Training and Development Commons^™

Patient Safety Culture And High Reliability Organizations, Jared D. Padgett

Walden Dissertations and Doctoral Studies

A 1999 evaluation of case studies performed by staff from the Institute of Medicine found that between 40,000 and 98,000 patients died from preventable errors, while 43,598 individuals died in car accidents that year. A 2011 report increased that estimate nearly 10 times. Widespread preventable patient harm still occurs despite an increase in healthcare regulations. High-reliability organization theory has contributed to improved safety and may potentially reverse this trend. This explorative single case study explored how the perceptions and experiences of nursing and respiratory staff affected the successful transition of a healthcare organization into a reliability-seeking organization. Fourteen participants from …

State Uses Financial Incentives To Fund Nursing Home–Initiated Quality Improvement Projects Through Competitive Bidding Process, Leading To Better Care, Valerie Cooke, Greg Arling, T. Lewis, Kathleen Abrahamson, Priscilla Arling, H. Davila, C. Mueller

Scholarship and Professional Work - Business

Authorized in 2006 by the State legislature, Minnesota’s Performance-Based Incentive Program funds nursing home–initiated quality improvement projects for 1 to 3 years through increases of up to 5 percent in the operating per diem rate charged to Medicaid and private-pay residents. Funding decisions are made through a competitive bidding process administered annually by the Department of Human Services, with recommendations from a review committee. Program staff provide support to nursing homes during and after the application process. Nursing homes that do not achieve project-specific performance targets can lose up to 20 percent of the incentive payments. The program has engaged …

The Impact Of A Direct Care Training Program On The Self-Efficacy Of Newly Hired Direct Care Employees At State Mental Health Facilities, Marcus Wayne Lewis

Dissertations

Self-efficacy has been shown to be an important element in the success of individuals in a variety of different settings. This research examined the impact of a two week new employee orientation training program on the general and social self-efficacy of newly hired direct care employees at state mental health facilities. The research showed that the training program did not have a statistically significant impact on the social self-efficacy of the new employees after the training or after one month on the job. The research also showed that the two week new employee orientation program did not have a statistically …

Challenge Course Effectiveness: The Impact On Leadership Efficacy And Work Efficacy Among College Students, Theresa Odello, Eddie Hill, Edwin Gomez

Human Movement Studies & Special Education Faculty Publications

Challenge courses have become increasingly popular in recent years. Many groups are turning to half-day challenge courses due to time and financial constraints. Yet, few studies have quantified the benefits of a half-day course. The purpose of this study was to examine the effects of participation in a four-hour challenge course on leadership efficacy and work efficacy of college students. Pretest, posttest, and follow-up questionnaires were utilized. T-test analyses found that participating in a challenge course has a significant positive effect on increasing one’s leadership and work efficacy from pretest to posttest, after participation in a four-hour challenge course. This …

An Experimental Study Of The Effectiveness Of Three Safety Training Delivery Methods And The Knowledge Gained During A Workplace Violence Safety Program, Shoji Nakayama

All-Inclusive List of Electronic Theses and Dissertations

Due to the numerous advantages of electronic media, many companies have begun to incorporate online courses as a means of delivering corporate training, including corporate safety training. Consequently, researchers are beginning to investigate the effectiveness of online training over traditional face-to-face training methods. Many studies have indicated that results of training programs conducted over the Internet are equivalent to those results obtained from traditional face-to-face training. At the same time, other literature indicates that face-to-face training is better than Internet training due to the level of interaction between students and instructor. Some investigations on this subject have been conducted within …

Training Program To Improve Estimation Of Patients' Periodontal Pain Experience, Yoon Jeong Kim

Loma Linda University Electronic Theses, Dissertations & Projects

Background: The purpose of this study was to determine if periodontal residents could enhance their ability to appraise the pain levels experienced by their patients from probing, using Visual Analog Scale (VAS) to record pain. We hypothesized that with increasing experience by repeated comparisons of the patients' VAS pain ratings with independent ratings by the residents, they would improve their ability to appraise their patients' pain experiences.

