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https://www.readbyqxmd.com/read/29781694/family-medicine-training-in-africa-views-of-clinical-trainers-and-trainees
#1
Louis S Jenkins, Klaus Von Pressentin
BACKGROUND:  This article reports on the findings of a workshop held at the joint 5th World Organisation of Family Doctors (WONCA) Africa and 20th National Family Practitioners Conference in Tshwane, South Africa, in 2017. Postgraduate training for family medicine in Africa takes place in the clinical workspace at the bedside or next to the patient in the clinic, district hospital or regional hospital. Direct supervisor observation, exchange of reflection and feedback, and learning conversations between the supervisor and the registrar are central to learning and assessment processes...
April 12, 2018: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29781557/supplier-induced-demand-for-urgent-after-hours-primary-care-services
#2
Thomas Longden, Jane Hall, Kees van Gool
Australia is one of nine Organisation for Economic Co-operation and Development (OECD) countries that utilise deputising services to provide after-hours primary care. While the provision of this service is supposed to be on behalf of regular general practitioners, businesses have adapted to the financial incentives on offer and are directly advertising their services to consumers emphasising patient convenience and no copayments. The introduction of corporate entities has changed the way that deputising services operate...
May 21, 2018: Health Economics
https://www.readbyqxmd.com/read/29780178/autonomy-and-authority-in-public-research-organisations-structure-and-funding-factors
#3
Laura Cruz-Castro, Luis Sanz-Menéndez
This paper establishes a structural typology of the organisational configurations of public research organisations which vary in their relative internal sharing of authority between researchers and managers; we distinguish between autonomous, heteronomous and managed research organisations. We assume that there are at least two sources of legitimate authority within research organisations, one derived from formal hierarchy (organisational leadership) and another derived from the research community (professional); the balance of authority between researchers and managers is essentially structural but is empirically mediated by the funding portfolio of organisations and the corresponding endowment of resources at the disposal of leaders or researchers...
2018: Minerva
https://www.readbyqxmd.com/read/29778310/a-method-for-developing-organisation-wide-manual-handling-based-physical-employment-standards-in-a-military-context
#4
REVIEW
Greg L Carstairs, Daniel J Ham, Robert J Savage, Stuart A Best, Ben Beck, Daniel C Billing
The benefit of job-related employment standards in physically demanding occupations are well known. A number of methodological frameworks have been established to guide the development of physical employment standards for single job functions. In the case of an organisation comprised of multiple and diverse employment specialisations, such as the Australian Army, it is impractical to develop unique employment standards for each occupation. OBJECTIVES: To present an approach to organisational level physical employment standards development that seeks to retain occupationally specific task characteristics by applying a movement cluster approach...
March 2, 2018: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29777687/physiological-stress-responses-in-wild-asian-elephants-elephas-maximus-in-a-human-dominated-landscape-in-the-western-ghats-southern-india
#5
Sreedhar Vijayakrishnan, Mavatur Ananda Kumar, G Umapathy, Vinod Kumar, Anindya Sinha
Increasing anthropogenic pressures on forests, especially in the tropical regions of the world, have restricted several large mammalian species such as the Asian elephant to fragmented habitats within human-dominated landscapes. In this study, we assessed the effects of an anthropogenic landscape and its associated conflict with humans on the physiological stress responses displayed by Asian elephants in the Anamalai Hills of the Western Ghats mountains in south India. We have quantified faecal glucocorticoid metabolite (FGM) concentrations in focal individual elephants within and across herds, inhabiting both anthropogenic and natural habitats, and evaluated their physiological responses to different socio-ecological situations between November 2013 and April 2014...
May 16, 2018: General and Comparative Endocrinology
https://www.readbyqxmd.com/read/29777206/the-fair-guiding-principles-for-data-stewardship-fair-enough
#6
REVIEW
Martin Boeckhout, Gerhard A Zielhuis, Annelien L Bredenoord
The FAIR guiding principles for research data stewardship (findability, accessibility, interoperability, and reusability) look set to become a cornerstone of research in the life sciences. A critical appraisal of these principles in light of ongoing discussions and developments about data sharing is in order. The FAIR principles point the way forward for facilitating data sharing more systematically-provided that a number of ethical, methodological, and organisational challenges are addressed as well.
