kitty; Swain, Luke


    In Australia, a significant minority of young people do not complete upper secondary education. Whether procedural or enacted through the agency of students, the failure of the education system to accommodate young people through to completion can be regarded as a form of institutionalised social exclusion and injustice. In response, a growing…

  5. Piping Flexibility (United States)


    A NASA computer program aids Hudson Engineering Corporation, Houston, Texas, in the design and construction of huge petrochemical processing plants like the one shown, which is located at Ju'aymah, Saudi Arabia. The pipes handling the flow of chemicals are subject to a variety of stresses, such as weight and variations in pressure and temperature. Hudson Engineering uses a COSMIC piping flexibility analysis computer program to analyze stresses and unsure the necessary strength and flexibility of the pipes. This program helps the company realize substantial savings in reduced engineering time.

  6. Professional psychology in health care services: a blueprint for education and training. (United States)


    In 2010, an interorganizational effort among the American Psychological Association, the Council of Graduate Departments of Psychology, and the Council of Chairs of Training Councils, known as the Health Service Psychology Education Collaborative (HSPEC), was initiated to address mounting concerns related to education and training for the professional practice of psychology. Given that professional psychology includes diverse areas of practice and the mounting concerns about psychology's role in a reformed health care system, HSPEC chose to focus on preparation of psychologists for the delivery of health care services and made seven recommendations that constitute the core of a blueprint for the future. These recommendations require significant changes in graduate education-changes critical to the future of psychology as a health profession. As part of its work, HSPEC developed a statement of core competencies for the preparation of health service psychologists, integrating feedback solicited through public comment and review by the psychology community, including education and training councils and APA governance groups. The articulation of these competencies serves to inform not only the preparation of health service psychologists but students, employers, regulators, and policymakers as well. It also reflects the discipline's commitment to quality and accountability in the preparation of its workforce. HSPEC recognizes that its recommendations to strengthen the core preparation and identity of health service psychologists will result in some limitations on degrees of freedom at the program level but believes such limitation to be in the service of coherent and uniform standards for education and training. This blueprint supports the evolution and development of the profession within a scientific context. It supports standards as meaningful, versus minimum, indicators as part of the profession's obligation to the public. The blueprint also calls for the profession

  7. Importance of patient education on home medical care waste disposal in Japan. (United States)

    Ikeda, Yukihiro


    To determine current practices in the disposal and handling of home medical care (HMC) waste, a questionnaire was mailed to 1965 offices nationwide. Of the office that responded, 1283 offices were analyzed. Offices were classified by management configuration: those attached to hospitals were classified as "attached offices" and others as "independent offices". More nurses from attached offices recovered medical waste from patients' homes than those from independent offices. Most nurses educated their patients on how to store HMC waste in their homes (79.3% of total) and on how to separate HMC waste (76.5% of total). On the other hand, only around half of nurses (47.3% from attached offices and 53.2% from independent offices) educated their patients on where to dispose of their HMC waste. 66.0% of offices replied that patients had separated their waste appropriately. The need for patient education has emerged in recent years, with education for nurses under the diverse conditions of HMC being a key factor in patient education.

  8. Impact of educational strategies in low-risk prenatal care: systematic review of randomized clinical trials. (United States)

    Silva, Esther Pereira da; Lima, Roberto Teixeira de; Osório, Mônica Maria


    This study aimed to analyze the impact of educational strategies developed in low-risk prenatal care on obstetric outcomes from a systematic literature review. This review consulted databases PubMed, Medline, SciELO and Lilacs, analyzing randomized clinical trials with the following birth outcomes: birth weight, prematurity and breastfeeding, using the following combination of keywords: pre-natal, antenatal visits, education, health education, pregnancy outcomes, birth weight, prematurity, breastfeeding and randomized clinical trial. Nine studies were included following quality evaluation. Actions prove to be more effective when extended to the postpartum period. Most of them occurred during home visits and had a positive impact on breastfeeding and birth weight. The establishment of groups of pregnant women contributed to lower prevalence of prematurity. Breastfeeding was found to be the outcome most sensitive to educational strategies. Educational practices during the prenatal period contributed to favorable obstetric outcomes as they minimized pregnant women concerns and anxiety during the pregnancy process, preparing them for childbirth and postpartum, and should be incorporated into health services' work process.

  9. Financial Flexibility in North Carolina Schools. (United States)

    Suarez, Tanya M.; Polen, Deborah A.

    This paper explores educational financial flexibility with a focus on the specific issues surrounding local flexibility in North Carolina school districts. Strategies that states have used to increase local financial flexibility include waivers, reduction of budget categories, block grants, and school-based budgeting. The North Carolina system of…

  10. Conceptualizations of culture and cultural care among undergraduate nursing students: an exploration and critique of cultural education. (United States)

    Vandenberg, Helen; Kalischuk, Ruth Grant


    Culture and cultural care have become important concepts in nursing education. However, little is known about what nursing students learn about these complex concepts. The purpose of this study was to explore and critique what nursing students learn about culture and cultural care. First and fourth year students were invited to participate in a focused ethnography to explore how nursing education might shape student knowledge of culture over time. Findings revealed that both groups of students supported the essentialist view of culture. Although students supported the ideals of cultural care, students remained unaware of critical views of culture.

  11. The perception of nurses regarding educational practices for children with diabetes in hospital care

    Directory of Open Access Journals (Sweden)

    Viviane Peixoto dos Santos Pennafort

    Full Text Available The aim of this study was to describe the perception of nurses regarding educational practices conducted with children with diabetes in a hospital unit. It is a descriptive qualitative study, conducted in an inpatient unit of a public hospital in Fortaleza, state of Ceará, Brazil, between January and February of 2013, with six nurses. Data were collected by means of semi-structured interviews and submitted to content analysis, from which two categories emerged: role of nurses and staff in caring for the child with diabetes: the necessary intersection; and health education directed at the child with diabetes and family members in the hospital context. Nursing professionals acknowledged educational activities as part of an interdisciplinary care strategy which must occur since the moment the child is admitted. However, they displayed a reductionist view, centered on insulin therapy and changes of habit, which indicates the need for more creative approaches, capable of enhancing learning aspects and minimizing the gaps which prevent the disease from being managed appropriately.

  12. Quixotic medicine: physical and economic laws perilously disregarded in health care and medical education. (United States)

    Haburchak, David R; Mitchell, Bradford C; Boomer, Craig J


    Wise medical practice requires balancing the idealistic goals of medicine with the physical and economic realities of their application. Clinicians should know and employ the rules, maxims, and heuristics that summarize these goals and constraints. There has been little formal study of rules or laws pertaining to therapeutics and prognosis, so the authors postulate four physical and four economic laws that apply to health care: the laws of (1) finitude, (2) inertia, (3) entropy, and (4) the uncertainty principle; and the laws of (5) diminishing returns, (6) unintended consequences, (7) distribution, and (8) economizing. These laws manifest themselves in the absence of health, the pathogenesis of disease, prognosis, and the behaviors of participants in the health care enterprise. Physicians and the public perilously disregard these laws, frequently producing misdiagnoses, distraction, false expectations, unanticipated and undesirable outcomes, inequitable distribution of scarce resources, distrust, and cynicism: in short, quixotic medicine. The origins and public reinforcement of quixotic medicine make it deaf to calls for pragmatism. To achieve the Accreditation Council of Graduate Medical Education competency of systems-based practice, the authors recommend that premedical education return to a broader liberal arts curriculum and that medical education and training foster didactic and experiential knowledge of these eight laws.

  13. Educational intervention in Primary Care for the prevention of congenital syphilis 1 (United States)

    Lazarini, Flaviane Mello; Barbosa, Dulce Aparecida


    ABSTRACT Objectives: to evaluate the efficiency of educational interventions related to the knowledge of health care professionals of Primary Care and to verify the impact on the vertical transmission rates of congenital syphilis. Method: a quasi-experimental study conducted in the city of Londrina, Paraná, between 2013 and 2015. An educational intervention on diagnosis, treatment and notification was carried out with 102 professionals with knowledge measurement before and after the intervention. Incidence and mortality data from congenital syphilis were taken from the system for notifiable diseases (SINAN) and the Mortality Information System (SIM). Excel tabulation and statistical analysis was done in the Statistical Package for Social Sciences, version 2.1. A descriptive and inferential analysis was performed. Results: the mean number of correct responses increased from 53% to 74.3% after the intervention (p < 0.01). The adherence to professional training was 92.6%. There was a significant reduction in the vertical transmission rate of syphilis from 75% in 2013 to 40.2% in 2015. In 2014 and 2015 there were no records of infant mortality from this condition. Conclusion: the educational intervention significantly increased the knowledge of health professionals about syphilis and collaborated to reduce the rate of vertical transmission of the disease. PMID:28146181

  14. Collaborative Learning with Screen-Based Simulation in Health Care Education: An Empirical Study of Collaborative Patterns and Proficiency Development (United States)

    Hall, L. O.; Soderstrom, T.; Ahlqvist, J.; Nilsson, T.


    This article is about collaborative learning with educational computer-assisted simulation (ECAS) in health care education. Previous research on training with a radiological virtual reality simulator has indicated positive effects on learning when compared to a more conventional alternative. Drawing upon the field of Computer-Supported…

  15. Unfinished Business: Continued Investment in Child Care and Early Education Is Critical to Business and America's Future. Executive Summary (United States)

    Committee for Economic Development, 2012


    Business leaders have an acute understanding of the importance of a well-educated workforce to support a strong economy, keep America competitive globally, and ensure a vibrant democracy. Right now 20 percent of the American labor force is functionally illiterate or innumerate. High-quality child care and early education builds a strong foundation…

  16. Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and Systems Sciences. (United States)

    Gonzalo, Jed D; Haidet, Paul; Papp, Klara K; Wolpaw, Daniel R; Moser, Eileen; Wittenstein, Robin D; Wolpaw, Terry


    In the face of a fragmented and poorly performing health care delivery system, medical education in the United States is poised for disruption. Despite broad-based recommendations to better align physician training with societal needs, adaptive change has been slow. Traditionally, medical education has focused on the basic and clinical sciences, largely removed from the newer systems sciences such as population health, policy, financing, health care delivery, and teamwork. In this article, authors examine the current state of medical education with respect to systems sciences and propose a new framework for educating physicians in adapting to and practicing in systems-based environments. Specifically, the authors propose an educational shift from a two-pillar framework to a three-pillar framework where basic, clinical, and systems sciences are interdependent. In this new three-pillar framework, students not only learn the interconnectivity in the basic, clinical, and systems sciences but also uncover relevance and meaning in their education through authentic, value-added, and patient-centered roles as navigators within the health care system. Authors describe the Systems Navigation Curriculum, currently implemented for all students at the Penn State College of Medicine, as an example of this three-pillar educational model. Simple adjustments, such as including occasional systems topics in medical curriculum, will not foster graduates prepared to practice in the 21st-century health care system. Adequate preparation requires an explicit focus on the systems sciences as a vital and equal component of physician education.

  17. Educator engagement and interaction and children's physical activity in early childhood education and care settings: an observational study protocol (United States)

    Jones, Rachel A; Hagenbuchner, Markus; Nguyen, Tuc V; Okely, Anthony D


    Introduction The benefits of regular physical activity for children are significant. Previous research has addressed the quantity and quality of children's physical activity while in early childhood education and care (ECEC) settings, yet little research has investigated the social and physical environmental influences on physical activity in these settings. The outcomes of this study will be to measure these social and physical environmental influences on children's physical activity using a combination of a real-time location system (RTLS) (a closed system that tracks the location of movement of participants via readers and tags), accelerometry and direct observation. Methods and analysis This study is the first of its kind to combine RTLSs and accelerometer data in ECEC settings. It is a cross-sectional study involving ∼100 educators and 500 children from 11 ECEC settings in the Illawarra region of New South Wales, Australia. A RTLS and Actigraph GT3X+ accelerometers will be concurrently used to measure the level and location of the children's and educators' physical activity while in outside environments. Children and educators will wear accelerometers on their hip that record triaxial acceleration data at 100 Hz. Children and educators will also wear a tag watch on their wrist that transmits a signal to anchors of the RTLS and the triangulation of signals will identify their specific location. In addition to these, up to three random periods (10–25 min in length) will be used to collect observational data each day and assessed with the classroom assessment and scoring system to measure the quality of interactions. In conjunction with the real-time location system (RTLS) and accelerometers, these observations will measure the relationship between the quality of interactions and children's physical activity. Ethics and dissemination The results of this study will be disseminated through peer-reviewed publications and presentations. Ethical approval was

  18. Expanding Health Care Access Through Education: Dissemination and Implementation of the ECHO Model. (United States)

    Katzman, Joanna G; Galloway, Kevin; Olivas, Cynthia; McCoy-Stafford, Kimberly; Duhigg, Daniel; Comerci, George; Kalishman, Summers; Buckenmaier, Chester C; McGhee, Laura; Joltes, Kristin; Bradford, Andrea; Shelley, Brian; Hernandez, Jessica; Arora, Sanjeev


    Project ECHO (Extension for Community Healthcare Outcomes) is an evidence-based model that provides high-quality medical education for common and complex diseases through telementoring and comanagement of patients with primary care clinicians. In a one to many knowledge network, the ECHO model helps to bridge the gap between primary care clinicians and specialists by enhancing the knowledge, skills, confidence, and practice of primary care clinicians in their local communities. As a result, patients in rural and urban underserved areas are able to receive best practice care without long waits or having to travel long distances. The ECHO model has been replicated in 43 university hubs in the United States and five other countries. A new replication tool was developed by the Project ECHO Pain team and U.S. Army Medical Command to ensure a high-fidelity replication of the model. The adoption of the tool led to successful replication of ECHO in the Army Pain initiative. This replication tool has the potential to improve the fidelity of ECHO replication efforts around the world.

  19. Health Care providers and Teen Driving Safety: Topics Discussed and Educational Resources Used in Practice. (United States)

    Dellinger, Ann M; West, Bethany A


    Traffic crashes are the leading cause of death among teens. Health care providers have an opportunity to address what works to keep teens safe on the road during the patient visit. An online survey was conducted of 1088 health care providers who saw patients at or near driving age. The survey assessed which road safety topics were discussed and which types of educational products were used most often. Family and general practice physicians represented 44.3% of the sample, followed by pediatricians (22.5%), nurse practitioners (17.6%), and internists (15.5%). Nearly all respondents (92.9%) reported addressing one or more driving safety factors (seat belt use, nighttime driving, fatigue, teen passengers, alcohol/drug use, speeding/reckless driving, and cell phone use/texting) with adolescent patients and/or their parents. Seat belt use was reported more often (83.7%) than other topics. The use of parent-teen driving agreements, a known effective intervention, was reported by less than 10% of respondents. Since health care providers expressed interest in receiving written resource materials, distribution of parent-teen driving agreements to health care providers might encourage greater uptake and use of this effective intervention.

  20. Continuing professional development for volunteers working in palliative care in a tertiary care cancer institute in India: A cross-sectional observational study of educational needs

    Directory of Open Access Journals (Sweden)

    Jayita Kedar Deodhar


    Full Text Available Context: Training programs for volunteers prior to their working in palliative care are well-established in India. However, few studies report on continuing professional development programs for this group. Aims: To conduct a preliminary assessment of educational needs of volunteers working in palliative care for developing a structured formal continuing professional development program for this group. Settings and Design: Cross-sectional observational study conducted in the Department of Palliative Medicine of a tertiary care cancer institute in India. Materials and Methods: Participant volunteers completed a questionnaire, noting previous training, years of experience, and a comprehensive list of topics for inclusion in this program, rated in order of importance according to them. Statistical Analysis Used: Descriptive statistics for overall data and Chi-square tests for categorical variables for group comparisons were applied using Statistical Package for Social Sciences version 18. Results: Fourteen out of 17 volunteers completed the questionnaire, seven having 5-10-years experience in working in palliative care. A need for continuing professional development program was felt by all participants. Communication skills, more for children and elderly specific issues were given highest priority. Spiritual-existential aspects and self-care were rated lower in importance than psychological, physical, and social aspects in palliative care. More experienced volunteers (>5 years of experience felt the need for self-care as a topic in the program than those with less (<5-years experience ( P < 0.05. Conclusions: Understanding palliative care volunteers′ educational needs is essential for developing a structured formal continuing professional development program and should include self-care as a significant component.

  1. The role of higher education in transforming the quality of dementia care: dementia studies at the University of Bradford. (United States)

    Downs, M; Capstick, A; Baldwin, P C; Surr, C; Bruce, E


    There is now widespread concern about the inadequate care and support provided to people with dementia from diagnosis to death. It is acknowledged that while there is a range of effective ways to care for and support people with dementia and their families from diagnosis to death, these have yet to become integral to practice. In England, for example, the National Dementia Strategy seeks to transform the quality of dementia care. One of the key components to transforming the quality of care is to ensure we have an informed and effective workforce. We argue here that in order to transform the quality of care we need to distinguish between the aims of training and education. Whilst there is a place for skills-based workplace training, Higher Education in dementia studies has a key role to play in the provision of specialist knowledge and skills in dementia care emphasizing as it does the development of critical thinking, reflection and action. In this paper we describe dementia studies at Bradford University available at both undergraduate and postgraduate levels. We outline their aims and learning outcomes, curricula, approach to teaching, learning and assessment. We describe the nature of students who study with us, noting their fit with the Higher Education Funding Council in England's agenda for widening participation in higher education. Higher Education in dementia studies has a unique role to play in equipping practitioners and professionals with the information, skills and attitudes to realize the potential for quality of life for people with dementia and their families.

