STAFF ORIENTATION, TRAINING AND DEVELOPMENT.

STAFF DEVOLOPMENT

INTRODUCTION

Staff development is t e p!o"ess to#a!ds t e pe!sonal and p!ofessional $!o#t of n%!ses and ot e! pe!sonnel # ile t e& a!e emplo&ed '& a ealt "a!e a$en"&.

DEFINITION

Staff development !efe!s to all t!ainin$ and ed%"ation p!ovided '& an emplo&ee to imp!ove t e o""%pational and pe!sonal (no#led$e, s(ills, and attit%des of vested emplo&ees.

NEED FOR STAFF DEVELOPMENT

T e main p%!pose of staff development p!o$!am fo! n%!ses is to p!ovide t e oppo!t%nit& to "ontin%all& a")%i!e and implement t e (no#led$e, s(ills, attit%des, and val%es essential fo! t e maintenan"e of i$ )%alit& of n%!sin$ "a!e.

FUNCTIONS OF STAFF DEVELOPMENT

T e main p%!pose of staff development is to p!ovide ed%"ational a"tivities fo! all n%!ses emplo&ed '& t e ealt "a!e a$en"& T e staff development p!o$!am m%st 'e "on"e!ned #it t e $!o#t and development of pe!sonnel f!om t ei! initial "onta"t #it a ealt "a!e a$en"& %ntil te!mination of se!vi"e.

components will provide !r mewor" !or str#ct#rin$ st !! development pro$r m

Socio%Economics
*. Manpo#e! plannin$ Re"!%itment Sele"tion Pla"ement +. ,o%nselin$ Pe!fo!man"e eval%ation ,a!ee! plannin$ P!omotion -. Emplo&ee.emplo&e! !elation Pe!sonal /poli"ies and p!a"ti"es 0ealt se!vi"es La'o! !elations

E&perience
*. N%!sin$ p!a"ti"es

Direct p tient c re% $ene!al o! spe"ialties as independent patient "a!e assi$nment o! team app!oa" Indirect p tient c re% s%pe!vision, administ!ation, tea" in$ and !esea!" +. Ot e! !eal life e1pe!ien"es ,ollea$%e inte!a"tion Vol%nta!& a"tivities !elated to ealt "a!e P!ofessional asso"iation pa!ti"ipants pe!sonal life

Ed#c tion
*. ,ontin%in$ ed%"ation

In.se!vi"e ed%"ation O!ientation

T'PES OF STAFF DEVELOPMENT

*. FORMAL +. INFORMAL

(#idelines !or st !!%development pro$r ms

In o!$ani2in$ staff development offe!in$s, t e adviso!& "ommittee and staff.development di!e"to! s o%ld develop $%idelines fo! p!o$!am planne!s and tea" e!s. T e "ommittee s o%ld esta'lis sele"tion "!ite!ia fo! i!in$ staff development inst!%"to!s and assi$nin$ tea" in$ !esponsi'ilities to in.se!vi"e tea" e!s and "lini"al n%!se spe"ialists.

T e ead n%!se o! patient "a!e mana$e!s, in.se!vi"e tea" e!s, "lini"al n%!se spe"ialists, middle mana$e!s, staff development di!e"to! and vi"e.p!esident of n%!sin$ s o%ld s a!e fo! t e ed%"ational development of staff n%!ses. To p!event d%pli"ation of effo!ts, t e Adviso!& "ommittee fo! staff development s o%ld spe"if& t e ed%"ational !ole fo! ea" "ont!i'%to! T e vi"e.p!esident of n%!sin$3s !esponsi'ilit& is to allo"ate ed%"ational f%nds and fa"ilities e)%ita'l& amon$ all n%!sin$ divisions T e staff development Di!e"to!s !ole is to soli"it emplo&ee !e)%ests fo! t!ainin$, identif& inte!nal o! e1te!nal e1pe!ts to tea" needed "o%!ses, en!oll emplo&ees in availa'le "o%!ses, and p!ese!ve !e"o!ds of emplo&ees pa!ti"ipation in staff development

T e ead n%!se o! patient "a!e mana$e!3s !ole is ti identif& staff mem'e!s avin$ n%!sin$ and tea" in$ e1pe!tise t at ena'le t em to tea" sele"ted staff. development "o%!ses.

