Flexible Training Strategy (National Task Force on Medical Staffing)

Flexible Training Strategy (National Task Force on Medical Staffing) The Flexible Training Strategy, while endorsing flexible/part-time options recognises that the preferred option for the majority of doctors-in-training and consultants is most likely to continue to be full-time training and work. Click here to download PDF

Speech by Mr Micheál Martin TD at Launch of Pre-Registration Nursing Degree Programme

Good afternoon ladies and gentlemen. I am very pleased that you were all able to accept my invitation to join me here today on this landmark occasion for nursing education. It is fitting that all of the key stakeholders from the health and education sectors should be so well represented at the launch of an historic new development. Rapid and unpredictable change throughout society has been the hallmark of the twenty-first century, and healthcare is no exception. Regardless of what change occurs, no one doubts that nursing is intrinsic to the health of this nation. However, significant changes in nurse education are now needed if the profession is to deliver on its social mandate to promote people´s health by providing excellent and sensitive care. As science, technology and the demands of the public for sophisticated and responsive health care become increasingly complex, it is essential that the foundation of nursing education is redesigned. Pre-registration nursing education has already undergone radical change over the past eight years, during which time it has moved from an apprenticeship model of education and training to a diploma based programme firmly rooted in higher education. The Secretary General of my Department, Michael Kelly, played a leading role in bringing about this transformation, which has greatly enhanced the way students are prepared for entry to the nursing profession. The benefits of the revised model of education are clearly evident from the quality of the nurses graduating from the diploma programme. The Commission on Nursing examined the whole area of nursing education, and set out a very convincing case for educating nursing students to degree level. It argued that nurses of the future would be required to possess increased flexibility and the ability to work autonomously. A degree programme would provide nurses with a theoretical underpinning that would enable them to develop their clinical skills to a greater extent and to respond to future challenges in health care, for the benefit of patients and clients of the health services. The Commission has provided a solid framework for the professional development of nurses and midwives, including a process that is already underway for the creation of clinical nurse specialist and advanced nurse practitioner posts. This process will facilitate the transfer of skills across divisions of nursing. In this scenario, it is clearly desirable that the future benchmark qualification for registration as a nurse should be a degree in nursing studies. A Nursing Education Forum was established in early 1999 to prepare a strategic framework for the implementation of a nursing degree programme. When launching the Forum´s report last January, I indicated that the Government had agreed in principle to the introduction of the proposed degree programme next year. At the time two substantial outstanding issues had yet to be resolved, namely the basis on which nurse teachers would transfer from the health sector to the education sector and the amount of capital and revenue funding required to operate the degree programme. My Department has brokered agreements between the Nursing Alliance and the Higher Education Institutions for the assimilation of nurse teachers as lecturers into their affiliated institutions. The terms of these agreements have been accepted by all four nursing unions following a ballot of their nurse teacher members. I would like to pay particular tribute to all nurse teachers who have contributed to shaping the position, relevance and visibility of nursing through leadership, which embodies scholarship and excellence in the profession of nursing itself. In response to a recommendation of the Nursing Education Forum, I established an Inter-Departmental Steering Committee, chaired by Bernard Carey of my Department, to consider all the funding and policy issues. This Steering Committee includes representatives of the Department of Finance and the Department of Education and Science as well as the Higher Education Authority. The Steering Committee has been engaged in intensive negotiations with representatives of the Conference of Heads of Irish Universities and the Institutes of Technology in relation to their capital and revenue funding requirements. These negotiations were successfully concluded within the past few weeks. The satisfactory resolution of the industrial relations and funding issues cleared the way for me to go to the Government with concrete proposals for the implementation of degree level education for nursing students. I am delighted to announce here today that the Government has approved all of my proposals, and that a four-year undergraduate pre-registration nursing degree programme will be implemented on a nation-wide basis at the start of the next academic year, 2002/2003. The Government has approved the provision of capital funding totalling £176 million pounds for a major building and equipment programme to facilitate the full integration of nursing students into the higher education sector. This programme is due to be completed by September 2004, and will ensure that nursing students are accommodated in purpose built schools of nursing studies with state of the art clinical skills and human science laboratories at thirteen higher education sites throughout the country. The Government has also agreed to make available the substantial additional revenue funding required to support the nursing degree programme. By 2006, the full year cost of operating the programme will rise to some £43 million pounds. The scale of this investment in pre-registration nursing education is enormous by any yardstick. It demonstrates the firm commitment of myself and my Government colleagues to the full implementation of the recommendations of the Commission on Nursing, of which the introduction of pre-registration degree level education is arguably the most important. This historic decision, and it is truly historic, will finally put the education of nurses on a par with the education of other health care professionals. The nursing profession has long been striving for