  2. [Proposition and evaluation of the educational activities for effective utilization of opioids performed by pharmacists in palliative home care]. (United States)

    Akai, Namika; Hashimoto, Daisuke; Fujita, Tomoko; Miyake, Keiichi; Hamabe-Fujita, Wakako; Tokuyama, Shogo


    Recently, it is required that community pharmacists participate in palliative home care. In this study, we designed educational activities for palliative home care to local residents as a new approach performed by community pharmacists. In addition, we proposed this approach to community pharmacists and discussed its roles to promote palliative home care in the future. We designed and held an educational seminar on palliative home care focusing on safe use of opioids in local residents. After this seminar, we conducted a questionnaire survey of the participants. Then, we made a proposition of this new approach by presentation of a seminar to community pharmacists (members of "Heartfulcare INC"). After the proposition, a questionnaire survey of the seminar on palliative home care was performed. In total, 79 people participated in the educational seminar. Most (87.3%) participants thought that it was informative. Furthermore, about 40% of participants answered "misunderstanding of opioids" or "anxiety regarding side effects of opioids" were removed following the seminar. All participating pharmacists evaluated the seminar as useful. The educational activity in the present study seemed effective to local residents on their misunderstanding of opioids. Furthermore, this approach was appreciated as an important role of community pharmacists in the palliative home care not only by local residents but also by pharmacists themselves. Therefore it seems important to continue such activities so as to improve palliative home care in the future.

  3. Self-care 3 months after attending chronic obstructive pulmonary disease patient education: a qualitative descriptive analysis

    DEFF Research Database (Denmark)

    Mousing, Camilla A; Lomborg, Kirsten


    Purpose: The authors performed a qualitative descriptive analysis to explore how group patient education influences the self-care of patients with chronic obstructive pulmonary disease. Patients and methods: In the period 2009–2010, eleven patients diagnosed with chronic obstructive pulmonary....... Talking to health care professionals focused the patients' attention on their newly acquired skills and the research interview made them more aware of their enhanced self-care. Conclusion: Patients' self-care may be enhanced through group education, even though the patients are not always able to see...... disease completed an 8-week group education program in a Danish community health center. The patients were interviewed 3 months after completion of the program. Findings: Patients reported that their knowledge of chronic obstructive pulmonary disease had increased, that they had acquired tools to handle...

  4. Integrating research, clinical care, and education in academic health science centers. (United States)

    King, Gillian; Thomson, Nicole; Rothstein, Mitchell; Kingsnorth, Shauna; Parker, Kathryn


    Purpose One of the major issues faced by academic health science centers (AHSCs) is the need for mechanisms to foster the integration of research, clinical, and educational activities to achieve the vision of evidence-informed decision making (EIDM) and optimal client care. The paper aims to discuss this issue. Design/methodology/approach This paper synthesizes literature on organizational learning and collaboration, evidence-informed organizational decision making, and learning-based organizations to derive insights concerning the nature of effective workplace learning in AHSCs. Findings An evidence-informed model of collaborative workplace learning is proposed to aid the alignment of research, clinical, and educational functions in AHSCs. The model articulates relationships among AHSC academic functions and sub-functions, cross-functional activities, and collaborative learning processes, emphasizing the importance of cross-functional activities in enhancing collaborative learning processes and optimizing EIDM and client care. Cross-functional activities involving clinicians, researchers, and educators are hypothesized to be a primary vehicle for integration, supported by a learning-oriented workplace culture. These activities are distinct from interprofessional teams, which are clinical in nature. Four collaborative learning processes are specified that are enhanced in cross-functional activities or teamwork: co-constructing meaning, co-learning, co-producing knowledge, and co-using knowledge. Practical implications The model provides an aspirational vision and insight into the importance of cross-functional activities in enhancing workplace learning. The paper discusses the conceptual and empirical basis to the model, its contributions and limitations, and implications for AHSCs. Originality/value The model's potential utility for health care is discussed, with implications for organizational culture and the promotion of cross-functional activities.

  5. Interprofessional education: the inclusion of dental hygiene in health care within the United States – a call to action

    Directory of Open Access Journals (Sweden)

    Vanderbilt AA


    Full Text Available Allison A Vanderbilt,1 Kim T Isringhausen,2 Patricia Brown Bonwell2,3 1Center on Health Disparities and School of Medicine, 2Department of Oral Health Promotion and Community Outreach, School of Dentistry, 3Dental Hygiene Program, School of Dentistry, Virginia Commonwealth University, Richmond, VA, USA Abstract: There is a lack of access to oral health care in the United States for rural, underserved, uninsured, and low-income populations. There are widely recognized problems with the US health care system, including rapidly increasing costs and access to oral health. During the last decade, there has been a huge influx and push toward interprofessional education programs; however, these programs conveniently leave out dental hygiene. Interprofessional education can bring forth the collaboration, communication, and teamwork necessary to provide a comprehensive health care plan to treat oral health care needs in patients. As the advanced practice for dental hygiene emerges, it is imperative that the educational qualifications of dental hygienists are sufficient to enable them to safely provide the scope of services and care encompassed in these new expanded roles and to effectively participate as an interprofessional team member. Keywords: interprofessional education, dental hygiene programs, dental hygiene education, oral health education

  6. From therapeutic patient education principles to educative attitude: the perceptions of health care professionals - a pragmatic approach for defining competencies and resources. (United States)

    Pétré, Benoit; Gagnayre, Remi; De Andrade, Vincent; Ziegler, Olivier; Guillaume, Michèle


    Educative attitude is an essential, if implicit, aspect of training to acquire competency in therapeutic patient education (TPE). With multiple (or nonexistent) definitions in the literature, however, the concept needs clarification. The primary aim of this study was to analyze the representations and transformations experienced by health care professionals in the course of TPE training in order to characterize educative attitude. We conducted an exploratory qualitative study using several narrative research-based tools with participants of two TPE continuing education courses. We then performed an inductive thematic analysis. Thirty-three people participated in the study; the majority were women (n=29), nurses (n=17) working in a hospital setting (n=28). Seven categories of statements were identified: time-related ("the right moment, how much time it takes"), the benefits of TPE (to health care professionals' personal well-being), emotions and feelings (quality of exchanges, sharing), the professional nature of TPE (educational competencies required), the holistic, interdisciplinary approach (complexity of the person and value of teamwork), the educational nature of the care relationship (education an integral part of care) and the ethical dimension (introspection essential). The first three components appear fairly innovative, at least in formulation. The study's originality rests primarily in its choice of participants - highly motivated novices who expressed themselves in a completely nontheoretical way. Health models see attitude as critical for adopting a behavior. Best TPE practices should encourage personal work on this, opening professionals to the social, experiential and emotional aspects of managing chronic illness.

  7. Toward competency-based curricula in patient-centered spiritual care: recommended competencies for family medicine resident education. (United States)

    Anandarajah, Gowri; Craigie, Frederic; Hatch, Robert; Kliewer, Stephen; Marchand, Lucille; King, Dana; Hobbs, Richard; Daaleman, Timothy P


    Spiritual care is increasingly recognized as an important component of medical care. Although many primary care residency programs incorporate spiritual care into their curricula, there are currently no consensus guidelines regarding core competencies necessary for primary care training. In 2006, the Society of Teachers of Family Medicine's Interest Group on Spirituality undertook a three-year initiative to address this need. The project leader assembled a diverse panel of eight educators with dual expertise in (1) spirituality and health and (2) family medicine. The multidisciplinary panel members represented different geographic regions and diverse faith traditions and were nationally recognized senior faculty. They underwent three rounds of a modified Delphi technique to achieve initial consensus regarding spiritual care competencies (SCCs) tailored for family medicine residency training, followed by an iterative process of external validation, feedback, and consensus modifications of the SCCs. Panel members identified six knowledge, nine skills, and four attitude core SCCs for use in training and linked these to competencies of the Accreditation Council for Graduate Medical Education. They identified three global competencies for use in promotion and graduation criteria. Defining core competencies in spiritual care clarifies training goals and provides the basis for robust curricula evaluation. Given the breadth of family medicine, these competencies may be adaptable to other primary care fields, to medical and surgical specialties, and to medical student education. Effective training in this area may enhance physicians' ability to attend to the physical, mental, and spiritual needs of patients and better maintain sustainable healing relationships.

  8. Self-care 3 months after attending chronic obstructive pulmonary disease patient education: a qualitative descriptive analysis

    DEFF Research Database (Denmark)

    Mousing, Camilla Askov; Lomborg, Kirsten


    Purpose: The authors performed a qualitative descriptive analysis to explore how group patient education influences the self-care of patients with chronic obstructive pulmonary disease. Patients and methods: In the period 2009–2010, eleven patients diagnosed with chronic obstructive pulmonary....... Talking to health care professionals focused the patients' attention on their newly acquired skills and the research interview made them more aware of their enhanced self-care. Conclusion: Patients' self-care may be enhanced through group education, even though the patients are not always able to see...... the immediate outcome. Some patients may require professional help to implement their newly acquired knowledge and skills in everyday life. A planned dialogue concentrating on self-care in everyday life 3 months after finishing the course may enhance patients' awareness and appraisal of their newly acquired...

  9. Women's education level, antenatal visits and the quality of skilled antenatal care: a study of three African countries. (United States)

    Babalola, Stella


    Many pregnant women in Africa who access professional antenatal care do not receive all the WHO-recommended components of care. Using Demographic and Health Survey (DHS) data from Kenya, Malawi and Nigeria, this study assesses the relationship of education level with the quality of antenatal care received and highlights how the number of antenatal visits mediates this relationship. The results show that a large proportion of the effect of education level on quality of care is direct, while only a small portion is mediated through the number of antenatal visits. Efforts to improve pregnancy outcomes for under-privileged women should focus on removing structural barriers to access, strengthening the technical and interpersonal skills of providers, and addressing providers' biases and discriminatory practices towards these women. Such efforts should also seek to empower underprivileged women to insist on quality antenatal care by explaining what to expect during an antenatal visit.

  10. Health Care Cost Containment Education for Physicians in the Military Health Services System (United States)


    34 OQuoted in-Fuchs 1974, p. 583. Victor Fuchs (1974, pp. 56-58) brings forth the idea of the physician as captain of the health team and identifies... Toledo . It began as a program in quality assurance with the introduction of cost components as a natural outgrowth of the examination of quality of care...1238. Friedman, Emily "Changing the Oourse of Things Costs Enter ’Medical. Education." Hospitala 53 (0 May 1979), pp. 82-85. Fuchs, Victor . "The

  11. [Competencies in the education of nursing technicians to implement the nursing care systematization]. (United States)

    da Cruz, Andrea de Mello Pereira; Almeida, Miriam de Abreu


    This is a qualitative, exploratory and descriptive study whose general objective was to learn, considering the perspective of the nursing technician who works in school hospitals, the competencies developed during their educational process to implement the Nursing Care Systematization (NCS). Data collection and analysis were carried out through a focal group, with content analysis and nursing technicians. Two thematic categories emerged: The participation of the nursing technician in the NCS and The competencies in the education of the nursing technician. Each one received two subcategories: Conception of the NCS and (De)valuation of the NCS, Technical-scientific competency and Competency in the interpersonal relationship, respectively. It was observed that the NCS must be shared, discussed and made public among nursing professionals, so that they may acknowledge themselves as the leading actors of their methodology and be aware that their practices determine the results.

  12. Polish system of education in maritime health care and medical assistance for seafarers. (United States)

    Chodnik, Tomasz; Jeżewska, Maria; Jaremin, Bogdan; Kotłowski, Andrzej; Leszczyńska, Irena; Grubman-Nowak, Marta


    The Polish public awareness of the crucial importance of the own maritime economy to the very existenceof the national state has its historical reasons. The Polish maritime involvement has seen several dramaticcrises, but the Polish nationals have become an established group in the global marine trade workforceand are entitled to the proper health care. In this paper the main maritime health issues are mentioned.To meet the issues, also the national education system provides the opportunities for both seafarers andmedical professionals. The Polish doctors can specialise in the maritime medicine. In many cases the generalmedicine students formations include these topics as well. The psychological aspects are also takeninto account, both of the education of the seafarers and the organisational structure of the Polish healthcare system. Some recent aspects of the Polish participation in the international cooperation in the fieldof the medical support of the maritime economy are also described.

  13. Education and Health: a necessary dialogue policies of comprehensive care for people with disabilities

    Directory of Open Access Journals (Sweden)

    Nelma Alves Marques Pintor


    Full Text Available This work aims to reflect on the importance of dialogue between education and health, basic thought of as public policy in the context of comprehensive care to people with disabilities. These findings emphasize the difficulty faced by these areas to establish a dialogue that results in convergent planning intersectoral action for health promotion, quality of life and social and educational inclusion of disabled people, especially the mentally handicapped. Based on studies of Brazilian authors seek to clarify some facts that underscore the need for dialogue and do not justify the perpetuation of the gap between these fields of knowledge. Presents the partial results of an experience of intersectionality between these areas in the municipal schools of Niterói (Rio de Janeiro, Brazil with students with disabilities, which stresses the absence of a culture of popular participation in local public policies.

  14. Developing palliative care competencies for the education of entry level baccalaureate prepared Canadian nurses. (United States)

    Jacono, Brenda; Young, Lynne; Baker, Cynthia; Richardson, Holly R L; Cable-Williams, Beryl; Jewers, Heather; Lavoie, Mireille; Librach, Larry; Bidgood, Darcee; Mitchell, Mitzi Grace


    Educational preparation of health professionals for Palliative and End of Life Care (PEOLC) is inadequate, and nurses are no exception. In 2004, the Canadian Association of Schools of Nursing struck a Task Force to develop PEOLC competencies to address this issue. The development of national PEOLC nursing competencies involved a multi-step, emergent, interactive, and iterative process. An overarching principle guiding this process was building national consensus about the essential PEOLC specific competencies for nurses among experts in this field while simultaneously generating, revising, and refining them. There have been three stages in this iterative, multi-step process: 1) Generating a preliminary set of competencies, 2) Building a national consensus among educators and experts in the field on PEOLC specific competencies for nurses, and 3) Refining the consensus based competencies for curriculum development. Ongoing follow up work for this project is focusing on the integration of these competencies into nursing curricula.

  15. Early Childhood Education and Care Policy in Portugal = A Educacao Pre-Escolar e os Cuidados para a Infancia em Portugal. (United States)

    Ministry of Education, Lisbon (Portugal).

    Based on the view that the rapid expansion and development of preschool education requires careful scrutiny of both educational policy and practices, this book presents information on current early childhood education and care policy in Portugal. Section 1 of the book provides a historical framework for the development of early childhood education…

  16. Seizing an Opportunity with Carefully Designed Geoscience Education Professional Development (Invited) (United States)

    Holzer, M. A.


    The Next Generation Science Standards (NGSS) are providing science education with opportunities to improve classroom practice and student learning within the domain of Earth and space science education. However, accurate and precise interpretation and implementation are the keys to meeting the goals of NGSS. Through their networks, our national geoscience organizations, like National Earth Science Teachers Association, are well positioned to ensure accuracy and precision is achieved in the interpretation and implementation of the NGSS. Nevertheless there are numerous challenges in designing appropriate resources and professional development aligned with the NGSS. This presentation will highlight the challenges and offer solutions to ensuring NGSS specific professional development will assist teachers and increase student learning. In the race to "align" instructional materials with the NGSS a rubber stamp must be avoided, and instead, careful vetting is necessary. The Framework for K-12 Science Education: Practices, Crosscutting Concepts, and Core Ideas (NRC, 2011) set the groundwork for the creation of the NGSS, which then melded the three dimensions (science and engineering practices, cross-cutting concepts, and disciplinary core ideas) into the performance expectations within the standards. When instructional materials are aligned, assessment for the explicit integration of all three dimensions must be included if the materials are to be truly aligned. The NGSS team is designing an instructional material alignment rubric to be used in the vetting process. Once the rubric has been created it will be a tool used by anyone creating instructional materials, and once an educator understands how to use the rubric and how to interpret the rubric score, it will increase the likelihood that the NGSS will be implemented with fidelity. As much as it is a challenge to identify instructional materials that "align" with the NGSS, it will be more of a challenge to design and

  17. Measuring psychological flexibility in medical students and residents: a psychometric analysis

    Directory of Open Access Journals (Sweden)

    Christie L. Palladino


    Full Text Available Purpose: Psychological flexibility involves mindful awareness of our thoughts and feelings without allowing them to prohibit acting consistently with our values and may have important implications for patient-centered clinical care. Although psychological flexibility appears quite relevant to the training and development of health care providers, prior research has not evaluated measures of psychological flexibility in medical learners. Therefore, we investigated the validity of our learners’ responses to three measures related to psychological flexibility. Methods: Fourth-year medical students and residents (n=275 completed three measures of overlapping aspects of psychological flexibility: (1 Acceptance and Action Questionnaire-II (AAQ-II; (2 Cognitive Fusion Questionnaire (CFQ; and (3 Mindful Attention and Awareness Questionnaire (MAAS. We evaluated five aspects of construct validity: content, response process, internal structure, relationship with other variables, and consequences. Results: We found good internal consistency for responses on the AAQ (α=0.93, MAAS (α=0.92, and CFQ (α=0.95. Factor analyses demonstrated a reasonable fit to previously published factor structures. As expected, scores on all three measures were moderately correlated with one another and with a measure of life satisfaction (p<0.01. Conclusion: Our findings provide preliminary evidence supporting validity of the psychological flexibility construct in a medical education sample. As psychological flexibility is a central concept underlying self-awareness, this work may have important implications for clinical training and practice.

