Nursings' lack of full professional status based on the criteria of autonomy coupled with the need for a more independent practitioner in today's complex health care system was the basis for this study. A comparison of senior nursing students from different educational programs was undertaken to determine if type of educational preparation was a predictor of professional autonomy. Schutzenhofer's (1988) Nursing Activity Scale (NAS) was used to measure and compare the level of professional autonomy of 306 senior nursing students who were within four weeks of graduation from nine nursing programs across Massachusetts. Further comparisons of students' professed autonomy as a function of demographic variables and students' perceptions of their level of participation in learning were compared. Thirty-six senior level nursing faculty were surveyed for identification of possible relationships between student and faculty scores on these variables. The majority of students surveyed (85%) scored in the high range of the autonomy scale, and the level of nursing education was not a predictor of the students' autonomy level. Variables that correlated with student autonomy levels were marriage, plans for earning an advanced nursing degree and perceived level of participation in learning. However, significant differences were found in student reported autonomy between schools at the associate degree level. Schools at the baccalaureate degree level did not differ significantly from each other. No clear relationship was found between student and faculty scores. More baccalaureate degree students reported their programs as having a more theoretical than practical focus, while the associate degree students perceived a more practical focus to their programs. Seventy-five percent of students from both programs planned to earn advanced nursing degrees. These findings have implications for nursing education. Increased opportunities for students to participate more fully in their educational process may facilitate the internalization of professional autonomy in nursing students. Such opportunities may ultimately provide the health care system with practitioners who possess the professional characteristics necessary for a more autonomous, successful practice.

<p> Medical dosimetry education occupies a specialized branch of allied health higher education. Noted international shortages of health care workers, reduced university funding, limitations on faculty staffing, trends in learner attrition, and increased enrollment of nontraditional students force allied health educational leadership to reevaluate current admission practices. Program officials wish to select medical dosimetry students with the best chances of successful graduation. The purpose of the quantitative ex post facto correlation study was to investigate the relationship between applicant characteristics (cumulative undergraduate grade point average, science grade point average, prior experience as a radiation therapist, and previous academic degrees) and the successful completion of a medical dosimetry program as measured by graduation. A key finding from the quantitative study was the statistically significant positive correlation between a student&rsquo;s previous degree and his or her successful graduation from the medical dosimetry program. Future research investigations could include a larger research sample representative of more medical dosimetry student populations and additional studies concerning the relationship of a prior history in radiation therapy and the impact on success as a medical dosimetry student. Based on the quantitative correlation analysis, allied health leadership on admissions committees could revise student selection rubrics to place less emphasis on an applicant&rsquo;s undergraduate cumulative GPA and increase the weight assigned to previous degrees.</p>

<p> Physician assistant (PA) program directors perform an essential role in the initiation, continuation, and development of PA education programs in the rapidly changing environments of both health care and higher education. However, only limited research exists on this academic leader. This study examined the leadership roles of PA program directors in the context of full-range leadership theory. This theory distinguishes between transformational, transactional, and passive/avoidant behaviors of the program director from the perspectives of both leader and follower. This study also examined leadership outcomes. </p><p> Data were collected via an electronic survey (Multifactor Leadership Questionnaire) administered to PA program directors and other members in the same academic unit. The survey was deployed to 82 academic units. The response rates for completed MLQ surveys were 43.2% (54) for program directors and 24.6% (228) for others associated with the PA academic unit. </p><p> The results of this study indicated that program directors use transformational leadership factors frequently in the execution of their responsibilities, and those program directors perceive favorable outcomes with these behaviors. However, discrepancies existed between leader perceptions and the perceptions of individuals in the same academic unit in regards to leadership and outcomes, with program directors having more favorable perceptions. This research provides a foundation for future study of the PA program director and contributes towards professional development efforts and the measurement of associated outcomes.</p>

<p> In recent years, nursing faculty incivility has been a searing topic of research. Nursing research included studies on incivility among nursing students, incivility between nursing students and nursing faculty, and incivility in the clinical setting. However, literature specifically on nursing faculty incivility was limited. This descriptive, quantitative study examined perceived levels of workplace incivility among nursing faculty members. The sample (<i> n</i> = 257) consisted of nursing faculty members employed at community colleges in North Carolina. The methodology included a non-experimental, online survey design using Martin and Hine's (2005) <i>Uncivil Workplace Behavior Questionaire</i>and a demographics survey. Data analysis included use of descriptive and inferential statistics. Findings revealed three themes (a) the description of workplace incivility among nursing faculty aligned with Bandura's (1977) social learning theory and Andersson and Pearson's (1999) incivility spiral; (b) workplace incivility among nursing faculty existed in the community college setting; and (c) most demographic factors did not influence the extent to which faculty members perceived uncivil behaviors among their peers. However, there were four exceptions: hostility and full-time employment, hostility and salary range, privacy invasion and ethnicity, and uncivil behaviors and the number of years of full-time teaching. Implications for nursing education included turning conflict into problem-solving and collaboration, and cultivating climates of civility and cultures of openness, inclusion, and social connectedness.</p>

Thesis (Psy. D.)--Wheaton College, 2006. / Abstract. Includes bibliographical references (leaves 31-35).