parity, and my own involvement in the achievement of it is a matter of deep personal satisfaction to me. I am also pleased to announce that the Government has approved my plans for increasing the number of nursing training places to coincide with the implementation of the degree programme next year. Ninety-three additional places in mental handicap and psychiatric nursing will be created at Athlone, Letterkenny, Tralee and Waterford Institutes of Technology. This will yield 392 extra places over the four years of the degree programme. A total of 1,640 places annually on the new degree programme will thus be available. This is an all-time record, and maintaining the annual student intake at this level for the foreseeable future is a key element of my overall strategy for ensuring that we produce sufficient “home-grown” nurses for our health services. I am aware that the Nursing Alliance were anxious that some funding would be provided for the further academic career development of nurse teachers who transfer to one of the six Universities that will be involved in the delivery of the degree programme. I am happy to confirm that up to £300,000 in total per year will be available for this purpose over the first four years of the degree programme. In line with a recommendation of the Commission on Nursing, my Department will have responsibility for the administration of the nursing degree budget until the programme has been bedded down in the higher education sector. A primary concern will be to ensure that the substantial capital and revenue funding involved is ring-fenced for nursing studies. It is intended that responsibility for the budget will be transferred to the Department of Education and Science after the first cohort of nursing degree students have graduated in 2006. In the context of today´s launch, it is relevant to refer to a special initiative that I introduced last year to assist registered nurses wishing to undertake part-time nursing degree courses. Under this initiative, nurses are entitled to have their course fees paid by their employers in return for a commitment to continue working in the public health service for a period following completion of the course. This initiative has proved extremely popular with large numbers of nurses availing of it. I want to confirm here today that the free fees initiative will continue in operation until 2005, at a total cost of at least £15 million pounds. I am giving this commitment in order to assure this year´s intake of nursing students to the final diploma programmes that fee support for a part-time nursing degree course will be available to them when they graduate in three years time. The focus of today´s celebration is rightly on the landmark Government decision to implement the nursing degree programme next year. As Minister for Health and Children, and as a former Minister for Education, I also have a particular interest in the educational opportunities available to other health service workers to upgrade their skills. I am pleased to announce that the Government has approved my proposals for the introduction of a sponsorship scheme for suitable, experienced health care assistants who wish to become nurses. This new scheme will commence next year and will be administered by the health boards. Successful applicants will be allowed to retain their existing salaries throughout the four years of the degree programme in return for a commitment to work as nurses for their health service employer for a period of five years following registration. Up to forty sponsorships will be available annually. The new scheme will enable suitable applicants to undertake nursing education and training without suffering financial hardship. The greatest advantage of the scheme will be the retention by the public health service of staff who are supported under it, since they will have had practical experience of working in the service and their own personal commitment to upgrading their skills will be informed by that experience. I am confident that the sponsorship scheme will be warmly welcomed by health service unions representing care assistants as providing an exciting new career development path for their members. Education and health are now the two pillars upon which the profession of nursing rests. We must continue to build bridges, even tunnels where needed to strengthen this partnership. We must all understand partnerships donâ?Tt just happen they are designed and must be worked at. The changes outlined here today are powerful incentives for those in healthcare agencies, academic institutions and regulatory bodies to design revolutionary programmes capable of shaping a critical mass of excellent practitioners. You have an opportunity, greater perhaps than has been granted to any other generation in history to make certain those changes are for the good. Ultimately changes that will make the country a healthier and more equitable place to live. The challenge relates to building a seamless preparatory programme which equally respects both education and practise as an indivisible duo whilst ensuring that high tech does not replace the human touch. This is a special day in the history of the development of the Irish nursing profession, and I would like to thank everybody for their contribution. I want to express my particular appreciation of two people who by this stage are well known to all of you – Bernard Carey of my Department and Siobhán O´Halloran of the National Implementation Committee. Bernard and Siobhán have devoted considerable time and energy to the project on my behalf over the past fourteen months or so. That we are here today celebrating the launch of degree level education is due in no small part to their successful execution of the mandate that I gave them. We live in a rapidly changing world, one in which nursing can no longer rely on systems of the past to guide it through the new millennium. In terms of contemporary healthcare, nursing is no longer just a reciprocal kindness but rather a highly complex set of professional behaviours, which require serious educational investment. Pre-registration nurse education will always need development and redesign to ensure our health care system meets the demands of modern society. Nothing is finite. Today more than ever the health system is dependent on the resourcefulness of nursing. I have no doubt that the new educational landscape painted will ensure that nurses of the future will be increasingly innovative, independent and in demand. The unmistakable message from my Department is that nursing really matters. Thank you.

