Impact of training course in behavioural therapy on psychiatric nurses

1991 ◽  
Vol 8 (1) ◽  
pp. 40-42
Author(s):  
Elizabeth A. Dunne ◽  
Aine Melinn ◽  
Tony Humphreys ◽  
Ethel Quayle
Keyword(s):  
Clinical Practice ◽  
Professional Practice ◽  
Family Life ◽  
Behavioural Therapy ◽  
Psychiatric Nurses ◽  
Professional Relationships ◽  
Training Course ◽  
One Year ◽  
The Impact

AbstractA group of psychiatric nurses (N = 15) rated the impact of participation in a one year post-experience training course in behavioural psychotherapy on their personal/family life; professional practice; and professional relationships. Levels of stress associated with different phases of the course were also monitored.Results indicated that the main stresses were associated with re-adjustment of family life over the period of the course and ensuring stability of training placements at the outset of the course. The course fulfilled participants' expectations with regard to improving their clinical practice, and confirmed their view that relationships with psychiatrist colleagues would be unaffected by their participation on the course. Impact on relationships with nurse colleagues was more positive than had been anticipated during the period of the course.

scholarly journals The Impact of Studying a Postgraduate Course in Clinical Biomechanics on Professional Practice

2020 ◽  
Author(s):  
Helen Branthwaite ◽  
Sian Calvert ◽  
Nachiappan Chockalingam
Keyword(s):  
Clinical Practice ◽  
Professional Practice ◽  
Subject Area ◽  
Leadership Roles ◽  
Competency Development ◽  
Allied Health Professionals ◽  
Postgraduate Study ◽  
Postgraduate Studies ◽  
Analysis Of Results ◽  
The Impact

Abstract Background There is a continual need for allied health professionals to maintain an active CPD portfolio for registration. Profession specific postgraduate studies have been shown previously to clinically enhance practice leading to extended scope and leadership roles. It is not well known though if completing an interprofessional, subject specific award has any impact on clinical practice. The aim of this paper was to retrospectively review what the clinical and professional practice impact was from gaining a postgraduate award in Clinical Biomechanics had on alumni’s practice. Methods 25 multidisciplinary alumni from Staffordshire University, Clinical Biomechanics suite of postgraduate awards, responded to a questionnaire designed to review any changes in clinical practice and the impact studying had had for participants. Results Thematic analysis of results highlighted trends in competency development and clinical impact of postgraduate study, indicating professional development and improved confidence in work interprofessional practices. Conclusion This study supports interprofessional cohorts of postgraduate study for a wider subject area, which has shown to enhance the evaluation of specific clinical practice whilst taking on a broader perspective of the topic, developing stronger and wider clinical conclusions.

scholarly journals Let’s put the “T” back into CBT

2018 ◽  
Vol 23 (4) ◽  
pp. 240-245 ◽  
Author(s):  
James Binnie ◽  
Marcantonio Spada
Keyword(s):  
Clinical Practice ◽  
Cognitive Behavioural Therapy ◽  
Psychiatric Diagnosis ◽  
Design Methodology ◽  
Behavioural Therapy ◽  
Evidence Based ◽  
Content Type ◽  
Cognitive Behavioural ◽  
The Impact ◽  
Reductionist Approach

Purpose The purpose of this paper is to critique the current manner in which cognitive behavioural therapy (CBT) is delivered, with a focus on the impact of evidence-based practice. Design/methodology/approach This paper is based upon the experiences, ideas and clinical practice of the authors. Findings The reductionist approach based on psychiatric diagnosis is put forward as the mechanism by which CBT has gradually lost its status as a form of psychotherapy. Originality/value An alternative framework based on revitalising CBT as a client centred, problem-based and formulation driven form of therapy is put forward.

scholarly journals The Impact Of Internship Programme And Its Effects On The Physiotherapy Practice In Nigeria

2007 ◽  
Author(s):  
Ayodele Teslim Onigbinde
Keyword(s):  
Clinical Practice ◽  
Clinical Training ◽  
Positive Impact ◽  
Training Programme ◽  
Working Environment ◽  
University Teaching ◽  
Teaching Hospitals ◽  
One Year ◽  
The Impact ◽  
Internship Training

