9 results
Search Results
2. Educational outcomes and leadership to meet the needs of modern health care
- Author
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Spencer, J and Jordan, R
- Subjects
Paper ,Adult ,Male ,Leadership and Management ,Health Policy ,Public Health, Environmental and Occupational Health ,Problem-Based Learning ,Competency-Based Education ,United Kingdom ,Leadership ,Education, Professional ,Health Occupations ,Outcome Assessment, Health Care ,Humans ,Learning ,Female ,Staff Development ,General Nursing - Abstract
If professionals are to be equipped better to meet the needs of modern health care systems and the standards of practice required, significant educational change is still required. Educational change requires leadership, and lack of educational leadership may have impeded change in the past. In practical terms standards refer to outcomes, and thus an outcome based approach to clinical education is advocated as the one most likely to provide an appropriate framework for organisational and system change. The provision of explicit statements of learning intent, an educational process enabling acquisition and demonstration of these, and criteria for ensuring their achievement are the key features of such a framework. The derivation of an appropriate outcome set should emphasise what the learners will be able to do following the learning experience, how they will subsequently approach these tasks, and what, as a professional, they will bring to their practice. Once defined, the learning outcomes should determine, in turn, the nature of the learning experience enabling their achievement and the assessment processes to certify that they have been met. Provision of the necessary educational environment requires an understanding of the close interrelationship between learning style, learning theory, and methods whereby active and deep learning may be fostered. If desired change is to prevail, a conducive educational culture which values learning as well as evaluation, review, and enhancement must be engendered. It is the responsibility of all who teach to foster such an environment and culture, for all practitioners involved in health care have a leadership role in education.
- Published
- 2001
3. Leadership and the quality of care
- Author
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J, Firth-Cozens and D, Mowbray
- Subjects
Paper ,Leadership and Management ,Health Personnel ,Health Policy ,education ,Administrative Personnel ,Public Health, Environmental and Occupational Health ,State Medicine ,United Kingdom ,Conflict, Psychological ,Leadership ,Humans ,Staff Development ,Stress, Psychological ,General Nursing ,Personality ,Quality of Health Care - Abstract
The importance of good leadership is becoming increasingly apparent within health care. This paper reviews evidence which shows that it has effects, not only on financial management, but on the quality of care provided. Some theories of leadership are discussed, primarily in terms of how different types of leaders might affect quality in different ways, including the effects that they might have on the stress or wellbeing of their staff which, in turn, is related to the quality of care produced. Finally, the conflicts shown in terms of leadership within the context of health care are discussed, leading to the conclusion that development programmes must be specially tailored to address the complexities of this arena.
- Published
- 2001
4. Decision technologies and the independent professional: the future's challenge to learning and leadership
- Author
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Jack Dowie
- Subjects
Paper ,Evidence-Based Medicine ,Leadership and Management ,Health Policy ,education ,Public Health, Environmental and Occupational Health ,Decision Support Systems, Clinical ,United Kingdom ,Leadership ,Practice Guidelines as Topic ,Humans ,Learning ,Education, Medical, Continuing ,General Nursing - Abstract
Most references to "leadership" and "learning" as sources of quality improvement in medical care reflect an implicit commitment to the decision technology of "clinical judgement". All attempts to sustain this waning decision technology by clinical guidelines, care pathways, "evidence based practice", problem based curricula, and other stratagems only increase the gap between what is expected of doctors in today's clinical situation and what is humanly possible, hence the morale, stress, and health problems they are increasingly experiencing. Clinical guidance programmes based on decision analysis represent the coming decision technology, and proactive adaptation will produce independent doctors who can deliver excellent evidence based and preference driven care while concentrating on the human aspects of the therapeutic relation, having been relieved of the unbearable burdens of knowledge and information processing currently laid on them. History is full of examples of the incumbents of dominant technologies preferring to die than to adapt, and medicine needs both learning and leadership if it is to avoid repeating this mistake.
