760 resultados para Practice Development, Staff Development
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In der vorliegenden Dissertation geht es um die Dokumentation, theoretische Begründung und Auswertung des in 25 Jahren Praxis entwickelten Curriculums der Bewusstseinsschulung und -weitung der Orgodynamik. Dabei geht es insbesondere um den Vergleich und die forschungsorientierte Verknüpfung verschiedener Traditionen der Bewusstseinsbildung, der ihnen zugrunde liegenden Konzepte und anthropologischen Dimensionen im Schnittfeld pädagogischer, psychologischer und spiritueller Perspektiven. In Anlehnung an das von Fuhr/Dauber (2002) entwickelte Modell, der Praxisentwicklungsforschung, welche die Verflechtung von Theorie und Praxis ansteuert, wird der orgodynamische Ansatz wissenschaftlich dokumentiert und theoretisch begründet. Über eine induktive Vorgehensweise werden die historischen Wurzeln konzeptionell dargelegt, die verborgenen Paradigmen herausgearbeitet, sowie das Curriculum erläutert und ausgewertet. In einem ersten theorieorientierten Kapitel wird das orgodynamische Methodenspektrum in seinem Grundmodell und den vier zentralen Dimensionen (mentale, körperliche, emotionale, energetische Dimension) aufgezeigt und mit theoretischen Hintergrundkonzepten verglichen und verknüpft. Die vier sich überlappenden Methodengruppen der mental, körperlich, emotional und energetisch orientierten Bewusstseinsarbeit werden differenziert dargestellt und in ihrer Beziehung zueinander diskutiert. Anhand eines Modells (Methodenrad) wird die multi-dimensionale Perspektive des Methodenspektrums, in einer nichthierarchischen Zuordnung sichtbar. Im zweiten theorieorientierten Hauptteil werden zunächst die zentralen vier Paradigmen der Orgodynamik (Präsenz, Multidimensionalität, Flow/Fließendes Gewahrsein, Bezogenheit) vorgestellt, theoretisch und praxisbezogen entfaltet und in einer Paradigmen-Landkarte zueinander in Beziehung gesetzt. Dabei werden die kategorialen Ausführungen durchgehend an Praxisbeispielen veranschaulicht und im Blick auf drei vorgestellte Zugänge zur Bewusstseinsweitung (Immersion, Integration und Dekonstruktion) exemplarisch didaktisch kommentiert. Im dritten Hauptteil wird das Curriculum im Zusammenhang mit einer Auswertungsmatrix erläutert. Diese dient als Überprüfungsinstrument. Mit ihrer Hilfe werden die verschiedenen methodischen Zugangsweisen und Arbeitsformen dieses Ansatzes, exemplarisch anhand von 2 Ausbildungswochen, im Blick der Multidimensionalität dokumentiert. Damit wird diese multidimensional angelegte Praxis exemplarisch bis in methodische Details nachvollziehbar und in dialogisch-selbstreflexiver Form überprüfbar. Exemplarisch werden in einem Exkurs erste Itemvorschläge gemacht, welche die wissenschaftliche Anschlussfähigkeit an neuere Forschung im transpersonalen Bereich aufzeigen. Das innere Anliegen der vorliegenden Arbeit zeigt in der Verschränkung von Theorie und Praxis, dass die Paradigmen der Orgodynamik, Präsenz, Multidimensionalität, fließendes Gewahrsein und bewusste Bezogenheit vier pädagogisch umgesetzte Paradigmen für eine Bewusstseinserforschung in der Erwachsenenbildung sind. Stichworte: Multidimensional, Bewusstseinserforschung, Bewusstseinsweite, Präsenz, bewusste Bezogenheit, Flow/Fließendes Gewahrsein, das „Größere“, Immersion, Integration, Dekonstruktion, pädagogische Paradigmen, Erwachsenenbildung, Multidimensionales Methodenspektrum, Orgodynamik, Körpertherapie. ---------------------------
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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AIMS AND OBJECTIVES: To explore hospice, acute care and nursing home nurses' experiences of pain management for people with advanced dementia in the final month of life. To identify the challenges, facilitators and practice areas requiring further support.
BACKGROUND: Pain management in end-stage dementia is a fundamental aspect of end of life care; however, it is unclear what challenges and facilitators nurses experience in practice, whether these differ across care settings, and whether training needs to be tailored to the context of care.
DESIGN: A qualitative study using semi-structured interviews and thematic analysis to examine data.
METHODS: 24 registered nurses caring for people dying with advanced dementia were recruited from ten nursing homes, three hospices, and two acute hospitals across a region of the United Kingdom. Interviews were conducted between June 2014 and September 2015.
RESULTS: Three core themes were identified: challenges administering analgesia, the nurse-physician relationship, and interactive learning and practice development. Patient-related challenges to pain management were universal across care settings; nurse- and organisation-related barriers differed between settings. A need for interactive learning and practice development, particularly in pharmacology, was identified.