Background: The recent introduction of one year internship training programme is one of the few steps taken to update standard and knowledge of upcoming physiotherapists in Nigeria. It is a compulsory one-year clinical training post-graduation from the university under the supervision of the clinicians. The major importance of introducing the new policy is to promote acquisition and utilization of new skills, and as well, develop skills and confidence already acquired during undergraduate days. Objectives: The aim of this study was to assess and evaluate the new internship-training programme considering welfare package like salary and wages, accommodation, employment opportunities, acceptability and working environment. The study also evaluated the opinion of the supervisors on the impact of the new policy on the profession, government and clinical practice. Method: Structured copies of self-administered questionnaires were distributed to forty-four interns at three accredited University Teaching Hospitals in Nigeria while 30 questionnaires were distributed to supervising physiotherapists in these hospitals. The response rate for interns was 100% while it was 60% for the supervisors. The data obtained from the designed questionnaire were analyzed by descriptive analysis. Results: The result showed that the 52% of the interns were satisfied with the support from their senior colleagues, work load (80%), freedom to plan and manage patients (100%), and supervision from senior colleagues (62%). They were grossly dissatisfied with their salaries (91%), equipment available (79%), pattern of conducting ward rounds (89%), and office environment (58%). The result also revealed that all the supervising physiotherapists (100%) were satisfied with the skill and clinical practice of the interns. The result further showed that the programme has a positive impact in terms of clinical practice, confidence employment opportunity, productivity and government policy (66–100%). Conclusion: This study concluded that the internship programme has a remarkable positive impact on the profession of physiotherapy in Nigeria. However, the intern physiotherapists were not satisfied most especially with their monthly income and pattern of conducting clinical rounds. KEY WORDS: Physiotherapy Internship Programme, Nigerian Physiotherapists.

COST ANALYSIS OF CLINICAL PRACTICE NURSING PROFESSION STUDENTS WITH ACTIVITY BASED COSTING (ABC) METHOD IN Dr. SOEWANDHI HOSPITAL SURABAYA EAST JAVA

2017 ◽  
Vol 1 (2) ◽  
pp. 128
Author(s):  
M Hasinuddin ◽  
Nuh Huda ◽  
Abdul Wahid
Keyword(s):  
Clinical Practice ◽  
Professional Practice ◽  
Unit Cost ◽  
Educational Institutions ◽  
Activity Based Costing ◽  
Practice Nurses ◽  
Professional Nurses ◽  
Abc Method ◽  
The Cost ◽  
The Impact

Background and objectives. During this time the unit cost of clinical practice in hospitals that practice becomes a vehicle which has not been done calculation costing more Clinical practice based on estimates, propriety and comparison with the cost of clinical practices from other hospitals. The costing is sometimes caused problems. Currently the cost of student practice in teaching hospitals varies between Rp. 300,000 - Rp. 500,000 / person / month. The problem that exists is how the unit cost and how much it costs the right based on unit cost and other considerations that apply to students practice at the Hospital Clinic as a vehicle for clinical practice. The purpose of this study to determine the unit cost and set the cost of professional practice of nurses that will be proposed applicable professional nurses students at Hospital.Method. This research was a descriptive observational study by conducting a case study in the dr. Soewandhi hospital East Java. Calculation of unit cost carried by Activity Based Costing (ABC), costing more to do content analysis after conducting focus group discussions, as well as other considerations.Research result. The results using the ABC method showed that the unit cost to the cost of professional practice nurses in the hospital Dr. Soewandhi Surabaya is Rp. 460,000, - / month / person, while the cost of practice set by the RS Dr. Soewandhi is Rp. 1.200.000, - / month / person. There is a practice of the profession excess costs Rp. 740,000, -. RS Dr. Surabaya Soewandhi practice fees apply without using a standard based on the unit cost accordingly. Some educational institutions felt the cost was very heavy so the impact to the cancellation of the filing of the professional nurses student practice.Conclusions and recommendations. The hospital used a professional students practice nurses should use the standard fees in accordance with needs through precise calculations that the fees charged to students through educational institutions in accordance with the appropriate calculations.Keyword: ABC system - Profession nurses - Fee Practices