  18. Explore the Path of Nursing Care in Higher Education%探究高等教育护理专业关怀教育路径

    Institute of Scientific and Technical Information of China (English)

    徐锦江; 顾立学; 周晓平


    The combination of care education and nursing education has become a trend of cultivation af students' Care Awareness and ability. By using Noddings Caring Educational Theory and Nursing care educational characteristics, this article constructs a care education method that aims at developing the students' care ability, setting explicit and implicit care as educational content and using the educational method of satisfying the need of students' care personality and experience and teachers' care relationship. By constructing the care education system of self-evaluation, appreciation evaluation and evaluation by others, we intend to show the characteristic of nursing in higher education.%关怀教育与护理教育的结合已成为培养护理学生关怀意识和能力的一种趋势.运用诺丁斯关怀教育理论和护理关怀教育特点,构建以培养学生关怀能力为目标,设置显性和隐性关怀课程为教育内容,使用满足学生关怀个性、关怀体验、与教师关怀关系的需要的关怀教育方法,建立自我评价、欣赏评价、他人评价的关怀教育体系.

  19. Development and pretesting of an information, education and communication (IEC focused antenatal care handbook in Pakistan

    Directory of Open Access Journals (Sweden)

    Avan Bilal


    Full Text Available Abstract Background Improvement of maternal morbidity and mortality indicators remains a major challenge for developing countries. Antenatal care is one of the key strategies in maintaining safe motherhood. The objective of this study was to develop and pretest a culturally relevant Antenatal Care Handbook (ANC handbook utilizing the principles of information, education, and communication (IEC. We developed the ANC handbook after an extensive review of existing literature, available instruments (for keeping track of pregnancy and informing pregnant women, and seeking expert opinion. To pretest the ANC handbook, a cross-sectional approach was adopted, and information was collected from 300 expectant women, 150 women each from the community and from the health facility arm. Trained field workers conducted the pretesting from May 2004 to June 2004. Feedback on messages for pregnant mothers contained in the handbook was also assessed. At the same time, the ANC handbook was reviewed by 25 health care providers (including community health workers, physicians, nurses, and other health staff working at various kinds of health care facilities. Data were analyzed using both quantitative and qualitative methods. Findings Twenty-three percent of the interviewed women were primigravida, 50% were multigravida and 27% were grandmultipara. The mean age of the women in the community sample was 25.8 SD: 4.9 years and in the hospital sample it was 25.7 SD: 5.2 years. No significant differences were observed between women interviewed at community or health facilities related to their understanding of ANC messages, and the majority of messages were well understood. Similarly, health care providers found all of the instruments useful and workable in the health system. Finally, feedback from pregnant women and health care staff regarding different components of the handbook were incorporated and later verified by them. Conclusions Findings of pretesting reveal that a

  20. Impact of an educational program on nursing students’ caring and self-perception in intensive clinical training in Jordan

    Directory of Open Access Journals (Sweden)

    Khouri RI


    Full Text Available Rawda KhouriAl Hussein Bin Talal University, Princess Aisha Bint Al Hussein College Of Nursing, Ma’an, JordanBackground: Framing and development of clinical skills in nursing students during their clinical practice is critical because this can shape their future caring skills. Professional caring empowers patients and contributes to their well-being and health. Education may enhance the capacity of nurses to be effective caring practitioners. Their study program encourages caring behavior in nursing students, consequently affecting their professional self-perception.Methods: The present study investigated the effect of an educational program on caring behavior and professional self-perception in nursing students using a controlled pre/post test study design. The study sample consisted of 50 nursing students undertaking their final year in 2010–2011. Subjects were randomly assigned to either an experimental or a control group. The study was conducted in two critical care units affiliated to the Ma’an and Queen Rania hospitals in the south of Jordan. The instruments utilized were the Caring Dimensions Inventory, Nursing Students Attitude Observational Checklist, and Professional Self-Concept of Nurses Instrument.Results: The study findings favor the effect of the educational program because there was increased knowledge and understanding of caring theory and related concepts, a more holistic approach to care, enhanced caring practices, and improved self-perception in the study group compared with the control group during different periods of assessment. The study group showed significantly better caring perception in psychological, technical, and professional terms than the control group during different periods of assessment. There was a significant positive trend of overall professional self-perception for the study group compared with the control group.Conclusion: Nursing curricula should incorporate concepts and principles that guide

  1. The value of education in special care dentistry as a means of reducing inequalities in oral health.

    LENUS (Irish Health Repository)

    Faulks, D


    People with disability are subject to inequality in oral health both in terms of prevalence of disease and unmet healthcare needs. Over 18% of the global population is living with moderate to severe functional problems related to disability, and a large proportion of these persons will require Special Care Dentistry at some point in their lifetime. It is estimated that 90% of people requiring Special Care Dentistry should be able to access treatment in a local, primary care setting. Provision of such primary care is only possible through the education and training of dentists. The literature suggests that it is vital for the dental team to develop the necessary skills and gain experience treating people with special needs in order to ensure access to the provision of oral health care. Education in Special Care Dentistry worldwide might be improved by the development of a recognised academic and clinical discipline and by providing international curricula guidelines based on the International Classification of Functioning, Disability and Health (ICF, WHO). This article aims to discuss the role and value of promoting and harmonising education in Special Care Dentistry as a means of reducing inequalities in oral health.

  2. Effectiveness of oral health education among primary health care workers at the primary health center in Nellore district, Andhra Pradesh

    Directory of Open Access Journals (Sweden)

    Muthyala Pavana Sandhya


    Full Text Available Background: Primary dental care can be a way of achieving good oral health for the community. This can be achieved by integration of oral health care with the existing primary health care activities through training of primary health care workers on aspects of oral health. Objective: To assess the effectiveness of oral health education among primary health care workers at the primary health center (PHC in Nellore district, Andhra Pradesh. Materials and Methods: Descriptive longitudinal study was conducted from June 2010 to August 2010 at a PHC. Knowledge about oral health among primary health care workers was pretested using a self-administered questionnaire prepared in local language (Telugu. Later after a month health education was provided to the health workers, and pamphlets with information on oral health were distributed. Posttest assessment was done 1-month after providing health education using the same questionnaire. Statistical analysis was performed using the SPSS 12.0 software, Student′s t-test was used to compare knowledge scores between pre and posttests. Results: A total of 118 Primary Health Care Workers with the majority in the 20-30 years age group participated in the study. Posttest assessment showed a change in knowledge level with an overall increase in knowledge level of primary health care workers with a mean difference of 12.56 ± 3.23, which was highly significant (P < 0.001. Conclusion: The knowledge about oral health was poor, and it improved after providing health education to primary health care workers. Change in knowledge was appreciable and may play a key role in oral health promotion of the vast majority of the rural population.

  3. How we implemented a classroom-based educational intervention for ward-based diabetes care. (United States)

    Taylor, Charles G; Atherley, Anique; George, Colette; Morris, Clare


    Abstract Background: Junior doctors require training to adequately manage the increasing numbers of adult, hospitalized patients with diabetes whom they encounter. Aims: Junior doctors experiencing the intervention acquire knowledge and skills that improve their management of inpatients with diabetes. Methods: We designed and administered, a one-hour, classroom-based, educational intervention to 242 juniors doctors. This resulted in a 49% reduction in insulin prescription errors and an increase in their confidence in the delivery of care. A number of key steps were taken to develop the intervention. First, aims, objectives, methods and assessment were carefully aligned with learning objectives at the appropriate level of Bloom's Taxonomy. Clarity was enhanced through the structuring of the introduction, body and conclusion. Clinically authentic active learning methods were used to increase engagement and provide an opportunity for junior doctors to reflect and make connections with their own clinical practice. Additionally, refinement was integrated into the process of administration. Results: Qualitative analysis from 205 trainees (85%) revealed that trainees liked a number of design features, their ability to be interactive, and immediacy behaviors of facilitators. Conclusion: Classroom-based training can impact clinically delivered care. Achieving this goal requires well-thought-out content design and evaluation.

  4. Institutional Changes and the Expansion of Flexible Forms of Employment in Higher Education: The Case of Greek Universities (United States)

    Nikolaidis, Evangelos; Maroudas, Leonidas


    Extensive institutional changes and restructuring are taking place in higher education within the context of the new managerialism's ideological principles and administrative practices aimed at the fulfilment of the goals of the neoliberal political dominance. These changes involve the massification of universities, along with the reduction of…

  5. Problem Based Learning: Does It Provide Appropriate Levels of Guidance and Flexibility for Use in Police Recruit Education? (United States)

    Shipton, Brett


    Education programs for police recruits have often been criticised for their over-reliance on teacher-centred approaches that are less than ideal for promoting functional knowledge and critical thinking skills. Problem-Based Learning (PBL), which is suggested as an alternative, has been criticised for not providing novice learners with appropriate…

  6. Designing of Pathways and Qualification Framework focusing on Short Cycle Higher Education in Scotland


    吉本, 圭一


    This paper examines the role of the qualification system on flexible learning pathways, focusing on the development of short cycle higher education in Scotland. Expansion of higher education brings the diversification of learners and, as its consequence, develops varieties of non-traditional leaning pathways and learning methods. The flexibility of an educational system is one key ingredient nowadays, but also integrity is more to be carefully and seriously designed, in order to provide adequ...

  7. Impact of a Provincial Asthma Guidelines Continuing Medical Education Project: The Ontario Asthma Plan of Action’s Provider Education in Asthma Care Project



    BACKGROUND: The Ontario Ministry of Health and Long-Term Care funded the Ontario Lung Association to develop and implement a continuing medical education program to promote implementation of the Canadian asthma guidelines in primary care.OBJECTIVES: To determine baseline knowledge, preferred learning format, satisfaction with the program and reported impact on practice patterns.METHODS: A 3 h workshop was developed that combined didactic presentations and small group case discussions. Outcome...

  8. Medical Education About the Care of Addicted Incarcerated Persons: A National Survey of Residency Programs. (United States)

    Kraus, Mark L.; Isaacson, J. Harry; Kahn, Ruth; Mundt, Marlon P.; Manwell, Linda Baier


    In June 1998, there were 1.8 million inmates in correctional facilities for adults; 1.2 million in state and federal prisons and 600,000 in municipal/county jails (668 persons per 100,000 U.S. population). Rates of TB, AIDS, mental illness, and substance abuse are 2-13 times higher in persons living in jails and prisons. This study was designed to assess the level of training offered to residents in seven medical specialties in the care of addicted incarcerated persons. The study design involved two stages. The first entailed a mailed survey to 1,831 residency directors in family medicine, internal medicine, osteopathic medicine, pediatrics, obstetrics and gynecology, psychiatry, and emergency medicine. The second stage was a telephone interview, about substance use disorders, of faculty listed by the residency directors as teaching residents. The mailed survey was completed by 1,205 residency directors (66%). The 769 faculty from those identified programs, who participated in the telephone interview, reported that only 14% of their residency programs offered lectures or conferences on the care of incarcerated persons, yet 44% of the programs had residents caring for incarcerated persons with substance abuse problems, in a clinical setting. Only 22% offered clinical experiences for residents in a correctional facility.We recognize that our survey of correctional health and substance abuse training is limited, but as such, a greater number of respondents to our survey do not teach residents addiction medicine topics pertaining to prevention, evaluation, intervention, and management of the addicted criminal offender/patient in a correctional setting or give adequate clinical exposure to this special population. The data suggests a need to develop and implement educational programs on medical care for this high-risk and expanding population.

  9. Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy

    NARCIS (Netherlands)

    Kovaleva, Julia; Peters, Frans T. M.; van der Mei, Henny C.; Degener, John E.


    Flexible endoscopy is a widely used diagnostic and therapeutic procedure. Contaminated endoscopes are the medical devices frequently associated with outbreaks of health care-associated infections. Accurate reprocessing of flexible endoscopes involves cleaning and high-level disinfection followed by

  10. Leadership in athletic training: implications for practice and education in allied health care. (United States)

    Kutz, Matthew R


    Leadership behaviors are an important aspect of athletic training and are needed within all allied health care disciples. A two-phase, exploratory, non-experimental research study using a Delphi technique and a randomly selected sample of athletic trainers (n = 161) was conducted to determine leadership competencies perceived to be important for athletic training practice and education. The Delphi technique (phase one) resulted in the Leadership Development in Athletic Training instrument (LDAT). In the national survey (phase two), respondents used the LDAT to rate the importance of leadership competencies for athletic training practice and for athletic training education. Coefficient alphas ranged from α = 0.83 to 0.97 and provided satisfactory estimates of internal consistency. Concurrent, construct, and convergent validity were established. Forty-nine leadership competencies were rated important for practice and 48 for education (M = 1.5, p ≤ 0.001). Exploratory factor analysis revealed that leadership competencies were organized by four constructs (with six emphases): 1) personality characteristics, 2) diagnosing context and people skills, 3) communication and initiative, and 4) strategic thinking. Repeated measures ANOVA with Sidak post-hoc adjustments indicated each leadership construct significantly increased in importance as the level of the ATEP progressed.

  11. A comparison of tele-education versus conventional lectures in wound care knowledge and skill acquisition. (United States)

    Haney, Marisa; Silvestri, Salvatore; Van Dillen, Christine; Ralls, George; Cohen, Ethan; Papa, Linda


    We conducted a randomized controlled study to compare conventional lectures with tele-education for delivering wound care education. Education was delivered by the two methods simultaneously to two classes. Forty-eight paramedics received a live didactic presentation and 41 paramedics received the same lecture via videoconferencing. The participants were evaluated by a multiple-choice examination and a practical test of their wound closure skills. There were no significant differences in any category of the practical skills test, and no difference in the results of the written examination: the mean total score was was 109.0 (95% CI 105.7-112.4) in the conventional lecture group and 110.3 (95% CI 106.2-114.3) in the video group (P = 0.63). In a survey at the end of the study the live lecture group rated the overall effectiveness of teaching significantly higher than the video-based group: the median scores for effectiveness of teaching were 6.0 (IQR 5.5-6.0) in the live lecture group and 4.0 (IQR 3.0-5.0) in the video group (P presentation.


    Directory of Open Access Journals (Sweden)

    Ali ÖZKAN


    Full Text Available The purpose of the present study was to determination of the morphological variables in determining role of strength and flexibility in dıfferent sports branches in School of Physical Education and Sports sudents . A total of 71 different sports branches players ( 푋 age: 21.16±3.65 year participated in this study voluntarily. Subjects’ height, body weight, body mass index, body fat percentage and total of seven skinfold thicknesses were determined. Body fat percentage was determined by Yuhasz formula. Sit and reach test was used to determinate. Isometric dynamometer was used for the determination of knee (KS, back (BS, grip (GS and total strength (TS. Results of Pearson Product Moment correlation analysis, height was significantly correlated with right hand grip strength (r=.267, p<.01 and total strength (r= .354, p<.05. Similarly body weight was significantly positive correlated with right hand grip strength (r=.250, p<.01 and total strength (r=.542, p<.05. On the other hand, total of seven skinfol d thicknesses was significantly positive correlated with left hand grip strength (r=.286, p<.01. As a conclusion, the findings of the present study indicated that morphological variables plays important role in different sports branches in School of Physi cal Education and Sports sudents.

  13. Adapting the Advanced Cardiac Life Support for the Experienced Provider (ACLS-EP course for emergency care education in Rwanda

    Directory of Open Access Journals (Sweden)

    William E. Cayley Jr


    Full Text Available The Advanced Cardiac Life Support for the Experienced Provider (ACLS-EP course uses a case-based curriculum to teach emergency resuscitation principles to experienced health care professionals. This article describes the adaptation of the ACLS-EP curriculum to be used in a family medicine training programme in Rwanda, including lessons learned and recommendations for future use of this material for emergency care education in the African setting.

