The research investigates the health services of Pakistan by exploring current Human Resource Development (HRD) practices and social skills training opportunities for the development of nursing staff. The research aims to explore the best practice in social skills and competency development through HRD activities by detailing a project to identify the learning needs of registered nurses leading to improved quality care services. An exploratory research approach has been adopted to achieve research objectives. This mixed method oriented research, is primarily quantitative case study, supplemented by qualitative interviews to validate and enrich data findings from questionnaires to substantiate the research. The data was collected through 600 questionnaires and 10 interviews from five major public hospitals of Lahore, Pakistan. The research has identified multiple and diverse challenges of inadequate and improper HRD infrastructure, transformational leadership and participative style of management is resulting into degenerating attitudes and negative behaviours thus causing further slump. These counterproductive elements are failing to imbibe positive social skills and abilities in nursing staff resulting in creating impediments in deliverance of quality care services. This clearly indicates that there is no policy in place therefore, based on empirical evidences, as well as critical review of the literature, it proposes a model for achieving critical social skills development through training and development in order to achieve quality care standards based on the broad and long-term perspective of the strategy of input, process, output and outcome to support nursing sector, social skills development in particular to achieve optimum quality care objectives.

No / In the face of growing demand in radiology, skill mix initiatives have sought to improve and expand service provision. Within the UK radiographer reporting is now widespread, although the growth in computerised tomography (CT) head reporting has not been as rapid as anticipated. The literature in this area is limited, but case studies have highlighted the successful implementation of this training through new radiographer roles in practice. Method A cross-sectional survey was developed to elicit information from radiographers and managers on their experiences before, during and after post-graduate training in CT head reporting. Results Seventy one responses were received comprising 48 past students (n = 48/111; 43.2%) and 23 service managers (n = 23/67; 34.3%). Key factors for the development were personal continual professional development for students and departmental need for managers. Challenges during training included a lack of study time due to staff shortages and access to radiologist mentors. Only 48.8% of students responding have gone on to use the new skills in practice cited reasons include staff shortages, resistance from radiologists and increase in radiological staffing. Conclusions This qualitative study has demonstrated that those trusts who have implemented CT head reporting have evidenced perceptible benefits for both the department and individuals. Those radiographers who are successfully reporting have shown themselves to be highly motivated and persistent in their development.

Yes / This article considers how cuts in Government funding will affect continuing professional development and mentorship training for NHS staff

Yes / Aims and Objectives The vision for the future Great Britain pharmacy workforce development has been proposed as of August 2015 and this starts/reignites discussions as to how pharmacists continue to operate as a body whilst maintaining and extending their professional acumen and experience [1]. The pharmacy sector has grown substantially and qualified pharmacists are often assumed to be managers, without having completed management modules during their degree [2]. The aim of this study was to determine how CPD supports management skills development (MSD) of pharmacists in these sectors. / The full text will be available on permission from the publisher.

