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https://www.readbyqxmd.com/read/29689459/the-midwifery-services-framework-lessons-learned-from-the-initial-stages-of-implementation-in-six-countries
#1
Shantanu Garg, Nester T Moyo, Andrea Nove, Martha Bokosi
In 2015, the International Confederation of Midwives (ICM) launched the Midwifery Services Framework (MSF): an evidence-based tool to guide countries through the process of improving their sexual, reproductive, maternal and newborn health services through strengthening and developing the midwifery workforce. The MSF is aligned with key global architecture for sexual, reproductive, maternal and newborn health and human resources for health. This third in a series of three papers describes the experience of starting to implement the MSF in the first six countries that requested ICM support to adopt the tool, and the lessons learned during these early stages of implementation...
April 11, 2018: Midwifery
https://www.readbyqxmd.com/read/29688856/physician-s-sociodemographic-profile-and-distribution-across-public-and-private-health-care-an-insight-into-physicians-dual-practice-in-brazil
#2
Bruno Alonso Miotto, Aline Gil Alves Guilloux, Alex Jones Flores Cassenote, Giulia Marcelino Mainardi, Giuliano Russo, Mário César Scheffer
BACKGROUND: The intertwined relation between public and private care in Brazil is reshaping the medical profession, possibly affecting the distribution and profile of the country's medical workforce. Physicians' simultaneous engagement in public and private services is a common and unregulated practice in Brazil, but the influence played by contextual factors and personal characteristics over dual practice engagement are still poorly understood. This study aimed at exploring the sociodemographic profile of Brazilian physicians to shed light on the links between their personal characteristics and their distribution across public and private services...
April 23, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29687327/lack-of-supportive-leadership-behavior-predicts-suboptimal-self-rated-health-independent-of-job-strain-after-10-years-of-follow-up-findings-from-the-population-based-monica-kora-study
#3
Burkhard Schmidt, Raphael M Herr, Marc N Jarczok, Jens Baumert, Karoline Lukaschek, Rebecca T Emeny, Karl-Heinz Ladwig
OBJECTIVES: Emerging cross-sectional research has identified lack of supportive leadership behavior (SLB) as a risk factor for workforce health. However, prospective evidence is hitherto lacking. SLB denotes support in difficult situations, recognition and feedback on work tasks. This study aims to determine the effect of SLB on suboptimal self-rated health (SRH) after 10 years considering potential moderators such as ages, sex, occupation and job strain. METHODS: The sample included 884 employed participants drawn from the population-based prospective MONICA/KORA Study...
April 23, 2018: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/29686754/comprehensive-revenue-and-expense-data-collection-methodology-for-teaching-health-centers-a-model-for-accountable-graduate-medical-education-financing
#4
Marsha Regenstein, John E Snyder, Mariellen Malloy Jewers, Kiki Nocella, Fitzhugh Mullan
Background : Despite considerable federal investment, graduate medical education financing is neither transparent for estimating residency training costs nor accountable for effectively producing a physician workforce that matches the nation's health care needs. The Teaching Health Center Graduate Medical Education (THCGME) program's authorization in 2010 provided an opportunity to establish a more transparent financing mechanism. Objective : We developed a standardized methodology for quantifying the necessary investment to train primary care physicians in high-need communities...
April 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29686498/innovating-to-educate-paediatric-consultant-generalists-for-the-new-canadian-health-care
#5
Gary Tithecott, Simon Levin, Guido Filler
Responsibility for training general paediatricians in Canada lies primarily with the 17 paediatric academic health sciences centres with more programmatic emphasis on subspecialty training and less on preparing residents for general paediatrics. However, the greatest unmet demand in the paediatric workforce will be for consulting paediatric generalists. Here, we define the need for paediatric generalists and list deficiencies in current models to promote more consulting community general paediatricians. The limited presence of general paediatricians as role models reduces the potential for learners to better understand the role of generalists in our specialty...
April 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29686456/endocrinologists-opinions-of-diabetology-as-a-primary-care-subspecialty
#6
Amber M Healy, Jay H Shubrook, Frank L Schwartz, Doyle M Cummings, Almond J Drake, Robert J Tanenberg
IN BRIEF This study was conducted to ascertain the opinions of endocrinologists about diabetes care as it relates to the health care provider workforce. A survey was administered to endocrinologists in the Planning Research in Inpatient Diabetes and Planning Research in Outpatient Diabetes (PRIDE/PROUD) group and given to attendees of the American Diabetes Association (ADA) Scientific Sessions special interest group whose focus was primary care. The majority of respondents agreed that there is a need for more providers to be trained to take care of patients with diabetes and that more trained providers are needed, and almost half agreed that primary care providers (PCPs) with advanced training in diabetes should be part of the workforce for managing the diabetes pandemic...
