CONTINUING EDUCATION IN NURSING

Information about CONTINUING EDUCATION IN NURSING

Published on October 11, 2014

Author: anitarobins

Source: authorstream.com

Content

STAFF DEVELOPMENT: STAFF DEVELOPMENT CONTINUING EDUCATION Nirmala Roberts HISTORY OF STAFF DEVELOPMENT: HISTORY OF STAFF DEVELOPMENT Learning on the job – as old as nursing itself 1928 - Education for staff nurses by the employing agencies Early effort – like training of teachers in public schools Later (after II world war) –…..On-the-job training in industries Early staff education prog – A few lectures by physicians + review of nursing procedures, learning to operate new equipments, and studying the policies of the institution. Staff Development Activities: Staff Development Activities The process by which the employer promotes staff performance and efficiency consistent with management goals and objectives. All the opportunities and facilities for personal and professional growth outside of formal educational program Do not necessarily give a degree, but can lead to obtaining one Helps improve the professional & personal K,S and A of employees Need for Staff Development: Need for Staff Development Rapid societal changes Advancement in health sciences – knowledge & technology Changing demographics – Population (age, mobility) Increased health awareness of public Changing role of hospital (curative to preventive & promotive) Changing nature of nursing – role expansion, job satisfaction, specialization, gain in professional status Tighter legislation of health care services Economic recession Principles of Staff Development…: Principles of Staff Development… The ultimate responsibility of continuing education rests with the employee Most learning is a combination of experience and conceptualization Learning is an internal, personal, emotional process Learning involves a change in behavior Participative learning suits the autonomy needs of adult learner A problem solving format meets the adult learners’ need for immediate application Positively rewarded behaviour has a greater likelihood of being repeated contd…. …Principles of Staff Development: …Principles of Staff Development Educational elements need to be interlinked for better integration Examples from real life situations serve to better the transfer of learning Changes in behaviour affected by CE programs should be supported Learning is an active process. Hence assignments are useful Proactive approach in learning supports the self directive learning of adult learners Use variety of source materials and teaching aids to suit the heterogeneous group of adult learners Stages of Adult Occupational Development (Hammer 1977): Stages of Adult Occupational Development (Hammer 1977) Age period Stage of occupational development Early to mid 20s Establishes an occupational direction/ bent Late 20s to early 30s Questions commitment to the selected occupation (due to work and personal pressures) Mid 30s Settles in and invests fully in occupation and family relationships Late 30s Attaches to a mentor who enables to excel in the job 40s Secure reputation built in profession. Now separates from mentor and establishes self as an independent practitioner Late 40s and 50s The job (rather than individuals) generate new interests, leading to further devt and refinement of occupational knowledge and skills Sources of Continuing Education for Nursing Personnel: Sources of Continuing Education for Nursing Personnel In-house Educators and Specialists Pooled Resources of Health Consortia Affiliation with Local Institutions Professional Nursing Organizations Graduate Students assigned to the Agency ADMINISTRATIVE ORGANIZATION FOR STAFF DEVELOPMENT: ADMINISTRATIVE ORGANIZATION FOR STAFF DEVELOPMENT Hospital Administrator Nursing Director Training Director Departmental Heads Advisory Committee Sub Committee (has subject specialists) Organizing Staff Development Resources: Organizing Staff Development Resources Staff Development Advisory Committee: Staff Development Advisory Committee Represented by management personnel and/ or representatives from all levels of workers Nursing Director Director of Agency’s Educational Dept Nursing In-Service Director Director of Continuing Education Assorted faculty members Nursing service staff members Reps from cooperating hospitals, colleges & universities Responsibilities for staff Development: Responsibilities for staff Development Hospital Administrator- Overall responsibility Nursing Director Coordinates – Policies, programme planning, budgetary approval Guides & directs learning experiences through- Own continued learning and refinement of skills Planning with sub committee Providing budgetary support Developing areas of responsibility for her staff Preparing job descriptions for coordinator and the unit staff Appointing and guiding staff development coordinators Selecting personnel Advisory Committee – Assists in coordinating operational policies & programs. Responsibilities …: Responsibilities … Staff Development Coordinator - - Assists N Director and Advisory committee in planning and conducting the programme Coordinates and supervises activities Makes available instructional & reference materials for the programme Participates in teaching Counsels and guides nursing personnel on educational activities Acts as liaison between Ng educational programs and other ISE programs conducted by hospitals Establishes and maintains inter departmental and community relationships for educational activities for nursing services Responsibilities …: Responsibilities … The Supervisor & the Head Nurse Assists in planning, conducting and evaluating departmental and unit programme Keep the director informed of the unit ISE programme Identify the learning needs of personnel in the unit Plan unit programme with the staff Promote acceptance of ISE programme Conduct job orientation, skill training, leadership and management development through interesting experience, demonstrating skills, supervising, cork centered experience and counseling Planning for Staff Development: Planning for Staff Development As a series of related events Assess learning needs of nursing