CONCLUSIONS: Achieving pain management in practice was highly challenging. A number of barriers were identified; however, the manner and extent to which these impacted on nurses differed across hospice, nursing home and acute care settings. Needs-based training to support and promote practice development in pain management in end-stage dementia is required.
RELEVANCE TO CLINICAL PRACTICE: Nurses considered pain management fundamental to end of life care provision; however, nurses working in acute care and nursing home settings may be under-supported and under-resourced to adequately manage pain in people dying with advanced dementia. Nurse-to-nurse mentoring and ongoing needs-assessed interactive case-based learning could help promote practice development in this area. Nurses require continuing professional development in pharmacology. This article is protected by copyright. All rights reserved.
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Relatório EPE - Relatório de estágio em Educação Pré-Escolar: O presente relatório de estágio de qualificação profissional surge no âmbito da unidade curricular de Prática Pedagógica Supervisionada na Educação Pré- Escolar, por forma a evidenciar o desenvolvimento pessoal e profissional da mestranda ao longo da prática pedagógica. Neste sentido, a mestranda foi desenvolvendo um conjunto de competências, tendo em vista a construção dos seus saberes profissionais, atendendo a uma postura de pendor reflexiva e indagadora, capaz de tomar decisões adequadas de acordo com o contexto educativo onde está inserida, uma vez que o mesmo se carateriza por ser imprevisível. O desenvolvimento dos saberes profissionais foi possibilitado através da adoção da metodologia de investigação-ação, sendo que a mesma se processa numa espiral cíclica de observação, planificação, ação e reflexão, pelo que a reflexão é intrínseca e implícita em todas as fases. Efetivamente, foram várias as estratégias que fomentaram o desenvolvimento desta metodologia, nomeadamente: elaboração de planificações, realização de narrativas colaborativas, elaboração do diário de formação, construção dos guiões de préobservação, reestruturação do Projeto Curricular de Grupo e as reuniões realizadas com o supervisor institucional. Importa, ainda, referir que o desenvolvimento da prática pedagógica em díade de formação, potenciou momentos de reflexão partilhada que contribuíram para a transformação das práticas. A elaboração deste relatório assumiu um papel fulcral, uma vez que despoletou na mestranda uma reflexão crítica sobre as práticas, confluindo na identificação da evolução das suas competências pessoais e profissionais, bem como das dificuldades que ainda predominam, por forma a contorná-las futuramente.
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Student engagement in learning and teaching is receiving a growing level of interest from policy makers, researchers, and practitioners. This includes opportunities for staff and students to co-create curricula, yet there are few examples within current literature which describe and critique this form of staff-student collaboration (Bovill (2013a), Healey et al (2014), Cook-Sather et al (2014). The competing agendas of neoliberalism and critical, radical pedagogies influence the policy and practice of staff and students co-creating curricula and, consequently, attempt to appropriate the purpose of it in different ways. Using case-based research methodology, my study presents analysis of staff and students co-creating curricula within seven universities. This includes 17 examples of practice across 14 disciplines. Using an inductive approach, I have examined issues relating to definitions of practice, conceptualisations of curricula, perceptions of value, and the relationship between practice and institutional strategy. I draw upon an interdisciplinary body of literature to provide the conceptual foundations for my research. This has been necessary to address the complexity of practice and includes literature relating to student engagement in learning and teaching, conceptual models of curriculum in higher education, approaches to evidencing value and impact, and critical theory and radical pedagogies. The study makes specific contributions to the wider scholarly debate by highlighting the importance of dialogue and conversational scholarship as well as identifying with participants what matters as well as what works as a means to evidence the value of collaborations. It also presents evidence of a new model of co-creating curricula and additional approaches to conceptualising curricula to facilitate collaboration. Analysis of macro and micro level data shows enactment of dialogic pedagogies within contexts of technical-rational strategy formation and implementation.
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In many Australian hospitals a medical officer is available for urgent review of in-patients outside normal working hours. Current practice in nurse-initiated requests for medical officer involvement out of hours may adversely affect patient outcome as well as medical and nursing resource use at these times. Of 10 523 nurse-initiated requests for out-of-hours review recorded by medical officers at our hospital in 2002-2003, the most frequent reasons for the requests were medication review, IV fluid orders, IV resite, venesection and pathology review, none of which are related to acute changes in clinical condition. Requests for routine review of medication and fluid orders were found to be rarely essential and often inappropriate. Medical officer activity was highest before midnight and least after midnight, suggesting most requests are fulfilled in the evening. Several strategies to reduce inappropriate out-of-hours requests were identified. Routine tasks could be completed by primary treating unit staff before going off-duty. IV cannulation and venesection may be performed by appropriately trained phlebotomists or skilled advanced practice nursing staff. Meticulous ordering of 'as required' analgesia and night sedation would reduce unnecessary requests. Clinical protocols for nurse-initiated adjustment of drugs with variable dosing may also decrease inefficiencies. This would leave the ward cover medical officers more available for their primary function of urgent patient review.