  14. Adapting the Advanced Cardiac Life Support for the Experienced Provider (ACLS-EP) course for emergency care education in Rwanda


    Cayley Jr, William E


    The Advanced Cardiac Life Support for the Experienced Provider (ACLS-EP) course uses a case-based curriculum to teach emergency resuscitation principles to experienced health care professionals. This article describes the adaptation of the ACLS-EP curriculum to be used in a family medicine training programme in Rwanda, including lessons learned and recommendations for future use of this material for emergency care education in the African setting.

  15. Challenges and opportunities for nutrition education and training in the health care professions: intraprofessional and interprofessional call to action1234


    DiMaria-Ghalili, Rose Ann; Mirtallo, Jay M; Tobin, Brian W; Hark, Lisa; Van Horn, Linda; Palmer, Carole A


    Understanding and applying nutrition knowledge and skills to all aspects of health care are extremely important, and all health care professions need basic training to effectively assess dietary intake and provide appropriate guidance, counseling, and treatment to their patients. With obesity rates at an all-time high and the increasing prevalence of diabetes projected to cost the Federal government billions of dollars, the need for interprofessional nutrition education is paramount. Physicia...

  16. More than words: applying the discipline of literary creative writing to the practice of reflective writing in health care education. (United States)

    Kerr, Lisa


    This paper examines definitions and uses of reflective and creative writing in health care education classrooms and professional development settings. A review of articles related to writing in health care reveals that when teaching narrative competence is the goal, creative writing may produce the best outcomes. Ultimately, the paper describes the importance of defining literary creative writing as a distinct form of writing and recommends scholars interested in using literary creative writing to teach narrative competence study pedagogy of the field.

  17. Flexible Capitalism

    DEFF Research Database (Denmark)

    Approaching “work” as at heart a practice of exchange, this volume explores sociality in work environments marked by the kind of structural changes that have come to define contemporary “flexible” capitalism. It introduces anthropological exchange theory to a wider readership, and shows how...... the perspective offers new ways to enquire about the flexible capitalism’s social dimensions. The essays contribute to a trans-disciplinary scholarship on contemporary economic practice and change by documenting how, across diverse settings, “gift-like” socialities proliferate, and even sustain the intensified...

  18. An educational model for improving diet counselling in primary care. A case study of the creative use of doctors' own diet, their attitudes to it and to nutritional counselling of their patients with diabetes

    DEFF Research Database (Denmark)

    Olivarius, Niels de Fine; Palmvig, Birthe; Andreasen, Anne Helms;


    Nutritional counseling; Nutritional education; Nutritional assessment; Primary care; Continuing medical education; Doctors' diet; Doctors attitudes; Doctors' knowledge; Body mass index; Educational model; Food frequency questionaire......Nutritional counseling; Nutritional education; Nutritional assessment; Primary care; Continuing medical education; Doctors' diet; Doctors attitudes; Doctors' knowledge; Body mass index; Educational model; Food frequency questionaire...

  19. Role-playing simulation as an educational tool for health care personnel: developing an embedded assessment framework. (United States)

    Libin, Alexander; Lauderdale, Manon; Millo, Yuri; Shamloo, Christine; Spencer, Rachel; Green, Brad; Donnellan, Joyce; Wellesley, Christine; Groah, Suzanne


    Simulation- and video game-based role-playing techniques have been proven effective in changing behavior and enhancing positive decision making in a variety of professional settings, including education, the military, and health care. Although the need for developing assessment frameworks for learning outcomes has been clearly defined, there is a significant gap between the variety of existing multimedia-based instruction and technology-mediated learning systems and the number of reliable assessment algorithms. This study, based on a mixed methodology research design, aims to develop an embedded assessment algorithm, a Knowledge Assessment Module (NOTE), to capture both user interaction with the educational tool and knowledge gained from the training. The study is regarded as the first step in developing an assessment framework for a multimedia educational tool for health care professionals, Anatomy of Care (AOC), that utilizes Virtual Experience Immersive Learning Simulation (VEILS) technology. Ninety health care personnel of various backgrounds took part in online AOC training, choosing from five possible scenarios presenting difficult situations of everyday care. The results suggest that although the simulation-based training tool demonstrated partial effectiveness in improving learners' decision-making capacity, a differential learner-oriented approach might be more effective and capable of synchronizing educational efforts with identifiable relevant individual factors such as sociobehavioral profile and professional background.

  20. Quality improvement education to improve performance on ulcerative colitis quality measures and care processes aligned with National Quality Strategy priorities. (United States)

    Greene, Laurence; Moreo, Kathleen


    Studies on inflammatory bowel disease (IBD) have reported suboptimal approaches to patient care. In the United States, the findings have motivated leading gastroenterology organizations to call for initiatives that support clinicians in aligning their practices with quality measures for IBD and priorities of the National Quality Strategy (NQS). We designed and implemented a quality improvement (QI) education program on ulcerative colitis in which patient charts were audited for 30 gastroenterologists before (n = 300 charts) and after (n = 290 charts) they participated in QI-focused educational activities. Charts were audited for nine measures, selected for their alignment with four NQS priorities: making care safer, ensuring patient engagement, promoting communication, and promoting effective treatment practices. Four of the measures, including guideline-directed vaccinations and assessments of disease type and activity, were part of the CMS Physician Quality Reporting System (PQRS). The other five measures involved counseling patients on various topics in ulcerative colitis management, documentation of side effects, assessment of adherence status, and simplification of dosing. The gastroenterologists also completed baseline and post-education surveys designed to assess qualitative outcomes. One of the educational interventions was a private audit feedback session conducted for each gastroenterologist. The sessions were designed to support participants in identifying measures reflecting suboptimal care quality and developing action plans for improvement. In continuous improvement cycles, follow-up interventions included QI tools and educational monographs. Across the nine chart variables, post-education improvements ranged from 0% to 48%, with a mean improvement of 15.9%. Survey findings revealed improvements in self-reported understanding of quality measures and intentions to apply them to practice, and lower rates of perceived significant barriers to high

  1. Becoming More Systematic about Flexible Learning: Beyond Time and Distance (United States)

    de Boer, Wim; Collis, Betty


    Changes in higher education frequently involve the need for more flexibility in course design and delivery. Flexibility is a concept that can be operationalized in many ways. One approach to conceptualizing flexibility within courses is to distinguish planning-type flexibility, which the instructor can designate before the course begins and which…

  2. Becoming more systematic about flexible learning: Beyond time and distance.

    NARCIS (Netherlands)

    Boer, de Wim; Collis, Betty


    Changes in higher education frequently involve the need for more flexibility in course design and delivery. Flexibility is a concept that can be operationalized in many ways. One approach to conceptualizing flexibility within courses is to distinguish planning-type flexibility, which the instructor

  3. Has the Rajiv Aarogyasri Community Health Insurance Scheme of Andhra Pradesh Addressed the Educational Divide in Accessing Health Care?

    Directory of Open Access Journals (Sweden)

    Mala Rao

    Full Text Available Equity of access to healthcare remains a major challenge with families continuing to face financial and non-financial barriers to services. Lack of education has been shown to be a key risk factor for 'catastrophic' health expenditure (CHE, in many countries including India. Consequently, ways to address the education divide need to be explored. We aimed to assess whether the innovative state-funded Rajiv Aarogyasri Community Health Insurance Scheme of Andhra Pradesh state launched in 2007, has achieved equity of access to hospital inpatient care among households with varying levels of education.We used the National Sample Survey Organization 2004 survey as our baseline and the same survey design to collect post-intervention data from 8623 households in the state in 2012. Two outcomes, hospitalisation and CHE for inpatient care, were estimated using education as a measure of socio-economic status and transforming levels of education into ridit scores. We derived relative indices of inequality by regressing the outcome measures on education, transformed as a ridit score, using logistic regression models with appropriate weights and accounting for the complex survey design.Between 2004 and 2012, there was a 39% reduction in the likelihood of the most educated person being hospitalised compared to the least educated, with reductions observed in all households as well as those that had used the Aarogyasri. For CHE the inequality disappeared in 2012 in both groups. Sub-group analyses by economic status, social groups and rural-urban residence showed a decrease in relative indices of inequality in most groups. Nevertheless, inequalities in hospitalisation and CHE persisted across most groups.During the time of the Aarogyasri scheme implementation inequalities in access to hospital care were substantially reduced but not eliminated across the education divide. Universal access to education and schemes such as Aarogyasri have the synergistic potential

  4. 博洛尼亚进程的瑞典大学灵活教育发展模式%On Flexible Education of Sweden Universities in Bologna Process

    Institute of Scientific and Technical Information of China (English)



    实施博洛尼亚进程以来,瑞典大学灵活教育发展模式颇具特点。瑞典大学的灵活教育模式涵盖了以攻读学位为目的国际化灵活教育和基于自主学习的灵活教育。在这一过程中瑞典建立了灵活学习中心和大学网络联盟两个灵活学习机构对灵活教育进行管理.以此服务于终身学习体系的构建,而基于灵活教育的终身学习体系的构建离不开个人学习帐户的支持。借鉴瑞典高校经验,为了促进我国灵活教育的发展,我国高校可尝试构建高校人才逆向供应链、实行灵活多变的学分体系、建立高校个人学习账户、推行大学网络联盟模式。同时加强高校教学与科研的国际化语境.%Since the implementation of Bologna process, the development model of flexible education in Swedish universities has characteristics. It covers two modes which are called international flexible education and autonomous learning education. In this process Swedish government established flexible learning center and university network alliance for the purpose of flexible education management so as to serve the construction of lifelong learning system. Based on the flexible education Swedish lifelong learning system is constructed by the support of personal learning account. In order to promote flexible education in China we may refer to Swedish university experience. Specifically the reverse supply chain management of university talents will be constructed in Chinese universities, in addition a flexible credit system and individual learning account need to be established in the implementation of university network alliance mode. At last Chinese universities have to pay attention to the international context in teaching and scientific research field.

  5. Effectiveness of the Rural Trauma Team Development Course for Educating Nurses and Other Health Care Providers at Rural Community Hospitals. (United States)

    Zhu, Thein Hlaing; Hollister, Lisa; Scheumann, Christopher; Konger, Jennifer; Opoku, Dazar


    The study evaluates (1) health care provider perception of the Rural Trauma Team Development Course (RTTDC); (2) improvement in acute trauma emergency care knowledge; and (3) early transfer of trauma patients from rural emergency departments (EDs) to a verified trauma center. A 1-day, 8-hour RTTDC was given to 101 nurses and other health care providers from nine rural community hospitals from 2011 to 2013. RTTDC participants completed questionnaires to address objectives (1) and (2). ED and trauma registry data were queried to achieve objective (3) for assessing reduction in ED time (EDT), from patient arrival to decision to transfer and ED length of stay (LOS). The RTTDC was positively perceived by health care providers (96.3% of them completed the program). Significant improvement in 13 of the 19 knowledge items was observed in nurses. Education intervention was an independent predictor in reducing EDT by 28 minutes and 95% confidence interval (CI) [-57, -0.1] at 6 months post-RTTDC, and 29 minutes and 95% CI [-53, -6] at 12 months post-RTTDC. Similar results were observed with ED LOS. The RTTDC is well-perceived as an education program. It improves acute trauma emergency care knowledge in rural health care providers. It promotes early transfer of severely injured patients to a higher level of care.

  6. Educating residents in behavioral health care and collaboration: integrated clinical training of pediatric residents and psychology fellows. (United States)

    Pisani, Anthony R; leRoux, Pieter; Siegel, David M


    Pediatric residency practices face the challenge of providing both behavioral health (BH) training for pediatricians and psychosocial care for children. The University of Rochester School of Medicine and Dentistry and Rochester General Hospital developed a joint training program and continuity clinic infrastructure in which pediatric residents and postdoctoral psychology fellows train and practice together. The integrated program provides children access to BH care in a primary care setting and gives trainees the opportunity to integrate collaborative BH care into their regular practice routines. During 1998-2008, 48 pediatric residents and 8 psychology fellows trained in this integrated clinical environment. The program's accomplishments include longevity, faculty and fiscal stability, sustained support from pediatric leadership and community payers, the development in residents and faculty of greater comfort in addressing BH problems and collaborating with BH specialists, and replication of the model in two other primary care settings. In addition to quantitative program outcomes data, the authors present a case example that illustrates how the integrated program works and achieves its goals. They propose that educating residents and psychology trainees side by side in collaborative BH care is clinically and educationally valuable and potentially applicable to other settings. A companion report published in this issue provides results from a study comparing the perceptions of pediatric residents whose primary care continuity clinic took place in this integrated setting with those of residents from the same pediatric residency who had their continuity clinic training in a nonintegrated setting.

  7. UR Well Eye Care: a model for medical student ophthalmology education and service in the community

    Directory of Open Access Journals (Sweden)

    MacLean K


    Full Text Available Kyle MacLean,1 Holly B Hindman2,3 1University of Rochester School of Medicine and Dentistry, Rochester, NY, USA; 2The Flaum Eye Institute, University of Rochester, Rochester, NY, USA; 3Center for Visual Science, University of Rochester, Rochester, NY, USA Purpose: To assess medical student ophthalmic educational exposure and service provided through the University of Rochester’s UR Well Eye Care (URWEC program, a student-run initiative in which medical students provide supervised eye care to an uninsured urban population.Design: Retrospective chart review.Subjects: Consecutive patients seen at the student-run URWEC in Rochester, NY, USA between June 2008 and June 2013.Methods: One hundred and forty-five of 148 charts of consecutive patients seen at URWEC over the 5-year period were identified and reviewed. Data on patient demographics, reason for visit, history, examination, diagnoses, and management were collected into a database. Main outcome measures: Main outcome measures included reasons for referral, student performance of ophthalmic examination components, ophthalmic diagnoses, and hours of volunteer service rendered. Results: Patients came from a variety of countries and educational and racial backgrounds. The most common reason for referral to URWEC was diabetic screening eye exams (66/145, 46%. Student volunteers performed the following examination components in 79%–100% of visits under direct supervision of an attending ophthalmologist: visual acuity, pupils, extraocular movements, confrontation visual fields, intraocular pressure, drop administration, slit-lamp examination, and dilated fundoscopic exam. The most common diagnosis other than refractive error was cataract (29/145, 20%. Almost half of patients (66/145, 46% were diagnosed with potentially vision-threatening conditions. Six hundred and thirty hours of community service were rendered by students and attending ophthalmologists during the 5-year period

  8. Flexible sensors based on nanoparticles. (United States)

    Segev-Bar, Meital; Haick, Hossam


    Flexible sensors can be envisioned as promising components for smart sensing applications, including consumer electronics, robotics, prosthetics, health care, safety equipment, environmental monitoring, homeland security and space flight. The current review presents a concise, although admittedly nonexhaustive, didactic review of some of the main concepts and approaches related to the use of nanoparticles (NPs) in flexible sensors. The review attempts to pull together different views and terminologies used in the NP-based sensors, mainly those established via electrical transduction approaches, including, but, not confined to: (i) strain-gauges, (ii) flexible multiparametric sensors, and (iii) sensors that are unaffected by mechanical deformation. For each category, the review presents and discusses the common fabrication approaches and state-of-the-art results. The advantages, weak points, and possible routes for future research, highlighting the challenges for NP-based flexible sensors, are presented and discussed as well.

  9. Effect of electronic self-care education and applying continues care on practice in type 2 diabetic patients; a randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Mariam Khandan


    Full Text Available Background: The prevalence and complications of type2 diabetes showed that traditional educations are not effective. In this trial, we evaluated the effect of electronic self-care education and continue case in compare to the traditional training methods on the practice and fasting blood sugar of diabetic patients. Methods: 170 type 2 diabetic patients were randomly allocated into two groups and followed for three months. The control group received routine follow up and the intervention group received electronic education plus routine follow up. The baseline and post-follow-up FBS, BMI and Practice score were collected and analyzed based on intention to treat protocol.Results: The baseline and post-intervention practice score was 24.1 ± 7.1 vs. 32.2 ± 6.5 for the intervention and 24.5±11.6 vs. 25.4±6.3 for the control group. The mean FBS before and after education was 223.8± 77/2 vs. 167/5 ± 55/2 mg/dl in intervention and 175.2±76.5 vs. 208.3±76.5 mg/dl in control group. BMI decreased 1.23 kg/m2 in intervention group while its increased 0.55 kg/m2 in the control group (P<0.05 Conclusion: Electronic self-care education and continues care improved the practice, mean FBS and BMI of type 2 diabetic patients in the intervention group after training program.

  10. The hidden curriculum of the medical care for elderly patients in medical education: a qualitative study. (United States)

    Meiboom, Ariadne; Diedrich, Chantal; Vries, Henk De; Hertogh, Cees; Scheele, Fedde


    Despite more attention being given to geriatrics in medical curricula, few new physicians are seeking training in this field. So far, there has been no exploration of factors in the hidden curriculum that could potentially influence the persisting lack of interest in this field of medicine. To study this hidden curriculum in medical education in relation to medical care of elderly patients, the authors used a qualitative research design including participant observations on two internal medicine wards in a teaching hospital and semistructured interviews. The results showed that elderly patients with multiple problems are seen as frustrating and not interesting. Medical students were not stimulated to go into the totality of medical problems of elderly patients. They picked up a lot of disparaging remarks about these patients. The mainly negative attitudes demonstrated by role models, in particular the residents, may potentially influence the development of future doctors and their choice of career.

