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Updated: Mar 20, 2026

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
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Better Care Teams: A Stepwise Skill Reinforcement Model
Journal of Continuing Education in Nursing
|May 28, 2016
Summary
This study shows that a stepwise skill reinforcement model using continuing education (CE) effectively improves patient outcomes. This adaptable and cost-effective approach enhances learning and resource efficiency for healthcare organizations.
Area of Science:
- Healthcare Education
- Community Health Initiatives
- Patient Outcome Improvement
Background:
- The Building Healthy Urban Communities initiative emphasizes continuing education (CE) for improving patient outcomes.
- Traditional CE formats were adapted with new methods and rigorous, longitudinal evaluation.
Purpose of the Study:
- To evaluate the effectiveness of a stepwise skill reinforcement model in continuing education.
- To assess the efficiency of financial and human resources in CE delivery.
- To determine the adaptability and cost-effectiveness of the CE model for organizational adoption.
Main Methods:
- Implemented a CE initiative with adaptable traditional and novel delivery formats.
- Conducted rigorous evaluations at multiple time points: pre-course, immediate post-session, 6-8 weeks post-session, and monthly 'testlets'.
- Utilized outcome measures for content adaptation, learning objective reinforcement, and innovative testing/retrieval practice.
Main Results:
- The stepwise skill reinforcement model demonstrated effectiveness in learning after one year of programming.
- The model proved to be an efficient use of financial and human resources.
- The design is suitable for low-cost adoption by partnering organizations.
Conclusions:
- The stepwise skill reinforcement model is an effective strategy for continuing education in healthcare.
- This adaptable and resource-efficient CE model can be adopted by organizations seeking to improve patient outcomes.
- Partnership and innovative evaluation methods contribute to successful implementation.
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