This document summarizes the results of an audit of the Continuing Training Unit of the Puerto Real University Hospital in Spain from 2004-2008. Over this period, the Unit provided over 4,300 accredited training opportunities to over 1,600 medical, nursing, and non-medical staff. The audit assessed the Unit's compliance with quality standards across five blocks: needs assessment, course management, teaching professionals, organizational aspects, and results. Overall compliance was rated at 77.78%, with the Unit meeting strengths in needs assessment, course management, and organizational aspects. Areas for improvement included developing procedures for teacher selection and assessment, implementing a virtual learning platform, and expanding results assessment. The audit found that accreditation helped refocus training

1. Ruiz - Barbosa, Carmen. Family Nurse, Cádiz. Andalusian Health Service
Rabadán - Asensio, Andrés. Chief Public Health Service. Provincial Health Delegation. Cádiz
SERVICIO ANDALUZ DE SALUD
WORKING FOR Continuing Training Unit Quality Standards 2008
PATIENTS of the Puerto Real
University Hospital Standard
EXPERIENCE 2004-08 Quality
Compliance
MISSION
To respond to the health care needs
Block I Training recipients 91,67 %
of patients and their families, through A major issue is the ability to detecting needs and planning courses based on an
improved knowledge, skills, and analysis of the results of the assessment of professional performance
attitudes of the professionals of the
Puerto Real University Hospital. STRENGTH Likewise, the channels and media used to advertise training courses (personal
invitation from the manager together with annual course calender , reminders,
SMS, flyers, etc) give the target group easy access to the information, suggesting
that said channels should be used for communicating key training results.
Determination of needs of
patients and their families To give feedback of the key results concerning training activities (satisfaction,
TO
acquisition of skills, transfer, impact, cost/student, etc.) to professionals involved
Satisfaction surveys IMPROVE
(target public, teachers, support professionals, etc).
Guides of Processes
Integral Plans Accredited training courses: Block II Course Management 83,33 %
Starting in 2004 The Unit includes in its training activities elements and teaching resources which
Identification of training needs of enable the development of course categories and types which correspond more
• 310 medical staff strictly to real situations and facilitate the transfer of learning to professional
professionals practice.
• 861 nursing staff STRENGTH
Performance evaluation It has tools to cater for professionals needs and expectations at the preliminary
• 498 non-medical staff stage and during the course. We suggest that procedures to ensure active
Surveys of professional guides Processes • Nearly 200 announcements monitoring and one-to-one contact with the student after completion of each
(Map Skills) training activity should also be implemented.
• Nearly 4300 training opportunities (accredited
Integral Plans (Map Skills)
g ( p ) places) Likewise, data bases for basic training management have been found, although
TO we would recommend systematising and completing the information in order to
• Over 2100 teaching hours IMPROVE make a wider use of course development data and so to facilitate decision
making.
Objectives • 1 Self assessment programme
Acquisition of new skills Block III Teaching professionals 37,50 %
Maintenance or improvement Opinion of the UFC team The Training Unit has the basic resumés of teachers and support professionals
STRENGTH
involved in the courses organised
Extinction old skills
TO To implement procedures to facilitate the selection, updating and assessment of
IMPROVE defined skills and the professional development of teachers.
Preparation of training plan
Organisational and structural
Contents
Block IV aspects
94,12 %
Methodology
Significant use is made of technological innovations (classroom blogs and
Teachers (Database .....) STRENGTH documentary library) in the applying learning processes, facilitating access to
materials, communication and solving problems arising in a professional context.
Facilities (classrooms, computer
Finalising the implementation of the virtual platform (based on the open source
platform …) TO
programme “moodle”) which could be used as a management tool for the teaching
IMPROVE unit itself as well as a tool for designing online courses, blended training, etc.
Scheduled Planning
Block V Results 40,00 %
Spread-oriented target
Evidence has been found of assessment and results analysis applied to the use
STRENGTH
of financial resources and recipient satisfaction.
Annual program
Groups TO We suggest this be extended to the remaining assessment variables associated
IMPROVE with the training process (transfer and impact).
Sms
Website
GLOBAL COMPLIANCE 77,78%
Anothers
• Team work has improved.
Realization of training and Block I
monitoring of professionals • Results seen by the team and by the
hospital as a whole. Block II
Evaluation • Important quality elements could be
strengthened. Block III
Resource management
• Areas of improvement detected and Block IV
Satisfaction of professionals p
procedures and lines for achieving
g
improvements defined.
Transfer Block V
• It has been a learning curve for improving
Impact quality for all the team 0% 50% 100%
Based on the previous and the current situation of of the Continuing
Dissemination of results for • It has helped refocus continuing training on Training Unit, the results of Certification is:
the needs and expectations of users
practitioners and teachers, etc…
OPTIMAL ACREDITATION
For more information, we recommend listening to the communication 4J4 “Impact of the Accreditation Process of Training Entities in the Improvement of Professionals Practice”