Transition to cognitive behavioural therapy from different core professional backgrounds: three grounded theory studies

2020 ◽  
Vol 13 ◽  
Author(s):  
Matthew D. Wilcockson
Keyword(s):  
Grounded Theory ◽  
Clinical Practice ◽  
Coping Strategies ◽  
Cognitive Behavioural Therapy ◽  
High Intensity ◽  
Behavioural Therapy ◽  
List Type ◽  
Cognitive Behavioural ◽  
Mandatory Requirement ◽  
The Impact

Abstract Aim: Transition between roles is widely recognised to be a complex process that involves training, socialisation into the new culture, exiting a previous role culture, and dealing with the transition process itself, and dealing with loss of identity and initial incompetence in the new role. Moving from core profession to high intensity (CBT) therapist is an example of such a role transition. As a result, complete transition is not guaranteed, which may affect completeness of learning, and how CBT is practiced post qualification. It is recognised in a number of studies that professional cultures are present in professions such as nursing and counselling, and these professions may have different filters for viewing CBT, and different training needs. Method: A grounded theory analysis (Glaserian) of each of three core professions’ (mental health nurses, counsellors, and an unprofessionalised group) reflective reports (7 per profession) was undertaken, incorporating information from their learning journals throughout the year independently of each other. The reflective reports incorporate reflections on the process of transition and learning, and is a mandatory requirement of the course. Through an inductive process described in the article, a theory of transition was developed for each group. Results: Three different theories of transition are presented. Nurses absorbed knowledge but resisted practice changes, especially being clinically observed. Practice changes occurred through behavioural consequences and cognitive dissonance and reflection is structured and compartmentalised generally. The conflict between counselling and CBT is felt more deeply emotionally but resolved through experiencing ‘self as client’ for most counselling participants. Practice conflicts are mostly resolved with this group, but some ideological ones are not. The KSA group have a relatively smooth transition unaffected by previous experiences. Inability to use previous coping strategies for dealing with distress is influential, inducing crises for the nursing and counselling groups. Implications: Learning is delayed by trying to avoid clinical practice, and excessive identification only with the aspects of CBT that fit with existing identity and practice with nursing and counselling groups. Adaptations to training may be beneficial to enforce observation of practice at an earlier stage to drive change. The nursing role does appear to undermine learning. Reflection does eventually drive the learning process as noted in other studies, but this does not occur spontaneously with nurses or counsellors. Identification with the new role appears influential in a relatively complete change, which is consistent with theory. Recommendations to adopt CBT coping strategies early in the training are made, as is a session of individual support to address profession-based conflicts. Potential implications for the evidence base are noted. Transitional models provide a framework for educators and students. Key learning aims (1) To appreciate the importance of successful role transitions and their effect on future practice. (2) To become familiar with the key issues in transitioning between different core professions and an IAPT high-intensity role. (3) To critically reflect on personal experience in transitioning to cognitive behavioural therapy, and the impact it has had on clinical practice.

scholarly journals Introducing the care programme approach to a multidisciplinary team: the impact on clinical practice

1995 ◽  
Vol 19 (3) ◽  
pp. 143-145 ◽  
Author(s):  
Barry Matthews
Keyword(s):  
Clinical Practice ◽  
Multidisciplinary Team ◽  
Professional Staff ◽  
Care Programme ◽  
Simple Computer ◽  
Computer Based ◽  
One Year ◽  
The Impact

This paper describes the development of a simple computer-based care programme system. An important issue in its development was the attitude of professional staff. After one year of use staff recognised the system as a useful and practical aid in the management of their cases.

