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Journal of Nursing Management Jan 2016To discuss the implementation of the Welsh Government's Advanced Practice Framework into a Welsh University Health Board. (Review)
Review
AIM
To discuss the implementation of the Welsh Government's Advanced Practice Framework into a Welsh University Health Board.
BACKGROUND
A plethora of advanced practice roles have evolved across all health-care areas in response to the European Working Time Directive and workforce shortage drivers, leading to confusion and lack of structure.
EVALUATION
A literature review was undertaken and a staged plan implemented. Data presented as descriptive statistics and graphs include staff numbers, grade, educational qualifications job plans and funding streams.
KEY ISSUES
Advanced practice should be viewed as a level of practice and not as a role. It must be underpinned by robust Governance arrangements and included in workforce planning. Audit of practice demonstrates the impact of advanced practice roles in the delivery of high quality safe patient care.
CONCLUSIONS
The Advanced Practice Framework will ensure consistency in clinical practice skills and theoretical knowledge of practitioners holding the protected title. It will support organisations to deliver high quality responsive services.
IMPLICATIONS FOR NURSING MANAGEMENT
Health-care delivery continues to evolve rapidly with advanced practice forming part of the future delivery model of flexible and affordable services, whilst ensuring safe, high quality patient care. It also provides a clear career development structure.
Topics: Advanced Practice Nursing; Humans; Nurse's Role; Program Development; Wales
PubMed: 25950703
DOI: 10.1111/jonm.12291 -
The Journal of Trauma and Acute Care... Oct 2018Hemorrhage is the leading cause of preventable death in trauma, and nearly 40% of prehospital deaths can be attributed to blood loss. The Stop the Bleed program provides...
BACKGROUND
Hemorrhage is the leading cause of preventable death in trauma, and nearly 40% of prehospital deaths can be attributed to blood loss. The Stop the Bleed program provides a structured curriculum for teaching hemorrhage control and the use of bleeding control kits. To overcome implementation barriers and to achieve the goal of making education on bleeding control as common as cardiopulmonary resuscitation, widespread implementation with outreach to the public and law enforcement is necessary.
METHODS
We provide a description and analysis of the implementation of a regional Stop the Bleed program, which includes a step-by-step guide to the design of this program provided as a template to guide attempts at large-scale Stop the Bleed program development.
RESULTS
Combining the efforts of regional trauma and nontrauma centers as a hub-and-spoke design, a region covering four states, 72 counties, and 30,000 square miles was targeted. A total of 27,291 individuals were trained in a 21-month period including 3,172 trainers, 19,310 lay public, and 4,809 law enforcement officers. A total of 436 bleeding control kits were distributed to 102 public schools, and tourniquets were provided to 4,809 law enforcement officers. Program development and community outreach resulted in official recognition of the program by the Pennsylvania State Senate.
CONCLUSIONS
With the use of a multicenter outreach program design with emphasis on law enforcement and public education while developing a train-the-trainer program, widespread and rapid dissemination of Stop the Bleed teaching is feasible. The general steps described in this manuscript may serve as a template for new or developing programs in other areas to increase the national exposure to Stop the Bleed.
LEVEL OF EVIDENCE
Economic/Decision study, level IV.
Topics: Emergency Medical Services; First Aid; Hemorrhage; Hemostatic Techniques; Humans; Mass Casualty Incidents; New York; Ohio; Pennsylvania; Police; Program Development; Public-Private Sector Partnerships; Teacher Training; Tourniquets; West Virginia; Wounds and Injuries
PubMed: 30020225
DOI: 10.1097/TA.0000000000002027 -
Advances in Physiology Education Jun 2016We have developed and validated a conceptual framework for understanding and teaching organismal homeostasis at the undergraduate level. The resulting homeostasis...
We have developed and validated a conceptual framework for understanding and teaching organismal homeostasis at the undergraduate level. The resulting homeostasis conceptual framework details critical components and constituent ideas underlying the concept of homeostasis. It has been validated by a broad range of physiology faculty members from community colleges, primarily undergraduate institutions, research universities, and medical schools. In online surveys, faculty members confirmed the relevance of each item in the framework for undergraduate physiology and rated the importance and difficulty of each. The homeostasis conceptual framework was constructed as a guide for teaching and learning of this critical core concept in physiology, and it also paves the way for the development of a concept inventory for homeostasis.
