According to recent research, more than 75% of newly employed nurses leave employment within 6 months. Changes in organizational training programs are needed in order to improve psychiatric nurse retention, nationally and globally. A healthy work environment (HWE) has been described as an environment that includes mentoring for good communication skills; it is also one that explores collaborative strategies for safe practice; professional advancement; and empowerment through research, education, and skill development. Examination of the impact of this HWE psychiatric nurse orientation training program on nurse retention was done using Rogers' theory of diffusion. Study variables included the length of training and retention rates pre- and post-training to help identify the impact of the HWE training program on retention using different methods of policy review. The project included 88 nurses and outcomes were measured through review of hire and termination rates for the targeted facility 3 months pre- and post-intervention. An independent samples t test revealed that the average retention rate for nurses trained in the current versus HWE program differed significantly by program (p > .05). Training also was shown to improve clinical practice and increase awareness of existing evidence about strategies to improve psychiatric nurse retention. Social change implications include potentially decreasing the costs associated with hiring and training nurses, improving clinical practice, adding to the nursing knowledge base and skill set, and enhancing workflow processes for quality outcomes.

A quantative descriptive study was used to describe the factors that influence the output in the four (4) year nurse training programme. Data was collected by using a self administered questionnaire to 73 participants sampled by stratified random sampling in the Southern Campus of Free State School of Nursing in the Free State Province. Data was analysed by using SPSS computer version 15. The findings of this study revealed that there were difficult subjects like Fundamental Nursing Science, General Nursing Science, Basic Nursing Science, Psychiatric Nursing Science and Midwifery. These were identified per year level of study. The study revealed that difficulty experienced by students resulted in them failing the indicated subjects. Recommendations were made as to how to address the identified factors especially those regarding subjects that were failed in each level, different teaching strategies that could be used to improve the throughput. / M. A. (Health Studies) / Health Studies