  11. Family income dynamics, early childhood education and care, and early child behavior problems in Norway. (United States)

    Zachrisson, Henrik D; Dearing, Eric


    The sociopolitical context of Norway includes low poverty rates and universal access to subsidized and regulated Early Childhood Education and Care (ECEC). In this context, the association between family income dynamics and changes in early child behavior problems was investigated, as well as whether high-quality ECEC buffers children from the effects of income dynamics. In a population-based sample (N = 75,296), within-family changes in income-to-needs predicted changes in externalizing and internalizing problems (from ages 18 to 36 months), particularly for lower income children. For internalizing problems, ECEC buffered the effect of income-to-needs changes. These findings lend further support to the potential benefits of ECEC for children from lower income families.

  12. We Care for Clean Air! The Contribution of ACCENT to Education and Communication (United States)

    Schuepbach, Eva; Brimblecombe, Peter; Gross, Krisjanis; Jacobs, Mark J.; Ladstätter-Weißenmayer, Annette; Moussiopoulos, Nicolas; Slini, Theodora; Übelis, Arnolds; Uherek, Elmar


    A new booklet on: "We Care for Clean Air! Motivating the Next Generation of Atmospheric Scientists" (ISBN 978-88-95665-01-6) as recently published by the education community in ACCENT ( is presented. Promoting creative and innovative researchers and teachers and encouraging the next generation to move into the field were among the key issues in ACCENT "Training and Education" (T&E). During the 5-year programme, a wealth of educational events (e.g., workshops) and programmes (e.g., "ACCENT FAR EAST") were organized and tools developed for teachers and learners at Universities and Schools around the globe. Activities such as National ACCENT Days or Cafés Scientifiques also targeted stakeholders, policy makers and the general public to increase the expertise in atmospheric composition change to a common level across Europe. The volume introduces the integrated learning environment, high-quality tools and methods for air quality and climate change science education created by ACCENT T&E, and provides an overview on the unbiased scientific information that has been didactically translated based on knowledge available from ongoing research projects.The core messages are that (i) the translation of complex issues in atmospheric composition and climate change science to non-scientists should be scientifically acceptable and that (ii) scientists should stay in control of the translation process. After the publication of the 4th Assessment Report of the Intergovernmental Panel for Climate Change (IPCC) in 2007, ACCENT intensified its efforts to reach greater visibility and distribute the body of know-how, skills and competencies within the networked community of atmospheric scientists in the World Wide Web. For example, a Special Issue of the "Global Change Magazine for Schools" on IPCC 2007 contains a compact introduction to the basics of global warming for direct application in the classroom, also focusing on uncertainties and

  13. Simulated human patients and patient-centredness: The uncanny hybridity of nursing education, technology, and learning to care. (United States)

    Ireland, Aileen V


    Positioned within a hybrid of the human and technology, professional nursing practice has always occupied a space that is more than human. In nursing education, technology is central in providing tools with which practice knowledge is mobilized so that students can safely engage with simulated human patients without causing harm to real people. However, while there is an increased emphasis on deploying these simulated humans as emissaries from person-centred care to demonstrate what it is like to care for real humans, the nature of what is really going on in simulation-what is real and what is simulated-is very rarely discussed and poorly understood. This paper explores how elements of postcolonial critical thought can aid in understanding the challenges of educating nurses to provide person-centred care within a healthcare culture that is increasingly reliant on technology. Because nursing education is itself a hybrid of real and simulated practice, it provides an appropriate case study to explore the philosophical question of technology in healthcare discourse, particularly as it relates to the relationship between the human patient and its uncanny simulated double. Drawing on postcolonial elements such as the uncanny, diaspora, hybridity, and créolité, the hybrid conditions of nursing education are examined in order to open up new possibilities of thinking about how learning to care is entangled with this technological space to assist in shaping professional knowledge of person-centred care. Considering these issues through a postcolonial lens opens up questions about the nature of the difficulty in using simulated human technologies in clinical education, particularly with the paradoxical aim of providing person-centred care within a climate that increasingly characterized as posthuman.

  14. Incorporating Experiential Learning Techniques to Improve Self-Efficacy in Clinical Special Care Dentistry Education. (United States)

    Watters, Amber L; Stabulas-Savage, Jeanine; Toppin, James D; Janal, Malvin N; Robbins, Miriam R


    The New York University College of Dentistry has introduced a clinical rotation for fourth-year dental students that focuses on treating people with special health care needs (PSN). The aim of this study was to investigate the hypothesis that clinical experience in treating patients with special health care needs during predoctoral education is associated with increased self-assessed student ability and comfort and therefore self-efficacy. The study also investigated whether other characteristics, such as prior personal or volunteer experience with this population, service-mindedness, and/or the inclination to treat underserved populations, were associated with comfort in treating PSN. A survey was used to assess changes in students' perceived knowledge, beliefs, and attitudes regarding treating PSN before and after the clinical experience for July 2012-June 2013. The survey included questions about students' service-mindedness, comfort, perceptions of abilities of PSN and educational importance of learning to treat PSN, desire for clinical experience, and future intent or interest in treating PSN. Out of 364 students invited to participate, 127 surveys were returned, for a response rate of 34.9%. The results showed statistically significant increases on six items following training: impressions about the importance of oral health among PSN, comfort in treating people with cognitive disabilities and with medical complexities, intent to treat PSN in future practice, interest in including PSN in postgraduate training, and belief that PSN could be treated in the private practice setting. These students reported preferring to learn in the clinical setting over didactic instruction. This clinical experience was associated with improved self-efficacy in treating PSN and increased intentions to treat this population in future practice. Improvements were particularly evident among those with the least prior experience with PSN and were independent of other aspects of the

  15. Incorporating Patient- and Family-Centered Care Into Resident Education: Approaches, Benefits, and Challenges (United States)

    Philibert, Ingrid; Patow, Carl; Cichon, Jim


    Purpose A design conference with participants from accredited programs and institutions was used to explore how the principles of patient- and family-centered care (PFCC) can be implemented in settings where residents learn and participate in care, as well as identify barriers to PFCC and simple strategies for overcoming them. Approach In September 2009, the Accreditation Council for Graduate Medical Education (ACGME) held a conference with 74 participants representing a diverse range of educational settings and a group of expert presenters and facilitators. Small group sessions explored the status of PFCC in teaching settings, barriers that need to be overcome in some settings, simple approaches, and the value of a national program and ACGME support. Findings Participants shared information on the state of their PFCC initiatives, as well as barriers to implementing PFCC in the learning environment. These emerged in 6 areas: culture, the physical environment, people, time and other constraints, skills and capabilities, and teaching and assessment, as well as simple strategies to help overcome these barriers. Two Ishikawa (Fishbone) diagrams (one for barriers and one for simple strategies) make it possible to select strategies for overcoming particular barriers. Conclusions A group of participants with a diversity of approaches to incorporating PFCC into the learning environment agreed that respectful communication with patients/families needs to be learned, supported, and continuously demanded of residents. In addition, for PFCC to be sustainable, it has to be a fundamental expectation for resident learning and attainment of competence. Participants concurred that improving the environment for patients concurrently improves the environment for learners. PMID:22655161

  16. Improving education in primary care: development of an online curriculum using the blended learning model

    Directory of Open Access Journals (Sweden)

    Lewin Linda


    Full Text Available Abstract Background Standardizing the experiences of medical students in a community preceptorship where clinical sites vary by geography and discipline can be challenging. Computer-assisted learning is prevalent in medical education and can help standardize experiences, but often is not used to its fullest advantage. A blended learning curriculum combining web-based modules with face-to-face learning can ensure students obtain core curricular principles. Methods This course was developed and used at The Case Western Reserve University School of Medicine and its associated preceptorship sites in the greater Cleveland area. Leaders of a two-year elective continuity experience at the Case Western Reserve School of Medicine used adult learning principles to develop four interactive online modules presenting basics of office practice, difficult patient interviews, common primary care diagnoses, and disease prevention. They can be viewed at Students completed surveys rating the content and technical performance of each module and completed a Generalist OSCE exam at the end of the course. Results Participating students rated all aspects of the course highly; particularly those related to charting and direct patient care. Additionally, they scored very well on the Generalist OSCE exam. Conclusion Students found the web-based modules to be valuable and to enhance their clinical learning. The blended learning model is a useful tool in designing web-based curriculum for enhancing the clinical curriculum of medical students.

  17. From therapeutic patient education principles to educative attitude: the perceptions of health care professionals – a pragmatic approach for defining competencies and resources (United States)

    Pétré, Benoit; Gagnayre, Remi; De Andrade, Vincent; Ziegler, Olivier; Guillaume, Michèle


    Educative attitude is an essential, if implicit, aspect of training to acquire competency in therapeutic patient education (TPE). With multiple (or nonexistent) definitions in the literature, however, the concept needs clarification. The primary aim of this study was to analyze the representations and transformations experienced by health care professionals in the course of TPE training in order to characterize educative attitude. We conducted an exploratory qualitative study using several narrative research-based tools with participants of two TPE continuing education courses. We then performed an inductive thematic analysis. Thirty-three people participated in the study; the majority were women (n=29), nurses (n=17) working in a hospital setting (n=28). Seven categories of statements were identified: time-related (“the right moment, how much time it takes”), the benefits of TPE (to health care professionals’ personal well-being), emotions and feelings (quality of exchanges, sharing), the professional nature of TPE (educational competencies required), the holistic, interdisciplinary approach (complexity of the person and value of teamwork), the educational nature of the care relationship (education an integral part of care) and the ethical dimension (introspection essential). The first three components appear fairly innovative, at least in formulation. The study’s originality rests primarily in its choice of participants – highly motivated novices who expressed themselves in a completely nontheoretical way. Health models see attitude as critical for adopting a behavior. Best TPE practices should encourage personal work on this, opening professionals to the social, experiential and emotional aspects of managing chronic illness. PMID:28356722

  18. Primary care of lesbian and gay patients: educating ourselves and our students. (United States)

    Harrison, A E


    Although a significant proportion of the population is gay or lesbian, physicians receive little formal training about homosexuality, and the unique health care needs of these patients are often ignored. Gay men and women may have higher rates of depression, suicide, alcoholism, certain cancers, and cardiovascular disease than their heterosexual counterparts. In addition, they are at risk of being victims of violence because of their sexual orientation. Due to fear of stigmatization by the medical community, the most significant health risk for lesbians, gays, and bisexuals may be that they avoid routine health care. Gay youth are particularly vulnerable to internal and external pressures, resulting in higher rates of substance abuse, suicide, and homelessness. Older gay men and women, who generally view themselves positively, may be troubled by declining health and loneliness. Physicians can improve the health care of gay and bisexual men and women and their families by maintaining a non-homophobic attitude toward these patients, distinguishing sexual behavior from sexual identity, communicating with gender-neutral terms, and maintaining awareness of how their own attitudes affect clinical judgment. Medical educators should avoid making assumptions about the sexuality of their residents and students. Institutions need to realize that the presence of supportive heterosexual and openly gay faculty will help create an environment that fosters learning for all students. Scant research exists about the best ways to teach about the special challenges gay men and lesbians face. However, the majority of surveyed medical students prefer that issues regarding gays and lesbians be integrated throughout the entire medical school curriculum.

  19. [Effectiveness of Team-Based Learning (TBL) as a new teaching approach for pharmaceutical care education]. (United States)

    Suno, Manabu; Yoshida, Toshiko; Koyama, Toshihiro; Zamami, Yoshito; Miyoshi, Tomoko; Mizushima, Takaaki; Tanimoto, Mitsune


    The concept of Team-Based Learning (TBL) was developed in the late 1970s by Larry Michaelsen, who wanted students to enjoy the benefits of small group learning within large classes in the business school environment. In contrast to problem-based learning (PBL), which is student centered, TBL is typically instructor centered. Recently, TBL is being used as a teaching method in over 60 health science professional schools in the US and other countries. In the present study, the impact of adopting TBL in teaching pharmaceutical care practices to students was evaluated. Students were required to answer a set of multiple-choice questions individually in individual readiness assessment test (IRAT) before the TBL sessions to assess their level of preparation. The same set of questions was then reattempted by the group readiness assessment test (GRAT) during TBL. Comparing the scores obtained in the GRAT and IRAT before the first TBL session, the scores from the GRAT were always higher than those of the IRAT, indicating that TBL has encouraged active learning. In addition, students were surveyed about their level of satisfaction with TBL and written comments about TBL were solicited. The results of the questionnaire showed that 87.3±9.3% of the students were satisfied. Moreover, no student commented that TBL was in any way inferior to the PBL. Implementation of a TBL approach was successfully integrated into the pharmaceutical care education course. In order to further improve the usefulness of TBL in teaching pharmaceutical care, a hybrid teaching approach that also comprises PBL and a lecture-based course is desirable.

  20. Innovative approaches to educating medical students for practice in a changing health care environment: the National UME-21 Project. (United States)

    Rabinowitz, H K; Babbott, D; Bastacky, S; Pascoe, J M; Patel, K K; Pye, K L; Rodak, J; Veit, K J; Wood, D L


    In today's continually changing health care environment, there is serious concern that medical students are not being adequately prepared to provide optimal health care in the system where they will eventually practice. To address this problem, the Health Resources and Services Administration (HRSA) developed a $7.6 million national demonstration project, Undergraduate Medical Education for the 21st Century (UME-21). This project funded 18 U.S. medical schools, both public and private, for a three-year period (1998-2001) to implement innovative educational strategies. To accomplish their goals, the 18 UME-21 schools worked with more than 50 organizations external to the medical school (e.g., managed care organizations, integrated health systems, Area Health Education Centers, community health centers). The authors describe the major curricular changes that have been implemented through the UME-21 project, discuss the challenges that occurred in carrying out those changes, and outline the strategies for evaluating the project. The participating schools have developed curricular changes that focus on the core primary care clinical clerkships, take place in ambulatory settings, include learning objectives and competencies identified as important to providing care in the future health care system, and have faculty development and internal evaluation components. Curricular changes implemented at the 18 schools include having students work directly with managed care organizations, as well as special demonstration projects to teach students the knowledge, skills, and attitudes necessary for successfully managing care. It is already clear that the UME-21 project has catalyzed important curricular changes within 12.5% of U.S. medical schools. The ongoing national evaluation of this project, which will be completed in 2002, will provide further information about the project's impact and effectiveness.

  1. Educating the Educator: Use of Advanced Bleeding Control Mechanisms in Athletic Training: A Shift in the Thought Process of Prehospital Care. Part 2: Hemostatic Agents (United States)

    Payne, Ellen K.; Berry, David C.; Seitz, S. Robert


    In Part 1 of this series [see: EJ1044392], the concepts of hemorrhaging, shock, and controlling bleeding as they relate to athletic training and prehospital emergency care along with the use of tourniquets were presented for athletic training educators (ATEs) to teach the skill in the classroom. This article, Part 2 of advanced bleeding control,…

  2. A Novel Educational Strategy Targeting Health Care Workers in Underserved Communities in Central America to Integrate HIV into Primary Medical Care (United States)

    Flys, Tamara; González, Rosalba; Sued, Omar; Suarez Conejero, Juana; Kestler, Edgar; Sosa, Nestor; McKenzie-White, Jane; Monzón, Irma Irene; Torres, Carmen-Rosa; Page, Kathleen


    Background Current educational strategies to integrate HIV care into primary medical care in Central America have traditionally targeted managers or higher-level officials, rather than local health care workers (HCWs). We developed a complementary online and on-site interactive training program to reach local HCWs at the primary care level in underserved communities. Methods The training program targeted physicians, nurses, and community HCWs with limited access to traditional onsite training in Panama, Nicaragua, Dominican Republic, and Guatemala. The curriculum focused on principles of HIV care and health systems using a tutor-supported blended educational approach of an 8-week online component, a weeklong on-site problem-solving workshop, and individualized project-based interventions. Results Of 258 initially active participants, 225 (225/258 = 87.2%) successfully completed the online component and the top 200 were invited to the on-site workshop. Of those, 170 (170/200 = 85%) attended the on-site workshop. In total, 142 completed all three components, including the project phase. Quantitative and qualitative evaluation instruments included knowledge assessments, reflexive essays, and acceptability surveys. The mean pre and post-essay scores demonstrating understanding of social determinants, health system organization, and integration of HIV services were 70% and 87.5%, respectively, with an increase in knowledge of 17.2% (p<0.001). The mean pre- and post-test scores evaluating clinical knowledge were 70.9% and 90.3%, respectively, with an increase in knowledge of 19.4% (p<0.001). A survey of Likert scale and open-ended questions demonstrated overwhelming participant satisfaction with course content, structure, and effectiveness in improving their HIV-related knowledge and skills. Conclusion This innovative curriculum utilized technology to target HCWs with limited access to educational resources. Participants benefited from technical skills acquired

  3. A novel educational strategy targeting health care workers in underserved communities in Central America to integrate HIV into primary medical care.