Poverty and social exclusion in Northern Ireland

Northern Ireland’s labour market and poverty rates have deteriorated in the last five years, in addition to longstanding issues of mental health and community divisions – and welfare reforms are likely to exacerbate these problems.��New research��by the New Policy Institute for JRF brings together the latest data to show the extent and nature of poverty in Northern Ireland (NI), focusing on the links between poverty, work, disability and age. It finds that:��•��between 2006/07 and 2011/12 the average (median) income in NI fell by almost 10 per cent compared with 7 per cent for the UK as a whole;��•��the proportion of unemployed working-age people in NI almost doubled between 2007/08 and 2012/13 to reach 5.8 per cent. Growth in the proportion working part-time and wanting full-time work has been greater – up from 1.7 per cent, the same as in Great Britain (GB), to 4.4 per cent (compared with 3.5 per cent in GB);��•��the proportion of pensioners in poverty in NI fell from 19 per cent to 16 per cent in the five years to 2011/12. The poverty rate rose over this period for working-age adults and children;��•��in the five years to 2011/12, the poverty rate among adults aged 16 to 29 rose by 8 percentage points to reach 26 per cent. Poverty has also increased among those aged 30 to 59, solely among those in working families.��For more information about this research and forthcoming work, please contact Aleks Collingwood, programme manager:��Aleks.Collingwood@jrf.org.uk

Valeur ajoutée de la supervision du médecin-assistant par un médecin de famille dans une permanence [Added value of family practitioners' supervision of junior doctors in a walk-in clinic].

The pending workforce crisis in family medicine has triggered various initiatives. This article describes the PMU-FLON walk-in clinic, a project of the Institute of General Medicine University of Lausanne. The working conditions in this clinic are close to that of a family practice. Doctors in training are supervised by family doctors who work part-time in the clinic. The objective is to improve training in the various fields of family medicine, from technical skills (improving optimal use of diagnostic tools), to integrating patients' requests in a more global patient-centered approach. This new educational model allows doctors in training to benefit from the specific approaches of different trainers. It will contribute to promoting quality family medicine in the future.

The role of incidental variables of time in mood assessment

Determining what influences mood is important for theories of emotion and research onsubjective well-being. We consider three sets of factors: activities in which people areengaged; individual differences; and incidental variables that capture when mood ismeasured, e.g., time-of-day. These three factors were investigated simultaneously in a studyinvolving 168 part-time students who each responded 30 times in an experience samplingstudy conducted over 10 working days. Respondents assessed mood on a simple bipolarscale from 1 (very negative) to 10 (very positive). Activities had significant effects but,with the possible exception of variability in the expression of mood, no systematicindividual differences were detected. Diurnal effects, similar to those already reported inthe literature, were found as was an overall Friday effect. However, these effects weresmall. Lastly, the weather had little or no influence. We conclude that simple measures ofoverall mood are not greatly affected by incidental variables.

Dynamics of flow: a nonlinear perspective

The aims of this study are to consider the experience of flow from a nonlinear dynamics perspective. The processes and temporal nature of intrinsic motivation and flow, would suggest that flow experiences fluctuate over time in a dynamical fashion. Thus it can be argued that the potential for chaos is strong. The sample was composed of 20 employees (both full and part time) recruited from a number of different organizations and work backgrounds. The Experience Sampling Method (ESM) was used for data collection. Once obtained the temporal series, they were subjected to various analyses proper to the com- plexity theory (Visual Recurrence Analysis and Surrogate Data Analysis). Results showed that in 80% of the cases, flow presented a chaotic dynamic, in that, flow experiences delineated a complex dynamic whose patterns of change were not easy to predict. Implications of the study, its limitations and future research are discussed.

1003-001 Williamson Pond Final Report

Williamson Pond is a 26-acre publicly owned lake located about 2 miles east of the town of Williamson, in Lucas County. It has a watershed area of 1,499 acres. It has been managed since 1976 by the Lucas County Conservation Board (while still under state ownership) for fishing, boating, hunting, picnicking and other passive uses. Designated uses are Class AI, primary contact, and Class B (LW) aquatic life. Williamson Pond is on the 2004 EPA 303(d) List of Impaired Waters. A Total Maximum Daily Load (TMDL) for turbidity and nutrients at Williamson Pond was prepared by IDNR in 2005 and approved by EPA in 2006. The TMDL set reduction targets for both suspended sediment and phosphorus. The Williamson Pond Watershed Management Plan has provided the local work group and partners with information to develop and implement strategies to improve and protect water quality. These strategies are based on a three phase approach that will ultimately lead the removal of Williamson Pond from the Impaired Waters List. The goals identified in this proposal (Phase I) will reduce sediment and phosphorus delivery by 453 tons and 589 pounds annually. The Lucas County SWCD has and will continue to provide leadership on the Williamson Pond Project and has secured the partnerships necessary to address water quality problems and hired a part-time project coordinator to manage, implement, and oversee all activities pertaining to this proposal.