<p> This qualitative research study addressed the problem that the healthcare industry has no clear evidence of the academic competencies that influence the attainment of organizational success. The study was based on one case study at a Commission on Accreditation of Healthcare Management Education (CAHME) accredited Masters of Health Administration (MHA) program at an Illinois University Case Site. The case study explored the various perspectives related to the value of academically prepared leaders along with the emerging competencies required to prepare the future healthcare leadership pipeline. The research followed a hermeneutic approach of 22 semi-structured interviews with four sub-groups of faculty and alumni from the university case site along with healthcare administrators and human resource executives using a criterion-based snowball strategy. The open systems theoretical lens and criterion based snowball strategy implicated leadership&rsquo;s impact and influence to sustain change within teams. These interviews were designed to uncover the practical nature of healthcare competencies as key predictors for successful professional development programs, as well as barriers for professionalization. The participants indicated that interpersonal skills, conceptual skills, and technical skills were vital for healthcare administration competencies and professionalization. Traditional knowledge-based programs, tactical training, and a balanced blend conceptual and interpersonal skills emerged as a compulsory enhancement to the fundamental deliverables of core curriculum. Future research should include defining the specific core competencies and factors that influence the success or failure of formal education initiatives that provide the requirements necessary for organizations to build strong leadership, developing solid succession strategies, and creating educational accountabilities to deliver safe and high quality outcomes for key stakeholders. Additional recommendations for future research should focus on quantitative initiatives that measure the value of core leadership competency and the incorporation of those skill into the healthcare delivery system. Several analogous barriers were uncovered among each sub-group for consideration in the standardization of competencies for the professionalization of leadership positions in healthcare administration. Future research should explore enhanced objectivity in the execution of succession planning programs. Additionally, further research will be needed to uncover which licensure tools provides the best assurance that core competencies are being met.</p><p>

<p> The purpose of the qualitative phenomenological study was to describe the phenomenon of being a student-parent by identifying the lived experiences of nursing students that are parents, specifically their perceptions of their experiences of how they balance their family life with their academic life successfully. Two participants were involved in the pilot test and 21 main study participants were included in the sample. The data obtained through semi-structured one-on-one interviews were analyzed using Giorgi&rsquo;s method of phenomenological research. The findings of this study identified eight themes resulting from descriptions provided by the student-parents while in undergraduate nursing school and included: (1) <i>All challenges are subjective to the personal circumstance</i> reflecting the unique home situation, (2) <i>Unmet personal expectations occur while in nursing school</i> through role conflict and guilt, (3) <i>Post-secondary education has particular demands</i> through financial and academic obligations, (4) <i>Support is essential to nursing school success</i>, (5) <i> Processes enabling student-parent success</i> contain compromises and strategizing balance with flexibility, (6) <i>Interactions and outcome from negative spillover</i> imbalance family and academic obligations, (7) <i>Organization culture of campus attributes to the student-parent perspective</i>, and (8) <i>Participant recommendations to stakeholders </i>. The essence of the student-parent experience influenced a formation of a comprehensive model, titled PARENTS to inform campus leaders of strategies to enhance the student-parent experience and accommodate family influences brought to campus. Future qualitative research suggestions include exploring support systems of student-parents, children experiences of student-parents, and campus stakeholder perspectives of breastfeeding and parent planning and family-centred accommodation on campus.</p>