    Directory of Open Access Journals (Sweden)

    Tamara Flys

    Full Text Available BACKGROUND: Current educational strategies to integrate HIV care into primary medical care in Central America have traditionally targeted managers or higher-level officials, rather than local health care workers (HCWs. We developed a complementary online and on-site interactive training program to reach local HCWs at the primary care level in underserved communities. METHODS: The training program targeted physicians, nurses, and community HCWs with limited access to traditional onsite training in Panama, Nicaragua, Dominican Republic, and Guatemala. The curriculum focused on principles of HIV care and health systems using a tutor-supported blended educational approach of an 8-week online component, a weeklong on-site problem-solving workshop, and individualized project-based interventions. RESULTS: Of 258 initially active participants, 225 (225/258=87.2% successfully completed the online component and the top 200 were invited to the on-site workshop. Of those, 170 (170/200=85% attended the on-site workshop. In total, 142 completed all three components, including the project phase. Quantitative and qualitative evaluation instruments included knowledge assessments, reflexive essays, and acceptability surveys. The mean pre and post-essay scores demonstrating understanding of social determinants, health system organization, and integration of HIV services were 70% and 87.5%, respectively, with an increase in knowledge of 17.2% (p<0.001. The mean pre- and post-test scores evaluating clinical knowledge were 70.9% and 90.3%, respectively, with an increase in knowledge of 19.4% (p<0.001. A survey of Likert scale and open-ended questions demonstrated overwhelming participant satisfaction with course content, structure, and effectiveness in improving their HIV-related knowledge and skills. CONCLUSION: This innovative curriculum utilized technology to target HCWs with limited access to educational resources. Participants benefited from technical skills

  4. Expanding Early Childhood Care and Education: How Much Does It Cost? A Proposal for a Methodology to Estimate the Costs of Early Childhood Care and Education at Macro-Level, Applied to Arab States. Working Papers in Early Childhood Development, No. 46 (United States)

    van Ravens, Jan; Aggio, Carlos


    While the critical importance of early childhood care and education (ECCE) is undisputed, few developing countries are presently pursuing strong national policies to expand it. Thus, Goal One of the Education for All (EFA) agenda--"Expanding and improving comprehensive early childhood care and education, especially for the most vulnerable and…

  5. Understanding and responding when things go wrong: key principles for primary care educators. (United States)

    McNab, Duncan; Bowie, Paul; Ross, Alastair; Morrison, Jill


    Learning from events with unwanted outcomes is an important part of workplace based education and providing evidence for medical appraisal and revalidation. It has been suggested that adopting a 'systems approach' could enhance learning and effective change. We believe the following key principles should be understood by all healthcare staff, especially those with a role in developing and delivering educational content for safety and improvement in primary care. When things go wrong, professional accountability involves accepting there has been a problem, apologising if necessary and committing to learn and change. This is easier in a 'Just Culture' where wilful disregard of safe practice is not tolerated but where decisions commensurate with training and experience do not result in blame and punishment. People usually attempt to achieve successful outcomes, but when things go wrong the contribution of hindsight and attribution bias as well as a lack of understanding of conditions and available information (local rationality) can lead to inappropriately blame 'human error'. System complexity makes reduction into component parts difficult; thus attempting to 'find-and-fix' malfunctioning components may not always be a valid approach. Finally, performance variability by staff is often needed to meet demands or cope with resource constraints. We believe understanding these core principles is a necessary precursor to adopting a 'systems approach' that can increase learning and reduce the damaging effects on morale when 'human error' is blamed. This may result in 'human error' becoming the starting point of an investigation and not the endpoint.

  6. Diversity, trust, and patient care: affirmative action in medical education 25 years after Bakke. (United States)

    DeVille, Kenneth; Kopelman, Loretta M


    The U.S. Supreme Court's seminal 1978 Bakke decision, now 25 years old, has an ambiguous and endangered legacy. Justice Lewis Powell's opinion provided a justification that allowed leaders in medical education to pursue some affirmative action policies while at the same time undermining many other potential defenses. Powell asserted that medical schools might have a "compelling interest" in the creation of a diverse student body. But Powell's compromise jeopardized affirmative action since it blocked many justifications for responding to increases in political opposition and legal challenges. The Bakke decision and its moral background and legal legacy are traced and analyzed. Despite recent legal setbacks, the framework sketched by Powell can be used to defend diversity in medical education both morally and legally as a "compelling state interest." Because trust is a central component of the physician-patient relationship and a prerequisite to the profession's ability to provide effective medical care, the state has a compelling interest in training physicians with whom patients can feel comfortable and safe if the population is (1) distrustful; (2) underserved; (3) faces significant discrimination in the allocation of benefits, goods and services and (4) affirmative action programs would be likely to promote their trust in the system. Similar narrowly-tailored arguments could be used in other professions and for other groups. Bakke is an important background for the pending Grutter case.

  7. [An art education programme for groups in the psycho-oncological after-care]. (United States)

    Geue, Kristina; Buttstädt, Marianne; Richter, Robert; Böhler, Ursula; Singer, Susanne


    In this paper the formal and contentual structure of the outpatient art education programme for oncological patients is presented. The group intervention was comprised of 22 separate sessions. The course consisted of 3 phases. The first unit helped to foster mutual understanding and to learn various experimental drawing techniques using a given topic. The second unit merged into the shaping of personal thoughts and feelings with the aim of encouraging self-perception and reflection. The aim in the third phase is to create a personal book. The effects of the intervention for the participants were examined in studies. The art therapist as well as the supervisor sees development of better coping strategies, contact with other patients and enhancement of scope of action through the regular activities as main effects. Participants reported the enlargement of means of expression, emotional stabilization, coping with illness, personal growth and contacts with other patients as meanings. This art education course enlarges the field of psycho-oncological interventions in outpatient care with a low-treshhold and resource-oriented creative programme.

  8. Educational technology in care management: technological profile of nurses in Portuguese hospitals. (United States)

    Landeiro, Maria José Lumini; Freire, Rosa Maria Albuquerque; Martins, Maria Manuela; Martins, Teresa Vieira; Peres, Heloísa Helena Ciqueto


    Objective To identify the technological profile of nurses in Portuguese hospitals. Method A quantitative exploratory study conducted in two hospitals in the northern region and one in the central region of Portugal. The sample was randomly selected and included 960 nurses. Results Of the participants, 420 (46.1%) used computers, 196 (23.4%) reported having knowledge about using computers for teaching, 174 (21.1%) used computers to teach, 112 (15.1%) recognized that using computers can be a technological means to supplement classroom training, 477 (61.6%) would like to receive training on using computers, and 382 (40.9%) reported self-learning of information technology. In relation to distance education, 706 (74.9%) reported they were familiar with it and 752 (76.4%) indicated an interest in participating in training using this modality. Conclusion Organizations should be mindful of the technological profile shown by this group of nurses and look for ways to introduce educational technologies in the management of care.

  9. Getting into the Black Box: How Do Low-Income Parents Make Choices about Early Care and Education in Maryland? Publication #2012-42 (United States)

    Forry, Nicole; Wessel, Julia; Simkin, Shana; Rodrigues, Katherine


    Existing literature highlights the positive influence of high-quality early care and education on the development of young children, and particularly young children in impoverished or low-income families. Reflecting the promising influence of high-quality early care and education on children's developmental outcomes, policy makers and state…

  10. A Competency-Based Approach to Teaching Professional Self-Care: An Ethical Consideration for Social Work Educators (United States)

    Newell, Jason M.; Nelson-Gardell, Debra


    Incorporating material on professional self-care into social work course content is valuable to the education of neophyte social work practitioners. This article presents a review of the literature on professional burnout, secondary traumatic stress, and compassion fatigue, including the risk factors associated with the experience of these…

  11. Neoliberalism, Global Poverty Policy and Early Childhood Education and Care: A Critique of Local Uptake in England (United States)

    Simpson, Donald; Lumsden, Eunice; McDowall Clark, Rory


    The global rise of a neoliberal "new politics of parenting" discursively constructs parents in poverty as the reason for, and remedy to, child poverty. This allows for Early Childhood Education and Care (ECEC) to become a key policy lever by using human technologies to intervene in and regulate the lives of parents and children in…

  12. A Comparative Analysis of the Function of Coordination of Early Childhood Education and Care in France and Italy. (United States)

    Baudelot, Olga; Rayna, Sylvie; Mayer, Susanna; Musatti, Tullia


    Surveyed local early childhood coordinators in France and Italy regarding their status, training, and tasks in order to compare the function of coordinating municipal early childhood education and care services in these two countries. Found impressive similarities in services, policies, and the function of coordination. Also found that service…

  13. An Integrated System of Early Childhood Education and Care Governance in Turkey: Views of Policy-Makers, Practitioners, and Academics (United States)

    Gören Niron, Demet


    Despite a wealth of evidence showing the benefits of early childhood education and care (ECEC), in Turkey participation remains low and inequitably distributed, even though access to services is soaring. Drawing from previous findings, this paper will focus on different stakeholders' views on a more integrated system of ECEC governance in Turkey.…

  14. Strengthening the Math-Related Teaching Practices of the Early Care and Education Workforce: Insights from Experts. Policy Report (United States)

    Ryan, Sharon; Whitebook, Marcy; Cassidy, Deborah


    As a growing body of evidence links school success and early mathematical experiences, there is increasing interest in offering young children opportunities to bridge their informal understanding of mathematics with more formal concepts and processes. At the same time, many teachers and caregivers in the early care and education (ECE) field may…

  15. Subsidizing Early Childhood Education and Care for Parents on Low Income: Moving beyond the Individualized Economic Rationale of Neoliberalism (United States)

    Simpson, Donald; Envy, Rose


    Neoliberalism and an associated "new politics of parenting" adopts a predominantly economic rationale which discursively positions early childhood education and care (ECEC) as essential to tackling several social ills by allowing individual parents (particularly young mothers) to improve their labour force participation, thus boosting…

  16. Unraveling Motivational Profiles of Health Care Professionals for Continuing Education : The Example of Pharmacists in the Netherlands

    NARCIS (Netherlands)

    Tjin A Tsoi, Sharon L N M; de Boer, Anthonius; Croiset, Gerda; Koster, Andries S; Kusurkar, Rashmi A


    INTRODUCTION: Continuing education (CE) can support health care professionals in maintaining and developing their knowledge and competencies. Although lack of motivation is one of the most important barriers of pharmacists' participation in CE, we know little about the quality or the quantity of mot

  17. The Work of the Eye in Infant Pedagogy: A Dialogic Encounter of "Seeing" in an Education and Care Setting (United States)

    White, Elizabeth Jayne; Redder, Bridgette; Peter, Mira


    This paper examines the significance of a "look" in infant-teacher dialogues in an early education and care centre in New Zealand. Drawing on Bakhtin's principle of "visual surplus" video recordings of two infants', aged under 1 year of age, interactions with their teacher and teacher interpretations of these interactions were…

  18. The Impact of Child Sexual Abuse on the Education of Boys in Residential Care between 1950 and 1975 (United States)

    Bode, Andrew; Goldman, Juliette D. G.


    Children's education may be adversely impacted by external factors during their childhood. For example, learning to learn, critical reflection, experiential learning and self-direction may be permanently impaired. Many children in out-of-home residential care during the last century suffered ongoing child abuse and neglect, including sexual abuse,…

  19. Alternatives in Early Childhood Care and Education. Report of the Bernard van Leer Foundation, 1984-1985. (United States)

    Bernard Van Leer Foundation, The Hague (Netherlands).

    The Bernard van Leer Foundation is dedicated to early childhood education and care of socially and culturally disadvantaged children. Part one of this report from the Foundation includes a brief biography of the founder, an account of the Foundation's origins and development, and an introduction. In part two, a global review of program…

  20. Time in Early Childhood Education and Care and Language Competence in Norwegian Four-Year-Old Girls and Boys (United States)

    Zambrana, Imac M.; Dearing, Eric; Naerde, Ane; Zachrisson, Henrik D.


    There is considerable evidence that high-quality Early Childhood Education and Care (ECEC) is associated with children's language competence. Yet, studies in contexts of universal access to quality-regulated ECEC are rarer, exacerbating concerns over selection bias endemic to non-experimental work on the topic. Extending the cumulative knowledge…

  1. The Relevance of Multilingualism for Teachers and Immigrant Parents in Early Childhood Education and Care in Germany and in France (United States)

    Thomauske, Nathalie


    This paper deals with the initial findings from an international research project called "Children Crossing Borders." This study focused on discovering how early childhood education and care (ECEC) systems in five countries (the UK, France, Germany, Italy, and the USA) serve the children of recent immigrants and what parents with diverse…

  2. Regulation and Risk: Early Childhood Education and Care Services as Sites where the "Laugh of Foucault" Resounds (United States)

    Fenech, Marianne; Sumsion, Jennifer; Goodfellow, Joy


    This article problematises the construction of regulation as an effective manager of risks to children in early childhood education and care (ECEC) services. Adopting a Foucaldian, governmentalist approach to regulation and risk, the authors suggest that governments in Australia have "risk colonised" regulation to meet their own…

  3. Developing an educational intervention on dementia diagnosis and management in primary care for the EVIDEM-ED trial

    Directory of Open Access Journals (Sweden)

    Iliffe Steve


    Full Text Available Abstract Background Dementia syndromes are under-diagnosed and under-treated in primary care. Earlier recognition of and response to dementia syndrome is likely to enhance the quality of life of people with dementia, but general practitioners consistently report limited skills and confidence in diagnosis and management of this condition. Changing clinical practice is difficult, and the challenge for those seeking change it is to find ways of working with the grain of professional knowledge and practice. Assessment of educational needs in a practice has the potential to accommodate variations in individual understanding and competence, learning preferences and skill mix. Educational prescriptions identify questions that need to be answered in order to address a clinical problem. This paper reports the development of an educational needs assessment tool to guide tailored educational interventions designed to enhance early diagnosis and management of dementia in primary care, in the Evidence Based Interventions in Dementia in the Community – Early Diagnosis trial. Methods A multidisciplinary team, including a lay researcher, used an iterative technology development approach to create an educational needs assessment tool, from which educational prescriptions could be written. Workplace learning was tailored to each practice using the educational prescription, and the method was field-tested in five pilot practices. Results The educational prescriptions appeared acceptable and useful in volunteer practices. The time commitment (no more than four hours, spread out at the practice’s discretion appeared manageable. The pilot group of practices prioritised diagnosis, assessment of carers’ needs, quality markers for dementia care in general practice, and the implications of the Mental Capacity Act (2005 for their clinical practice. The content of the educational needs assessment tool seemed to be comprehensive, in that no new topics were identified

  4. Patient-centred interprofessional collaboration in primary care: challenges for clinical, educational and health services research. An EGPRN keynote paper. (United States)

    Van Royen, Paul; Rees, Charlotte E; Groenewegen, Peter


    The theme 'patient-centred interprofessional collaboration' of the EGPRN conference in October 2012, captures in just three words important challenges for European primary care and its research agenda. Challenges for future research are formulated, in three domains: clinical, educational and health services research. Transferability of research, based upon advanced computational infrastructure, will facilitate a rapid learning health care system. In educational research, this includes the use of observational and reflexivity methods. Outcomes should be defined in terms of improvement of functional status and social participation rather than in terms of disease-specific outcomes. Partnership with all stakeholders, patients, GPs and their health care colleagues and students, can help in reducing avoidable waste in the production and reporting of research evidence.

  5. Point of care information services: a platform for self-directed continuing medical education for front line decision makers. (United States)

    Moja, Lorenzo; Kwag, Koren Hyogene


    The structure and aim of continuing medical education (CME) is shifting from the passive transmission of knowledge to a competency-based model focused on professional development. Self-directed learning is emerging as the foremost educational method for advancing competency-based CME. In a field marked by the constant expansion of knowledge, self-directed learning allows physicians to tailor their learning strategy to meet the information needs of practice. Point of care information services are innovative tools that provide health professionals with digested evidence at the front line to guide decision making. By mobilising self-directing learning to meet the information needs of clinicians at the bedside, point of care information services represent a promising platform for competency-based CME. Several points, however, must be considered to enhance the accessibility and development of these tools to improve competency-based CME and the quality of care.

  6. Relationship between social support, mental health and health care consciousness in developing the industrial health education of male employees. (United States)

    Fujita, Daisuke; Kanaoka, Midori


    The purpose of the study is to elucidate the relationship between social support, health care consciousness and mental health in developing the industrial health education aimed at improving the health habits of male employees. A questionnaire survey concerning health practices, mental health based on the General Health Questionnaire, social support from social support networks, and health care consciousness based on the Health Locus of Control was conducted on male employees in three companies in Osaka Prefecture. A total of 1,634 questionnaires were collected. Analyses by age group showed that in all age groups, the higher the social support score, the more favorable the mental health became and the stronger the family care in health care consciousness became. The better the mental health, the greater the number of good health practices was and the lower the fortune dependence in health care consciousness tended to be. The results of the study reconfirm the previous findings that it is necessary to put the mental health of male employees in good condition before everything else in effectively developing health education aimed at improving their health habits. This study also indicates that the level of perception of social support and their internal control of self and family in health care consciousness are definitely related to the stability of subjects' mental health. It is therefore presumed that measures to raise the revel of perception of social support are important since they may improve the mental health of subjects.