Submitted by Marlene Aparecida de Souza Cardozo (mcardozo@pucsp.br) on 2016-12-01T11:17:38Z No. of bitstreams: 1 Marcos Alexandre Tilger.pdf: 1856303 bytes, checksum: 071fdef0b5b1ab4e9b797208c2f4481b (MD5) / Made available in DSpace on 2016-12-01T11:17:39Z (GMT). No. of bitstreams: 1 Marcos Alexandre Tilger.pdf: 1856303 bytes, checksum: 071fdef0b5b1ab4e9b797208c2f4481b (MD5) Previous issue date: 2016-11-09 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / The following research stems from the perception that the use of cinematographic productions for educational purposes in the continuous professional development of teachers hinges on the attribution or recognition of certain characteristics which, when combined with the pedagogical work of those responsible for the training of teachers, allow them to meet the desired expectations. As such, the established goal of this research is the analysis of the determining factors for the selection of the films and for the mediation strategies used during the activities developed by these professionals. The purpose of the analysis is to comprehend how educational and formative meaning is attributed to films via preceding experiences, professional and academic knowledge as well as the knowledge that stems from the relationships between the subjects and the cultural products, and how these elements act in an interconnected fashion. For that purpose, an empirical research based on the concepts developed by the authors of the Critical Theory of Society was conducted through content analysis of semi structured interviews with four professional developers of teachers. Among the noteworthy elements for the analysis are the changes that have occurred in the job sphere throughout late capitalism, together with normative and theoretical production funded by international organizations with great influence over the Brazilian political reforms and the significant alterations in teaching policies. In light of these elements, the critical stance of this research is based on the theoretical contributions of Adorno, Horkheimer, Benjamin and Marcuse, with emphasis on the concepts of technological rationality, late capitalism, formation, experience, administered free time and culture industry. The analysis was conducted through the crossed study of analytical descriptive comparative categories and conceptual critical analytical categories, favoring a negative dialectical approach with focus on the primacy of the object. It can be concluded, based on the justifications and choices of professional developers who are guided by the need to adapt to institutional innovations, employer demands and to the teachers in development themselves, that these restraints prevent actual formative and educational experiences from taking place, and as such these professionals limit themselves to practices of sensitization, motivation and negotiation, all of which have as reference points and persuasive resources products of the culture industry / A presente pesquisa parte da percepção de que a adoção de produções cinematográficas com objetivos educativos em situações de formação continuada de professores depende da atribuição ou do reconhecimento de certas características que, combinadas ao trabalho pedagógico dos formadores de professor, possibilitam a estes o alcance de determinadas expectativas. Assim, estabeleceu-se como objetivo analisar os fatores explicativos para a seleção dos filmes e para as estratégias de mediação utilizadas para as atividades desenvolvidas por estes profissionais. A análise busca compreender como concorrem articuladamente as experiências pregressas e os conhecimentos acadêmicos e profissionais, bem como aqueles provenientes das relações estabelecidas com os produtos culturais pelos sujeitos para a atribuição de significado formativo aos filmes. Para tanto, empreendeu-se uma pesquisa empírica mediada por conceitos dos autores da Teoria Crítica da Sociedade, realizada por meio da Análise de Conteúdo de entrevistas semiestruturadas com quatro profissionais formadores de professores. Como elementos significativos para a análise considera-se as alterações no mundo do trabalho no capitalismo tardio articuladas à produção normativa e teórica patrocinada por organismos internacionais com grande influência nas reformas do Estado brasileiro e nas significativas alterações nas políticas docentes. Fundamentou-se o posicionamento crítico frente a estes processos nas contribuições teóricas de Adorno, Horkheimer, Benjamin e Marcuse com ênfase nos conceitos de Racionalidade técnica, Capitalismo tardio, Formação, Experiência, Tempo-livre administrado e Indústria Cultural. A análise foi elaborada por meio do cruzamento de categorias analíticas descritivas comparativas e categorias analíticas conceituais críticas, favorecendo uma abordagem dialética negativa em torno da primazia do objeto. Deste modo, pode-se concluir com base nas justificativas e escolhas dos formadores que, pautados pela necessidade de adaptação a inovações institucionais, controles exercidos pela chefia e pelo próprio público da formação que impedem experiências verdadeiramente formativas, limitam-se a práticas de sensibilização, motivação e negociação cujos referentes comuns e recursos persuasivos se constituem em torno de produtos da indústria cultural

The general practitioner has a central position in the health care system, but demands have increased and there are signs of exhaustion in the corps. Patient-centredness is beneficial for the patients and probably for the outcome of health care. In Balint groups general practitioners study and gain further understanding of the physician-patient relationship by means of the participants’ own experiences. This thesis aims at studying experienced effects of Balint groups on the working life of general practitioners. General practitioners with and without Balint group experience are compared by means of a questionnaire, using statistical methods. General practitioners with Balint group experience are interviewed. Both these studies show positive experiences of Balint group participation in the physicians’ working life in terms of feeling of control and satisfaction, and on relations to patients, particularly patients with complex problems. A new instrument for measuring physicians’ degree of patient-centredness is presented. It can be used in groups of physicians to evaluate training programmes or by the individual physician to detect decline in patient-centredness as an early sign of burnout. Balint groups are viewed critically in interviews with Balint group leaders, focussed on difficulties and dropouts from the groups. Balint groups are found to fit into modern theories of small groups as complex systems, submitted to group dynamics that are sometimes malicious. Professionally conducted Balint groups seem to be a gentle, efficient method to train physicians, but with limits. Participation of a member demands a stable psychological condition and an open mind, and obligatory Balint groups are questioned. The thesis concludes that Balint groups are generally beneficial for general practitioners’ working life as a means to enable the physicians endure, even thrive in their job. The method facilitates development of new understanding of the physician-patient relationship with possible positive effects for the patient as well.

