This paper outlines a curriculum model for contemporary programme design for the purpose of embedding educational innovation and technology within an inter-professional nursing curriculum. It has been developed from w...This paper outlines a curriculum model for contemporary programme design for the purpose of embedding educational innovation and technology within an inter-professional nursing curriculum. It has been developed from work within the School of Nursing and Midwifery at Keele University during the re-write of both the nursing and midwifery curriculum. The Nursing and Midwifery Council (NMC) require approval of all recordable programmes every five years and as such the school took this review as an opportunity to explore the curriculum model currently in use and develop an approach that would facilitate the professional requirements of the programme alongside the embedding of innovative learning and teaching methodologies. The model springs from extensive application of contemporary pedagogy underpinning adult learning, and forces consideration of cognitive alignment within a multi-modal delivery framework [1]. The model builds upon the early work of Fowler and Mayes [2] and later work of Bird [3] who explored the antecedents and underpinning theory for success within online learning experiences. This model has greater reach;having strategic fit for acontemporary “technology enhanced learning” application within further and higher education [4], whilst ensuring the achievement of given professional standards [5].展开更多
The healthcare system＇s approach considers the complexity and interactions between organized elements. In continuous processing, healthcare systems are affected by their constituent elements, themselves modified with...The healthcare system＇s approach considers the complexity and interactions between organized elements. In continuous processing, healthcare systems are affected by their constituent elements, themselves modified with each system change. To secure and optimize the system of care, collaboration between levels is necessary. Almost no documented experience to better coordination of levels of care in the Belgian system is available. To improve the quality of care, the system needs collaborative coordination between stakeholders. Good coordination improves the quality of patient care, it makes quality more efficient and optimal care. This coordination between care lines must be collaborative. Interactional communication is the founding element of inter-professional collaboration. A good self-esteem improves the relationship between actors in the health system and supports the initiatives and adaptability. It contributes therefore to an increase of the quality of care. The interactional Local Health System promotes cooperation in the relevant health network. Consultation and coordination between the actors involved and motivated bring care quality and operational solutions. This dynamic modality of exchanges appears fruitful as participants continue to meet and coordinate care, even after the official end of the action-research. The climate became conducive to solving real problems through the skills developed in the LHS.展开更多
Paramedics Australasia(PA)is the national body representing paramedics engaged in delivery of pre hospital emergency health care.PA is thus uniquely positioned to provide insights into the role of pre hospital medicin...Paramedics Australasia(PA)is the national body representing paramedics engaged in delivery of pre hospital emergency health care.PA is thus uniquely positioned to provide insights into the role of pre hospital medicine in the continuum of care.Every day in Australia,patients are placed at risk of harm within the health-care system.These risks are particularly notable in pre hospital care where paramedics must often tend for patients under adverse operating conditions and per-form interventions that carry significant risks.Paramedics must make clinical judgements that may profoundly affect patient outcomes-often with no access to patient history.Pre hospital medicine has changed dramatically in recent years.Paramedic practice has evolved as a unique discipline combining medicine,public health and public safety.Contemporary pre hospital medical care is now provided by professionally qualified practitioners.These developments have been built on a strong evidence base demonstrating the capacity to enhance patient outcomes through appropriate clinical interventions.Paramedics and pre hospital service providers alike have had to overcome many challenges in this journey,not the least being the education,recruitment and retention of a professional workforce and the difficulties in funding the infrastructure upon which to build a comprehensive emergency response capability.The PA vision for pre hospital medicine is based on the premise that it is an essential part of primary health care and that its seamless integration into health care will better meet patient needs that might otherwise remain unfulfilled.Paramedics can provide a variety of community health services that are crucial in the provision of more comprehensive care,especially in rural and remote communities.PA has endorsed the philosophical approach to health care outlined in the 15 National Health and Hospitals Reform Commission Health Care Principles,and recommends the translation of those principles into the pre hospital medicine environment.Given those principles it is inexplicable how paramedics have remained unrecognised as health professionals and pre hospital medicine has been ignored as part of the health care reform process.Embracing the National Health and Hospitals Reform Commission principles should see pre hospital medicine forming not only part of the local health care system but also meshed into the fabric of the community.There should be community