Model o! St !! development

OR(ANI)ATION OF SDP
T e staff development p!o$!am "an f%n"tion %nde! man& o!$ani2ational models. *. ,ent!ali2ed model4 Instit%tional. 0ospital, PG medi"al, N%!sin$, P a!ma"& +. De"ent!ali2ed model4 Onl& n%!sin$ ed%"ation dept4 ,olle$e of n%!sin$, S" ool of n%!sin$ Sele"t a ,oo!dinato! "o%ld 'e administ!ato! o! senio! fa"%lt& mem'e! # o "an "omm%ni"ate #ell, (no#s a'o%t t e p!o$!am and s(ilf%l to "ond%"t t e p!o$!am.

Esta'lis in$ adviso!& "ommittee Identifi"ation of lea!ne!s need T!anslatin$ lea!nin$ needs into o'5e"tives Identif& "ontent Sele"t tea" in$ met od Sele"t inst!%"tional mate!ials Develop eval%ation st!ate$ies and feed'a"( P!ovide "ond%"ive envi!onment fo! lea!nin$ Eval%ate t e p!o$!am.

ROLES AND FUNCTIONS OF ADMINISTRATOR*MANA(ER IN STAFF DEVELOPMENT

ROLES
0e o! s e Applies ad%lt lea!nin$ p!in"iples # en elpin$ emplo&ees lea!n ne# s(ills o! info!mation ,oa" es emplo&ees !eadil& !e$a!din$ (no#led$e and s(ill defi"its A"tivel& see(s o%t tea" in$ oppo!t%nities 6ses tea" in$ te" ni)%es t at empo#e! staff Is sensitive to t e lea!nin$ defi"its of t e staff and "!eativel& minimi2es t ese defi"its F!e)%entl& assess lea!nin$ needs of t e %nit

FUNCTIONS

7o!(s #it !ed%"tion depa!tment to delineate s a!ed individ%al !esponsi'ilit& fo! staff development Ens%!es t at t e!e a!e ade)%ate !eso%!"es fo! staff development Ass%mes !esponsi'ilit& fo! )%alit& and fis"al "ont!ol of staff development a"tivit& Ma(es app!op!iate de"isions !e$a!din$ ed%"ational !eso%!"e allo"ation in pe!iods of fis"al "onst!aints Ens%!es t at all staff a!e "ompetent fo! !oles assi$ned P!ovides inp%t in fo!m%latin$ staff development poli"ies

STAFF DEVOLOPMENT PRO(RAM

DEFINITION

Staff development in"l%des all t!ainin$ and ed%"ation %nde!ta(en '& an emplo&e! to imp!ove t e o""%pational and pe!sonal (no#led$e, s(ills, and attit%des of emplo&ment.

(OALS AND O+,ECTIVES OF STAFF DEVELOPMENT PRO(RAMME

(o ls Assist ea" emplo&ee 8n%!se9 to imp!ove pe!fo!man"e in is: e! position. Assist ea" emplo&ee 8n%!se9 to a")%i!e pe!sonal and p!ofessional a'ilities t at ma1imi2e t e possi'ilit& of "a!ee! advan"ement

O+,ECTIVES

To in"!ease emplo&ee p!od%"tivit&. To ens%!e safe and effe"tive patient "a!e '& n%!ses. To ens%!e satisfa"to!& 5o' pe!fo!man"e '& pe!sonnel. To o!ient t e pe!sonnel to "a!e o'5e"tives, 5o' d%ties, pe!sonnel poli"ies, and a$en"& !e$%lations. To assist t e emplo&ees to f%lfill t e !e)%i!ements of !e$ist!ation a%t o!ities To elp emplo&ees "ope #it ne# p!a"ti"e !ole. Remed& to p!ofessional malaise '& !evealin$ %ns%spe"ted oppo!t%nities fo! self. a"t%ali2ation in t e p!esent position. 0elp emplo&ees "ope #it ne# p!a"ti"e !ole. 0elp n%!ses to "lose t e $ap 'et#een p!esent a'ilities and t e s"ientifi" 'asis fo! n%!sin$ p!a"ti"e t at is '!oadenin$ t !o%$ !esea!" .