May 17, 2018: European Journal of Human Genetics: EJHG
https://www.readbyqxmd.com/read/29775993/postnatal-psychosocial-assessment-and-clinical-decision-making-a-descriptive-study
#7
Deborah Sims, Cathrine Fowler
AIM: The aim of this study is to describe experienced child and family health nurses' clinical decision-making during a postnatal psychosocial assessment. BACKGROUND: Maternal emotional wellbeing in the postnatal year optimises parenting and promotes infant development. Psychosocial assessment potentially enables early intervention and reduces the risk of a mental disorder occurring during this time of change. Assessment accuracy, and the interventions used are determined by the standard of nursing decision-making...
May 18, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29775512/improving-post-hospital-medication-management-in-a-danish-municipality-a-process-evaluation
#8
Mette Geil Kollerup, Tine Curtis, Birgitte Schantz Laursen
AIMS AND OBJECTIVES: This study evaluates an intervention developed to improve patient safety in post-hospital medication management carried out by visiting nurses working in a municipality in Denmark. The intervention consisted of three elements: an initial inter-disciplinary home visit by nurses, two subsequent scheduled visits, and the use of an organising tool. BACKGROUND: As a consequence of specialised treatment plans and new treatment possibilities, patients with complex care needs can now be discharged from hospital more rapidly - and in greater numbers - than previously...
May 18, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29775507/-coming-from-a-different-place-partnerships-between-consumers-and-health-services-for-system-change
#9
Brett Scholz, Julia Bocking, Michelle Banfield, Chris Platania-Phung, Brenda Happell
AIMS AND OBJECTIVES: The aim of the current study is to explore whether and how the expectations of consumers to be 'representative' influences consumers' ability to contribute to health services partnerships. BACKGROUND: Health standards call for services to partner with consumers in service development and governance. While existing research criticises the assumption that individual mental health consumers working with mental health services must be representative of consumers more broadly, research has yet to explore whether this requirement exists for consumers of other health services...
May 18, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29775112/attitudes-towards-severe-mental-illness-and-social-distance-a-survey-of-volunteer-befrienders-in-austria
#10
Sarah Toner, Karin Fabisch, Stefan Priebe, Gϋnter Klug
BACKGROUND: Research suggests there is a propensity for people in the general population to distance themselves from people with severe mental illness (SMI), which reportedly decreases with increased contact with individuals with SMI. Volunteer befrienders in the mental health sector have ongoing contact with this population, yet little data exist to reflect their attitudes towards people with SMI. METHOD: A questionnaire was distributed to all volunteer befrienders for people with SMI within volunteering programmes organised in five Austrian regions...
May 1, 2018: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/29773254/-the-integration-of-advanced-practice-nurses-in-emergency-departments
#11
Christophe Debout
The saturation of emergency departments due to inappropriate attendance by patients is becoming increasingly commonplace. It often leads to the discontent of users, due to long waiting times, and stretches the hospital staff physically, mentally and psychologically. Innovative organisation models have been developed abroad. They draw on the skills of advanced practice nurses in emergency departments. The impact of these models has been assessed very positively in numerous studies. They improve the quality and safety of care as well as the satisfaction of users...
May 2018: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/29771570/how-primary-health-care-staff-working-in-rural-and-remote-areas-access-skill-development-and-expertise-to-support-health-promotion-practice
#12
Kathryn A McFarlane, Jenni Judd, Hylda Wapau, Nina Nichols, Kerrianne Watt, Sue Devine
INTRODUCTION: Health promotion is a key component of comprehensive primary health care. Health promotion approaches complement healthcare management by enabling individuals to increase control over their health. Many primary healthcare staff have a role to play in health promotion practice, but their ability to integrate health promotion into practice is influenced by their previous training and experience. For primary healthcare staff working in rural and remote locations, access to professional development can be limited by what is locally available and prohibitive in terms of cost for travel and accommodation...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29771228/clinical-leadership-training-an-evaluation-of-the-welsh-fellowship-programme
#13
Suzanne Phillips, Alison Bullock
Purpose UK fellowship schemes have been set up to address low-level engagement of doctors with leadership roles. Established in 2013, the Welsh Clinical Leadership Fellowship (WCLF) programme aims to recruit aspiring future clinical leaders and equip them with knowledge and skills to lead improvements in healthcare delivery. This paper aims to evaluate the 12-month WCLF programme in its first two years of operation. Design/methodology/approach Focused on the participants ( n = 8), the authors explored expectations of the programme, reactions to academic components (provided by Academi Wales) and learning from workplace projects and other opportunities...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29771208/healthcare-managers-perceptions-of-managing-poor-performance
#14
Melanie Hill, Heather Gluyas, Martinique Sandy, Andrew Wingate
Purpose The purpose of this paper is to understand the perceptions and experiences of healthcare managers working within a community and ambulatory health service who manage poorly performing staff and, to identify the supports, and gaps in supports, that are available to these managers. Design/methodology/approach Data were collected via two focus groups using a semi-structured schedule. The data were transcribed, themed and conclusions summarised. Findings On analysis of the discussion of the line managers' experiences and perceptions of competence, six themes were identified, five themes common to both groups...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29769753/developing-a-typology-of-mentoring-programmes-for-young-people-attending-secondary-school-in-the-united-kingdom-using-qualitative-methods
#15
Heide Busse, Rona Campbell, Ruth Kipping
Mentoring programmes are commonplace and delivered in a range of different ways in the United Kingdom and North America. To better understand the type of programmes available and to inform future evaluations, we developed a typology of formal mentoring programmes for young people in secondary schools in the United Kingdom. Telephone interviews with 23 programme managers from purposively sampled mentoring organisations were conducted and analysed using thematic and framework analysis. The typology was consulted on with five experts in mentoring...
