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Key Issues (key + issues)
Selected AbstractsNational Service Framework for Children, Young People and Maternity Services: Key Issues for Primary CareJOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES, Issue 1 2005Jacob Urkin MD [source] Understanding Prisons: Key Issues in Policy and Practice , By A. CoyleTHE BRITISH JOURNAL OF SOCIOLOGY, Issue 3 2007Barbara Mason No abstract is available for this article. [source] Competition And Its Regulation: Key IssuesANNALS OF PUBLIC AND COOPERATIVE ECONOMICS, Issue 4 2002P. Cook This article examines the role of competition policy in developing countries. The leading international development agencies, such as the World Bank and the Asian Development Bank, have proclaimed their support for private sector,led development as the best strategy for reducing poverty. The benefits of private sector development are dependent on ensuring competitive market conditions, which are often absent in developing countries. However, theoretical notions of competition and the ways in which it is perceived to work vary widely and have implications for the type of competition policy that is to be implemented. Competition laws are widespread in industrialized countries but are only just beginning to be introduced in developing countries. The article examines some of the implications of applying competition policy in developing countries when account is taken of different theoretical perspectives, and of the structural and institutional differences between industrialized and developing countries. [source] Broadening the NAFTA: Key Issues on the Free Trade Area of the Americas from a Canadian PerspectiveCANADIAN JOURNAL OF AGRICULTURAL ECONOMICS, Issue 4 2001Rick Barichello [source] Obsessive,compulsive disorder: a review of the diagnostic criteria and possible subtypes and dimensional specifiers for DSM-V,DEPRESSION AND ANXIETY, Issue 6 2010James F. Leckman M.D. Abstract Background: Since the publication of the DSM-IV in 1994, research on obsessive,compulsive disorder (OCD) has continued to expand. It is timely to reconsider the nosology of this disorder, assessing whether changes to diagnostic criteria as well as subtypes and specifiers may improve diagnostic validity and clinical utility. Methods: The existing criteria were evaluated. Key issues were identified. Electronic databases of PubMed, ScienceDirect, and PsycINFO were searched for relevant studies. Results: This review presents a number of options and preliminary recommendations to be considered for DSM-V. These include: (1) clarifying and simplifying the definition of obsessions and compulsions (criterion A); (2) possibly deleting the requirement that people recognize that their obsessions or compulsions are excessive or unreasonable (criterion B); (3) rethinking the clinical significance criterion (criterion C) and, in the interim, possibly adjusting what is considered "time-consuming" for OCD; (4) listing additional disorders to help with the differential diagnosis (criterion D); (5) rethinking the medical exclusion criterion (criterion E) and clarifying what is meant by a "general medical condition"; (6) revising the specifiers (i.e., clarifying that OCD can involve a range of insight, in addition to "poor insight," and adding "tic-related OCD"); and (7) highlighting in the DSM-V text important clinical features of OCD that are not currently mentioned in the criteria (e.g., the major symptom dimensions). Conclusions: A number of changes to the existing diagnostic criteria for OCD are proposed. These proposed criteria may change as the DSM-V process progresses. Depression and Anxiety, 2010. © 2010 Wiley-Liss, Inc. [source] The hope but challenge for developing a vaccine that might control malariaEUROPEAN JOURNAL OF IMMUNOLOGY, Issue 4 2009Michael F. Good Abstract As World Malaria Day approaches again it is timely, as an immunologically focussed community, to consider the consequence of not yet having an efficacious vaccine but also the progress that is being made and the challenges that we face in developing one. Key issues that need to be addressed for the leading vaccine candidates include antigenic polymorphism and loss of immunological memory. [source] Epidemiology Of Hodgkin's disease: a reviewHEMATOLOGICAL ONCOLOGY, Issue 1 2004R. A. Cartwright Abstract The descriptive and aetiological epidemiology of Hodgkin's Disease (HD) are reviewed. Key issues which are highlighted include the evidence suggesting that HD is a complex of related conditions that are part mediated by infectious diseases, immune deficits and genetic susceptibilities. There is little convincing evidence to suggest any other environmental factors are involved in the aetiology. The apparent changing pattern of disease by time and from country to country, needs careful future study. Copyright © 2004 John Wiley & Sons, Ltd. [source] Materials Issues Related to Catalysts for Treatment of Diesel ExhaustINTERNATIONAL JOURNAL OF APPLIED CERAMIC TECHNOLOGY, Issue 6 2005Chaitanya K. Narula The driver for lean NOx treatment is the need to meet regulatory standards for diesel engines and gasoline direct