Steps o! st !! development pro$r m

Assess t e ed%"ational needs of all staff mem'e!s Set p!io!it& Develop $ene!al o'5e"tives fo! t e staff development p!o$!am Dete!mine t e !eso%!"es needed to !ea" t e desi!ed o'5e"tives Develop a maste! "alenda! fo! an enti!e &ea! Develop and maintain staff development !e"o!d s&stem Esta'lis files on ma5o! ed%"ational topi"s Re$%la!l& eval%ate t e staff development p!o$!am

T'PES

Ind%"tion T!ainin$. ;o' O!ientation. In se!vi"e ed%"ation. ,ontin%in$ ed%"ation. T!ainin$ fo! spe"ial f%n"tion

./ INDUCTION TRAININ(

It is t e p!o"ess of !e"eivin$ and #el"omin$ an emplo&ee if e 5oins t e "ompan& and $ivin$ im 'asi" info!mation !e)%i!ed to settle do#n )%i"(l& and sta!t #o!(.

NEED OF INDUCTION TRAININ(

In"!eased !etention of ne#l& i!e emplo&ees, Imp!oved emplo&ee mo!ale and In"!eased p!od%"tivit&

Steps in ind#ction
To%! of fa"ilities Int!od%"tion to t e ot e! emplo&ees, s%pe!io!s and s%'o!dinates. Des"!iption of o!$ani2ational f%n"tions. Depa!tmental visit O!ientation to p ilosop & $oals and o'5e"tives Administ!ation poli"ies and p!o"ed%!es

TEC0NI1UES USED IN INDUCTION

P &si"al to%! of t e fa"ilities G!o%p dis"%ssion Semina! 0and 'oo( and pamp let

2/ ,O+ ORIENTATION
o!ientation is defined as <t e p!o"ess of "!eatin$ a#a!eness #it an individ%al of is: e! !oles, !esponsi'ilities and !elations ips in t e ne# #o!( sit%ation. O!ientation p!o$!am ma& in"l%de

O!$ani2ation and administ!ation of ealt "ente!s, poli"ies and pe!sonnel !e$%lations. 0ealt p!o'lems in t e a!ea and t e p!o$!am of t e ealt %nit. lon$ te!m and s o!t te!m plan. An int!od%"tion to all t e mem'e!s of ealt team.

An int!od%"tion to t e a!ea. O'se!vation and demonst!ation of n%!sin$ p!o"ed%!es. A!!an$ements fo! s%pe!vised e1pe!ien"e in "lini", omes, s" ools and "omm%nit&. Int!od%"tion of ne# staff to t e $ene!al "omm%nit& Dis"%ssion on t&pe of !e"o!ds, !e$iste!s, !epo!ts and filin$ s&stem and t ei! %se in plannin$ and eval%ation of ealt se!vi"es.

T3pes o! orient tion

Gene!al o!ientation . it in"l%des t e o!ientation of t e instit%tion as a # ole, ove!all o'5e"tives poli"ies and p!a"ti"es of t e instit%tion Spe"ifi" o!ientation = pa!ti"%la! %nit o! depa!tment

4/ IN%SERVICE EDUCATION

In se!vi"e ed%"ation is a planned ed%"ational e1pe!ien"e p!ovided in t e 5o' settin$ and "losel& identified #it se!vi"es in o!de! to elp pe!son pe!fo!m mo!e effe"tivel& as a pe!son and as a #o!(e!.

O+,ECTIVES

To p!ovide fo! and p!omote t e pe!sonal $!o#t and development of t e #o!(e!s To stim%late and develop o""%pational To p!oved fo! 5o' satisfa"tion of t e individ%al # o t en sees e! !ole in elpin$ to f%lfill t e total $oal of a$en"&. To assess t e n%!ses in identif&in$ and meetin$ "%!!ent 'ea!in$ needs and t ose needs $ene!ated '& " an$in$ p!ofessional p!a"ti"e. To disseminate ne# info!mation f!om 'od& of n%!sin$ (no#led$e and ealt s"ien"e t !o%$ ve!it& of " annels.

To a" ieve t e o'5e"tives of ospital t at is to develop a $ood atmosp e!e and effe"tive "a!e. To (eep t e n%!sin$ staffin$ in t ei! lea!nin$ and ma(es t em (eep latest (no#led$e. To a")%i!e %p to date (no#led$e and to ma(e "onfiden"e amon$ t e n%!ses. To (eep t e n%!ses a'!east #it t e latest development of te" ni)%e and t %s ena'les t em to implement it #it s(ill and a'ilit&. To !etain e1pe!ien"e pe!sonnel to foste! t e!e "ontin%e ed%"ation.