05018-007 Storm Lake Watershed Final Report

The enclosed project request for funding will address needed conservation work within the Storm Lake Watershed. The proposed conservation practices and activities have been planned for several years but due to funding limitations have not been completed. These innovative practices will address some of the remaining and hard to address problem areas of sediment and nutrient loading within the watershed. The four goals of this project are: installation of four in-stream Boulder Weirs, planting of native grasses around ten surface intakes, completion of three urban rain gardens and hiring of a part-time Iowater monitoring coordinator. Through the new Awaysis destination park project Storm Lake is truly placing a high value on our watershed and lake as a major asset to the area. Awaysis is a $30 million project that's success will hinge on maintaining the highest standards in regard to the water quality of the lake and its watershed.

Older Workers in Iowa, May 2006

A large wave of workers born during the Baby Boom of 1946 to 1964 will be leaving the workforce over the next few decades. A larger share than in past generations may “retire” to collect the pensions they earned over their work life and then continue working part-time or more flexible working arrangements.

The INTERMED questionnaire for predicting return to work after a multidisciplinary rehabilitation program for chronic low back pain.

OBJECTIVES: To evaluate the performance of the INTERMED questionnaire score, alone or combined with other criteria, in predicting return to work after a multidisciplinary rehabilitation program in patients with non-specific chronic low back pain. METHODS: The INTERMED questionnaire is a biopsychosocial assessment and clinical classification tool that separates heterogeneous populations into subgroups according to case complexity. We studied 88 patients with chronic low back pain who followed an intensive multidisciplinary rehabilitation program on an outpatient basis. Before the program, we recorded the INTERMED score, radiological abnormalities, subjective pain severity, and sick leave duration. Associations between these variables and return to full-time work within 3 months after the end of the program were evaluated using one-sided Fisher tests and univariate logistic regression followed by multivariate logistic regression. RESULTS: The univariate analysis showed a significant association between the INTERMED score and return to work (P<0.001; odds ratio, 0.90; 95% confidence interval, 0.86-0.96). In the multivariate analysis, prediction was best when the INTERMED score and sick leave duration were used in combination (P=0.03; odds ratio, 0.48; 95% confidence interval, 0.25-0.93). CONCLUSION: The INTERMED questionnaire is useful for evaluating patients with chronic low back pain. It could be used to improve the selection of patients for intensive multidisciplinary programs, thereby improving the quality of care, while reducing healthcare costs.

Selvitys yliopistorakennuksen energiatehokkuudesta

Rakennusten energiatehokkuusdirektiivi astui voimaan vuonna 2003. Yksi direktiivinkeskeisimmistä kohdista on energiatodistuksen hankkiminen silloin kun rakennusta tai sen osaa myydään tai vuokrataan. Kiinteistön omistaja voi hankkia energiatodistuksen joko erillisenä todistuksena, isännöitsijäntodistuksen osana tai katselmuksen yhteydessä. Tässä työssä verrataan jo olemassa olevaa katselmusmenettelyä erilliseen energiatodistukseen ja energiatodistuksen myöntämiseen isännöitsijätodistuksen yhteydessä case-kohteen kautta arvioituna. Vertailun suorittamiseksi tehtiin osana diplomityötä energiakatselmus Lappeenrannan teknillisen yliopiston rakennusvaiheesta 7. Energiakatselmukseen verrattuna energiatodistus on huomattavasti suppeampi selvitys rakennuksen energiankulutuksesta. Arvioitu energiankulutuksen säästöpotentiaali energiatodistuksessa oli noin puolet energiakatselmuksessa löydetyistä, kustannusten ollessa huomattavasti alhaisemmat. Erillisenä osana työssä käsitellään tilaustehojen tarkistusta Lappeenrannan teknillisen yliopiston rakennuskannasta. Rakennusvaiheen 7 tilausteho oli oikeansuuruinen, muiden rakennusvaiheiden osalta tilaustehojen uudelleen tarkastamista kannattaa harkita.