injection spark-ignited engines that offer better fuel economy. Efforts over the last decade have been focused toward finding an active lean NOx catalyst that can reduce NOx under oxidizing conditions or strategies such as selective catalytic reduction (SCR), plasma-catalysis, plasma catalyst SCR, and lean NOx traps with varying degrees of success. At present, it appears that SCR with urea and lean NOx traps are the leading contender technologies for commercial deployment. Key issues that remain to be resolved for these two technologies include byproduct formation, dosing control, and durability. In this review, we summarize material-related issues that are unique to each of these technologies, and point out the improvements necessary to facilitate their deployment. [source] Adopting a constructivist approach to grounded theory: Implications for research designINTERNATIONAL JOURNAL OF NURSING PRACTICE, Issue 1 2006Jane Mills PhD (Cand) Grounded theory is a popular research methodology that is evolving to account for a range of ontological and epistemological underpinnings. Constructivist grounded theory has its foundations in relativism and an appreciation of the multiple truths and realities of subjectivism. Undertaking a constructivist enquiry requires the adoption of a position of mutuality between researcher and participant in the research process, which necessitates a rethinking of the grounded theorist's traditional role of objective observer. Key issues for constructivist grounded theorists to consider in designing their research studies are discussed in relation to developing a partnership with participants that enables a mutual construction of meaning during interviews and a meaningful reconstruction of their stories into a grounded theory model. [source] Mesenchymal stem cells in tissue engineeringJOURNAL OF CHEMICAL TECHNOLOGY & BIOTECHNOLOGY, Issue 4 2008Pankaj Godara Abstract Mesenchymal stem cells (MSC) offer great promise in therapies aimed at repairing, replacing or regenerating damaged or diseased tissues and organs. This potential is due to their capacity for self-renewal, ability to differentiate down a range of lineages, and potential in autologous therapies, free from major ethical concerns. This review examines the issues around the use of MSC in tissue engineering (TE) applications. Key issues facing widespread MSC therapeutic use include both the scarcity in adult tissues and the current lack of a simple unambiguous identifying marker. These major challenges facing the isolation, characterization and expansion of MSC to therapeutically significant numbers currently limit their usefulness as ,off the shelf' therapies. Balanced against this, recent evidence suggests that MSC have a much wider tissue distribution and greater plasticity than originally envisaged. Although therapeutic applications of MSC initially focused on mesenchymal lineages such as cartilage and bone, this is now broadening to include organs such as the heart and skin. Ultimately, the clinical utility of such MSC-based therapies will depend on their performance and cost. Copyright © 2008 Society of Chemical Industry [source] Understanding the essential elements of work-based learning and its relevance to everyday clinical practiceJOURNAL OF NURSING MANAGEMENT, Issue 6 2010BSc (Hons) Nurse Practitioner, CAROLINE WILLIAMS RN, Dip N, MSc (Nursing), PGCE (FE), PGCert (Facilitation & life-long learning) williams c. (2010) Journal of Nursing Management 18, 624,632 Understanding the essential elements of work-based learning and its relevance to everyday clinical practice Aim, To critically review the work-based learning literature and explore the implications of the findings for the development of work-based learning programmes. Background, With NHS budgets under increasing pressure, and challenges to the impact of classroom-based learning on patient outcomes, work-based learning is likely to come under increased scrutiny as a potential solution. Evidence from higher education institutions suggests that work-based learning can improve practice, but in many cases it is perceived as little more than on-the-job training to perform tasks. Evaluation, The CINAHL database was searched using the keywords work-based learning, work-place learning and practice-based learning. Those articles that had a focus on post-registration nursing were selected and critically reviewed. Key issues, Using the review of the literature, three key issues were explored. Work-based learning has the potential to change practice. Learning how to learn and critical reflection are key features. For effective work-based learning nurses need to take control of their own learning, receive support to critically reflect on their practice and be empowered to make changes to that practice. Conclusions, A critical review of the literature has identified essential considerations for the implementation of work-based learning. A change in culture from classroom to work-based learning requires careful planning and consideration of learning cultures. Implications for nursing management, To enable effective work-based learning, nurse managers need to develop a