Topics: Educational Measurement; Faculty; Homeostasis; Humans; Physiology; Program Development; Reproducibility of Results; Students, Health Occupations; Surveys and Questionnaires
PubMed: 27105740
DOI: 10.1152/advan.00103.2015 -
American Journal of Health-system... Feb 2020To describe the development, design, and implementation of a pilot preceptor development bootcamp and feedback related to its feasibility and impact on operational...
PURPOSE
To describe the development, design, and implementation of a pilot preceptor development bootcamp and feedback related to its feasibility and impact on operational pharmacy preceptors.
SUMMARY
The University of Texas MD Anderson Cancer Center designed and implemented a pilot preceptor development bootcamp for operational staff pharmacists serving as residency preceptors for longitudinal weekend staffing experiences. A systematic, multipronged approach was taken to identify preceptor development gaps and design a full-day bootcamp curriculum. The resultant curriculum was comprised of content in major functional areas including using the 4 preceptor roles, documenting performance, giving and receiving feedback, and dealing with difficult situations or learners. The impact of the pilot preceptor development bootcamp was assessed using survey methodology and qualitative feedback from debrief discussions.
CONCLUSION
Implementation of a pilot preceptor bootcamp program addressing major areas of precepting skill was well received, resulted in positive feedback from operational pharmacy preceptors, and was feasible to implement at a large academic medical center.
Topics: Academic Medical Centers; Curriculum; Humans; Pharmaceutical Services; Pharmacists; Pharmacy Residencies; Pilot Projects; Preceptorship; Program Development; Program Evaluation; Surveys and Questionnaires
PubMed: 31950136
DOI: 10.1093/ajhp/zxz289 -
American Journal of Surgery Mar 2018
Topics: Cancer Care Facilities; General Surgery; Humans; Midwestern United States; Patient Care Team; Program Development; Societies, Medical
PubMed: 29428156
DOI: 10.1016/j.amjsurg.2018.01.034 -
American Journal of Pharmaceutical... May 2017An integrated curriculum that does not incorporate equally integrated assessment strategies is likely to prove ineffective in achieving the desired educational outcomes.... (Review)
Review
An integrated curriculum that does not incorporate equally integrated assessment strategies is likely to prove ineffective in achieving the desired educational outcomes. We suggest it is time for colleges and schools of pharmacy to re-engineer their approach to assessment. To build the case, we first discuss the challenges leading to the need for curricular developments in pharmacy education. We then turn to the literature that informs how assessment can influence learning, introduce an approach to learning assessment that is being used by several medical education programs, and provide some examples of this approach in operation. Finally, we identify some of the challenges faced in adopting such an integrated approach to assessment and suggest that this is an area ripe with research opportunities for pharmacy educators.
Topics: Curriculum; Education, Pharmacy; Educational Status; Formative Feedback; Humans; Learning; Program Development
PubMed: 28630518
DOI: 10.5688/ajpe81477 -
Nursing Administration Quarterly 2014To advance care for patients and families requires that providers and administrators in clinical settings place a high priority on the scientific domain of nursing. New...
To advance care for patients and families requires that providers and administrators in clinical settings place a high priority on the scientific domain of nursing. New knowledge intended to benefit nursing care is most effectively and efficiently achieved when a vibrant and well-supported nursing research program is embedded within a health care system. An endowed chair in nursing research is an esteemed strategy acknowledging the contributions of nursing science, providing credibility to a researcher and research programs, and demonstrating commitment to the infrastructure for nursing research. Organizational readiness through leadership; systems thinking; relationship development; and knowledge of the dynamics, process, and expectations of philanthropy are essential to establishing an endowed chair. Philanthropic endeavors can be used to strategically develop a high-impact campaign that resonates across public and private sectors to secure funding to solidify and advance nursing research. By actively engaging stakeholders including system leaders, frontline nurses, and other care providers and development leaders, a successful campaign can establish and sustain an endowed chair in nursing research. This article describes the stakeholders, processes, structure, and outcomes for the first endowed chair in nursing research at Children's National Health System in Washington, DC.