engagement in the assessment and evaluation of pre hospital medicine care and the regulation of practitioners under a national system of professional registration.These processes will better enable the benefits of holistic care to be realised.Despite the excellence and dedication of the paramedic workforce,PA recognises that formidable challenges remain in health care delivery.These include issues of equality and access,demographic coverage,safety and quality,as well as other workforce and resource issues that affect patient outcomes.Paramedics can assist in identifying and resolving many of these issues.Australia’s health system should provide suitably rapid pre hospital medical responses with levels of care appropriate to the circumstances of each patient.Paramedics moreover hold competencies that can provide prevention,evaluation,care,triage,referral and health advisory services that can be mobilised to enhance community healthcare resources.Access to professional paramedic services should thus form an integral part of the care regime available to the community.This should be an inter-professional model of healthcare practice founded on contributions from a dynamic mixture of professional expertise at all stages of the patient journey.In PA’s view,the virtual absence of references to the role and funding of paramedic services as a key component of the health care system at a national level is a grave oversight.A nationally driven policy perspective is needed that integrates pre hospital medicine into the health system.Fulfilling the PA vision of health care requires significant change in the way paramedic services are funded and administered.It will need advice from the best available minds and committed leadership within government and the health professions to bring the already demonstrated benefits of paramedic practice to the community.Many issues need to be addressed including:(a)Sustainable funding models under national access and equity principles;(b)Education,clinical training,staff recruitment and retention;(c)Safety and quality standards and the minimisation of patient risk;(d)Extended community care models in remote and low-volume settings;(e)Clinical governance,service accreditation and practitioner registration;(f)Adequacy of evidentiary data collection to assess patient outcomes,support service evaluation and underpin research;and(g)Infrastructure integration including communication networks and dynamic referral to manage external events and cope with capacity constraints.PA strongly believes that these issues cannot be considered in isolation.Pre hospital medicine practitioners must be involved in contributing their expertise in conjunction with other health professionals so as to create a seamless system of best practice care beginning at the point of need-the patient.To fulfil that promise PA has outlined a vision for the delivery of pre hospital medicine as part of an integrated health care system.Only by incorporating the input of paramedic clinicians into that national policy and operational arena can the best patient outcomes be achieved.展开更多
文摘This paper outlines a curriculum model for contemporary programme design for the purpose of embedding educational innovation and technology within an inter-professional nursing curriculum. It has been developed from work within the School of Nursing and Midwifery at Keele University during the re-write of both the nursing and midwifery curriculum. The Nursing and Midwifery Council (NMC) require approval of all recordable programmes every five years and as such the school took this review as an opportunity to explore the curriculum model currently in use and develop an approach that would facilitate the professional requirements of the programme alongside the embedding of innovative learning and teaching methodologies. The model springs from extensive application of contemporary pedagogy underpinning adult learning, and forces consideration of cognitive alignment within a multi-modal delivery framework [1]. The model builds upon the early work of Fowler and Mayes [2] and later work of Bird [3] who explored the antecedents and underpinning theory for success within online learning experiences. This model has greater reach;having strategic fit for acontemporary “technology enhanced learning” application within further and higher education [4], whilst ensuring the achievement of given professional standards [5].
文摘The healthcare system＇s approach considers the complexity and interactions between organized elements. In continuous processing, healthcare systems are affected by their constituent elements, themselves modified with each system change. To secure and optimize the system of care, collaboration between levels is necessary. Almost no documented experience to better coordination of levels of care in the Belgian system is available. To improve the quality of care, the system needs collaborative coordination between stakeholders. Good coordination improves the quality of patient care, it makes quality more efficient and optimal care. This coordination between care lines must be collaborative. Interactional communication is the founding element of inter-professional collaboration. A good self-esteem improves the relationship between actors in the health system and supports the initiatives and adaptability. It contributes therefore to an increase of the quality of care. The interactional Local Health System promotes cooperation in the relevant health network. Consultation and coordination between the actors involved and motivated bring care quality and operational solutions. This dynamic modality of exchanges appears fruitful as participants continue to meet and coordinate care, even after the official end of the action-research. The climate became conducive to solving real problems through the skills developed in the LHS.