Bakgrund: Kompetensutveckling som fenomen har i dagens samhälle blivit väldigt populärt inom samtliga sektorer. Härtill finns lagar som reglerar hur verksamheter inom vård- och omsorg ska bedrivas och där ansvaret för att tillgodose rätt kompetens hos personalen faller på vårdgivaren. Det skapas specifika avtal för sjuksköterskor i syfte att motivera och säkerställa att dessa innehar rätt specialistkompetens, medan undersköterskor som arbetsgrupp inte erbjuds samma möjligheter. Det finns fåtal studier som undersöker hur kompetensutveckling i dagens läge upplevs av personal inom slutenvården och således även vad effekten blir, både på en individuell och organisatorisk nivå. Ändå vill Region Västernorrland satsa nästan 20 miljoner kronor på kompetensförsörjning. Detta gav upphov till frågan om upplevelsen av kompetensutveckling och fenomenets effekt.Syftet: syftet med studien är att bidra med kunskap om hur personal inom den psykiatriska slutenvården upplever kompetensutveckling i form av formell samt icke-formell utbildning.Metod: studien har genomförts utifrån kvalitativa metoder i form av en fallstudie med fenomenologisk ansats. Datainsamlingen har skett via sex semistrukturerade intervjuer med fyra sjuksköterskor samt två skötare från en psykiatrisk slutenvårdsavdelning.Resultat: I resultatet framkommer det en tudelad upplevelse av tidigare kompetensutveckling där flertalet faktorer påverkar upplevelsen. Resultatet mynnade ut i sex olika teman; uppfattning om begreppen kompetens och kompetensutveckling, möjligheter till kompetensutveckling, påverkande faktorer, kompetens i alla stituationer, praktik framför teori samt implementering.Slutsats: Upplevelsen av kompetensutveckling var både positiv och negativ. Det finns även tecken på att en del av den kunskap som ges via utbildningarna stannar på en individuell nivå istället för att nå ut till organisationen och därmed nå optimal effekt. / Background: Continuous professional development as a phenomenon has become very popular in today's society within both the private and public sector. Laws regulate how organizations are supposed to be managed whereas the responsibility to ensure the right competency exists within staff is laid upon the caregiver. There are specific contracts created for nurses in order to motivate and ensure that they obtain adequate specialist competence, while assistant nurses are not given the same opportunity. Few studies describe the experience of continuous professional development by staff working within psychiatric inpatient care, thus there are few descriptions of the actual effect on both individual and organizational levels. Yet the region Västernorrland wants to invest almost 20 millions on strategic competence supply. This brought up the question towards the relation between the experience of continuous professional development as a phenomenon and the experience of its effect by staff within psychiatric inpatient care.Purpose: The purpose of this study is to contribute with knowledge of how staff within psychiatric inpatient care experience continuous professional development in terms of formal and non-formal education. Method: a qualitative case study has been used with a phenomenological onset. Six semi structured interviews have been done with four nurses and two assistant nurses from a psychiatric inpatient ward.