5/ CONTINUIN( EDUCATION

,ontin%in$ ed%"ation is all t e lea!nin$ a"tivities t at o""%! afte! an individ%al as "ompleted is 'asi" ed%"ation

AIMS
Imp!ovement of p!ofessional p!a"ti"e To motivate t e staff to see( t e latest (no#led$e To (eep t e n%!ses #it t e latest development of te" nolo$ies It develops inte!est, 5o' satisfa"tion and "onfiden"e

NEED
To ens%!e safe and effe"tive n%!sin$ "a!e To meet needs of pop%lation , an$in$ ealt "a!e delive!& s&stem, Development of n%!ses '& %pdatin$ t ei! (no#led$e Fo! "a!ee! advan"ement P!ofessional a!e alte!ed as so"iet& " an$es and as te" nolo$ies eme!$e

+ENEFITS
T in( "!eativel&, solve p!o'lems )%i"(l& Ta(e app!op!iate de"isions to mana$e patient "a!e Asse!t positivel& Ta(e leade!s ip !oles Develop p!ofessional e1"ellen"e in t e spe"ifi" field Ta(e !esponsi'ilit& fo! self development S a!e !elevant e1pe!ien"es #it ot e!s ,ond%"t simple !esea!" st%dies to imp!ove patient "a!e

6/ TRAININ( FOR SPECIAL FUNCTION

T is is "on"e!ned #it developin$ e1pe!t te" ni"al o! man%al s(ills, "omm%ni"ation and elps t e pe!sonnel to pe!fo!m t ei! f%n"tions effe"tivel&.

O+,ECTIVES

To elp t e n%!sin$ pe!sonnel to pe!fo!m "o!!e"t met ods and p!o"ed%!es #it %nde!standin$. Esta'lis in$ standa!ds and )%alit& of n%!sin$ se!vi"es. P!o"ed%!e to s(ill n%!ses to s(illed n%!ses.

T'PES OF S7ILLS
Ps&" omoto! s(ill ,o$nitive s(ill Tea" in$ s(ills Affe"tive s(ill ,omm%ni"ation s(ill S%pe!viso!& s(ills

AIMS

To tea" !elativel& simple fa"t%al mate!ial To develop spe"ifi" p!ofi"ien"ies

NEED OF S7ILL TRAININ(

Individ%al n%!se needed to ave $!eate! f!eedom to " oose t e spe"ifi" field of n%!sin$ in # i" s e #o%ld #o!(. Poli"ies and poli"ies fo! o'tainin$ and !epla"in$ to 'e imp!oved. Good #o!( to 'e !e"o$ni2ed and !e#a!d. A ven%es of advan"ement and p!omotion need to 'e 'ette! development Fea! of ma(in$ mista(es # i" "a%se loss of fa"e, s o%ld 'e !ed%"ed and effe"tive met ods of dealin$ #it e!!o!s to 'e esta'lis ed

Potenti l di!!ic#lties in st !! development 8 tr inin$ ctivities

La"( of time Inade)%ate !eso%!"es at disposal 6nde!.f%nded t!ainin$ '%d$ets ,onfli"tin$ p!io!ities La"( of ,la!it& a'o%t # at s o%ld 'e done Fail%!e to identif&, o! a""ept t e need. S o!tfall in t!ainin$ s(ill o! e1pe!ien"e Fea! t at t!ained emplo&ee #ill leave t e o!$ani2ation o! #ill 'e poa" ed '& "ompetito!. ,&ni"al attit%de to Staff development.Not di!e"tl& meas%!a'le. T!eated as ,ost not investment.

IN.SERVI,E ED6,ATION

INTRODUCTION

Inse!vi"e ed%"ation is a planned ed%"ational e1pe!ien"e p!ovided in t e 5o' settin$ and "losel& identified #it se!vi"e in o!de! to elp t e pe!son to pe!fo!m mo!e effe"tivel& as a pe!son and as a #o!(e!.

DEFINITION

It is a planned lea!nin$ e1pe!ien"es p!ovided '& t e emplo&in$ a$en"& fo! emplo&ees.