learning culture in their workplace. They should ensure that skilled facilitation is provided to support staff with critical reflection and effecting changes in practice. Contribution to New Knowledge, This paper has identified three key issues that need to be considered in the development of work-based learning programmes. [source] A model for developing high-reliability teamsJOURNAL OF NURSING MANAGEMENT, Issue 5 2010WILLIAM RILEY PhD riley w., davis s.e., miller k.k. & mccullough m. (2010) Journal of Nursing Management18, 556,563 A model for developing high-reliability teams Aim, To develop a model for high reliability in health care quality and patient safety. Background, A high-reliability health organization (HRO) has measurable near perfect performance in quality and safety. High reliability is necessary in health care where the consequences of error are high and the frequency is low. Key issues, Despite a decade of intense focus on quality and safety since a series of reports from the Institute of Medicine (IOM), health care is not a completely safe industry and quality is not what it should be to ensure high reliability for patients. Conclusions, A model for high reliability is presented that includes the individual skills necessary to assure high-reliability teams on a patient care unit. High-reliability teams (HRT) form an essential core of a HRO. These teams and their organizations value a culture of safety every day with every patient encounter. Implications for nursing management, Nurse managers can lead in creating a HRO by first developing HRTs on their patient care unit. [source] Director of nursing and midwifery leadership: informed through the lens of critical social scienceJOURNAL OF NURSING MANAGEMENT, Issue 4 2010ANNETTE SOLMAN RN, Dip HSN, Masters NR solman a. (2010) Journal of Nursing Management18, 472,476 Director of nursing and midwifery leadership: informed through the lens of critical social science Aims, Highlight the use of critical social science theories, practice development principles and a situational leadership framework within transformational leadership to inform Directors of Nursing and Midwifery (DoNM) practices as leaders. Background, Healthcare is constantly changing, unpredictable, strives for quality service and cost containment, which can result in stress and crisis for healthcare workers. DoNM leadership is critical to supporting and leading staff through these complex times within healthcare. Key issues, Understanding theories, frameworks and their application to real-world practice can assist in supporting individuals and teams to navigate through the changing healthcare environment. Conclusion, Blending critical social science theories with practice development principles and the situational leadership framework can assist the DoNM to enact transformational leadership to support the development of individuals and teams to meet the complex healthcare needs of patients within the clinical setting. Implications for nurse management, This article contributes through the practical application of critical social science theories, practice development principles and situational leadership framework within transformational leadership as an approach for enacting DoNM leadership. To further understand and develop in the role of the contemporary DoNM in leadership, these directors are encouraged to publish their work. [source] An evaluation of the nursing practice environment and successful change management using the new generation Magnet ModelJOURNAL OF NURSING MANAGEMENT, Issue 3 2010BETTYANNE GRANT RNBC grant b., colello s., riehle m. & dende d. (2010) Journal of Nursing Management18, 326,331 An evaluation of the nursing practice environment and successful change management using the new generation Magnet Model Aim, To discuss the new Magnet Model as it relates to the successful implementation of a practice change. Background, There is growing international interest in the Magnet Recognition Programme. The latest generation of the Magnet Model has been designed not only as a road map for organizations seeking to achieve Magnet recognition but also as a framework for nursing practice and research in the future. Evaluation, The Magnet Model was used to identify success factors related to a practice change and to evaluate the nursing practice environment. Key issues, Even when proposed changes to practice are evidence based and thoughtfully considered, the nurses' work environment must be supportive and empowering in order to yield successful and sustainable implementation of new practice. Conclusion, Success factors for implementation of a practice change can be illuminated by aligning environmental characteristics to the components of the new Magnet Model. Implications for nursing management, The Magnet Model provides an exceptional framework for building an agile and dynamic work force. Thoughtful consideration of the components and inter-relationships represented in the new model can help to both predict and ensure organizational vitality. [source] Lamp light on leadership: clinical leadership and Florence NightingaleJOURNAL OF NURSING MANAGEMENT, Issue 2 2010BA