April 2018: Clinical Diabetes: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/29685614/building-a-healthier-workforce-an-evaluation-of-an-online-nutrition-training-for-apprentices
#7
Diane S Rohlman, Megan A Parish, Ginger C Hanson, Larry S Williams
OBJECTIVE: Construction workers face barriers to healthy eating, including work organization and environmental factors, that can affect productivity and lead to chronic conditions. The objective was to evaluate the effectiveness of an online nutrition training to improve knowledge and behaviors and evaluate the feasibility of conducting this training among apprentices in the highway construction trades. METHODS: A pretest-posttest control group design was used. The intervention was conducted using a Web-based electronic learning platform...
April 20, 2018: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/29685322/federally-qualified-health-centers-reduce-the-primary-care-provider-gap-in-health-professional-shortage-counties
#8
Ying Xue, Elizabeth Greener, Viji Kannan, Joyce A Smith, Carol Brewer, Joanne Spetz
BACKGROUND: Federally qualified health centers (FQHCs) were designed to provide care in medically underserved areas. Substantial and sustained federal funding has accelerated FQHC growth. PURPOSE: To examine temporal trends in primary care provider supply and whether FQHCs have been successful in reducing the gap in provider supply in primary care health professional shortage areas (HPSAs). METHODS: Retrospective cohort study design using national county-level data from 2009 to 2013...
February 13, 2018: Nursing Outlook
https://www.readbyqxmd.com/read/29683358/the-evolving-role-of-paramedics-a-nice-problem-to-have
#9
Georgette Eaton, Kamal Mahtani, Matt Catterall
This short essay supports the growing role of paramedics in the clinical and academic workforce. We present a commentary of recent draft consultations by the National Institute for Health and Care Excellence in England that set out how the role of paramedics may be evolving to assist with the changing demands on the clinical workforce. Using these consultations as a basis, we extend their recommendations and suggest that the profession should also lead the academically driven evaluation of these new roles.
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29682843/chronic-condition-self-management-support-for-aboriginal-people-adapting-tools-and-training
#10
Malcolm Battersby, Sharon Lawn, Inge Kowanko, Sue Bertossa, Coral Trowbridge, Raylene Liddicoat
PROBLEM: Chronic conditions are major health problems for Australian Aboriginal people. Self-management programs can improve health outcomes. However, few health workers are skilled in self-management support and existing programs are not always appropriate in Australian Aboriginal contexts. DESIGN: The goal was to increase the capacity of the Australian health workforce to support Australian Aboriginal people to self-manage their chronic conditions by adapting the Flinders Program of chronic condition self-management support for Australian Aboriginal clients and develop and deliver training for health professionals to implement the program...
April 22, 2018: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29682791/prevalence-of-refractive-errors-in-children-in-india-a-systematic-review
#11
REVIEW
Sethu Sheeladevi, Bharani Seelam, Phanindra B Nukella, Aditi Modi, Rahul Ali, Lisa Keay
Uncorrected refractive error is an avoidable cause of visual impairment which affects children in India. The objective of this review is to estimate the prevalence of refractive errors in children ≤ 15 years of age. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed in this review. A detailed literature search was performed to include all population and school-based studies published from India between January 1990 and January 2017, using the Cochrane Library, Medline and Embase...
April 22, 2018: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/29682132/creating-a-foundation-for-implementing-an-electronic-health-records-ehr-integrated-social-knowledge-networking-skn-system-on-medication-reconciliation
#12
P Rangachari, K C Dellsperger, D Fallaw, I Davis, M Sumner, W Ray, S Fiedler, T Nguyen, R Rethemeyer
Background: In fall 2016, Augusta University received a two-year grant from AHRQ, to implement a Social Knowledge Networking (SKN) system for enabling its health system, AU-Health, to progress from "limited use" of EHR Medication Reconciliation (MedRec) Technology, to "meaningful use." Phase 1 sought to identify a comprehensive set of issues related to EHR MedRec encountered by practitioners at AU-Health. These efforts helped develop a Reporting Tool , which, along with a Discussion Tool , was incorporated into the AU-Health EHR, at the end of Phase 1...
April 2018: Journal of Hospital Administration
https://www.readbyqxmd.com/read/29679433/students-attitudes-to-suicide-and-suicidal-persons-a-cross-national-and-cultural-comparison-between-turkey-and-united-kingdom
#13
Chris Flood, Mualla Yilmaz, Louise Phillips, Tracy Lindsay, Mehmet Eskin, Janet Hiley, Bahar Tasdelen
INTRODUCTION: Suicide is a major public health issue internationally and the impact of positive or negative attitudes amongst the mental health professional workforce warrants scrutiny. The study aimed to examine English and Turkish nursing students' attitudes towards people with suicidal behaviour. METHOD: This cross-cultural study reports on attitudes of 240 nursing students towards suicide in Turkey and 82 nursing students in the UK. A reliable and valid twenty-four item 'Attitudes towards Suicide Scale' and 'Social Reactions to Suicidal Persons Scale' were used to measure attitudes...