Les dispositifs de santé en France et dans le monde sont en tension. Les déterminants de ces pressions sont en lien avec la démographie des professions, l’économie et l’organisation des soins. Les pathologies chroniques non infectieuses sont en recrudescence. La maladie allergique est emblématique de ces pathologies. Elle concerne 25% d’individus en France (15 millions de personnes). En Europe, 100 millions de personnes souffrent de rhinites allergiques et 70 millions souffrent d’asthme. A l’horizon 2020, c’est 40% de la population mondiale qui sera atteinte d’une maladie allergique. La déclaration de RIO, texte fondateur du développement durable, place la santé comme une préoccupation majeure. Face à ce constat, il est nécessaire de repenser les modes de prise en charge, par des modèles innovants, de nouvelles formations et une répartition des compétences différente à partir de nouveaux périmètres de métier de la santé. L’objectif général de ce travail est d’identifier des modèles novateurs en santé dans une vision pluridisciplinaire systémique et éthique des soins. Les objectifs secondaires sont : définir le concept des pratiques innovantes en santé dans le système de santé français, préciser le cadre réglementaire des pratiques innovantes, déterminer les besoins de formation, la qualification, les nouveaux métiers et nouveaux outils, enfin, l’adéquation de la formation aux déterminants générationnels des étudiants des Sciences de la Santé. La méthode utilisée est une revue de la littérature portant sur le développement durable, la médecine environnementale, la formation des professions de santé. La confrontation au cadre réglementaire de la pratique infirmière à celui d’infirmier de pratiques avancées est réalisée. Le modèle d’étude est l’allergologie. Une enquête par questionnaire en ligne a évalué le niveau de compétences, de formation et de régulation des infirmières spécialisées en Europe. Cette étude a été réalisée en collaboration européenne avec le département de la Haute Ecole de Namur, l’Université de Nottingham, la Haute Ecole de Santé de Fribourg, l’Université de Porto, et l’Ecole des Hautes Etudes en Santé Publique de Rennes. Cette enquête a permis d’identifier 5 compétences de haut niveau d’expertise et de formation selon les descripteurs de Dublin pour les infirmiers de pratique avancée. Un programme de formation de niveau master de pratique avancée en allergologie est élaboré. Enfin, il a été identifié 4 phases constitutives de l’innovation : pilotage, appropriation, généralisation de la pratique et absorption par le système. L’innovation est un processus délibéré nécessitant la transformation des pratiques par l’introduction de nouveautés pédagogiques, organisationnelles et e-santé. L’évolution des outils d’aide à la décision thérapeutique infirmière appelée diagnostic infirmier est mis en lumière. Le diagnostic infirmier portant sur l’adaptation des individus à l’environnement est envisagé Les résultats soulignent la nécessité de développer des programmes de formation s’appuyant sur une pédagogie adaptée aux déterminants sociaux des étudiants en Sciences de la Santé ainsi qu’une révision du cadre réglementaire et juridique des professions de santé dites intermédiaires en France. / Health systems in France and in the world are in tension. The determinants of those pressures are linked to demography, economy and care organization Chronic non-infectious diseases are on the rising. Allergic disease alone respect 25% of individuals in France (15 million people). In Europe, 100 million people suffer from allergic rhinitis and 70 million suffer from asthma. By 2020, it is 40% of the world population will be suffering from an allergic disease. The declaration of RIO, founding text of sustainable development, puts health as a major concern. It is necessary to think of new management models, new training and distribution of different skills from new business perimeters for health caregivers. The primary objective of this research is to identify: innovative models of health in a systematic multidisciplinary vision and ethics of care. .the Secondary objective is to define the concept of innovative practices in health in the French health system, clarify the regulatory framework for innovative practices, identify training needs, qualification of new businesses and new tools and finally review the adequacy of generational training for health science students. The method used is a review of the literature on sustainable development, environmental medicine, training of health professionals. The confrontation with the regulatory framework of practice nurse at the nursing of advanced nursing practices is made. The study design is the allergy disease. An online survey assessed the level of skills, training and policy of nurses in Europe. This study was conducted in collaboration with the European department of Haute Ecole de Namur, the University of Nottingham, and High School of Health of Freiburg, University of Porto, and School of Advanced Studies in Public Health in Rennes. This survey identifies five high levels of expertise that are 5 skills training according to Dublin descriptors for advanced practice nurses. A master level training program for APRN in allergy practice is developed Finally four steps of innovation were identified: management, ownership, widespread practice and absorption by the system.The results highlight that innovation is a deliberate process requiring practice by introducing new pedagogical, organizational and e-Health .Changing nurse’s diagnosis decision and support tools are highlighted. The nursing diagnosis on individual adaptation to environment is also considered. Eventually, two main recommendations are presented, firstly to develop training program according to the new French law in France, and secondly to considered the social determinants of the students in health science to make those training.