The impact of social policy on changes in professional practice within learning disability services: different standards for children and adults? A two-part examination

2011 ◽  
Vol 15 (4) ◽  
pp. 289-299 ◽  
Author(s):  
David G. Race ◽  
Nigel A. Malin
Keyword(s):  
Learning Disability ◽  
Professional Practice ◽  
Large Scale ◽  
Public Expenditure ◽  
Disability Services ◽  
Coalition Government ◽  
Scale Reduction ◽  
Adult Services ◽  
One Year ◽  
The Impact

This is the second of two articles examining links between policy developments and changes in professional practice within learning disability services in England. The first article focused on policy foundations over the last 30 years, and concluded that there was a developing gap in professional inputs between children’s and adult services. This article, written one year into the Coalition government, argues that its policies – especially the large-scale reduction in public expenditure, but also the decline in support for inclusion of children in mainstream education, the rapid growth of academies, and proposals for the reorganization of the NHS – have exacerbated the trends identified earlier. In addition, local authorities, though outwardly compliant, have variously interpreted their responsibilities under the personalization agenda, in particular in relation to individual budgets, and this has resulted in assessments of need being based on ‘service hours’ rather than service quality and staff qualifications.

scholarly journals ROLE OF GOUT IN ATRIAL FIBRILLATION

2019 ◽  
Vol 31 (4) ◽  
pp. 943-945
Author(s):  
Antoniya Kisheva
Keyword(s):  
Atrial Fibrillation ◽  
Risk Factor ◽  
Clinical Practice ◽  
Composite Endpoint ◽  
Analysis Model ◽  
Significant Difference ◽  
Galectin 3 ◽  
One Year ◽  
The Impact

Atrial fibrillation (AF) is the most prevalent arrhythmia in clinical practice. Atrial fibrillation (AF) is the most prevalent arrhythmia in clinical practice. There is increasing evidence for the role of inflammation in the development and maintenance of AF and gout is associated with inflammation and oxidative stress. In the last years several studies were published to assess the role of gout as a risk factor for occurrence of atrial fibrillation (AF). There are not enough data on the importance of gout in patients, who already have AF. The aim of the study is to assess the impact of gout on the clinical course of AF. Overall 101 patients – 51 females and 50 males at mean age 68,02 ± 7,001, with AF after sinus rhythm restoration were included in a clinical trial of one-year placebo-controlled treatment with spironolactone. Gout was reported in 6,8% of them. They were analyzed for AF recurrence, hospitalization for AF, all-cause admissions, composite endpoint (recurrence episodes of AF, all-cause hospitalization and death) and value of biomarker Galectin-3 (Gal-3). Results: Patients with gout had double risk of recurrence of AF, even though not significant, HR=1.97, 95%CI=0,78-4.98, p=0,15. In our study presence of gout was significant predictor for hospitalization for AF in unifactor analysis (HR 4,46, 95% CI=1.51 – 13.19, p=0,007) and the only significant in multifactor analysis – model, including gender, age categories, hypertension, diabetes and use of spironolactone (HR=4,23, 95%CI=1,28–14,1, p=0,018). Gout influenced significant also the all-cause hospitalizations, HR =3.17, 95%CI 1.10-9.14, p=0.033. There was a significant difference between the value of Gal-3 in patients with gout as opposed to patients without (28,52±15 vs 16,02±5,49, р=0,002). Conclusion: We found that gout significantly influences the course of AF. Presence of gout in patients with atrial fibrillation is a risk factor for recurrence and hospitalization – cause-specific for AF and all-cause. The value of Gal-3 as a marker of fibrosis and inflammation is higher in patients with AF and gout.

Translating Principles of Speech Science to Clinical Practice: Current and Future Trends in Craniofacial Disorders

2008 ◽  
Vol 18 (1) ◽  
pp. 31-40 ◽  
Author(s):  
David J. Zajac
Keyword(s):  
Clinical Practice ◽  
Speech Intelligibility ◽  
Current Practice ◽  
Computer Assisted ◽  
Behavioral Management ◽  
Single Word ◽  
Future Directions ◽  
Speech Science ◽  
The Impact ◽  
Opinion Article

Abstract The purpose of this opinion article is to review the impact of the principles and technology of speech science on clinical practice in the area of craniofacial disorders. Current practice relative to (a) speech aerodynamic assessment, (b) computer-assisted single-word speech intelligibility testing, and (c) behavioral management of hypernasal resonance are reviewed. Future directions and/or refinement of each area are also identified. It is suggested that both challenging and rewarding times are in store for clinical researchers in craniofacial disorders.

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