Published on October 11, 2014
IN SERVICE EDUCATION: IN SERVICE EDUCATION IN SERVICE EDUCATION Nirmala Roberts HISTORY OF ISE: HISTORY OF ISE Learning on the job – as old as nursing itself 1928 - Education for staff nurses by the employing agencies Early effort – like trg of teachers in public schools Later (after II world war) – Acc to 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. INTERLOCKING NATURE OF STAFF DEVELOPMENT ACTIVITIES: INTERLOCKING NATURE OF STAFF DEVELOPMENT ACTIVITIES Intro Trg Orienta-tion ISE Cont Edn Mgt Trg Org.al Devt NEED FOR ISE: NEED FOR ISE Increased knowledge & expanding technology Nurse’s role expansion Gain in professional status Job satisfaction Pop mobility – Increased turn over Changing role of hospital (curative to preventive & promotive) Changing nature of nursing Clinical content (technological advances) Need for gain in professional status ADMINISTRATIVE ORGANIZATION FOR ISE: ADMINISTRATIVE ORGANIZATION FOR ISE Hospital Administrator Nursing Director Training Director Departmental Heads Advisory Committee Sub Committee RESPONSIBILITIES FOR ISE: RESPONSIBILITIES FOR ISE Hospital Administrator- Overall responsibility Nursing Director Coordinates – Policies, programme planning, budgetary approval Guides & directs learning experiences through- O wn continued learning and refinement of skills Planning with assistants for the ISE Providing budgetary support for the ISE Developing areas of responsibility for her staff Preparing job descriptions for coordinator and the unit staff Appointing and guiding ISE coordinators Selecting personnel for leadership and management programs in advance of assignment RESPONSIBILITIES …: RESPONSIBILITIES … Advisory Committee – Assists in coordinating operational policies & programs. Represented by management personnel and/ or representatives from all levels of workers RESPONSIBILITIES …: RESPONSIBILITIES … ISE Coordinator- Assists N Director and Advisory committee in planning and conducting ISE 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 al 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 ISE PROGRAMME: PLANNING FOR ISE PROGRAMME Broad planning by departments and committees Specific planning by the individual Base on Worker needs – Felt need - Proposed need Group review – Steps According to Knowles – Identify a model of desired competencies Assess the achievement a the present level Identify the gaps between ‘where we are now’… and ‘where we want to be’.. ORGANIZATION FOR ISE: ORGANIZATION FOR ISE Centralized ISE Disadvantage - Groups do not meet the needs of the actual work situation Lesser ability to determine the specific learning needs Inability to meet the varying needs of individual persons Decentralized ISE Advantage - Planned for those who work together Sharing for common goals Planned around relevant interests of employees Classes related to clinical problems Disadvantage - Difficult budgeting Duplication of efforts Authority level obstruction HOW TO PROMOTE PARTICIPATION IN ISE PROGRAMMES?: HOW TO PROMOTE PARTICIPATION IN ISE PROGRAMMES? Develop increased awareness at all levels (show results of high competencies) Involve nursing staff in various activities Encourage participation ( in plg commities, AV aids ..) Use motivation, not manipulation Reward system – Identify desired behaviour, and give reinforcement - Hold staff appraisal programmes - Joint discussions over achievement of a fixed target TOOLS FOR ISE PRORAMME: TOOLS FOR ISE PRORAMME Lectures & discussions Seminars with materials resourced and presented Structured group discussions A V Aids Libraries – for independent study & group work Study groups Unit learning assignments Experimental learning ( meaningful discovery) Information precis & manuals ISE reports & records TIMINGS FOR ISE : TIMINGS FOR ISE Based on patients’ needs for nursing services Moderate scheduling Factors affecting nursing ISE programmes: Factors affecting nursing ISE programmes Cost of health care Man power Changes in nursing practices Social environment Interest & attitude of HN Time factor Evaluation of ISE programme: Evaluation of ISE programme Benefits – Helps determine the achievement of goals Helps the success / failure of the programme Indicates needed change for improvement Helps set realistic goals DRAWBACKS OF IN-SERVICE EDUCATION: DRAWBACKS OF IN-SERVICE EDUCATION 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) PowerPoint Presentation: “Give her a day or two, and she’ll be back to earth…She’s been to one of those fancy courses…” You may look like a ‘Success’, but the real payoff lies in the way you perform !: You may look like a ‘Success’, but the real payoff lies in the way you perform !