May 2018: Children and Youth Services Review
https://www.readbyqxmd.com/read/29768648/-current-state-of-the-health-advisory-council-of-munich-a-survey
#16
Corinna K Sokoll, Susanne Winter
BACKGROUND: After over 27 years of existence, the executive board of the Health Advisory Council of the state capital Munich (HAC) decided to conduct an inventory. PURPOSE OF THE STUDY: The objective was to gather data on the perceptions of HAC participants regarding the structure of committees, issues addressed, their processing as well as the results of the projects, in addition to events organized, public relations activities and target achievement. The survey should be the basis for decisions regarding future directions or further developments of the HAC...
May 16, 2018: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29767835/strategic-leadership-will-be-essential-for-dietitian-ehealth-readiness-a-qualitative-study-exploring-dietitian-perspectives-of-ehealth-readiness
#17
Kirsty Maunder, Karen Walton, Peter Williams, Maree Ferguson, Eleanor Beck
AIM: To explore dietitians' perspectives on the eHealth readiness of Australian dietitians, and to identify strategies to improve eHealth readiness of the profession. METHODS: Dietitians who met the criteria for nutrition informatics experts participated in semi-structured interviews between June 2016 and March 2017. The interviews were recorded and transcribed verbatim. Thematic analysis using coding was undertaken until consensus was reached by the researchers regarding key themes, topics and exemplar quotes...
May 16, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29765777/patterns-of-authorship-on-community-health-workers-in-low-and-middle-income-countries-an-analysis-of-publications-2012-2016
#18
Helen Schneider, Nelisiwe Maleka
Introduction: Studies of authorship provide a barometer of local research capacity and ownership of research, considered key to defining appropriate research priorities, developing contextualised responses to health problems and ensuring that research informs policy and practice. This paper reports on an analysis of patterns of research authorship of the now substantial literature on community health workers (CHWs) in low-and-middle-income countries (LMICs) for the 5-year period: 2012-2016...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29764407/are-we-doing-enough-to-prevent-poor-quality-antimalarial-medicines-in-the-developing-world
#19
Erin J Walker, Gregory M Peterson, James Grech, Evie Paragalli, Jackson Thomas
BACKGROUND: Malaria is a deadly parasitic disease that affects more than 3 billion people worldwide, in predominantly resource-poor countries. Despite malaria being preventable and treatable, a large number of adults and children, mostly in Africa, die from this disease each year. One contributor to needless morbidity and mortality is the production and distribution of poor-quality antimalarial medicines; indeed, it is estimated that over 122,000 deaths of children under 5 years of age in sub-Saharan countries were caused by poor-quality antimalarial medicines, in 2013 alone...
May 15, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29764176/scotland-s-public-health-palliative-care-alliance
#20
Mark A Hazelwood, Rebecca M Patterson
People's experiences of death, dying and bereavement are only partially determined by formal health and social care services. A broad-based alliance of organisations and individuals was established in Scotland in 2011 with the aim of influencing a wider range of social, cultural and other environmental factors which impact on people's experiences towards the end of life. Called Good Life, Good Death, Good Grief (GLGDGG) this alliance has grown and developed over the past 6 years, with a current diverse membership of over 1,100...
April 2018: Annals of Palliative Medicine
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