Subject(s)
Attitude of Health Personnel , Critical Care , Health Facility Environment/organization & administration , Job Satisfaction , Nursing Staff, Hospital/psychology , Workplace , Adult , Certification , Critical Care/organization & administration , Critical Care/psychology , Female , Follow-Up Studies , Humans , Leadership , Male , Middle Aged , Nurse's Role/psychology , Nursing Administration Research , Nursing Methodology Research , Nursing Staff, Hospital/education , Nursing Staff, Hospital/organization & administration , Personnel Turnover , Social Support , Specialties, Nursing/education , Specialties, Nursing/organization & administration , United States , Workplace/organization & administration , Workplace/psychologyABSTRACT
In today's competitive health care recruitment environment, one of the most cost-effective and successful recruitment strategies is alumni or "boomerang" recruitment. A proven business model, alumni recruitment is just beginning to be used in a significant way in the health care arena. The cost to recruit alumni is much lower than for those in the general workforce and the alumni population is a known quantity. Alumni will assimilate much more easily into your corporate culture, will need less orientation and onboarding, and will be more productive.
Subject(s)
Personnel Selection/methods , Humans , Internet , Social Support , United StatesABSTRACT
A combination of factors has diluted the recruitment experience and created a confluence of elements similar to a perfect storm. Recruitment has morphed from a high-touch experience to a high-tech process. Though we can't go back to those halcyon pre-Internet days, we do need to find a better approach than our current technology-based, fragmented recruitment process. The ideal recruitment scenario would be a marriage of high tech and high touch. We must drive the technology, not let the technology dictate our process.
Subject(s)
Internet/organization & administration , Interprofessional Relations , Job Application , Nurse Administrators , Nursing Staff , Personnel Selection/organization & administration , Attitude of Health Personnel , Humans , Interviews as Topic/methods , Nurse Administrators/organization & administration , Nurse Administrators/psychology , Nursing Staff/psychology , Nursing Staff/supply & distributionABSTRACT
A consortium of international organizations convened a first-ever Global Health Care Workforce Conference to discuss the worldwide shortages of health care workers and the migration patterns of health care workers from developing nations to the first world. Over 300 participants from 47 countries, including one-third from developing countries, discussed a variety of critical issues ranging from global immigration, recruitment, economics, to partnerships. Results, recommendations, and actionable items generated from the conference, as well as ways to put these ideas into practice, will be critical for sustaining and improving world health and the plight and numbers of health care providers.
Subject(s)
Foreign Professional Personnel , Global Health , Health Planning , Nursing , Personnel Management , Economics, Nursing , Emigration and Immigration , Foreign Professional Personnel/supply & distribution , Humans , International Cooperation , WorkforceSubject(s)
Health Planning/organization & administration , Nursing Staff/organization & administration , Personnel Selection/organization & administration , Personnel Staffing and Scheduling/organization & administration , Age Factors , Career Mobility , Ergonomics , Forecasting , Health Promotion , Health Services Needs and Demand , Humans , Nursing Administration Research , Occupational Health , Personnel Turnover , RetirementABSTRACT
OBJECTIVE: To understand the everyday life experiences of persons who have spasticity associated with spinal cord injury (SCI). DESIGN: Applied ethnographic design. SETTING: Patients' homes and rehabilitation clinics. PARTICIPANTS: Twenty-four people with SCI who experience spasticity. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Domains identified through qualitative analysis of in-depth open-ended interviews. RESULTS: Domain analysis revealed 7 domains: physical, activity, emotional, economic, interpersonal, management, and cognitive. Descriptive subcategories within each domain were identified. Patients personalized the meaning of spasticity and expressed their understandings of the condition in ways that may not be consistent with clinical definitions. Some patients suggested that being able to control spasticity was preferable to total suppression. CONCLUSIONS: Spasticity-related interventions need to be aimed at what matters most to the patient. It is critical for clinicians to understand patients' experiences to make accurate assessments, effectively evaluate treatment interventions, and select appropriate management strategies. When providers reconfigure patients' descriptions to fit neatly with a biomedical understanding of spasticity without carefully assessing the descriptions in terms of what matters most to patients, a potential risk for misappropriating interventions may arise.