AIMS*O+,ECTIVES

To in"!ease t e e1istin$ (no#led$e 'ase of n%!ses p!a"ti"in$ "lini"al n%!sin$. To imp!ove and maintain i$ standa!d of n%!sin$ "a!e to patients at t e 0ospital, # i" #o%ld in"!ease t e satisfa"tion level of patients : !elatives. To imp!ove "omm%ni"ation s(ills amon$ n%!sin$ pe!sonnel. To %pdate (no#led$e !e$a!din$ andlin$ : %p(eep of latest > sop isti"ated inst!%ments and $ad$ets. To ena'le n%!ses to se"%!e "!edit points fo! !ene#in$ t ei! n%!sin$ li"ense '& t e State N%!sin$ ,o%n"il

FACTORS

,ost of ealt Manpo#e! , an$es in n%!sin$ p!a"ti"e lead to in"!ease %man !eso%!"es. , an$es in n%!sin$ p!a"ti"e lead to f!e)%ent " an$es in t e p!o$!ammes and in se!vi"e ed%"ation Standa!ds fo! n%!sin$ p!a"ti"e

PERSONNEL INVOLVED

Fa"ilitato! Offi"e! In." a!$e > Mento! Ed%"ato!

STEPS IN PLANNIN( AN IN%SERVICE EDUCATION PRO(RAM

Assess needs Set $oals and define spe"ifi" o'5e"tives Sele"t !eso%!"e people Implement plans Eval%ate p!o$!am

ASSESS T0E NEED

In.se!vi"e ed%"ation di!e"to!s need to !eali2e t e impo!tan"e of ea!l& !e"o$nition of " an$es in n%!sin$ se!vi"e, te" nolo$&, le$islation, !esea!" , e"onomi"s, p%'li" demands and t e " an$in$ patient load #it in t e instit%tion, all of # i" affe"t # at n%!sin$ pe!sonnel need to (no# to $ive "omp!e ensive n%!sin$ "a!e.

SET (OALS AND O+,ECTIVES

T e p!ima!& $oal of in.se!vi"e ed%"ation is mo!e t an me!el& impa!tin$ info!mation and is $ea!ed to " an$in$ t e #a& a pe!son pe!fo!ms, t in(s, o! feels, t e plan "alls fo! elpin$ pe!sonnel to inte$!ate t e ne# (no#led$e o! s(ill into t ei! immediate e1pe!ien"e and stim%latin$ t em to set f%t%!e lea!nin$ $oals fo! t emselves.

SELECT RESOURCE PEOPLE

Seve!al att!i'%tes s o%ld 'e (ept in mind # en sele"tin$ individ%als as !eso%!"e pe!sons. E1pe!tise and "lini"al "ompeten"e in t e a!ea to 'e "ove!ed A'ilit& to se!ve as a model fo! lea!ne!s ?no#led$ea'le a'o%t t e "on"epts of ad%lt lea!nin$ Relates #ell #it ad%lt lea!ne!s ?no#s o# to "omm%ni"ate (no#led$e #it o%t a 'elittlin$ o! pompo%s manne! Sta!ts # e!e t e lea!ne!s a!e and lets t em p!o$!ess at t ei! o#n pa"e 7illin$ to assist in t e eval%ation p!o"ess An a""eptin$, listenin$ pe!son # o is #illin$ to " an$e t e "o%!se in midst!eam if ne"essa!& to meet lea!ne! needs.

IMPLEMENTATION

Some of t e planned a"tivities #o%ld 'e done 'est on t e n%!se mana$e!, ead n%!se o! team leade! level t at is de"ent!ali2ed !at e! t an instit%tion #ide.

EVALUATION
T e!e a!e man& #a&s of pe!fo!min$ eval%ation, t e most impo!tant )%estions to 'e ans#e!ed a!e4 Did t is ed%"ational a"tivit& ma(e a diffe!en"e in t e (no#led$e, s(ills and attit%des of t e pa!ti"ipants@ 7as t e!e a " an$e in 'e avio! so t at 'ette! n%!sin$ "a!e #as $iven@ Some eval%ative met ods in"l%de4 Dia!ies P!o"ess !e"o!din$s Tapes Rea"tion s eets Pa!ti"ipant satisfa"tion !atin$s P!e and posts tests of (no#led$e, s(ills and attit%des.