Methods: For each of three periodontal residents, 40 consecutive periodontitis patients were asked to express the degree of pain they experienced during the probing. Independently, the residents rated the pain level they perceived …

Development Of An Instrument To Identify The Virtues Of Expert Nursing Practice: ‘Byrd’S Nurses Ethical Sensitivity Test’ (Byrd’S Nest), Lisa Marie Byrd

Dissertations

The purpose of this research was to develop and analyze the psychometric properties of Byrd’s Nurse’s Ethical Sensitivity Test (Byrd’s NEST). An instrument to evaluate nurses’ ethical sensitivity in practice by examining choices of action in ethical dilemmas based on nursing virtues: compassion, fidelity to trust, moral courage, justice, self-confidence, resilience, practical reasoning, and integrity (Benner, Tanner, & Chelsa, 1996; Volbrecht, 2002). Benner’s theory of skill acquisition-novice to expert was the theoretical framework for this research which surveyed for correlations between a nurse’s ethical sensitivity and educational level, years of experience, certification, and work setting. Until now, there have been …

Contemplating A New Model For Air Force Aerospace Medical Technician Skills Sustainment Training, Robert M. Corrigan

Theses and Dissertations

Two decades ago, Aerospace Medical Technicians received robust skills sustainment training through exposure to multifaceted patient treatment environments. Available training environments included inpatient care, outpatient care, and emergency services. This diverse training environment made possible through large operating budgets and an extraordinary infrastructure could not last. Today (after five separate base closure and realignment initiatives), medical funding and infrastructure is but a shadow of what it once was. Budget constraints and the rising cost of healthcare have necessitated a purposeful movement away from inpatient and emergency care, toward outpatient and preventative medicine. Although changes in Air Force health care delivery …

Implications Of Personal Recovery History For Training And Development Of Addiction Treatment Workers, Bruce K. Barnard

Masters Theses

The purpose of the study was to identify and compare competencies perceived as most important by addiction treatment workers with, and without, a personal history of recovery. A survey was developed and administered to 94 workers in three community-based addiction treatment agencies. The study found broad support for the competencies published by the Addiction Technology Transfer Center, National Curriculum Committee (1998). There were no significant differences in perceptions of competencies by workers with a personal recovery history and those without such history. Results indicate that factors such as workplace culture may be more powerful than recovery history in influencing worker …

A Cipp Evaluation Of The Administrative Associate Training Program Through Sentara, Patricia A. Criswell

Community & Environmental Health Theses & Dissertations

Hospitals are facing change in today's environment. In order to meet these growing challenges, they are responding by providing value added services. Value added services have been defined as reducing inefficiencies and improving quality and service. Operational restructuring in the form of a new concept called patient-focused care has become the paradigm shift and structural revamping at several hospitals across the nation. Sentara Hospitals have adopted this program to improve the clinical and service quality delivered to the patient. An integral component of this new approach is the multiskilling of staff to reduce duplication, inefficiencies, and improve the quality provided …

The Effect Of A Death, Dying And Grieving Seminar On Nicu Nurses' Levels Of Anxiety, Depression And Hostility, Bonnie Kugel

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

Occupational Injury Control Through System Safety Analysis - A Comparative Study, Victor Aeby

Masters Theses & Specialist Projects

The study was a comparative retrospective analysis to determine the effectiveness of MORT (Management Oversight and Risk Tree), a system safety method, in reducing the incidence and cost of occupational injuries occurring at the Tennessee Wheel and Rubber Company. Implementation of MORT on April 1, 1974 at the plant facility allowed for statistical comparison of accidents between the time periods April 1, 1972 through March 31, 1974 and April 1, 1974 through March 31, 1976.

Data on injury incidence were gathered by researching the company's worker compensation reports. Cost figures for injuries were drawn from computer printouts provided by the …

The Nursing Process And Its Relationship To The Quality Of Nursing Care, Arlene H. Johnson

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine the effect of the systematic use of the nursing process on the quality of nursing care. Quality nursing care was defined as being achieved when the patient's nursing care needs are identified and plans made to assist the patient with these needs.