- Published
- 2001
5. Minimizing hybrid records. Tips for reducing paper documentation as new systems come online
- Author
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Teresa M, Hall
- Subjects
Paper ,Electronic Data Processing ,Medical Records Systems, Computerized ,Information Management ,Planning Techniques ,Efficiency, Organizational ,Organizational Innovation ,United States ,Leadership ,Medical Records Department, Hospital ,Hospital Information Systems ,Medical Staff, Hospital ,Humans ,Forms and Records Control ,Diffusion of Innovation ,Program Development - Abstract
It can be tempting for providers to reach for paper, especially when things get hectic. Planning and support help keep the hybrid record from getting more hybrid than it has to be.
- Published
- 2009
6. Effect of guideline implementation on costs of hand hygiene
- Author
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Patricia W, Stone, Sumya, Hasan, Dave, Quiros, and Elaine L, Larson
- Subjects
Paper ,Cross Infection ,Bedding and Linens ,Guidelines as Topic ,Soaps ,Nurse's Role ,Statistics, Nonparametric ,United States ,Article ,2-Propanol ,Leadership ,Nursing Administration Research ,Cost of Illness ,Nursing Evaluation Research ,Hospital Bed Capacity ,Humans ,Guideline Adherence ,Nurse Administrators ,Diffusion of Innovation ,Hospital Costs ,Gels ,Hand Disinfection - Abstract
Hands of health care personnel frequently serve as vectors for the transmission of organisms between patients and are also a major reservoir for pathogens with antimicrobial resistance. Hand hygiene is one effective strategy to reduce health care associated infections. The purposes of this study were to (a) compare the costs of hand hygiene in hospitals with high and low hand hygiene compliance as well as high and low frequency of alcohol hand rub use; and (b) examine associations between hospital characteristics and hand hygiene compliance as well as frequency of alcohol hand rub use. Nursing and health care policy leaders should look for ways to promote sustained adherence to hand hygiene recommendations.
- Published
- 2007
7. Nursing leadership: bringing caring back to the future
- Author
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Alison Kitson
- Subjects
Paper ,Medical Audit ,Leadership and Management ,Health Policy ,Public Health, Environmental and Occupational Health ,Nursing Service, Hospital ,Organizational Culture ,Organizational Innovation ,State Medicine ,United Kingdom ,Career Mobility ,Leadership ,Patient-Centered Care ,Humans ,General Nursing - Abstract
Leadership, whether it is nursing, medical or healthcare leadership, is about knowing how to make visions become reality. The vision that many nurses hold dear to their hearts is one where patients are treated with dignity and respect at all times; where systems are designed for the benefit of individual needs; and where the work performed by nurses and other carers is valued and respected. Achieving such a vision will require a paradigm shift in the philosophy, priorities, policies, and power relationships of the health service. Fundamentally, it will require the rhetoric of patient centred care to become a reality. The following scenario is set in the UK in the year 2012 and describes a health service that is on the pathway to achieving this vision. It tells the story from a nursing perspective and outlines the three key foundation stones that helped nursing achieve the vision of a patient centred health service: (1) development of patient centred care measures as part of performance management and the clinical governance agenda; (2) leadership based on personal growth and development principles; (3) new clinical career and competency framework for nursing.
- Published
- 2001
8. Designs on the future.
- Author
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Jacobs, Phil
- Subjects
LEADERSHIP ,PAPER ,REPORTERS & reporting - Abstract
The article reports on the launch of the redesigned "Washington Jewish Week" (WJW) newspaper. The redesign is said to be part of the previous leadership changes in the editorial management of WJW. Aside from the improved use of journal space and paper quality, WJW chief operating officer (COO) Craig Burke remarked that reader comfort and enjoyment were prioritized in the reformatting done. The creation of additional spaces for local and international reporting is also mentioned.
- Published
- 2011
9. Some notes on the paper by M. Tushinskaya and Yu. Urinson, 'The influence of the spleen on hemopoiesis
- Author
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D N, YANOVSKII
- Subjects
Paper ,Leadership ,Humans ,Disease ,Spleen ,Hematopoiesis ,Splenic Diseases - Published
- 1961
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