Ng, DAVID STANLEY NursD, Dip HE (Nursing) stanley d. & sherratt a. (2010) Journal of Nursing Management 18, 115,121 Lamp light on leadership: clinical leadership and Florence Nightingale Aims, The purpose of the present study was to use the example of Florence Nightingales' nursing experience to highlight the differences between nursing leadership and clinical leadership with a focus on Miss Nightingales' clinical leadership attributes. Background, 2010 marks the centenary of the death of Florence Nightingale. As this significant date approaches this paper reflects on her contribution to nursing in relation to more recent insights into clinical leadership. Evaluation, Literature has been used to explore issues related to nursing leadership, clinical leadership and the life and characteristics of Florence Nightingale. Key issues, There are a few parts of Florence's character which fit the profile of a clinical leader. However, Miss Nightingale was not a clinical leader she was a powerful and successful role model for the academic, political and managerial domains of nursing. Conclusion, There are other ways to lead and other types of leaders and leadership that nursing and the health service needs to foster, discover and recognize. Implications for nursing management, Clinical leaders should be celebrated and recognized in their own right. Both clinical leaders and nursing leaders are important and need to work collaboratively to enhance patient care and to positively enhance the profession of nursing. [source] Towards a comprehensive theory of nurse/patient empowerment: applying Kanter's empowerment theory to patient careJOURNAL OF NURSING MANAGEMENT, Issue 1 2010FCAHS, HEATHER K. SPENCE LASCHINGER PhD spence laschinger h.k., gilbert s., smith l.m. & leslie k. (2010) Journal of Nursing Management18, 4,13 Towards a comprehensive theory of nurse/patient empowerment: applying Kanter's empowerment theory to patient care Aim, The purpose of this theoretical paper is to propose an integrated model of nurse/patient empowerment that could be used as a guide for creating high-quality nursing practice work environments that ensure positive outcomes for both nurses and their patients. Background, There are few integrated theoretical approaches to nurse and patient empowerment in the literature, although nurse empowerment is assumed to positively affect patient outcomes. Evaluation, The constructs described in Kanter's (1993) work empowerment theory are conceptually consistent with the nursing care process and can be logically extended to nurses' interactions with their patients and the outcomes of nursing care. Key issues, We propose a model of nurse/patient empowerment derived from Kanter's theory that suggests that empowering working conditions increase feelings of psychological empowerment in nurses, resulting in greater use of patient empowerment strategies by nurses, and, ultimately, greater patient empowerment and better health outcomes. Conclusions, Empirical testing of the model is recommended prior to use of the model in clinical practice. Implications for Nursing Management, We argue that empowered nurses are more likely to empower their patients, which results in better patient and system outcomes. Strategies for managers to empower nurses and for nurses to empower patients are suggested. [source] Providing direct care nurses research and evidence-based practice information: an essential component of nursing leadershipJOURNAL OF NURSING MANAGEMENT, Issue 1 2010BETH A. STAFFILENO PhD staffileno b.a. & carlson e. (2010) Journal of Nursing Management 18, 84,89 Providing direct care nurses research and evidence-based practice information: an essential component of nursing leadership Aims, This commentary describes the reasons, strategies and benefits of providing direct care nurses with research and evidence-based practice (EBP) education. Background, A component of nursing leadership is to provide nurses opportunities for professional growth and development, yet this can be challenging during a time when resources are constrained and need to be used wisely. Evaluation, Our research and EBP education programmes have been evaluated qualitatively, as well as by the number of research/EBP projects implemented. Key issues, Providing direct care nurses with support and additional education empowers them to seek, critically appraise and integrate research findings into their daily patient care. Conclusions, Direct care nurses, who participated in our programme, demonstrated a strong desire to learn about research and EBP so they could practice using evidence-based care with confidence, thus transitioning from a ,tradition-based' care approach to an evidence-based way of providing care as the standard for nursing practice. Implications for Nursing Management, Providing a dedicated time for additional education sends a clear message that research and EBP are important elements embedded in patient care. The organisation, then, is seen as an environment that emphasizes the value of research and EBP at the unit and organisational level. [source] Nurse staffing levels revisited: a consideration of key issues in nurse