RESUMO
Interprofessional precepting can advance team-based collaboration. We evaluated the impact of nurse-led precepting of medical students on perceptions of nurse-physician relationships. Forty-six frontline nurses precepted 73 third year medical students in New York for a three-part clinical and classroom experience. Nurse preceptor and medical student attitudes toward healthcare teams and medical student attitudes toward nurse-physician collaboration improved after participation using validated scales. This pilot study suggests nurse-led interprofessional precepting can improve attitudes toward interprofessional collaboration.
Assuntos
Relações Médico-Enfermeiro , Médicos , Atitude , Atitude do Pessoal de Saúde , Comportamento Cooperativo , Humanos , Relações Interprofissionais , New York , Projetos PilotoRESUMO
Health educators are frequently called on to facilitate community preparedness planning. One planning tool is community-wide tabletop exercises. Tabletop exercises can improve the preparedness of public health system agencies to address disaster by bringing together individuals representing organizations with different roles and perspectives in specific disasters. Thus, they have the opportunity to identify each other's roles, capabilities, and limitations and to problem-solve about how to address the gaps and overlaps in a low-threat collaborative setting. In 2005, the North Carolina Office of Public Health Preparedness and Response developed a series of exercises to test the preparedness for chemical disasters in a metropolitan region in the southeastern United States. A tabletop exercise allowed agency heads to meet in an environment promoting inter- and intraagency public-private coordination and cooperation. The evaluation results reported here suggest ways in which any tabletop exercise can be enhanced through recruitment, planning, and implementation.
Assuntos
Vazamento de Resíduos Químicos/prevenção & controle , Planejamento em Desastres/métodos , Planejamento em Desastres/organização & administração , Planejamento em Saúde/métodos , Planejamento em Saúde/organização & administração , Prática de Saúde Pública , Relações Comunidade-Instituição , Promoção da Saúde , Humanos , Relações Interinstitucionais , North Carolina , Prevenção Primária/organização & administração , Desenvolvimento de Programas , Sudeste dos Estados UnidosRESUMO
Since the 1920s, interest in hormesis has peaked and ebbed. Hormesis had been a forgotten theory until recent investigation by Dr Ed Calabrese at the University of Massachusetts, along with others, resurrected it from obscurity. This renewed interest is demonstrated by recent articles in prestigious scientific journals such as Nature and Science as well as the popular press (Discovery, US News and World Report and newspapers such as the Boston Globe). Currently, a strong interest in this theory of dose-response (which predicts contrasting effects at low versus high doses) exists and is explored in this issue.
Assuntos
Relação Dose-Resposta a Droga , Humanos , Modelos Lineares , Nível de Efeito Adverso não ObservadoRESUMO
The purpose of this training program was to prepare nursing staff in family-centered geriatric care that emphasizes providing culturally competent care to hospitalized elders at two major tertiary hospitals in New York. This research report corresponds to the first phase of a 3-year project. In this research project, a descriptive exploratory design was used to identify the levels of cultural awareness and cultural competence of nursing staff who participated in a family-centered geriatric care training program.
Assuntos
Competência Clínica/normas , Educação Continuada em Enfermagem/organização & administração , Enfermagem Familiar , Enfermagem Geriátrica/educação , Recursos Humanos de Enfermagem Hospitalar/educação , Enfermagem Transcultural/educação , Idoso , Atitude do Pessoal de Saúde , Conscientização , Diversidade Cultural , Currículo , Avaliação Educacional , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Capacitação em Serviço/organização & administração , New York , Pesquisa em Educação em Enfermagem , Recursos Humanos de Enfermagem Hospitalar/psicologia , Assistência Centrada no Paciente/organização & administração , Avaliação de Programas e Projetos de Saúde , Inquéritos e QuestionáriosRESUMO
This article explores the development of a geriatric workshop to enhance the knowledge base of patient-care associates and nursing assistants to promote optimal geriatric nursing care. The unlicensed support staff plays an integral role in delivering a large percentage of nursing care. Therefore, it is essential to cultivate and foster their knowledge and skills, so that the older adult population will receive exemplary care.
Assuntos
Educação em Enfermagem/organização & administração , Enfermagem Geriátrica/educação , Assistentes de Enfermagem/educação , Desenvolvimento de Programas/métodos , Desenvolvimento de Pessoal/métodos , Idoso , Currículo , Avaliação Educacional/métodos , Humanos , New York , Ensino/métodosRESUMO
This report describes a Nursing Care Quality Initiative (NCQI) through which a new model of care for hospitalized older adults and their families, the Family-Centered Geriatric Resource Nurse (FCGRN) model, was introduced. Eighteen units in 10 hospitals participated in the NCQI Project. Educational, clinical, and evaluation components of the NCQI Project are described.