  7. Quality in Family Child Care Settings: The Relationship between Provider Educational Experiences and Global Quality Scores in a Statewide Quality Rating and Improvement System (United States)

    Hallam, Rena A.; Bargreen, Kaitlin N.; Ridgley, Robyn


    This study is a secondary analysis of a statewide sample of licensed family child care providers in the Tennessee Child Care Evaluation and Report Card Program ("N"?=?1,145) that describes the general quality of family child care programs in the state and examines the relationships between provider education and global quality. Study…

  8. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review

    Directory of Open Access Journals (Sweden)

    Pfeifer Roman


    Full Text Available Abstract Background Work-hour limitations have been implemented by the Accreditation Council for Graduate Medical Education (ACGME in July 2003 in order to minimize fatigue related medical adverse events. The effects of this regulation are still under intense debate. In this literature review, data of effects of limited work-hours on the quality of life, surgical education, and patient care was summarized, focusing on surgical subspecialities. Methods Studies that assessed the effects of the work-hour regulation published following the implementation of ACGME guidelines (2003 were searched using PubMed database. The following search modules were selected: work-hours, 80-hour work week, quality of life, work satisfaction, surgical education, residency training, patient care, continuity of care. Publications were included if they were completed in the United States and covered the subject of our review. Manuscrips were analysed to identify authors, year of publication, type of study, number of participants, and the main outcomes. Review Findings Twenty-one articles met the inclusion criteria. Studies demonstrate that the residents quality of life has improved. The effects on surgical education are still unclear due to inconsistency in studies. Furthermore, according to several objective studies there were no changes in mortality and morbidity following the implementation. Conclusion Further studies are necessary addressing the effects of surgical education and studying the objective methods to assess the technical skill and procedural competence of surgeons. In addition, patient surveys analysing their satisfaction and concerns can contribute to recent discussion, as well.

  9. Self-care 3 months after attending chronic obstructive pulmonary disease patient education: a qualitative descriptive analysis

    Directory of Open Access Journals (Sweden)

    Mousing C


    Full Text Available Camilla Askov Mousing1, Kirsten Lomborg21School of Health Sciences, Randers School of Nursing, VIA University College, Randers, Denmark; 2Department of Public Health, Nursing Science, Aarhus University, Aarhus, DenmarkPurpose: The authors performed a qualitative descriptive analysis to explore how group patient education influences the self-care of patients with chronic obstructive pulmonary disease.Patients and methods: In the period 2009–2010, eleven patients diagnosed with chronic obstructive pulmonary disease completed an 8-week group education program in a Danish community health center. The patients were interviewed 3 months after completion of the program.Findings: Patients reported that their knowledge of chronic obstructive pulmonary disease had increased, that they had acquired tools to handle their symptoms, and that the social aspect of patient education had motivated them to utilize their new habits after finishing the course. The data indicate that patients need a period of adjustment (a "ripening period": it took time for patients to integrate new habits and competencies into everyday life. Talking to health care professionals focused the patients' attention on their newly acquired skills and the research interview made them more aware of their enhanced self-care.Conclusion: Patients' self-care may be enhanced through group education, even though the patients are not always able to see the immediate outcome. Some patients may require professional help to implement their newly acquired knowledge and skills in everyday life. A planned dialogue concentrating on self-care in everyday life 3 months after finishing the course may enhance patients' awareness and appraisal of their newly acquired competencies.Keywords: COPD, education program, patient knowledge, patient perspective, patient skills, ripening period

  10. A Comparative Study on the Effects of Self-Care Program Education Run by Health Volunteers and Health Care Staff on the Elderly\\'s Quality of Life

    Directory of Open Access Journals (Sweden)

    Fazlollah Ghofranipour


    Full Text Available Introduction: The diseases and problems due to ageing can affect the quality of life (QoL in the elderly. The aim of this study was to compare the effects of self-care program education run by health volunteers and healthcare staff on the QoL in the elderly. Methods: In this experimental, field trial study, 150 elderly people living in Mashhad were enrolled by multistage sampling in 2014. The participants were randomly assigned to three groups of 50 individuals in each; group A was educated by healthcare staff at healthcare centers, group B by health volunteers at the elderly's homes, and group C was control. The intervention groups (A and B attended two independent self-care education programs for one month. The data were gathered by the SF-36 questionnaire administered before and one month after the completion of the program. Data analysis was done by descriptive statistics [mean (standard deviation] and analytical statistics (independent samples t-test and Kruskal-Wallis H-test. Results: QoL score of the groups A, B, and C was derived 45.44±23.87, 45.36±23.81, and 45.38±23.83 before the intervention and 48.79±22.09, 63.15±19.03, and 46.08±22.67 after the intervention, respectively. The QoL score of the group B was significantly higher than the other two groups (P<0.05 after the intervention. Besides that, after the intervention, the mean scores of QoL and physical function, role-physical, role-emotional, social function, bodily pain, and general health increased significantly more markedly in the group B compared with the other two groups. Conclusion: Self-care education by the health volunteers was much more effective than that by healthcare staff. In addition, implementing the self-care education program contributed to improving QoL and therefore life satisfaction in the elderly.

  11. Undergraduate nurses reflections on Whatsapp use in improving primary health care education

    Directory of Open Access Journals (Sweden)

    Juliana J. Willemse


    Full Text Available Background: The global use of mobile devices with their connectivity capacity, and integrated with the affordances of social media networks, provides a resource-rich platform for innovative student-directed learning experiences.Objective: The objective of this study was to review the experiences of undergraduate nurses on the improvement of primary health care education at a School of Nursing at a University in the Western Cape, South Africa, through the incorporation of a social media application, WhatsApp.Method: A qualitative, exploratory, descriptive, and contextual design was used to explore and describe data collected from a purposive sample of 21 undergraduate nursing students. The study population was engaged in a WhatsApp discussion group to enhance their integration of theory and clinical practice of the health assessment competency of the Primary Health Care Module. Participants submitted electronic reflections on their experiences in the WhatsApp discussion group via email on completion of the study. Thematic analysis of the qualitative data collected was done according to Tesch’s (1990 steps of descriptive data analysis in order to identify the major themes in the study. The electronic reflections were analysed to explore their rich, reflective data.Results: Seven themes were identified that included: positive experiences using the WhatsApp group; the usefulness of WhatsApp for integrating theory and clinical practice; the availability of resources for test preparation; opportunity for clarification; anonymity; exclusion of students as a result of the lack of an appropriate device, and the application caused the battery of the device to run flat quickly.Conclusion: The results of the experiences of students in the WhatsApp discussion group could be used to inform the use of social media applications in teaching and learning, with the purpose of enhancing the integration of the theory and clinical practice.

  12. Point-of-care ultrasound education: the increasing role of simulation and multimedia resources. (United States)

    Lewiss, Resa E; Hoffmann, Beatrice; Beaulieu, Yanick; Phelan, Mary Beth


    This article reviews the current technology, literature, teaching models, and methods associated with simulation-based point-of-care ultrasound training. Patient simulation appears particularly well suited for learning point-of-care ultrasound, which is a required core competency for emergency medicine and other specialties. Work hour limitations have reduced the opportunities for clinical practice, and simulation enables practicing a skill multiple times before it may be used on patients. Ultrasound simulators can be categorized into 2 groups: low and high fidelity. Low-fidelity simulators are usually static simulators, meaning that they have nonchanging anatomic examples for sonographic practice. Advantages are that the model may be reused over time, and some simulators can be homemade. High-fidelity simulators are usually high-tech and frequently consist of many computer-generated cases of virtual sonographic anatomy that can be scanned with a mock probe. This type of equipment is produced commercially and is more expensive. High-fidelity simulators provide students with an active and safe learning environment and make a reproducible standardized assessment of many different ultrasound cases possible. The advantages and disadvantages of using low- versus high-fidelity simulators are reviewed. An additional concept used in simulation-based ultrasound training is blended learning. Blended learning may include face-to-face or online learning often in combination with a learning management system. Increasingly, with simulation and Web-based learning technologies, tools are now available to medical educators for the standardization of both ultrasound skills training and competency assessment.

  13. Humanistic care of ideological and political education in higher education%高等学校思想政治教育的人文关怀研究

    Institute of Scientific and Technical Information of China (English)

    朱德利; 洪明星


    The humanistic care of education is in essence the care of students' ideal, faith and emotions. In the new situation, strengthening the humanistic care of ideological and political education in higher education, leading the students to enhance their self - cultivation, improving their mental realm, and perfecting their personalities have been the only road to cultivate the talents of the 21st century and realize the purpose of university ideological and political education.%教育的人文关怀,实际就是关注学生的理想、信念和情感。在新形势下,加强高校思想政治教育的人文关怀,引导学生加强自身修养,提高精神境界,完善自我人格,是培养21世纪人才和实现高校思想政治教育目标的必由之路。

  14. Interpretive Flexibility in Mobile Health:

    DEFF Research Database (Denmark)

    Agger Nielsen, Jeppe; Mathiassen, Lars


    Background: Mobile technologies have emerged as important tools that health care personnel can use to gain easy access to client data anywhere. This is particularly useful for nurses and care workers in home health care as they provide services to clients in many different settings. Although...... a growing body of evidence supports the use of mobile technologies, the diverse implications of mobile health have yet to be fully documented. Objective: Our objective was to examine a large-scale government-sponsored mobile health implementation program in the Danish home care sector and to understand how......-sponsored program, mobile technology proved to have considerable interpretive flexibility with variation in perceived nature of technology, technology strategy, and technology use between agencies. What was first seen as a very promising innovation across the Danish home care sector subsequently became the topic...

  15. Perceived benefits and barriers and self-efficacy affecting the attendance of health education programs among uninsured primary care patients. (United States)

    Kamimura, Akiko; Nourian, Maziar M; Jess, Allison; Chernenko, Alla; Assasnik, Nushean; Ashby, Jeanie


    Lifestyle interventions have shown to be effective in improving health status, health behaviors, and self-efficacy. However, recruiting participants to health education programs and ensuring the continuity of health education for underserved populations is often challenging. The goals of this study are: to describe the attendance of health education programs; to identify stages of change to a healthy lifestyle; to determine cues to action; and to specify factors affecting perceived benefits and barriers to healthy food choices and physical activity among uninsured primary care patients. Uninsured primary care patients utilizing a free clinic (N=621) completed a self-administered survey from September to December of 2015. US born English speakers, non-US born English speakers, and Spanish speakers reported different kinds of cues to action in attending health education programs. While self-efficacy increases perceived benefits and decreases perceived barriers for physical activity, it increases both perceived benefits and perceived barriers for healthy food choices. The participants who had attended health education programs did not believe that there were benefits for healthy food choices and physical activity. This study adds to the body of literature on health education for underserved populations.

  16. Physical Education Professional Taekwondo Course Flexible Training Method Experimental Comparison Study%体教专业跆拳道专选课柔韧素质训练方法实验比较研究

    Institute of Scientific and Technical Information of China (English)



    通过对某学院24名跆拳道专选学生进行3种柔韧练习的实验比较。结果表明PNF训练方法明显优于传统的静态拉伸和动态拉伸的训练方法。%In order to explore the Tae Kwon Do Students’ flexibility of effective training methods 24 Taekwondo majors (17 boys, 7 girls) in Physical Education Specialty of Shandong Physical Education were selected to exercised by 3 kinds of flexibility training. The results showed that PNF training method is superior to traditional static tensile method and dynamic stretching training method.

  17. The relevance of personal characteristics in allocating health care resources-controversial preferences of laypersons with different educational backgrounds. (United States)

    Winkelhage, Jeannette; Diederich, Adele


    In all industrial countries publicly funded health care systems are confronted with budget constraints. Therefore, priority setting in resource allocation seems inevitable. This paper examines whether personal characteristics could be taken into consideration when allocating health services in Germany, and whether attitudes towards prioritizing health care vary among individuals with different levels of education. Using a conjoint analysis approach, hypothetical patients described in terms of 'lifestyle', 'age', 'severity of illness', 'type of illness', 'improvement in health', and 'treatment costs' were constructed, and the importance weights for these personal characteristics were elicited from 120 members of the general public. Participants were selected according to a sampling guide including educational background, age, chronic illness and gender. Results are reported for groups with different levels of education (low, middle, high) only. The findings show that the patients' age is the most important criterion for the allocation of health care resources, followed by 'severity of illness' and 'improvement in health'. Preferences vary among participants with different educational backgrounds, which refer to different attitudes towards distributive justice and might represent different socialization experiences.

  18. In the context of a daycare center: nursing and their representations of child care as an educational act

    Directory of Open Access Journals (Sweden)

    Vicente Sarubbi Jr.


    Full Text Available This study aimed to analyze the social representations in the professionals of technical staff, who work with children at USP daycare centers. Eight professionals of the nursing field underwent a semi-structured interview. The interviews were recorded and transcribed in their entirety and the content of the discourse was subjected to thematic-categorical analysis. The categories were transformed into variables and processed by the software Classification Hiérarchique Classificatoire et Cohésitive (CHIC® and analyzed by the hierarchical similarity tree. The results indicate that actions to promote health are reported as educational and transformative, in which health care gains new meaning through contextualized conceptions in the field of child education. We conclude that professionals attribute new meanings to their practices in the health care environment of daycare centers as their representations shifts from the logic of the biomedical field to a logic of educational care. In this sense, they perceive themselves as being challenged to establish an interaction with the children in terms of their activities related to the promotion of health and in an educational act.

  19. [Feasibility Study of a One-Day Educational Program to Train Advance Care Planning Facilitators(ACPFs)in Regional Areas]. (United States)

    Nishikawa, Mitsunori; Miura, Hisayuki; Oya, Sanae; Kato, Tomonari; Nagae, Hiroyuki; Osada, Yoshiyuki; Watanabe, Tetsuya; Matsuoka, Sachiko; Otsuka, Yasuro; Yamaguchi, Mie; Watanabe, Kazuko; Kito, Katsutoshi; Ooi, Hatsue; Suzuki, Naoko


    Promoting advance care planning in regional areas is important. Education For Implementing End-of-Life Discussion(EFIELD) is a two-day educational program for Advance Care Planning Facilitators(ACPFs)developed by the National Center for Geriatrics and Gerontology. Unfortunately, some trainers experience difficulties implementing the content of the program, and some trainees feel the program is too long for implementation in many regional areas. The purpose of the research is to clarify the feasibility of ACPFs education using a one-day program in regional areas. The methods involved documenting the process of a one-day program from implementation to evaluation from May of 2015 to March of 2016 and then evaluating the effectiveness of the program 3 months after the implementation using meeting minutes from 7 local hospitals. The results indicated a need for 5 steps from program implementation to evaluation as well as 5 categories for final evaluation. The most important finding is that E-FIELD challenged trainers to shorten and simplify their expressions in order to teach the content more efficiently. The second finding is that Group for Promoting Advance Care Planning & End Of Life Discussion in Chita(GACPEL) activities encouraged ACPimplementation within each hospital. The limitations of this research are related to small regional areas. In conclusion, a one-day regional ACPFs educational program is feasible.

  20. Diabetes Case Management in Primary Care: The New Brunswick Experience and Expanding the Practice of the Certified Diabetes Educator Nurse into Primary Care. (United States)

    Jones, Shelley L


    The role of the outreach diabetes case manager in New Brunswick, Canada, was first developed in the Moncton Area of Horizon Health Network in response to a physician-identified gap between patients' diagnoses of diabetes and their attendance at the local diabetes education centre. This model of collaborative interprofessional practice increases support for primary care providers and people living with diabetes in that they are being provided the services of certified diabetes educators who can address knowledge gaps with respect to evidence-based guidelines and best practice, promote advancement of diabetes and chronic-disease management therapies and support adherence to treatment plans and self-management practices. This report chronicles a review of the implementation, expansion and evaluation of the outreach diabetes case manager model in the province of New Brunswick, Canada, along with the rationale for development of the role for registered nurses in other jurisdictions.

  1. Health promotion viewed as processes of subjectification in the education of Danish social and health care workers

    DEFF Research Database (Denmark)

    Lehn-Christiansen, Sine


    This article explores how health promotion is practiced within a specific educational setting: the Danish Social and Health Education Programme. Here, health promotion is formally conceived as a strategy aimed at citizens - not at the students themselves. However, the students are generally...... perceived as being incapable of taking care of their own health and therefore also as being too far from the role model figure inherent in the discourse of professional health promotion work. Practices targeting students’ physical health are induced both in- and outside the curriculum. Based on empirical...... analysis and post-structuralist theory, the article explores the processes of subjectification that result from the practices of health promotion within this particular educational setting. The article reveals how health promotion is transformed into an educational technology and is thus utilized to solve...