staffing levels and skill mix researchJOURNAL OF NURSING MANAGEMENT, Issue 6 2009BSc (Hons), MARIA FLYNN RGN Aim, This paper revisits the published evidence relating to how nurse staffing levels impact on patient, nurse and service outcomes and considers the implications of this body of research for nurse managers in their quest to determine optimum nursing numbers. Background, Within the context of the recognized global nursing shortage and particular local pressures within international health services, questions of appropriate nurse staffing levels and skill mix are once again becoming increasingly important. It would seem that the determination of optimum nurse staffing levels and skill mix is a central issue in relation to health service governance, service user involvement, as well as in the recruitment, retention and well-being of nursing staff across the service sectors. Methods, A review of published evidence was carried out, applying key principles of the systematic method, in order to facilitate the identification of current factors and issues in nurse staffing levels research. The review did not seek to address a specific research question. The search covered 10 years from 1998 to 2008 and identified more than 500 relevant papers, giving a wide international perspective. Key issues, The majority of research in the field relates to the acute service sector and there are considerable similarities in issues that transcend international boundaries. Much of the research focuses on the impact on patients and nurses of ,poor' nurse staffing levels. More recent studies have explored the impact of nurse staffing levels on the service organization itself. However, while there may be an association between models of nurse staffing and outcomes, there is insufficient evidence to establish a causal relationship between these factors. In this context it is perhaps time to reconsider how nursing outcomes are defined and measured. Implications for nursing management and conclusion, Nurse managers, commissioners of services and workforce planners need to be cognisant of key issues and analyses in the consideration of nurse staffing levels. Not least of these is the need for a healthy degree of caution regarding the supposed objectivity, scientific basis, or evidence base, for rational calculation of optimum nurse staffing levels. [source] New graduate transitions: leaving the nest, joining the flightJOURNAL OF NURSING MANAGEMENT, Issue 3 2009ENC(C), PNC(C), SANDRA MORROW RN Aim, This review will explore the lived experience of the transition of new nursing graduates in their first year of practice, the implications to nursing and consequences of status quo, and actions required to support new graduates in their transition to practice. Background, The new graduate eagerly anticipates their first position in the ,real world' but often experience challenges in their first year of practice. Evaluation, A literature review highlights the historical inaction and the confirmed lived experiences of new graduate nurses. Key issues, New graduate transition into the workforce has implications on both an individual and societal level. No longer can one ignore the need to recruit and retain nurses, especially new graduates. Conclusion, Implemented collaborative and innovative efforts are required to support new graduate nurse transition to practice. Implications for nursing management, Nurse Managers must question why the disenfranchisement and marginalization of new graduates continues. Persistent inertia impacts recruitment and retention of graduate nurses and patient safety, transforming episodic challenges into chronic systemic issues. This article will contribute to new nursing knowledge by providing a Canadian perspective of demographic trends of the Registered Nurse (RN) and salient actions required to resolve the discourse of new graduate transition into the workplace. [source] Emotional intelligence in relation to nursing leadership: does it matter?JOURNAL OF NURSING MANAGEMENT, Issue 3 2009REBECCA FEATHER MSN Aim, Discuss the importance of studying emotional intelligence (EI) of nursing leaders and the job satisfaction of nursing staff. Background, The nursing shortage and issues with retention signifies the importance of assessing the influence nurse managers have on staff job satisfaction. Evaluation, A review of the literature on the development of EI and the level of study involving nursing leadership was conducted to determine the need for further research in this area. Key issues, Neurobehavioural research involving the limbic system has indicated that EI can be learned through educational programmes. Conclusion, There is a need for further research in the area of EI of nurse managers in their role as leaders and the impact they have on the job satisfaction level of their nursing staff. Implications for nursing management, The increasing nursing shortage and turnover rates signify the importance of research in the EI level of nursing leaders. Future research may include implementing educational programmes in the area of EI for nursing leaders resulting in a more positive work environment. Determining if EI