Bakgrund: Kompetensutveckling som fenomen har i dagens samhälle blivit väldigt populärt inom samtliga sektorer. Härtill finns lagar som reglerar hur verksamheter inom vård- och omsorg ska bedrivas och där ansvaret för att tillgodose rätt kompetens hos personalen faller på vårdgivaren. Det skapas specifika avtal för sjuksköterskor i syfte att motivera och säkerställa att dessa innehar rätt specialistkompetens, medan undersköterskor som arbetsgrupp inte erbjuds samma möjligheter. Det finns fåtal studier som undersöker hur kompetensutveckling i dagens läge upplevs av personal inom slutenvården och således även vad effekten blir, både på en individuell och organisatorisk nivå. Ändå vill Region Västernorrland satsa nästan 20 miljoner kronor på kompetensförsörjning. Detta gav upphov till frågan om upplevelsen av kompetens- utveckling och fenomenets effekt. Syftet: syftet med studien är att bidra med kunskap om hur personal inom den psykiatriska slutenvården upplever kompetensutveckling i form av formell samt icke-formell utbildning. Metod: studien har genomförts utifrån kvalitativa metoder i form av en fallstudie med fenomenologisk ansats. Datainsamlingen har skett via sex semistrukturerade intervjuer med fyra sjuksköterskor samt två skötare från en psykiatrisk slutenvårdsavdelning. Resultat: I resultatet framkommer det en tudelad upplevelse av tidigare kompetensutveckling därflertalet faktorer påverkar upplevelsen. Resultatet mynnade ut i sex olika teman; uppfattning om begreppen kompetens och kompetensutveckling, möjligheter till kompetensutveckling, påverkande faktorer, kompetens i alla stituationer, praktik framför teori samt implementering. Slutsats: Upplevelsen av kompetensutveckling var både positiv och negativ. Det finns även tecken på att en del av den kunskap som ges via utbildningarna stannar på en individuell nivå istället för att nåut till organisationen och därmed nå optimal effekt. / <p>PE207G. Examinationsdatum: 2023-06-08.</p>

Dissertation submitted in fulfilment of the requirements for the Degree of Master of Technology: Emergency Medical Care, Durban University of Technology, 2011. / South African Advanced Life Support (ALS) providers follow an autonomous practice model of care. This advanced role profile is characterized by clinical skill competence and autonomous decision making whilst demonstrating a high level of awareness of their own ethical attitudes, values and beliefs. It is through a professional commitment that ALS providers deliver an advanced evidence based practice that should be maintained constantly within a dynamic environment. Continuous Professional Development (CPD) is seen as an instrument for this. CPD should also serve as a means to acquire professional excellence and going beyond the boundaries of meeting the base level standard with the aim of providing the finest quality of care in the interest of patient safety. Purpose of the research The purpose of this research is to identify gaps in the professional development of out-of-hospital ALS providers trained in South Africa by assessing frequency of performance of ALS clinical skills, by determining perceived level of competence and predictors of confidence, and by sourcing information on attendance of CPD activities and training needs. vi Methodology This study used a quantitative non-experimental design. Data was attained from an e-mail based descriptive survey that was limited to a precise and concise questionnaire. The data from 140 (N) ALS providers was subjected to a descriptive statistical analysis using the PASW statistics version 18.0 to systematically show patterns and trends. Frequency distributions were generated to describe data categories. Bivariate analysis was conducted using Chi-square and Pearson correlation tests. Results Results indicated that ALS providers performed clinical skills infrequently. Of the total number of respondents 140 (N), the average ALS clinical skills performance was 6 (4.8%) daily. In the 2-6 times a week category 8 (6.4%) ALS clinical skills were performed. ALS clinical skills performance in the once a week category showed an average of 7 (5.6%) and the once a month category, an average of 17 (13.7%) ALS skills were performed. An average of 31 (25%) ALS skills were performed in the once in six months category whilst an average of 54 (43.5%) were performed in the greater than six months category. CPD activities that are appropriate to ensuring the maintenance of competence for these clinical skills were not adequately undertaken. Medical updates were mostly attended by ALS providers, 52 (42.9%) whilst CPD events that addressed clinical skills, was mostly limited vii to the ACLS course 42 (34.7%). The needs assessment for CPD showed that 56 (53%) of respondents expressed a need for paediatric and obstetric simulated skill sessions, whilst 43 (40.9%) requested clinical skills workshops and 39 (37.1%) expressed a need for clinical practice in theatre and coronary care units. Conclusions and recommendations This study shows that ALS clinical skill competence is maintained by frequent practice and appropriateness of CPD activities. The infrequent performance of ALS skills coupled with the lack of appropriate and diverse CPD activity attendance results in poor maintenance of competence. The loss of competence can be related to poor reported levels of confidence which consequently places patient safety at risk. To safeguard against medical error and ensure patient safety, it is strongly recommended that CPD audits be undertaken on all ALS providers for appropriate CPD compliance related to clinical skills performance. In addition to a clinical skills audit, it is recommended that a national clinical skills registry be established with the intention of facilitating clinical skill surveillance, to determine a notifiable, high risk skill set. To safeguard against knowledge and clinical skill attrition and loss of competence, the delivery of CPD activities should be assessed for effectiveness and appropriateness.