Made available in DSpace on 2016-04-29T13:17:56Z (GMT). No. of bitstreams: 1 Rafael Silva Martins Silveira.pdf: 2319571 bytes, checksum: de94e5c8be2a94c1ec163c9a1a6b25c0 (MD5) Previous issue date: 2015-08-21 / In the search for health promotion and prevention of the behaviors that affect the quality of life of the population, telemedicine has been used in Brazil and in the world as a resource to monitor and stimulate the health of people, who have chronic non-transmittable diseases. The aim of the present study was to contribute to telemedicine practice, by building, applying, and analyzing the results of a training program for nurses, who work with distance monitoring of people affected by one or more non-transmittable chronic diseases. Six nurses participated in the study. The training consisted of the following stages: the reading of a handout with information on the behaviors, which are considered relevant and appropriate to the monitoring process; short presentation to the group of participants regarding the central aspects of the handout, following by clarification of their doubts; five individual training sessions, being three of them related solely to the monitoring training, one related to both monitoring training and computer system registration of the main information regarding the monitoring; and a last session focused solely on computer system registration training. During the training sessions, the monitoring practices, which were performed by the nurses and transcribed by the researcher, were discussed using differential reinforcement of the participants responses, removal of the tips, and elaboration of the instructions, to achieve the proposed behavioral objectives. It was observed that, for the majority of the participants, increases in the occurrence of most of the trained behaviors, such as stimulating the patient to discuss about the aggravating factors and health protection, as well as the consequent specific-patient verbalization. For the behaviors of establishing the patients health care goals and complimenting them for their health care at the end of the monitoring practice, more time and different strategies would be needed to observe increase number of these occurrences. It was also observed that by verbalizing which behaviors were adequate, which were inadequate, and pointing out that no longer occurred, did not ensure the occurrence of appropriate behaviors in the subsequent monitoring training nor that inappropriate behavior no longer occurs. Finally, the training described in this work and its results showed that the principles proposed by Behavior Analysis applied to the development of the educational program could help to improve the verbal behaviors of the nurses during monitoring health of people with chronic non-transmittable diseases / Na busca pela promoção de saúde e prevenção de comportamentos que prejudiquem a qualidade de vida da população, tem-se utilizado no Brasil e no mundo a telemedicina como um recurso de monitoramento e incentivo ao cuidado com a saúde de pessoas que possuem doenças crônicas não transmissíveis. O objetivo do presente estudo foi o de contribuir com essa prática construindo, aplicando e analisando os resultados de um programa de capacitação de enfermeiros que trabalham com o monitoramento à distância de pessoas acometidas por uma ou mais doenças crônicas não transmissíveis. Seis enfermeiros participaram do estudo. O treino constituiu-se das seguintes fases: leitura de uma apostila com informações sobre os comportamentos considerados relevantes e adequados no monitoramento; breve apresentação ao grupo de participantes sobre os aspectos centrais da apostila e esclarecimento de suas dúvidas; cinco sessões de treinos individuais com os participantes, sendo três delas relacionadas unicamente ao treino de monitoramento, uma relacionada ao treino de monitoramento e ao treino de registro em sistema das principais informações de saúde dos pacientes colhidas pelos enfermeiros no monitoramento; e uma última sessão voltada unicamente ao treino de registro em sistema. Nas sessões de treino foram discutidos monitoramentos realizados pelos enfermeiros e transcritos pelo experimentador, utilizando-se reforçamento diferencial de respostas dos participantes, remoção de dicas e formulação de instruções para se atingir os objetivos comportamentais propostos. Observou-se que houve, para a maioria dos participantes, um aumento das ocorrências da maior parte dos comportamentos treinados, tais como estimular o paciente ao diálogo sobre fatores agravantes e de proteção a saúde e consequenciar verbalizações específicas do paciente. Para os comportamentos de estabelecer metas de cuidado à saúde com os pacientes e elogiá-los pelos cuidados à saúde no final do monitoramento, haveria a necessidade de mais tempo e diferentes estratégias para que houvesse um aumento no número de ocorrências. Também se observou que levar os enfermeiros a verbalizar quais de seus comportamentos no monitoramento haviam sido adequados, quais haviam sido inadequados e apontar os que deixaram de ocorrer não foi garantia de que comportamentos adequados ocorressem nos monitoramentos subsequentes aos treinos ou que comportamentos inadequados deixassem de ocorrer. Por fim, o treino descrito ao longo deste trabalho e seus resultados demonstram que os princípios propostos pela Análise do Comportamento aplicados na montagem de um programa de ensino podem auxiliar no aperfeiçoamento dos comportamentos verbais emitidos por enfermeiros no monitoramento da saúde de pessoas com doenças crônicas não transmissíveis

Magister Public Health - MPH / This is a qualitative study, the aim of which is to explore experiences influencing the academic performance of 1st Year nursing students at the Western Cape College of Nursing, South Africa, during 2008 when the College was confronted with unprecedented failure rates among 1st Year students. It describes the College's collaboration with a higher education institution and the changes that emanated from this collaboration. The influence of situational factors on 1st Year nursing students is explored. These include the legacy of the inequality of past learning opportunities, institutional factors which hamper students' sense of belonging, and the social and academic integration of students into their learning environment. The methodology used in the process of exploring these factors included focus group discussions with students and in-depth interviews with staff in order to explore their respective perceptions of the problem. From this it is hoped that the quality of human resources for health will be enhanced. / South Africa