influences nursing job satisfaction will provide a foundation for ongoing programme implementation to support and develop our nursing leaders. [source] Improving patient safety: an economic perspective on the role of nursesJOURNAL OF NURSING MANAGEMENT, Issue 2 2009REBECCA N. WARBURTON PhD Aims, This paper synthesises patient safety research and insights from economic theory to generate guidance for nurse managers. The paper describes the key roles nurses and nurse managers can play in improving patient safety, and explains how insights from health economics can help inform and enhance this role, helping nurse managers to set priorities for improvement and for future research. Background, Awareness of the need to improve patient safety is high, but insufficient attention has been paid to the cost-effectiveness of safety improvements, leading to difficulty in setting priorities. This paper suggests specific methods that nurses can and should use to prioritize and evaluate safety improvements. Evaluation, This is a review article, synthesising the results of research on patient safety. Key issues, Because of their close connection to patients, nurses (and nurse managers in particular) have key roles to play in improving patient safety. Improving patient safety will also benefit nurses and other practitioners directly, because caregivers suffer lasting distress from being involved in incidents that harm patients. Reducing harmful incidents should also reduce attrition and alleviate chronic staffing shortages. Insights from health economics can help nurse managers to set priorities for improvement and to more effectively evaluate the changes made. Conclusions, Evidence on the costs and effects of most safety improvements is still lacking. Nurses can and should take a leadership role in implementing changes and evaluating their costs and effects. Implications for nursing management, To lead improvements in patient safety, nurse managers need to learn to use the Plan-Do-Study-Act Improvement Cycle, and need to develop an awareness of and ability to measure the costs and effects of changes. These changes would allow nurse managers to better make the business case for patient safety. [source] Nursing leadership and management effects work environmentsJOURNAL OF NURSING MANAGEMENT, Issue 1 2009ANN MARRINER TOMEY PhD Aim, The aim of this literature search was to identify recent research related to nursing leadership and management effects on work environment using the 14 forces of magnetism. Background, This article gives some historical perspective from the original 1983 American Academy of Nursing study through to the 2002 McClure and Hinshaw update to 2009 publications. Evaluation, Research publications were given a priority for references. Key issues, The 14 forces of magnetism as identified by Unden and Monarch were: ,1. Quality of leadership,, 2. Organizational structure,, 3. Management style,, 4. Personnel policies and programs,, 5. Professional models of care,, 6. Quality of care,, 7 Quality improvement,, 8. Consultation and resources,, 9. Autonomy,, 10. Community and the hospital,, 11. Nurse as teacher,, 12. Image of nursing,, 13. Interdisciplinary relationships, and 14. Professional development,.'. Conclusions, Correlations have been found among positive workplace management initiatives, style of transformational leadership and participative management; patient-to-nurse ratios; education levels of nurses; quality of patient care, patient satisfaction, employee health and well-being programmes; nurse satisfaction and retention of nurses; healthy workplace environments and healthy patients and personnel. Implications for nursing management, This article identifies some of the research that provides evidence for evidence-based nursing management and leadership practice. [source] Factors influencing job satisfaction of front line nurse managers: a systematic reviewJOURNAL OF NURSING MANAGEMENT, Issue 7 2008HOW LEE BScN Aim, The purpose of this study was to systematically review the research literature that examined the determinants of front line nurse managers' job satisfaction. Background, Front line managers are the vital link between senior management and clinical nurses. They influence organizational culture and outcomes for patients and staff so their job satisfaction and ultimately retention is of importance. Evaluations, A review of research articles that examined the determinants of front line nurse managers' job satisfaction was conducted. These managers supervise staff nurses and have direct responsibility for the management of a nursing unit or team in any type of healthcare facility. Fourteen studies were included in the final analysis. Key issues, Evidence of significant positive relationships were found between span of control, organizational support, empowerment and the job satisfaction of front line nurse managers. Conclusion, The review suggests that job satisfaction of front line managers may be improved by addressing span of control and workload, increasing organizational support from supervisors and empowering managers to participate in decision-making. Implications for Nursing Management, Healthcare