Made available in DSpace on 2016-04-27T14:31:31Z (GMT). No. of bitstreams: 1 Maria dos Reis Moreno Tavares.pdf: 1585873 bytes, checksum: 61f1d73e8fc781b4f1e4772874227b15 (MD5) Previous issue date: 2014-12-16 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This thesis aims at discussing the training of teachers and the teaching profession in Cape Verde. The objective of this research is to discuss and question how teacher training has enabled the upgrading of teachers' work and the reinterpretation of the theory-practice relationship in changing formative environments. For operationalization of the proposed research, the methodological approach used here is characterized as qualitative research, highlighting the bibliographical study and document analysis. The construction of the theoretical framework relies on authors like: Feldmann (2009); Garcia (1999); Nóvoa (2006); Tardif and Lessard (2011); Sacristán (1999), among others. The analysis of the collected data allows us to affirm significant advances in different contexts, both in teaching, as well as in the training of teachers, since the country's independence in 1975. However, much more could be done if the country had rethought the diversity of the more complex contemporary academic and professional problem-areas and reflected about the curriculum and study plans, which, to some extent, could offer solutions to the professional challenges in Cape Verde and in the world. The documents indicate that teacher training has not consistently nor appropriately enabled teacher development as desired. Teachers receive in their academic courses, mainly, a theoretical formation and, consequently, present difficulties and limitations in articulating theories as a process of teacher development, that is, to establish in their daily work, the connection between theory and practice. The reasons may be related to the programs and curricula that are not aligned nor adequate to the Cape Verdean reality, especially to the academic and the professional world. Thus, this research finds that there is a need to rethink the policies and guidelines of the government directed to teacher training - initial and continuous - with the aim of coming closer to the desired quality levels in terms of education, teaching, training and research, intensifying, ultimately, the existence of multiple and differentiated contexts of change in Cape Verde and in the contemporary world / A presente tese tem como propósito discutir a formação de professores e o trabalho docente em Cabo Verde. Objetiva-se, por meio desta pesquisa, problematizar e questionar como a formação de professores vem possibilitando a requalificação do trabalho docente e a ressignificação da relação e articulação teoria-prática em contextos formativos em mudança. Para operacionalização da pesquisa tem como proposta metodológica aquela que aproxima e se caracteriza como pesquisa qualitativa, destacando o estudo bibliográfico e a análise documental. A construção do marco teórico apoia-se em autores como: Feldmann (2009); García, (1999); Nóvoa (2006); Tardif e Lessard (2011); Sacristán (1999), entre outros. A análise dos dados coletados permite afirmar avanços significativos em diferentes contextos, tanto no âmbito da educação do ensino, quanto no âmbito da formação de professores, desde a independência do país, em 1975. No entanto, muito mais poderia ser feito se o país tivesse repensado sobre as diversidades de situações-problema mais complexas da contemporaneidade acadêmica, profissional, e questionado sobre o currículo e os planos de estudo que, em certa medida, poderiam responder aos desafios de trabalho em Cabo Verde e no mundo. Os documentos assinalam que a formação de professores não tem possibilitado, de forma apropriada, o desenvolvimento consistente do trabalho docente que se deseja. Os professores em seus percursos acadêmicos recebem, preponderantemente, informações teóricas e, por decorrência, apresentam dificuldades e limitações para articular teorias com o processo de construção da docência, ou seja, de estabelecer em seu cotidiano, a relação teoria-prática. As razões podem estar relacionadas aos programas e currículos que encontram- se defasados, desarticulados e inadequados à realidade cabo-verdiana e, sobretudo à ação acadêmica, profissional e do mundo de trabalho. Sendo assim, a pesquisa considera que há necessidade de se repensar as políticas públicas e as diretrizes do governo direcionadas para a formação de professores inicial e continuada com o intuito de aproximar ao que se almeja ser educação, ensino, formação e pesquisa, intensificando em última instância, contextos múltiplos e diferenciados de mudança e de transformação em Cabo Verde e no mundo contemporâneo