<p>This is a qualitative study, the aim of which is to explore experiences influencing the<br /> academic performance of 1st Year nursing students at the Western Cape College of Nursing,<br /> South Africa, during 2008 when the College was confronted with unprecedented failure rates<br /> among 1st Year students. It describes the College‟s collaboration with a higher education<br /> institution and the changes that emanated from this collaboration. The influence of<br /> situational factors on 1st Year nursing students is explored. These include the legacy of the<br /> inequality of past learning opportunities, institutional factors which hamper students‟ sense of<br /> belonging, and the social and academic integration of students into their learning<br /> environment. The methodology used in the process of exploring these factors included focus<br /> group discussions with students and in-depth interviews with staff in order to explore their<br /> respective perceptions of the problem. From this it is hoped that the quality of human<br /> resources for health will be enhanced.</p>

<p>This is a qualitative study, the aim of which is to explore experiences influencing the<br /> academic performance of 1st Year nursing students at the Western Cape College of Nursing,<br /> South Africa, during 2008 when the College was confronted with unprecedented failure rates<br /> among 1st Year students. It describes the College‟s collaboration with a higher education<br /> institution and the changes that emanated from this collaboration. The influence of<br /> situational factors on 1st Year nursing students is explored. These include the legacy of the<br /> inequality of past learning opportunities, institutional factors which hamper students‟ sense of<br /> belonging, and the social and academic integration of students into their learning<br /> environment. The methodology used in the process of exploring these factors included focus<br /> group discussions with students and in-depth interviews with staff in order to explore their<br /> respective perceptions of the problem. From this it is hoped that the quality of human<br /> resources for health will be enhanced.</p>

A quantative descriptive study was used to describe the factors that influence the output in the four (4) year nurse training programme. Data was collected by using a self administered questionnaire to 73 participants sampled by stratified random sampling in the Southern Campus of Free State School of Nursing in the Free State Province. Data was analysed by using SPSS computer version 15. The findings of this study revealed that there were difficult subjects like Fundamental Nursing Science, General Nursing Science, Basic Nursing Science, Psychiatric Nursing Science and Midwifery. These were identified per year level of study. The study revealed that difficulty experienced by students resulted in them failing the indicated subjects. Recommendations were made as to how to address the identified factors especially those regarding subjects that were failed in each level, different teaching strategies that could be used to improve the throughput. / M. A. (Health Studies) / Health Studies

The development ofNursing and Nursing Education in Venda is intimately related to the work of the early missionaries, Western education and medical developments. The growth of nursing and health services had a reciprocal relationship. One was not possible without the other, viz the history of missionary education, hospitals, health services, sociocultural and political development. Each stage ofthese developments was an important step in laying the foundation of modem professional nursing and nursing education. Before contact with Western medicine, health and midwifery services were provided by traditional healers, nurses and midwives. Divination was used to: diagnose disease, identify the witch, determine medicines to cure the disease. Western nursing developed through stages of: lay nursing, hospital certificated, auxiliary nurses and midwives, registered nurses and midwives, comprehensive general nurse and midwife. The history of Nursing and Nursing Education is thus part and parcel of the social developments of the country it serves. / Health Studies / M.A. (Nursing Science)

The development ofNursing and Nursing Education in Venda is intimately related to the work of the early missionaries, Western education and medical developments. The growth of nursing and health services had a reciprocal relationship. One was not possible without the other, viz the history of missionary education, hospitals, health services, sociocultural and political development. Each stage ofthese developments was an important step in laying the foundation of modem professional nursing and nursing education. Before contact with Western medicine, health and midwifery services were provided by traditional healers, nurses and midwives. Divination was used to: diagnose disease, identify the witch, determine medicines to cure the disease. Western nursing developed through stages of: lay nursing, hospital certificated, auxiliary nurses and midwives, registered nurses and midwives, comprehensive general nurse and midwife. The history of Nursing and Nursing Education is thus part and parcel of the social developments of the country it serves. / Health Studies / M.A. (Nursing Science)