Digitaalinen osaamisen kehittäminen osana henkilöstökoulutusta

Tieto- ja viestintätekniikan kehittyminen on muuttanut työn luonnetta monella tavalla ja työelämän jatkuva muutos ja joustavuuteen pyrkiminen edellyttävät uusien tietojen ja taitojen hankkimista. Verkko-opetus, verkko-opiskelu ja verkko-oppiminen näyttävät tarjoavat uusia ulottuvuuksia henkilöstökoulutukseen. Tämän diplomityön tarkoituksena on tutkia voidaanko digitaalisella osaamisen kehittämisellä tukea yrityksen henkilöstökoulutusta ja henkilöstöä opiskelussa ja oppimisessa? Osaaminen on strateginen kysymys ja sen kehittämisessä pyritään yrityksissä aiempaa pitkäjänteisempään ja kokonaisvaltaisempaan toimintatapaan. Digitaalinen osaamisen kehittäminen oikein toteutettuna näyttää vahvistavan henkilöstön osaamistasoa. Tekniset apuvälineet eivät ehkä koskaan tule korvaamaan kokemusta ja työssä oppimista, silti ne näyttävät helpottavat tiedonkulkua ja ovat apuna osaamisen kehittämisessä. Kuvitelma verkko-opintojen helppoudesta, täysin ajasta ja paikasta riippumattomana, sekä itsenäisestä opiskelusta on harhaa. Verkkokoulutuksen suurena haasteena on sen soveltaminen järkevällä tavalla organisaation toimintakulttuuriin ja toimintatapoihin. Ajanoloon verkko-opiskelu saattaa muuttua osaksi työtä, mutta asenteiden muokkaamisessa on vielä paljon tekemistä. Yritysten johdon tulee näyttää tietä ja toimia esimerkkinä uusien toimintatapojen käyttöönotossa.

Suodatuskalvon puhdistaminen UV-valolla tai ultraäänellä aktivoidulla titaanidioksidilla

Kalvotekniikan suurin ongelma on edelleen kalvon likaantuminen, jonka tuloksena kalvon erotuskyky voi muuttua ja liuoksen vuo kalvon läpi pientyä huomattavasti. Kalvotekniikan teollisissa sovelluksissa kalvojen puhdistus on yksi tärkeimmistä pääkohdista, sillä se määrittää kalvon käyttöikää ja käyttötehokkuutta. Yleisimmin käytetyn kemiallisen pesun tuloksena muodostuu hävitettävä pesuliuos, joka sisältää sekä kemikaaleja, että kalvosta poistetun lian. Työssä on tutkittu kalvon puhdistusta ultravioletti-valo- tai ultraäänikäsittelyssä titaanidioksidin läsnäollessa. Menetelmien mahdollisina etuina ovat kalvosta poistetun lian hajotus harmittomiksi komponenteiksi ja mahdollisesti kalvon pienempi kuluminen pesussa. Työn kirjallisuusosassa on käsitelty orgaanisten ja epäorgaanisten aineiden hajottamista ultraviolettivalon tai ultraäänikäsittelyn avulla titaanidioksidin läsnäollessa sekä olosuhteiden vaikutusta menetelmien tehokkuuteen. Tämän lisäksi työssä on keskitytty polymeerikalvojen UV-valo- ja ultraäänikäsittelykestävyyteen. Kokeellisessa osassa on tutkittu UV-valo- ja ultraäänikäsittelyjen sopivuutta liatun PVDF-kalvon puhdistukseen titaanidioksidin läsnäollessa. Tavoitteena oli liatun kalvon permeabiliteetin palautus puhtaan kalvon tasolle käsittelyn avulla. Kalvon kestävyyttä on myös tutkittu. Tämän työn perusteella tutkittuja menetelmiä ei voida soveltaa tarkistettavan PVDF-kalvon puhdistukseen, ainakaan testeissä käytetyissä olosuhteissa, sillä kalvon ominaisuudet muuttuvat käsittelyissä.

Experiences of Organising the Master of Science Programme in Packaging Technology

Organising the PT- programme for full-time working adult students is a challenging task as it is an international programme with both domestic and foreign students with different educational background. The purpose of this project work is to provide both student and lecturer feedback for improving Master Of Science Degree Programme in Packaging Technology to meet better the requirements of part-time studying. The objective of this work is in accordance with the Lappeenranta University of Technology’s strategy to improve continuously degree programmes and courses and to use student feedback in this development work of education. Matters, such as lecture schemes, distance material distribution, distance assignment handling, course assessments, and guidance of thesis work will be under scrutiny.

Opiskelujen aikaisen työkokemuksen vaikutus opiskelijoiden työminäkuvan muodostumiseen

The study focus on the formation of the work identity among members of Lappeenranta University of Technology's Student Union.