organizations may enhance the recruitment, retention and sustainability of future nursing leadership by addressing the factors that influence job satisfaction of front line managers. [source] University of life or academia?JOURNAL OF NURSING MANAGEMENT, Issue 6 2008A review of community matrons/case managers continuing professional development; accessing a post-graduate programme without meeting the current academic entry criteria Aims, To inform managers and gatekeepers of the pre-requisites for staff engaging in post-graduate level study. To acknowledge the support students in new roles require in clinical practice and continuing professional development (CPD). Background, A post - graduate course for case managers/community matrons was developed as a rapid response to government policy. As a result, candidates entered this programme with non-traditional requirements. However, this did not appear to hinder their success. Evaluation, Student entry data and their achievements on completion were collected and compared with another post-graduate course that did require standard entry academic requirements. Final results were analysed and a narrative obtained from students and mentors. Key issues, Gatekeepers should recognize the importance of past experience and motivation of candidates in relation to CPD and also the student's insight and self-awareness when accessing courses. Conclusion, Candidates accessing post-graduate courses can achieve learning outcomes at an advanced level when given the right support and are capable of undertaking the role of case manager/community matron . Implications for nursing management, The article is relevant in light of the current financial constraints for Trusts to ration the funding of CPD. Choosing the right person to attend the right course often depends on the manager's discretion and not necessarily the candidates' ability or motivation. It highlights the importance of not only recognizing the candidates' academic level but also their motivation to study, and with careful selection candidates should be allowed the opportunity to access higher levels of CPD. Fitness to practice is also an important aspect to consider on completion of a course and this can be achieved with the mapping of competencies in relation to the post holder's specific job. [source] The power of partnership to shape the future of nursing: the evolution of the clinical nurse leaderJOURNAL OF NURSING MANAGEMENT, Issue 5 2008FAAN, FACHE, JOLENE TORNABENI MA Aim(s), This article describes the evolution of the clinical nurse leader role and demonstrates the vital nature of partnerships between academia and practice in the design and implementation of this new role. Background, The health care system as it exists in the United States may put patients at risk in terms of safety and quality of care. Nursing leadership from across the US recognized a need for nursing practice and academia to work in partnership to develop workable and effective solutions. The vision was of a nurse generalist who would be prepared to address the complexities that make the current systems dysfunctional. Evaluation, Review, share experiences and discuss the benefits of engaging stakeholders with broad and diverse viewpoints. Key issues, Engaging a group of stakeholders with diverse backgrounds, varied world views and experiences for the purpose of developing common mutually beneficial goals, creates synergy and greater commitment to the goals, which results in success. Conclusion(s), The power of partnership in the development and implementation of the CNL is evident. Old ways of trying to ,go it alone' are no longer viable in a complex health care environment. Implications for nursing management, With continued collaboration, practice and academia can continue to confront challenges and develop effective solutions. [source] Nursing Best Practice Guidelines: reflecting on the obscene rise of the voidJOURNAL OF NURSING MANAGEMENT, Issue 4 2008DAVE HOLMES PhD Aim(s), Drawing on the work of Jean Baudrillard and Michel Foucault, the purpose of this article is to critique the evidence-based movement [and its derivatives , Nursing Best Practice Guidelines (NBPGs)] in vogue in all spheres of nursing. Background, NBPGs and their correlate institutions, such as the Registered Nurses' Association of Ontario (RNAO) and ,spotlight' hospitals, impede critical thinking on the part of nurses, and ultimately evacuate the social, political and ethical responsibilities that ought to distinguish the nursing profession. Evaluation, We contend that the entire NBPG movement is based on the illusion of scientific truth and a promise of ethical care that cannot be delivered in reality. We took as a case study the Registered Nurses' Association of Ontario (RNAO), in the province of Ontario, Canada. Key issues, NBPGs, along with the evidence-based movement upon which they are based, are a dangerous technology by which healthcare organizations seek to discipline, govern and regulate nursing work. Conclusion(s), Despite the remarkable institutional promotion of ,ready-made' and ,ready-to-use' guidelines, we demonstrate how the RNAO deploys