personnel - Base on Worker needs – Felt need & Proposed need Group review Steps According to Knowles – Identify a model of desired competencies Assess the achievement at the present level Identify the gaps between ‘where we are now’… and ‘where we want to be’.. Review evidence – for achievement of objectives Revise objectives where indicated Have long range planning by departments and committees Ensure that K,S & As developed in one program can be augmented in later courses Ensure accountability from individual trainers and educational institutions to achieve educational objectives Guidelines for Staff Development Programs: Guidelines for Staff Development Programs Establish guidelines for program planners & teachers (- by Advisory committee) State behavioural objectives for each course outline and lesson plan State evaluation criteria for outcome of each course program Establish criteria for selecting instructors Define the duties and responsibilities of each member Staff Development Instructor: Staff Development Instructor High level of knowledge, skill & enthusiasm Highly skilled in direct and indirect teaching methods (for unlearning and re-learning) Preferably an employee of the same health agency Be more a role model of effective learning behaviour A ‘trainer –coacher’, rather than a ‘central’ role Topics for Staff Development Programs: Topics for Staff Development Programs Poll employees & managers by interview & questionnaire - Nursing care in special care units Alleviation of employees’ problems Disease conditions……………………… Ensure balance between - Increased worker productivity Labor cost reduction Employer goals of greater confidence Improved job satisfaction Increased occupational security Levels of Learning: Levels of Learning Superficial - Memorization & simple motor response Adaptive – Information & adaptation in a different situation Fairly complex –High degree of interpersonal understanding and skill, understands basic principles and complex operations, integrates isolated facts into meaningful patterns Very complex – Learns to coordinate own values with those of the group Teaching Methods: Teaching Methods Should suit the objectives of that experience Lecture – For acquisition of new knowledge Group discussion – Problem solving & attitude change Study groups Unit learning assignments Case studies – Sensitizing to clinical issues, developing analytical skills and problem solving Information precis & manuals Role play – Experimentation with various approaches to problem solving Management games – Decision making, solving problems Audio-visual equipment: Audio-visual equipment Rule of engaging maximum senses – Learning modules – Individual study Models, charts, posters Projector - Film strip projector, slide, OHP, LCD, movie projector Video camera Simulator- ECG, CPR, intubation INTERLOCKING NATURE OF STAFF DEVELOPMENT ACTIVITIES: INTERLOCKING NATURE OF STAFF DEVELOPMENT ACTIVITIES Induction Training Orientation ISE Continuing Education Management Development Organizational Development Concepts – Competence Interest Educational need Informal learning Technical learning Induction Training: Induction Training A brief standardized indoctrination to the agency's philosophy, purpose, programs, policy and regulations given to each worker to identify with. Orientation: Orientation Individualized training to acquaint the newly hired employee with job responsibilities, work place, client and co-workers Helps relate effectively to surroundings and identify her niche in the organization Just enough to fill gaps in her K & S,….. Yet, do not overload with information Nurse Internship: Nurse Internship A variation of the traditional orientation program Ensure ‘enough’ clinical knowledge and skills to ensure safe practice Achieved through a ‘buddy system’ or by a ‘nurse specialist trainer’ Aims to – Improve recruitment Facilitate role transition for the young graduate Decrease demands on the HN to provide basic skill training In Service education: In Service education An on-going and on the job instructions given to enhance the workers performance in the present job Given by employing agency for the purpose of improving present job performance Designed to upgrade the employees Remedies training deficits Continuing Education Program: Continuing Education Program Any extension of opportunity for use, study and training to an adult following the completion of or withdrawal from a full time school/ collegiate program In nursing, CE includes educational programs that are designed to provide K,S & A for the enhancement of Nursing practice – Exposure to new concept, refined procedure, innovative product/ procedure Application training for higher level of technical expertise Management Development: Management Development Programs to expand interpersonal skills and more democratic approach to leadership Teaches responsibilities towards clients and co-workers Prepares nurse managers Planned at various levels of management Organization Development: Organization Development Method of improving the process by which employees relate to each other and work together to realize organizational goals Problem identification Team building Evaluation of Staff Development programme: Evaluation of Staff Development programme Benefits – Helps determine the achievement of goals Helps assess the success / failure of the programme Indicates needed change for improvement Helps set realistic goals Quality Control of Continuing Education Courses: Quality Control of Continuing Education Courses To award credit to course participants Need to accredit and approve Continuing education courses that yield academic credit Measurement and recording participation in nonacademic education programs Drawbacks of Staff Development Programs: Drawbacks of Staff Development Programs Errors of staff devt officer – Acts on pressure Voluntary candidates take things easy Norms of old behaviour interferes with new behaviour Consultant errors – Relationship with consultant and client (time, money, expectations of the two) Thanx: Take a moment from your day to learn a few good lessons… Thanx

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