To safeguard the health and well-being of faculty, students, staff, and the community is of moral imperative for higher education institutions. Likewise, protecting the environment is a socially sound practice. Furthermore, building and maintaining a positive safety culture is believed to contribute to productive environmental health and safety (EH&S) outcomes. Higher education EH&S leaders are at the center of universities’ efforts in maintaining a positive safety culture. The purpose of this inquiry was to study higher education EH&S leaders’ perspectives on safety culture and contribute to closing the academic literature gap in the higher education setting. Interviews and a survey were the data collection techniques. EH&S leaders of U.S. higher education institutions participated in the study. I used Cooper’s (2000, 2016) reciprocal safety culture model as a theoretical framework and a mixed methods research design to find answers to the research questions. The survey results revealed how EH&S leaders viewed different aspects of their operations, and findings from the interviews revealed the leaders’ lived experiences. For example, the quantitative study showed 100% of the participants strongly agree or agree that shaping the safety culture of their campus is part of their role. In addition, the qualitative data identified distinct strategies employed by leaders to shape the safety culture of their campuses. Four major themes were identified in the qualitative data. In the first theme, The Higher Education Safety Culture, the EH&S leaders reflected on their lived experiences and the importance of positive safety culture in accomplishing their goals. They mobilize their campus communities in a collective effort to achieve a healthy and safe working environment, minimize the impact on the environment, and remain compliant with regulatory requirements. The second theme, Higher Education Environmental Health and Safety Programs, stressed the plans and procedures the leaders and their departments engage in their daily operations. The third theme, Higher Education Management’s Role in Environmental Health and Safety Operations, manifested the leaders’ equivocal voice on the necessity of the higher education leadership and upper management support to fulfill their missions. The last theme, Modus Operandi of Higher Education Environmental Health and Safety Leaders, is about a range of strategies and tactics the EH&S leaders employed to succeed in a structured, bureaucratic, and challenging environment. The findings have direct implications for both higher education EH&S professionals and higher education senior leadership. The study findings implied EH&S leaders should focus their effort where it generates the best outcome, namely: (a) orchestrate the campus community toward a positive safety; (b) build and implement effective EH&S programs; (c) bring upper management and leadership aboard; (d) apply effective communication; (e) build trust; (f) define their role as a consultant; (g) stand out; and (h) create a brand, motto, and slogan where possible. For higher education senior leadership, participants emphasized the necessity of upper management and leadership support to build and maintain a positive safety culture on the campus, agreeing with Cooper (2000, 2016). This work helps contribute to making higher education senior leadership and upper management understand their role in their campuses’ safety culture and provide due support and actively participate. This study served as an initial exploration in understanding higher education EH&S leaders’ perspectives on safety culture and contributing to closing the literature gap. It also opened a door for future research. Broadening the audience to students, faculty, and staff are reasonable candidates for further research for a more comprehensive understanding of the safety culture in higher education. In addition, expanding the survey to include more EH&S leaders of higher education will elaborate on the EH&S operations, challenges, and sentiment.

Made available in DSpace on 2015-07-22T20:49:15Z (GMT). No. of bitstreams: 0 Previous issue date: 2008-07-30. Added 1 bitstream(s) on 2015-08-11T03:25:48Z : No. of bitstreams: 1 Publico-10889.pdf: 687462 bytes, checksum: 11bbc2ccc8e08b1b772c14d454ef78e5 (MD5) / Esta pesquisa tem como objetivo geral delinear subsídios para o planejamento e implementação de um programa de educação permanente para docentes. Assume como objetivos específicos: Identificar artigos que falem sobre docência em saúde nas bases de dados escolhidas, no período de 1997 a 2007 e caracterizar os artigos quanto a autor, região geográfica, ano, natureza do texto, temáticas privilegiadas, desenho metodológico. A contextualização teórica abrangeu uma discussão sobre o modelo vigente e suas dicotomias, a necessidade de mudança de paradigma para um contexto de saúde mais complexo, as diretrizes curriculares nacionais, o papel da universidade e a mudança do projeto político pedagógico para as novas concepções educacionais, o papel do professor e o desenvolvimento docente do professor da área da saúde. A metodologia compreendeu uma análise documental através dos critérios da revisão sistemática da literatura. Foram localizados os artigos por meio dos descritores educação, docente e saúde na base de dados LILACS e os mesmos termos como identificadores de assunto na base SciELO. Os artigos localizados foram submetidos ao teste de inclusão, o qual selecionou 76 publicações de um universo de 548 artigos localizados. O processo de análise dos dados foi realizado a partir de cinco eixos: região brasileira que foi produzido, profissão do autor, concentração da publicação em periódicos, abordagem de pesquisa e temática abordada. Na análise dos dados constatou-se que a maior produção de artigos foi na região sudeste (65,79%), os enfermeiros são responsáveis por (43,42%) da produção dos artigos, detectou-se que os periódicos concentram artigos relativos a uma determinada área/curso, que a abordagem de pesquisa mais utilizada foi à qualitativa (75%) e o Ensino de Graduação em Saúde foi a temática mais incidente (43,42%). A análise possibilitou delinear subsídios que podem ser agrupados em cinco eixos: discussão e análise dos modelos hegemônicos e de modelos considerados inovadores no campo da graduação em saúde, com destaque para o estudo crítico das DCNs; compreensão histórica e política da educação superior em saúde; o professor (re)conheça sua função e concepções docentes, em um enfoque reflexivo; a formação docente precisa abranger o estudo, implementação e avaliação de experiências de aprendizagem construídas a partir de enfoques problematizadores e das demandas de saúde; incentivo para atividades de produção científica do docente que assuma a docência em saúde como um objeto legítimo de conhecimento. / The general purpose of this research is outlining support for planning and implementing a permanent education program for teachers. Specific purposes are: identification of articles about teaching in Health within the selected data base, between 1997 and 2007, delineating these articles according author, geographic area, year, category, privileged thematic, methodological design. The contextualized theory embraced a discussion about: - established model and its dichotomies; - need of changing paradigms toward a Health context more complex; - University role and the change of the pedagogical policy project onto the new educational concepts; - role of the teachers and their development inside the Health area. The methodology included a documentary analysis based on criteria of systematic literature revision. The articles were found using the descriptors educação, docente, saúde in LILACS data base and the same words as subject identifiers in SciELO base. The pre-selected articles were submitted to the inclusion test, which selected 76 articles from a total of 548. The data analysis process was based on five axes: - Brazilian region where it was produced, - author profession, - published worked concentration in periodicals, - research approach and - thematic adopted. The data analysis found out the southeast region as the main articles producer (65.79%); nurses are responsible for 43.42% of the articles; periodicals concentrate articles related to a specific area/course; the most used research approach was qualitative; Health Graduation Instruction was the most incidental occurrence (43.42%). The analysis permitted to delineate information to be grouped in five axes: - discussion and analysis of the hegemonic models and models considered innovators on the Health graduating field, outstanding the critical study of the DCNs; - historical and political understanding of the Higher education in Health; - teachers recognizing their docent function and concepts within a reflective approach; - the teacher formation should embrace study, implementation and evaluation of learning experiences built up from approaches outstanding the problematic and the health demands; - incentive to the docent scientific production activities which assume health teaching as an authentic knowledge object. / TEDE / BV UNIFESP: Teses e dissertações

