With healthcare staff called upon to use ever more sophisticated medical techniques and computer technology, there has been an increasing importance placed upon Continuing Nursing Education (CNE). In response to this, we decided to investigate whether recent developments in Internet technology might provide an innovative way to design and develop a cost effective, flexible, multilingual, CNE system to help staff learn specialist knowledge required to work within our Department of Neurosurgery. This was the basis for our Nursing Intranet Learning System (NILS). This paper discusses the issues involved in developing and delivering courses via this new medium. It will also describe some of the significant advantages of web-based learning over traditional computer based learning systems, as well as highlight some of the difficulties encountered in utilizing this rapidly evolving technology. Finally, future work for the system will be mentioned.
[Copyright of Innovations in Education & Teaching International is the property of Routledge. Full article may be available at the publisher's website:
http://dx.doi.org/10.1080/14703290110074939]

The assumption that increased autonomy and responsibility at the school site-level will result in enhanced performance of schools is often problematic. Cheung and Cheng (1996) suggested that in order to ensure school effectiveness, self-management practices at the individual teacher, group, and school levels are necessary. This article reports the findings of a case study of multilevel self-management in 3 Hong Kong primary schools. It revealed that the practices of multilevel self-management were associated with enhanced school performance at multilevels. Further, teachers' self-management practices determined largely the success of the school's self-management and demonstrated significant influence on the practices of work groups and the school.
[Copyright of School Effectiveness and School Improvement is the property of Routledge. Full article may be available at the publisher's website:
http://dx.doi.org/10.1076/sesi.13.3.253.3428 ]