It was hypothesized that the quality of nursing care would be improved by the participation of the team leaders in a series of classes on the nursing process. This improvement in quality nursing care would be evidenced by a higher correlation between the patient's needs perceived by the nurse and …

Assisting Mothers To Successfully Breast Feed Their Babies, Annabelle Moore

Loma Linda University Electronic Theses, Dissertations & Projects

This experimental study tested the effect of a teaching program on success of a group of mothers desiring to breast feed their babies. It was hypothesized that mothers receiving specific instructions on the physiology of lactation and the proper sucking technique would have greater success than mothers not so instructed.

To be categorized as successful the mothers had to have an adequate supply of milk and had to express satisfaction with breast feeding. Criteria for adequacy of milk supply consisted of weight gain of the infant within accepted norms without use of supplementary formula.

Twenty breast feeding mothers who delivered …

Hospital Resources Used As Guides In Unfamiliar Nursing Procedures, Marie Ethel Greene

Loma Linda University Electronic Theses, Dissertations & Projects

Hospital nursing procedures are rapidly increasing in number and in complexity, keeping pace with the continuous advances being made in medical science. This, coupled with the fact that many nurses are resuming their careers after a period of professional inactivity, make it imperative that hospitals provide facilities for assisting nursing personnel in becoming acquainted with unfamiliar procedures. This study was done to learn what resources hospital nursing personnel use most as a guide in performing unfamiliar procedures, and by internal analysis, to identify some of the factors influencing the choice of resources used by different levels of nursing personnel. Following …

The Post-Basic Preparation Received By Administrative, Supervisory And Head Nurses In Six Hospitals, Margaret Josephine Patry

Loma Linda University Electronic Theses, Dissertations & Projects

It was the purpose of this survey to find out what post-basic preparation the administrative, supervisory and head nurses had received for their positions in six Seventh-day Adventist hospitals. The descriptive survey was chosen as the method of approach in the study. An information card was devised to gather the data. A total of 190 or 81 percent of the 235 anticipated responses were returned. The recommended preparation for nurses in nursing service positions, as set forth by the American Nurses' Association in the Functions, Standards and Qualifications for Practice, was selected as the criteria by which this preparation was …

A Follow-Up Study Of Paradise Valley School Of Nursing Graduates From 1950-1957, Charlotte D. Ross

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted to find out if Paradise Valley School of Nursing is meeting certain specified objectives and to gather information which could help in future curriculum planning to better meet the needs of the students.

The normative-survey was the method used to gather data from graduates of the 1950-1957 classes. This group comprised those graduating from the three-year diploma program. A questionnaire was mailed to 149 graduates of which 124 responded.

The study shows that:

The graduates are residing in 22 states and 4 foreign countries.

Sixty-six per cent are married with over half being married within 3 …

A Plan For Inservice Education In A Small Maternity Unit, Ruth Wipperman

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of thin study was to develop a plan for inservice education for the graduate nurse staff in a small maternity unit that would encourage optimum nursing care.

A questionnaire was prepared and given to those nurses who had been employed in the maternity unit during the sixteen month period prior to the date of mailing the questionnaire.

The responses from the nurses showed that they would welcome an inservice education plan that would provide an improved orientation program and meetings for discussion to foster self improvement and better patient care. Critical incidents reported by the nurses showed the …

A Pilot Study Of The Nature Of Learning Experiences In The Operating Room, Lucile Lewis

Loma Linda University Electronic Theses, Dissertations & Projects

It was the purpose of this study to consider four phases of the nature of the learning experiences of students of nursing in the operating room. The phases of the problem studied were: (1) Are the learning experiences "new" or "an expansion and/or clarification of previous learnings?" (2) Do new learning experiences continue throughout the clinical assignment to the operating room? (3) Are the learning experiences concentrated in some areas of learning more than in others? (4) Is there a relationship between the area of learning and the type of duty performed by the student in the operating room?

Literature …