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This exploratory descriptive study described what 20 care providers in 5 long-term care facilities perceived to aid or hinder their learning in a work-sponsored learning experience. A Critical Incident Technique (Woolsey, 1986) was the catalyst for the interviews with the culturally and professionally diverse participants. Through data analysis, as described by Moustakas (1994), I found that (a) humour, (b) the learning environment, (c) specific characteristics of the presenter such as moderate pacing, speaking slowly and with simple words, (d) decision-making authority, (e) relevance to practice, and (f) practical applications best met the study participants' learning needs. Conversely, other factors could hinder learning based on the participants' perceptions. These were: (a) other presenter characteristics such as a program that was delivered quickly or spoken at a level above the participants' comprehension, (b) no perceived relevance to practice, (c), other environmental situations, and (d) the timing of the learning session. One of my intentions was to identify the emic view among cultural groups and professional/vocational affiliations. A surprising finding of this study was that neither impacted noticeably on the perceived learning needs of the participants. Further research with a revised research design to facilitate inclusion of more diverse participants will aid in determining if the lack of a difference was unique to this sample or more generalizable on a case-to-case transfer basis to the study population.
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This research explored the elements that contribute to staff nurses' commitment to lifelong professional development. This exploration has been undertaken to provide insights into those factors that motivate individuals to continue their education for professional development and for clinical practice improvement. This study was conducted in an acute care hospital in Southern Ontario, and investigated the thoughts and experiences ofhealth care staffworking within that setting. A qualitative case study was undertaken which involved the collection of interview, document, and class observation data. Two exemplary clinical nurse educators and two motivated, professionally committed staffnurses were interviewed during the study. Teaching document review and observation ofclasses involving the clinical nurse educators were conducted to facilitate triangulation of fmdingswith data sources and strategies. These participants provided rich data that were captured in field notes and coded for conceptual meaning. Emerging from the data were the identification ofthree major elements of influence that contribute to staffnurses' commitment to lifelong professional development. Identified within the three intersecting spheres of influence upon staff nurses' lifelong commitment to professionalleaming were the environment, the clinical nurse educator, and the staff nurse. This research explored the intersecting spheres of influence and the elements within the partnership model ofprofessional education for staff nurses.
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This study explored experiences in relation to the impact of the College of Nurses of Ontario's (CNO's) mandatory Quality Assurance (QA) program on registered nurses (RNs) working in a clinical setting of an acute care hospital. A qualitative descriptive research design was used and data collection was done in 2 stages. First, a survey with open-ended questions was given to 45 nurses. Second, 8 respondents from the survey were interviewed using a semistructured format. Data were obtained from 2 groups-diploma-prepared and post diploma-prepared RNs. Findings demonstrated that the CNO's QA program had varying influences on the RNs' learning paths, and these differences appeared to be related to the educational background of the individual. The diploma-prepared nurses reported that their commitment to professional development was influenced by their level of internal motivation, the pressures associated with time, and the need for a strong external motivator, namely the obligation of management to conduct formal performance appraisals. They further reported that the QA program played a part in positively altering their commitment to continuing education. The post-diploma baccalaureate nurses reported that the QA program played a positive role in influencing their ongoing learning, along with their level of internal motivation, the work and health care environment, and the element of professionalism. Several implications for nursing practice, theory, and fiirther research also became evident.
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Evaluation of students undertaking fieldwork education placements is a critical process in the health professions. As training programs and practice evolve, systems for assessing students need to be reviewed and updated constantly. In 1995, staff of the occupational therapy training program at the University of Queensland, Australia decided to develop a new tool for assessing student fieldwork performance. Using an action research methodology, a team developed the Student Placement Evaluation Form, a flexible and comprehensive criterion-referenced evaluation tool. The present paper examines action research as an appropriate methodology for considering real-life organisational problems in a systematic and participatory manner. The action research cycles undertaken, including preliminary information gathering, tool development, trial stages and current use of the tool, are detailed in the report. Current and future development of the tool is also described.
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In this paper Peter will consider some contemporary discourses of spirituality, the potential dangers of some spirituality, and then discuss how spirituality can contribute to an ‘enchanted’ framework of community development.
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The Systems Theory Framework was developed to produce a metatheoretical framework through which the contribution of all theories to our understanding of career behaviour could be recognised. In addition it emphasises the individual as the site for the integration of theory and practice. Its utility has become more broadly acknowledged through its application to a range of cultural groups and settings, qualitative assessment processes, career counselling, and multicultural career counselling. For these reasons, the STF is a very valuable addition to the field of career theory. In viewing the field of career theory as a system, open to changes and developments from within itself and through constantly interrelating with other systems, the STF and this book is adding to the pattern of knowledge and relationships within the career field. The contents of this book will be integrated within the field as representative of a shift in understanding existing relationships within and between theories. In the same way, each reader will integrate the contents of the book within their existing views about the current state of career theory and within their current theory-practice relationship. This book should be required reading for anyone involved in career theory. It is also highly suitable as a text for an advanced career counselling or theory course.