Subject(s)
Muscle Spasticity/psychology , Spinal Cord Injuries/psychology , Adaptation, Psychological , Adult , Aged , Cost of Illness , Emotions , Female , Humans , Interpersonal Relations , Interviews as Topic , Male , Middle Aged , Muscle Spasticity/therapy , Pain/etiology , Pain Management , Self Care , Severity of Illness Index , Spinal Cord Injuries/therapyABSTRACT
Persons with spinal cord injury (SCI) may experience a range of symptoms typically labeled "spasticity." Previous efforts to develop assessment tools that measure spasticity have failed to represent the experiences of persons who live with the condition. The purpose of this multicenter study was to develop an instrument that measures the impact of spasticity on quality of life. Based on 24 semistructured interviews, a developmental form of the Patient Reported Impact of Spasticity Measure (PRISM) was constructed. The developmental PRISM was administered to 180 persons at five sites. Subscales were developed based on factor analytic results. Evidence for the reliability and validity of the scores was evaluated. Seven subscales were developed, including one that measures the positive effects of spasticity. Results of reliability and validity assessments indicate that the PRISM subscale scores effectively measure the impact of spasticity in the population of veterans with SCI.
Subject(s)
Electronic Data Processing/methods , Muscle Spasticity/diagnosis , Psychometrics/methods , Spinal Cord Injuries/rehabilitation , Cervical Vertebrae , Female , Follow-Up Studies , Humans , Male , Middle Aged , Muscle Spasticity/etiology , Muscle Spasticity/physiopathology , Quality of Life , Reproducibility of Results , Spinal Cord Injuries/complications , Spinal Cord Injuries/diagnosis , Surveys and QuestionnairesSubject(s)
Attitude of Health Personnel , Critical Care/organization & administration , Health Facility Environment/organization & administration , Nursing Staff, Hospital/psychology , Workplace/organization & administration , Adult , Communication , Cooperative Behavior , Critical Care/psychology , Education, Nursing, Continuing , Female , Guidelines as Topic , Humans , Job Satisfaction , Leadership , Male , Nurse Administrators/organization & administration , Nurse Administrators/psychology , Nursing Methodology Research , Nursing Staff, Hospital/education , Nursing Staff, Hospital/organization & administration , Occupational Health , Personnel Staffing and Scheduling/organization & administration , Professional Competence/standards , Quality of Health Care/organization & administration , Surveys and Questionnaires , United States , Violence/prevention & control , Violence/psychology , Violence/statistics & numerical data , Workplace/psychologySubject(s)
Leadership , Nurse Administrators/organization & administration , Personnel Management/methods , Personnel Selection/organization & administration , Forecasting , Humans , Interprofessional Relations , Nurse Administrators/psychology , Nursing Staff, Hospital/organization & administration , Nursing Staff, Hospital/psychologyABSTRACT
Many of the closing comments that respondents shared revisited areas of concern and optimism about the nursing profession and men's place within it. Emphasis was placed on the need to recruit more men and minorities into the profession, confront stereotypes, and improve the general awareness and knowledge of what the profession has to offer to all its members. Just as in the student survey, we were struck by how articulate and passionate respondents were about nursing. Countless respondents indicated that nursing was a 'calling'; that they especially enjoyed 'making a difference' and how unique nursing is for that reason. We also appreciated the humor and self-confidenc they demonstrated about the reality of being a minority in the profession, and their 'just do it' mindset.
Subject(s)
Career Choice , Job Satisfaction , Nurses, Male/supply & distribution , Health Care Surveys , Humans , Male , United StatesSubject(s)
Career Choice , Gender Identity , Job Satisfaction , Nurses, Male/psychology , Adult , Data Collection , Humans , MaleABSTRACT
This longitudinal study was designed to test the hypothesis that persons who consistently report pain at three (women) or four (men) measurement points across 10 years (1988 to 1998) are different both physically and psychologically from those who inconsistently or never report pain. Participants were 96 persons with spinal cord injury (SCI) living in the community who participated at every measurement point. Measures included consistency of reports of pain (i.e., reported having had problems with pain in the 12 months prior to all, some, or no measurement points); demographic and injury-related data; and measures of physical and psychological health, function, and social support. Of the 96 participants, approximately half of the men and three-fourths of the women consistently reported pain at each point. Phase 1 predictors of the consistency of pain reports for men were being less impaired, being more independent, experiencing more stress, and receiving less social support. Women consistently reporting pain had more stress at Phase 1 than women inconsistently reporting pain. Persons with SCI at risk for chronic pain should be identified and referred to a multidisciplinary pain management program.