Topics: Financial Management; Humans; Leadership; Nurse's Role; Nurses; Personnel Selection; Program Development
PubMed: 25208148
DOI: 10.1097/NAQ.0000000000000054 -
Emergency Medicine Australasia : EMA Oct 2019
Topics: Emergency Medicine; Humans; Program Development; World Health Organization
PubMed: 31559698
DOI: 10.1111/1742-6723.13373 -
Perspectives on Medical Education Feb 2020The longitudinal integrated clerkship is a model of clinical medical education that is increasingly employed by medical schools around the world. These guidelines are... (Review)
Review
INTRODUCTION
The longitudinal integrated clerkship is a model of clinical medical education that is increasingly employed by medical schools around the world. These guidelines are a result of a narrative review of the literature which considered the question of how to maximize the sustainability of a new longitudinal integrated clerkship program.
METHOD
All four authors have practical experience of establishing longitudinal integrated clerkship programs. Each author individually constructed their Do's, Don'ts and Don't Knows and the literature that underpinned them. The lists were compiled and revised in discussion and a final set of guidelines was agreed. A statement of the strength of the evidence is included for each guideline.
RESULTS
The final set of 18 Do's, Don'ts and Don't Knows is presented with an appraisal of the evidence for each one.
CONCLUSION
Implementing a longitudinal integrated clerkship is a complex process requiring the involvement of a wide group of stakeholders in both hospitals and communities. The complexity of the change management processes requires careful and sustained attention, with a particular focus on the outcomes of the programs for students and the communities in which they learn. Effective and consistent leadership and adequate resourcing are important. There is a need to select teaching sites carefully, involve students and faculty in allocation of students to sites and support students and faculty though the implementation phase and beyond. Work is needed to address the Don't Knows, in particular the question of how cost-effectiveness is best measured.
Topics: Clinical Clerkship; Education, Medical, Graduate; Humans; Program Development; Program Evaluation
PubMed: 31953655
DOI: 10.1007/s40037-019-00558-z -
PDA Journal of Pharmaceutical Science... 2020The bioprocessing industry uses recombinant mammalian cell lines to generate therapeutic biologic drugs. To ensure consistent product quality of the therapeutic... (Review)
Review
Advancing Biologics Development Programs with Legacy Cell Lines: Advantages and Limitations of Genetic Testing for Addressing Clonality Concerns Prior to Availability of Late Stage Process and Product Consistency Data.
The bioprocessing industry uses recombinant mammalian cell lines to generate therapeutic biologic drugs. To ensure consistent product quality of the therapeutic proteins, it is imperative to have a controlled production process. Regulatory agencies and the biotechnology industry consider cell line "clonal origin" an important aspect of maintaining process control. Demonstration of clonal origin of the cell substrate, or production cell line, has received considerable attention in the past few years, and the industry has improved methods and devised standards to increase the probability and/or assurance of clonal derivation. However, older production cell lines developed before the implementation of these methods, herein referred to as "legacy cell lines," may not meet current regulatory expectations for demonstration of clonal derivation. In this article, the members of the IQ Consortium Working Group on Clonality present our position that the demonstration of process consistency and product comparability of critical quality attributes throughout the development life cycle should be sufficient to approve a license application without additional genetic analysis to support clonal origin, even for legacy cell lines that may not meet current day clonal derivation standards. With this commentary, we discuss advantages and limitations of genetic testing methods to support clonal derivation of legacy cell lines and wish to promote a mutual understanding with the regulatory authorities regarding their optional use during early drug development, subsequent to Investigational New Drug (IND) application and before demonstration of product and process consistency at Biologics License Applications (BLA) submission.
Topics: Animals; Biological Products; CHO Cells; Cell Line; Cricetinae; Cricetulus; Drug Development; Genetic Testing; Program Development; Whole Genome Sequencing
PubMed: 31519780
DOI: 10.5731/pdajpst.2018.009316