  2. [Education on ethnic diversity in health care in medical school: what can we learn from the American perspective?]. (United States)

    Figueroa, Caroline A; Rassam, Fadi; Spong, Karin S


    In April 2012, 20 medical students took part in a study tour to San Francisco, themed 'ethnic diversity in health care'. In this article we discuss four lessons learned from the perspective of these students. The delivery of culturally sensitive healthcare is becoming more important in the Netherlands as the ethnic minority population rate will continue to grow over the coming years. However, diversity education is not a structural component of medical curricula in the Netherlands to the same degree as in the USA where medical education pays a lot of attention to differences in health between ethnic minorities; and where there is also extensive research on this subject. We emphasize that diversity education should create awareness of differences in health outcomes between ethnic groups and awareness of one's own bias and stereotypical views. The implementation of diversity education is a challenge, which requires a change of image and the involvement of teachers from diverse medical disciplines.

  3. General practitioners' perspectives of education and collaboration with physiotherapists in Primary Health Care: a discourse analysis. (United States)

    Paz-Lourido, Berta; Kuisma, Raija M E


    This paper explores the educational factors that underlie the poor collaboration between general practitioners (GPs) and physiotherapists (PTs) in Primary Health Care (PHC), from the GP's perspective. This study was conducted in Majorca, the Balearic Islands (Spain). Participants were nine GPs who graduated from different universities in mainland Spain. A discourse analysis study was developed employing the social-critical paradigm as theoretical framework and in-depth interviews for data collection. The perceived lack of knowledge about physiotherapy was considered by the interviewees as a major factor in the current poor communication between GPs and PTs. The individual learning during medical studies and poor interprofessional learning during clinical residency influenced their gatekeeper role, putting at risk the equity of the health system. Collaboration was considered beneficial for patients but challenging to improve in context due to multiple factors ranging from individual to systemic. The latter encompasses inadequate resources and organization for interprofessional learning. There is a need to further explore other factors influencing the poor collaboration, including PTs' views on this process.

  4. Communication in palliative care: philosophy, teaching approaches, and evaluation of an educational program for nurses. (United States)

    Rønsen, Astrid; Hanssen, Ingrid


    In this article is presented a post-graduate program in palliative care nursing focusing communication. The teaching plan was inspired by action learning, and the students' discovery processes necessitated a variety of teaching methods. The program was based on a holistic view of the human being and of inter-human communication. Neuro-motoric stimulation exercises were used to improve the students' focus of attention, sensory reception, and awareness of their corporeal and intellectual selves. Stimulation of relational skills, the discussion of ethical and difficult questions, and narratives helped students discover relationships between theoretical knowledge and palliative practice, and were used to explain and illustrate topics, and as backgrounds for discussions. During the program the students examined, challenged, and continuously reflected upon their explicit and unconscious praxis theories and their communicative habits. Although very different from educational programs they previously had experienced, this teaching/learning plan and the outcome thereof was positively evaluated. At the end of the year the students found themselves to be more knowledgeable, discerning and self-confident nurses. Even so, some found that they needed more time to digest what they had learned and for new knowledge and philosophies to become internalised.

  5. Institutional Animal Care and Use Committee Considerations for the Use of Wildlife in Research and Education. (United States)

    Sikes, Robert S; Bryan, John A


    Ethical and effective oversight of the use of wildlife species in research and education requires consideration of issues and methods not relevant to work with traditional laboratory or domesticated animals, just as the effective oversight of biomedical research requires consideration of issues and methods not germane to wildlife research. Institutional Animal Care and Use Committees or other institutional review committees can meet their responsibilities in these disparate types of animal activities only by using resources tailored to the animals and situations encountered. Here we review the issues and the resources that facilitate effective oversight of such activities in the wildlife research arena available to researchers, institutional review committees, regulatory bodies, and accrediting bodies. Issues covered include an understanding of the fundamental differences between wildlife research and biomedical research; the profound differences between wildlife species and traditional laboratory subjects, most of which are domesticated animals; and the unique issues presented when the research subjects are members of wild populations and communities. We review the resources available for effective oversight of wildlife projects and emphasize that competent oversight of wildlife research demands the use of appropriate resources. These resources include guidelines designed for the use of wild species (taxon-specific guidelines) and protocol forms tailored for the species and situations encountered.

  6. Virtual interactive musculoskeletal system (VIMS in orthopaedic research, education and clinical patient care

    Directory of Open Access Journals (Sweden)

    Yoshida Hiroaki


    Full Text Available Abstract The ability to combine physiology and engineering analyses with computer sciences has opened the door to the possibility of creating the "Virtual Human" reality. This paper presents a broad foundation for a full-featured biomechanical simulator for the human musculoskeletal system physiology. This simulation technology unites the expertise in biomechanical analysis and graphic modeling to investigate joint and connective tissue mechanics at the structural level and to visualize the results in both static and animated forms together with the model. Adaptable anatomical models including prosthetic implants and fracture fixation devices and a robust computational infrastructure for static, kinematic, kinetic, and stress analyses under varying boundary and loading conditions are incorporated on a common platform, the VIMS (Virtual Interactive Musculoskeletal System. Within this software system, a manageable database containing long bone dimensions, connective tissue material properties and a library of skeletal joint system functional activities and loading conditions are also available and they can easily be modified, updated and expanded. Application software is also available to allow end-users to perform biomechanical analyses interactively. Examples using these models and the computational algorithms in a virtual laboratory environment are used to demonstrate the utility of these unique database and simulation technology. This integrated system, model library and database will impact on orthopaedic education, basic research, device development and application, and clinical patient care related to musculoskeletal joint system reconstruction, trauma management, and rehabilitation.

  7. Flexible Electronics Research Facility (United States)

    Federal Laboratory Consortium — The Flexible Electronics Research Facility designs, synthesizes, tests, and fabricates materials and devices compatible with flexible substrates for Army information...

  8. The need to advance nutrition education in the training of health care professionals and recommended research to evaluate implementation and effectiveness. (United States)

    Kris-Etherton, Penny M; Akabas, Sharon R; Bales, Connie W; Bistrian, Bruce; Braun, Lynne; Edwards, Marilyn S; Laur, Celia; Lenders, Carine M; Levy, Matthew D; Palmer, Carole A; Pratt, Charlotte A; Ray, Sumantra; Rock, Cheryl L; Saltzman, Edward; Seidner, Douglas L; Van Horn, Linda


    Nutrition is a recognized determinant in 3 (ie, diseases of the heart, malignant neoplasms, cerebrovascular diseases) of the top 4 leading causes of death in the United States. However, many health care providers are not adequately trained to address lifestyle recommendations that include nutrition and physical activity behaviors in a manner that could mitigate disease development or progression. This contributes to a compelling need to markedly improve nutrition education for health care professionals and to establish curricular standards and requisite nutrition and physical activity competencies in the education, training, and continuing education for health care professionals. This article reports the present status of nutrition and physical activity education for health care professionals, evaluates the current pedagogic models, and underscores the urgent need to realign and synergize these models to reflect evidence-based and outcomes-focused education.

  9. Multi-Generational Kinship, Multiple Mating, and Flexible Modes of Parental Care in a Breeding Population of the Veery (Catharus fuscescens), a Trans-Hemispheric Migratory Songbird. (United States)

    Halley, Matthew R; Heckscher, Christopher M; Kalavacharla, Venugopal


    We discovered variable modes of parental care in a breeding population of color-banded Veeries (Catharus fuscescens), a Nearctic-Neotropical migratory songbird, long thought to be socially monogamous, and performed a multi-locus DNA microsatellite analysis to estimate parentage and kinship in a sample of 37 adults and 21 offspring. We detected multiple mating in both sexes, and four modes of parental care that varied in frequency within and between years including multiple male feeders at some nests, and males attending multiple nests in the same season, each with a different female. Unlike other polygynandrous systems, genetic evidence indicates that multi-generational patterns of kinship occur among adult Veeries at our study site, and this was corroborated by the capture of an adult male in 2013 that had been banded as a nestling in 2011 at a nest attended by multiple male feeders. All genotyped adults (n = 37) were related to at least one other bird in the sample at the cousin level or greater (r ≥ 0.125), and 81% were related to at least one other bird at the half-sibling level or greater (r ≥ 0.25, range 0.25-0.60). Although our sample size is small, it appears that the kin structure is maintained by natal philopatry in both sexes, and that Veeries avoid mating with close genetic kin. At nests where all adult feeders were genotyped (n = 9), the male(s) were unrelated to the female (mean r = -0.11 ± 0.15), whereas genetic data suggest close kinship (r = 0.254) between two male co-feeders at the nests of two females in 2011, and among three of four females that were mated to the same polygynous male in 2012. To our knowledge, this is the first evidence of polygynandry occurring among multiple generations of close genetic kin on the breeding ground of a Nearctic-Neotropical migratory songbird.

  10. Multi-Generational Kinship, Multiple Mating, and Flexible Modes of Parental Care in a Breeding Population of the Veery (Catharus fuscescens, a Trans-Hemispheric Migratory Songbird.

    Directory of Open Access Journals (Sweden)

    Matthew R Halley

    Full Text Available We discovered variable modes of parental care in a breeding population of color-banded Veeries (Catharus fuscescens, a Nearctic-Neotropical migratory songbird, long thought to be socially monogamous, and performed a multi-locus DNA microsatellite analysis to estimate parentage and kinship in a sample of 37 adults and 21 offspring. We detected multiple mating in both sexes, and four modes of parental care that varied in frequency within and between years including multiple male feeders at some nests, and males attending multiple nests in the same season, each with a different female. Unlike other polygynandrous systems, genetic evidence indicates that multi-generational patterns of kinship occur among adult Veeries at our study site, and this was corroborated by the capture of an adult male in 2013 that had been banded as a nestling in 2011 at a nest attended by multiple male feeders. All genotyped adults (n = 37 were related to at least one other bird in the sample at the cousin level or greater (r ≥ 0.125, and 81% were related to at least one other bird at the half-sibling level or greater (r ≥ 0.25, range 0.25-0.60. Although our sample size is small, it appears that the kin structure is maintained by natal philopatry in both sexes, and that Veeries avoid mating with close genetic kin. At nests where all adult feeders were genotyped (n = 9, the male(s were unrelated to the female (mean r = -0.11 ± 0.15, whereas genetic data suggest close kinship (r = 0.254 between two male co-feeders at the nests of two females in 2011, and among three of four females that were mated to the same polygynous male in 2012. To our knowledge, this is the first evidence of polygynandry occurring among multiple generations of close genetic kin on the breeding ground of a Nearctic-Neotropical migratory songbird.

  11. Validation of Quality Rating and Improvement Systems for Early Care and Education and School-Age Care. Research-to-Policy, Research-to-Practice Brief. OPRE 2012-29 (United States)

    Zellman, Gail L.; Fiene, Richard


    Quality Rating and Improvement Systems (QRIS) for early care and education and school age care programs are designed to collect information about quality and to use that information to produce program-level ratings, which are the foundation of a QRIS. The ratings are intended to make program quality transparent for parents and other stakeholders…

  12. Instinctive Clinical Teaching: Erasing the Mental Boundary Between Clinical Education and Patient Care to Promote Natural Learning. (United States)

    Yang, Yih-Ming; Kim, Christopher H; Briones, Michael A; Hilinski, Joseph A; Greenwald, Michael


    Effective clinical teaching is essential in physician education, yet faculty members rarely receive formal training in clinical teaching. Formal models for training clinical educators are often tedious and require significant time and effort. Instinctive clinical teaching allows clinicians to seamlessly integrate and promote effective teaching into their clinical practice. The approach is guided by similarities between the components of Kolb's experiential learning cycle-concrete experience, reflective observation, abstract conceptualization, and active experimentation-and the elements of the patient care process-history and physical, initial assessment, differential, hypothesis, final diagnosis, management, and follow-up. Externalization of these clinical thought processes allows for inclusion of learners and promotes effective clinical teaching.

  13. Palliative care awareness among Indian undergraduate health care students: A needs-assessment study to determine incorporation of palliative care education in undergraduate medical, nursing and allied health education

    Directory of Open Access Journals (Sweden)

    Sakshi Sadhu


    Conclusion: The outcomes of the study showed that the basic knowledge of palliative care among students was inadequate, and students are unprepared and uncertain in their approach of delivering end-of-life care.

  14. Stress and burnout among critical care fellows: preliminary evaluation of an educational intervention


    Kashani, Kianoush; Carrera, Perliveh; Gallo de Moraes, Alice; Sood, Amit; Onigkeit, James A; Ramar, Kannan


    Background: Despite a demanding work environment, information on stress and burnout of critical care fellows is limited.Objectives: To assess 1) levels of burnout, perceived stress, and quality of life in critical care fellows, and 2) the impact of a brief stress management training on these outcomes.Methods: In a tertiary care academic medical center, 58 critical care fellows of varying subspecialties and training levels were surveyed to assess baseline levels of stress and burnout. Twenty-o...

  15. Exploring Perceived Discrimination Among LGBT Individuals in Turkey in Education, Employment, and Health Care: Results of an Online Survey. (United States)

    Göçmen, İpek; Yılmaz, Volkan


    This article explores the discrimination practices encountered by lesbian, gay, bisexual, and transgender (LGBT) individuals in education, income, employment, and health care in Turkey. Limited quantitative data on LGBT individuals are available in Turkey. This study collected data from 2,875 LGBT individuals through a Web-based survey. The findings suggest that LGBT individuals report perceived direct and indirect discrimination in accessing education, employment, and health care. In a country where LGBT rights are not yet recognized and antidiscrimination legislation covering sexual orientation and gender identity is still nonexistent, findings demonstrate perceived discrimination of LGBTs rarely turns into a legal complaint. Even when they do, most LGBTs in our sample report that they did not feel that the justice system addressed their grievances.

  16. Coordination of care between health and education systems for patients with a hematologic or oncologic diagnosis: a time study analysis. (United States)

    Irwin, Mary Kay; Elam, Megan P; Merianos, Ashley L


    Given the increasing emphasis on care coordination between healthcare and schools, hospital-school liaison services are increasing in demand. Limited research examines hospital-school liaison programs that focus on educational journeys of school-age patients with a chronic illness. Thus, this initiative aimed to determine the time needed to support the educational needs of these patients. Liaisons tracked time spent per patient, and per specific task category, to support school-age patients (N=419) using work-sampling and time-and-motion methods. Findings may be useful for hospital-based programs seeking to establish or increase staff dedicated to the coordination of care between school and healthcare systems.

  17. Bone care nurses and the evolution of the nurse's educational function: the Guardian Angel(®) research project. (United States)

    Alvaro, Rosaria; Pennini, Annalisa; Zannetti, Emanuela Basilici; Cittadini, Noemi; Feola, Maurizio; Rao, Cecilia; D'Agostino, Fabio; Vellone, Ercole; Tarantino, Umberto


    Osteoporosis mostly affects females over 50 years old, worldwide. The main osteoporosis complication is fragility fractures that reduce quality of life and cause morbidity and mortality. Most patients who have fragility fractures are treated for the fracture. However, patients' adherence to follow-up treatment plans is poor. Therefore, tailored educational interventions are needed to improve medication adherence and healthy lifestyles. In this context, the role of bone care nurses is important, as they can act at different levels of osteoporosis prevention and fracture liaison services, which are secondary fracture prevention programmes implemented by health care systems to treat osteoporotic patients. In Italy, a research project called Guardian Angel(®) was developed to provide tailored education to osteoporotic women in order to improve their disease management and reduce related complications.

  18. Money Matters for Early Education: The Relationships among Child Care Quality, Teacher Characteristics, and Subsidy Status (United States)

    St.Clair-Christman, JeanMarie; Buell, Martha; Gamel-McCormick, Michael


    Child care is the first out-of-home learning opportunity for many children. For low-income children, a high-quality child care placement can provide many of the experiences and skills that help build a foundation for later school success. Among the many measures of child care quality, some closely linked to later success in school are those…

  19. Educational Implications of Nurse Practitioner Students and Medical Residents' Attitudes toward Managed Care. (United States)

    Breer, M. Lynn; Pohl, Joanne M.; Stommel, Manfred; Barkauskas, Violet H.; Schillo, Barbara; Oakley, Deborah


    Attitudes toward managed care of 431 medical residents and 153 advanced practice nursing students were compared. Medical students were more likely to agree that managed care emphasizes cost over quality and threatens autonomy. Nursing students were more likely to agree that it encourages preventive care. Medical students were less enthusiastic…

  20. Interprofessional education in primary care for the elderly : a pilot study

    NARCIS (Netherlands)

    Oeseburg, Barth; Hilberts, Rudi; Luten, Truus A.; van Etten, Antoinette V. M.; Slaets, Joris P. J.; Roodbol, Petrie F.


    Background: The Dutch health care system faces huge challenges with regard to the demand on elderly care and the competencies of nurses and physicians required to meet this demand. At present, the main focus of health care in the Netherlands lies on illness and treatment. However, (frail) elderly ne