Made available in DSpace on 2014-12-17T15:43:50Z (GMT). No. of bitstreams: 1 IramaraLR_DISSERT.pdf: 2162677 bytes, checksum: c6c196b8b1248eb5206ecee52d24e6b4 (MD5) Previous issue date: 2013-02-08 / Considerando o papel do ensino superior em sa?de para a sociedade brasileira, em que os egressos dos cursos ofertados na ?rea ser?o os profissionais prestadores de servi?os ? popula??o, este estudo objetivou analisar o componente ensino do PET-Sa?de da Fam?lia - Natal-RN na forma??o de estudantes dos cursos de gradua??o em sa?de da UFRN. Foi realizada pesquisa qualitativa com an?lise de documentos das disciplinas SACI e POTI datados entre 2009 e 2011 (portf?lios, avalia??es de desempenho e oficina de avalia??o), mediante o aux?lio do software Alceste? e an?lise de conte?do, segundo Bardin. Na an?lise foi encontrado como potencialidades: o alunato trabalhando em grupo tutorial multidisciplinar, cuja intera??o e contato com a Unidade de Sa?de da Fam?lia, inclu?dos os profissionais, bem como a comunidade, instiga nos aprendizes o di?logo consigo mesmo e com o outro, numa constru??o dos ser/agir no mundo. Os textos trabalhados durante as aulas permitem refletir e teorizar a respeito da realidade observada, auxiliando-os na identifica??o dos problemas e no tra?ar estrat?gias de interven??o. J? a observa??o da realidade reveste o aluno de humaniza??o. Este passa a captar as necessidades e dificuldades enfrentadas pela comunidade observada. Nas fragilidades ficaram evidenciados: problemas de rela??es interpessoais entre os estudantes da SACI; a maioria dos projetos de interven??o ocorrendo numa perspectiva paternalista, reproduzindo o modelo de presta??o de servi?os na sa?de mais praticado nas sociedades brasileiras; dificuldades em aprofundar no aprendiz, a import?ncia da teoriza??o dos assuntos; problemas de financiamento de projetos de interven??o; descumprimento do plano de ensino em alguns grupos tutoriais; e, por fim, dificuldades dos alunos e monitores em acompanhar as atividade de pesquisa e extens?o do PET-Sa?de, pela falta de integra??o dos projetos pedag?gicos dos cursos. Conclui-se que o componente ensino do PET-Sa?de da Fam?lia adota metodologias ativas de ensino na inser??o de alunos na Aten??o Prim?ria em Sa?de, proporcionando uma forma??o dentro de princ?pios ?ticos e human?sticos a partir do trabalho em equipe e da inclus?o reflexiva dos alunos na Estrat?gia Sa?de da Fam?lia. Apesar da exist?ncia de fragilidades concernentes ?s rela??es interpessoais, descompasso entre as proposi??es multiprofissionais e interdisciplinares da SACI e POTI e as dificuldades de p?-las em pr?tica em curr?culos fragmentados e organizados por disciplinas pouco flex?veis, potencialmente, ao fim dessas experi?ncias conectadas a Aten??o Prim?ria, os discentes apresentam uma nova vis?o do cuidado com a sa?de, pr?xima ?s necessidades da popula??o, iniciando uma tomada de postura cr?tica e reflexiva, entendendo-se com sujeitos ativos no construir a sa?de coletivamente