April 21, 2018: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29679403/nature-and-scope-of-certified-nurse-midwifery-practice-in-one-large-state-in-the-united-states
#14
Marie Hastings-Tolsma, Sarah Wilcox Foster, Mary C Brucker, Priscilla Nodine, Rebecca Burpo, Barbara Camune, Jackie Griggs, Tiffany J Callahan
AIMS AND OBJECTIVES: To describe the nature and scope of nurse-midwifery practice in Texas and to determine legislative priorities and practice barriers. BACKGROUND: Across the globe, midwives are the largest group of maternity care providers despite little known about midwifery practice. With a looming shortage of midwives, there is a pressing need to understand midwives' work environment and scope of practice. DESIGN: Mixed methods research utilizing prospective descriptive survey and interview...
April 21, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29675991/genetic-counseling-in-industry-settings-opportunities-in-the-era-of-precision-health
#15
Kirsty McWalter, Megan T Cho, Tara Hart, Rachel Nusbaum, Courtney Sebold, Sara Knapke, Rachel Klein, Bethany Friedman, Rebecca Willaert, Amanda Singleton, Leah Williams, Elizabeth Butler, Jane Juusola
The skill sets of genetic counselors are strongly utilized in industry, as evidenced by 20% of genetic counselors reporting employment within industry in 2016. In addition, industry genetic counselors are expanding their roles, taking on new responsibilities, and creating new opportunities. These advances have impacted the profession as a whole including, but not limited to, genetic counseling training curricula, a shift back to genetic counseling directly to patients, and a growing influence of genetic counselors on industry test offerings...
March 2018: American Journal of Medical Genetics. Part C, Seminars in Medical Genetics
https://www.readbyqxmd.com/read/29675049/administration-of-intravenous-morphine-for-acute-pain-in-the-emergency-department-inflicts-an-economic-burden-in-europe
#16
Montserrat Casamayor, Karen DiDonato, Marc Hennebert, Luca Brazzi, Gregor Prosen
Background: Acute pain is among the leading causes of referral to the emergency department (ED) in industrialized countries. Its management mainly depends on intensity. Moderate-to-severe pain is treated with intravenous (IV) administered opioids, of which morphine is the most commonly used in the ED. We have estimated the burden of IV administration of morphine in the five key European countries (EU5) using a micro-costing approach. Scope: A structured literature review was conducted to identify clinical guidelines for acute pain management in EU5 and clinical studies conducted in the ED setting...
2018: Drugs in Context
https://www.readbyqxmd.com/read/29673266/level-of-agreement-between-medical-record-and-icd-10-am-coding-of-mental-health-alcohol-and-drug-conditions-in-trauma-patients
#17
Tu Q Nguyen, Pamela M Simpson, Sandra C Braaf, Peter A Cameron, Rodney Judson, Belinda J Gabbe
BACKGROUND: Despite the reliance on administrative data in epidemiological studies, there is little information on the completeness of co-morbidities in administrative data coded from medical records. OBJECTIVE: The aim of this study was to quantify the agreement between the International Classification of Diseases, Tenth Revision, Australian Modification (ICD-10-AM) administrative coding of mental health, drug and alcohol co-morbidities and medical records in a severely injured patient population...
January 1, 2018: Health Information Management: Journal of the Health Information Management Association of Australia
https://www.readbyqxmd.com/read/29672843/challenges-faced-in-rural-hospitals-the-experiences-of-nurse-managers-in-uganda
#18
T A Kakyo, L D Xiao
AIM: The aim of this study was to understand nurse ward managers perceived challenges in the rural healthcare setting in Uganda. BACKGROUND: The health workforce, essential medicines and equipment and political unrest are the main factors affecting the international community in addressing the hefty disease burden in World Health Organization African regions. Nurse ward managers have an important role to play to mitigate these factors in health facilities in these regions through leadership, supervision and support for staff...
April 19, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29671815/factors-influencing-parental-engagement-in-an-early-childhood-obesity-prevention-program-implemented-at-scale-the-infant-program
#19
Penelope Love, Rachel Laws, Eloise Litterbach, Karen J Campbell
The ‘early years’ is a crucial period for the prevention of childhood obesity. Health services are well placed to deliver preventive programs to families, however, they usually rely on voluntary attendance, which is challenging given low parental engagement. This study explored factors influencing engagement in the Infant Program : a group-based obesity prevention program facilitated by maternal and child health nurses within first-time parent groups. Six 1.5 h sessions were delivered at three-month intervals when the infants were 3⁻18 months...
April 19, 2018: Nutrients
https://www.readbyqxmd.com/read/29669559/exploring-the-meaning-and-practice-of-self-care-among-palliative-care-nurses-and-doctors-a-qualitative-study
#20
Jason Mills, Timothy Wand, Jennifer A Fraser
BACKGROUND: Self-care practice within the palliative care workforce is often discussed, yet seemingly under-researched. While palliative care professionals are required to implement and maintain effective self-care strategies, there appears little evidence to guide them. Moreover, there is an apparent need to clarify the meaning of self-care in palliative care practice. This paper reports qualitative findings within the context of a broader mixed-methods study. The aim of the present study was to explore the meaning and practice of self-care as described by palliative care nurses and doctors...
April 18, 2018: BMC Palliative Care
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