文摘Paramedics Australasia(PA)is the national body representing paramedics engaged in delivery of pre hospital emergency health care.PA is thus uniquely positioned to provide insights into the role of pre hospital medicine in the continuum of care.Every day in Australia,patients are placed at risk of harm within the health-care system.These risks are particularly notable in pre hospital care where paramedics must often tend for patients under adverse operating conditions and per-form interventions that carry significant risks.Paramedics must make clinical judgements that may profoundly affect patient outcomes-often with no access to patient history.Pre hospital medicine has changed dramatically in recent years.Paramedic practice has evolved as a unique discipline combining medicine,public health and public safety.Contemporary pre hospital medical care is now provided by professionally qualified practitioners.These developments have been built on a strong evidence base demonstrating the capacity to enhance patient outcomes through appropriate clinical interventions.Paramedics and pre hospital service providers alike have had to overcome many challenges in this journey,not the least being the education,recruitment and retention of a professional workforce and the difficulties in funding the infrastructure upon which to build a comprehensive emergency response capability.The PA vision for pre hospital medicine is based on the premise that it is an essential part of primary health care and that its seamless integration into health care will better meet patient needs that might otherwise remain unfulfilled.Paramedics can provide a variety of community health services that are crucial in the provision of more comprehensive care,especially in rural and remote communities.PA has endorsed the philosophical approach to health care outlined in the 15 National Health and Hospitals Reform Commission Health Care Principles,and recommends the translation of those principles into the pre hospital medicine environment.Given those principles it is inexplicable how paramedics have remained unrecognised as health professionals and pre hospital medicine has been ignored as part of the health care reform process.Embracing the National Health and Hospitals Reform Commission principles should see pre hospital medicine forming not only part of the local health care system but also meshed into the fabric of the community.There should be community engagement in the assessment and evaluation of pre hospital medicine care and the regulation of practitioners under a national system of professional registration.These processes will better enable the benefits of holistic care to be realised.Despite the excellence and dedication of the paramedic workforce,PA recognises that formidable challenges remain in health care delivery.These include issues of equality and access,demographic coverage,safety and quality,as well as other workforce and resource issues that affect patient outcomes.Paramedics can assist in identifying and resolving many of these issues.Australia’s health system should provide suitably rapid pre hospital medical responses with levels of care appropriate to the circumstances of each patient.Paramedics moreover hold competencies that can provide prevention,evaluation,care,triage,referral and health advisory services that can be mobilised to enhance community healthcare resources.Access to professional paramedic services should thus form an integral part of the care regime available to the community.This should be an inter-professional model of healthcare practice founded on contributions from a dynamic mixture of professional expertise at all stages of the patient journey.In PA’s view,the virtual absence of references to the role and funding of paramedic services as a key component of the health care system at a national level is a grave oversight.A nationally driven policy perspective is needed that integrates pre hospital medicine into the health system.Fulfilling the PA vision of health care requires significant change in the way paramedic services are funded and administered.It will need advice from the best available minds and committed leadership within government and the health professions to bring the already demonstrated benefits of paramedic practice to the community.Many issues need to be addressed including:(a)Sustainable funding models under national access and equity principles;(b)Education,clinical training,staff recruitment and retention;(c)Safety and quality standards and the minimisation of patient risk;(d)Extended community care models in remote and low-volume settings;(e)Clinical governance,service accreditation and practitioner registration;(f)Adequacy of evidentiary data collection to assess patient outcomes,support service evaluation and underpin research;and(g)Infrastructure integration including communication networks and dynamic referral to manage external events and cope with capacity constraints.PA strongly believes that these issues cannot be considered in isolation.Pre hospital medicine practitioners must be involved in contributing their expertise in conjunction with other health professionals so as to create a seamless system of best practice care beginning at the point of need-the patient.To fulfil that promise PA has outlined a vision for the delivery of pre hospital medicine as part of an integrated health care system.Only by incorporating the input of paramedic clinicians into that national policy and operational arena can the best patient outcomes be achieved.
