ABSTRACT
With the passage of the Affordable Care Act and the development of a National Workforce Commission, multiple entities have increased their interest in collecting standardized health care workforce data at the state and national levels. In a tight budget environment, developing data sets which collect the minimum needed information that is necessary for workforce planning and supply/demand projections has become critically needed. This article represents the second of a two part series describing the work that the Forum of State Nursing Workforce Centers has undertaken during the last 3 years toward standardizing nursing workforce data. Part I described the initial steps that informed the development of national nursing workforce minimum data sets. Part II describes the consensus model used to develop the minimum data sets as well as an update on the implementation of the minimum data sets in individual states including challenges and barriers encountered.
Subject(s)
Education, Nursing/standards , Health Workforce/organization & administration , Nursing Care/organization & administration , Patient Protection and Affordable Care Act/organization & administration , Consensus , Female , Humans , Male , Organizational Policy , Reference Standards , United StatesABSTRACT
Personnel shortages are evident for a number of disciplines in the health professions, from physicians to nurses. Project CRISTAL (Collaborative Rural Interdisciplinary Service Training and Learning) was designed to immerse students in rural and reservation communities and encourage them to consider practicing in locations that have shortages of health care providers. Students gain an understanding of the importance of working as part of a health care team and address present and future health care workforce shortages. The project was also structured to help students develop the necessary skills to become culturally-sensitive providers. Working relationships among higher education institutions, health care facilities, and reservation communities were enhanced. Additionally, a culturally-appropriate, team-oriented curriculum for reservation settings was developed. Experiences gained from the North Dakota project provide valuable insight into interprofessional health training and health issues of American Indian populations.
Subject(s)
Cultural Competency/education , Education, Professional/methods , Indians, North American , Preceptorship/methods , Female , Health Services, Indigenous , Humans , Interprofessional Relations , Male , Medically Underserved Area , North Dakota , Patient Care Team , Rural Health , United States , United States Indian Health ServiceABSTRACT
CONTEXT: Community input can lead to better-defined goals in an organization. With this in mind, the Center for Rural Health at the University of North Dakota School of Medicine and Health Sciences embarked on a series of 13 meetings with representatives of organizations serving rural communities, including 5 Native American reservations. PURPOSE: To give a detailed description of the steps involved in planning, and the outcomes and lessons learned from the meetings. Organizations will be able to use this information when incorporating community involvement as part of their planning process. PROJECT: Each meeting included a presentation of the Center for Rural Health efforts throughout the state and a discussion in which residents were asked about health care barriers they have encountered and how the Center for Rural Health could align its efforts to assist communities. CONCLUSIONS: The conversations from these meetings have provided a wealth of information about barriers to providing quality health care facing rural and Native American residents. The Center for Rural Health has incorporated this information into its strategic planning process and has formed several work groups to address issues raised. Community conversations allow organizations to better determine priorities that will be valid and realistic to the communities they serve.
Subject(s)
Community Health Planning/organization & administration , Community Participation , Community-Institutional Relations , Health Services, Indigenous/organization & administration , Indians, North American , Needs Assessment/organization & administration , Rural Health Services/organization & administration , Schools, Medical/organization & administration , Adult , Group Processes , Health Priorities , Health Services Accessibility , Humans , Medically Underserved Area , Middle Aged , North Dakota , Rural HealthABSTRACT
Many studies have found cognitive deficits related to alcohol consumption. However, few studies have studied cognitive performance when alcohol was administered after the to-be-remembered information was presented with memory testing occurring when participants are once again sober. The present study examined effects of alcohol on cognitive performance using a prose recall task during acute intoxication and a post-trial recall task for prose passages that had been presented before intoxication. Fifty-one men were given either 2.0 g/kg of 100 proof (50% absolute ethanol) vodka or a placebo. In the present study, evidence was found of acute alcohol impairment in prose memory, along with alcohol facilitation of memory on a post-trial task.