BPGs as part of an ideological agenda that is scientifically, socially, politically and ethically unsound. Implications for nursing management, Collaborations between health care organizations and professional organizations can become problematic when the latter dictate nursing conduct in such a way that critical thinking is impeded. We believe that nurse managers need to understand that the evidence-based movement is the target of well-deserved critiques. These critiques should also be considered before implementing so-called ,Nursing Best Practice Guidelines' in health care milieux. [source] Managing and leading the infection prevention initiativeJOURNAL OF NURSING MANAGEMENT, Issue 6 2007CAROL PELLOWE BA Hons Aim, To review the national response to health care-associated infection and that of nurses in particular. Background, Health care-associated infections have emerged as a significant threat to quality care and preventing it is now a national priority. Evaluation, This paper considers the key government initiatives to address health care-associated infection. Key issues, The government has adopted a multifaceted approach to tackle this problem, the most crucial of which was to develop the evidence base to support practice. Now that is established, education and training have become the next priority. Conclusion, While health care-associated infection remains a government priority, trusts will find it difficult to meet the demands of the Code of Practice and fulfil other government priorities. Implications for nursing management, Managers need to be aware of the extent of the problem, its causes and the initiatives both nationally and locally to address the situation so that they can maintain support for these initiatives. [source] Interdisciplinary teamwork: is the influence of emotional intelligence fully appreciated?JOURNAL OF NURSING MANAGEMENT, Issue 4 2007ANTOINETTE McCALLIN BA, MA (Hons) Aim, The purpose of this study is to discuss how emotional intelligence affects interdisciplinary team effectiveness. Some findings from a larger study on interdisciplinary teamworking are discussed. Background, Teams are often evaluated for complementary skill mix and expertise that are integrated for specialist service delivery. Interactional skills and emotional intelligence also affect team behaviour and performance. An effective team needs both emotional intelligence and expertise, including technical, clinical, social and interactional skills, so that teamwork becomes greater or lesser than the whole, depending on how well individuals work together. Key issues, Team diversity, individuality and personality differences, and interprofessional safety are analysed to raise awareness for nurse managers of the complexity of interdisciplinary working relationships. Conclusion, If nursing input into interdisciplinary work is to be maximized, nurse managers might consider the role of emotional intelligence in influencing team effectiveness, the quality of client care, staff retention and job satisfaction. [source] Political leadership in Europe , an assessment of the impact of the 2004 EU Accession round on nursing in EuropeJOURNAL OF NURSING MANAGEMENT, Issue 4 2004BA Hons (OU), DN (Lond), Dipl., NDN Cert., Tom Keighley RN (G&Psych) Background, The accession of 12 countries to the European Union necessitated mechanisms to be put in place to offer support to the professions to comply with Directives applying to their training. The author led missions to these countries on behalf of the European Union Commission. This paper reports on the issues arising from the accession process in terms of the political leadership of nursing in Central Europe. It places the current developments in historic and geo-political contexts. Key issues, The development of nurse leadership is central to the response of the profession to this. Challenges emerging from the history of the region, socio-cultural norms, and current political maturity are addressed. Conclusions, The need for nurses in both Western and Central Europe to work together is emphasized. The future challenges to be faced as further accession rounds occur are also identified. [source] A collaborative approach to the implementation of clinical supervisionJOURNAL OF NURSING MANAGEMENT, Issue 2 2002C. Spence MSc Aim,This paper discusses a collaborative approach to implementing clinical supervision, which was initiated between a primary care trust and a school of nursing and midwifery. Background,To enable clinical supervision to proceed successfully and to be perceived as beneficial, this necessitates a collaborative partnership between clinicians, managers and educationalists. Key issues,The different stages of the initiative will be explored and the paper will consider examples of the collaborative processes involved. The evaluation of the project is examined and suggestions for the future continuation of the initiative are discussed. Conclusion,There is evidence that this has been a successful initiative and that a collaborative way of working can be beneficial when implementing clinical supervision. [source] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||