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https://www.readbyqxmd.com/read/27922781/community-nurse-s-knowledge-confidence-and-experience-of-the-mental-capacity-act-in-practice
#1
Helen Marshall, Sally Sprung
The Mental Capacity Act (MCA) is statutory legislation introduced in 2007 to protect and empower people to make decisions for themselves and those who were deemed as unable to make choices would have decisions made on their behalf, often by health professionals. All health professionals must follow the guiding principles of this legislation. Yet a scrutiny report by the House of Lords concluded this legislation was under-used with a lack of knowledge among professionals regarding applying the legislation in practice...
December 2, 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27918399/the-evolution-of-the-new-provider-team-driving-cultural-change-through-data
#2
Trish Anen, Debra McElroy
Nursing executives are continually challenged to address a rapidly evolving health care system. Every aspect of care delivery is being scrutinized, yet the constant requirement remains assurance of high-quality, highly reliable care that is cost-effective and easily accessible. The nursing workforce remains visible in traditional roles as well as in new and innovative capacities, whereas nurse executives experience expanded realms of focus and responsibility. As health systems continue to adapt to the changing environment, the ability to leverage the role and scope of the advanced practice registered nurse (APRN) as a health care provider is emerging as an essential business and care strategy...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27917377/incident-management-systems-are-essential-for-effective-coordination-of-large-disease-outbreaks-perspectives-from-the-coordination-of-the-ebola-outbreak-response-in-sierra-leone
#3
Olushayo Oluseun Olu, Margaret Lamunu, Alexander Chimbaru, Ayotunde Adegboyega, Ishata Conteh, Ngoy Nsenga, Noah Sempiira, Kande-Bure Kamara, Foday Mohamed Dafae
BACKGROUND: Response to the 2014-2015 Ebola virus disease (EVD) outbreak in Sierra Leone overwhelmed the national capacity to contain it and necessitated a massive international response and strong coordination platform. Consequently, the Sierra Leone Government, with support of the international humanitarian community, established and implemented various models for national coordination of the outbreak. In this article, we review the strengths and limitations of the EVD outbreak response coordination systems in Sierra Leone and propose recommendations for improving coordination of similar outbreaks in the future...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27916019/promoting-early-dementia-diagnosis-a-video-designed-by-patients-for-patients
#4
Nina Baruch, Charlotte L Allan, Maureen Cundell, Samuel Clark, Brian Murray
Early diagnosis of dementia allows people to access effective treatment and make advance decisions while they still have capacity. We aimed to encourage people to attend memory clinic, in order to boost rates of diagnosis. We created a patient information video about Oxford Health NHS Foundation Trust Memory Clinics, to inform and empower those awaiting assessment and to promote early diagnosis. Fourteen people (patients, carers, and staff) were approached prior to developing the video to ascertain their views on the themes the video should cover...
December 5, 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/27912780/the-influence-of-cost-per-daly-information-in-health-prioritisation-and-desirable-features-for-a-registry-a-survey-of-health-policy-experts-in-vietnam-india-and-bangladesh
#5
Yot Teerawattananon, Sripen Tantivess, Inthira Yamabhai, Nattha Tritasavit, Damian G Walker, Joshua T Cohen, Peter J Neumann
BACKGROUND: Economic evaluation has been implemented to inform policy in many areas, including coverage decisions, technology pricing, and the development of clinical practice guidelines. However, there are barriers to evidence-based policy in low- and middle-income countries (LMICs) that include limited stakeholder awareness, resources and data availability, as well as the lack of capacity to conduct country-specific economic evaluations. This study aims to survey health policy experts' opinions on barriers to use of cost-effectiveness data in these settings and to obtain their advice on how to make a new cost-per-DALY database being developed by Tufts Medical Center more relevant to LMICs...
December 3, 2016: Health Research Policy and Systems
https://www.readbyqxmd.com/read/27910173/facilitators-and-barriers-to-person-centred-care-in-child-and-young-people-mental-health-services-a-systematic-review
#6
Dawid Gondek, Julian Edbrooke-Childs, Tjasa Velikonja, Louise Chapman, Felicity Saunders, Daniel Hayes, Miranda Wolpert
: Implementation of person-centred care has been widely advocated across various health settings and patient populations, including recent policy for child and family services. Nonetheless, evidence suggests that service users are rarely involved in decision-making, whilst their preferences and goals may be often unheard. The aim of the present research was to systematically review factors influencing person-centred care in mental health services for children, young people and families examining perspectives from professionals, service users and carers...
December 2, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27909262/overcoming-the-limits-of-evidence-on-effective-multisectoral-nutrition-policy
#7
Madhu Kumar Marasini, Ssansa Mugenyi
The multisectoral approach has evolved as a popular instrument to attain nutrition goals and targets. But as policy makers, we need timely, relevant, and accurate information in order to effectively support these plans. This commentary comes from the members of the nutrition secretariats at the National Planning Commission in Nepal and the Office of the Prime Minister in Uganda on availability and use of evidence and the nutrition policy cycle. As has been highlighted in this supplement, some of the challenges we have faced include tracking nutrition spending and limited human resource capacity...
December 2016: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/27908850/we-should-replace-conventional-mental-health-law-with-capacity-based-law
#8
George Szmukler, Brendan D Kelly
As general medicine moves away from 'paternalism' and places an increasing emphasis on patient choice and autonomy, George Szmukler and Brendan D. Kelly debate whether conventional mental health legislation should be replaced with a model that focuses on the person's decision-making capabilities.
December 2016: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/27907968/palliative-care-practice-in-neurocritical-care
#9
Andrea K Knies, David Y Hwang
Many neurocritically ill patients and their families have high amounts of palliative care needs. Multiple professional societies relevant to neurocritical care have released consensus statements on meeting palliative care needs in neuroscience intensive care units. In this review, the authors discuss the ongoing debate regarding what model of palliative care delivery is optimal, focus on the process of shared decision making during goals-of-care discussions, and briefly comment on transitions from intensive care to comfort care...
December 2016: Seminars in Neurology
https://www.readbyqxmd.com/read/27902133/understanding-mental-capacity-law-and-making-best-interests-decisions
#10
Ann Regan, Caitlin Sheehy
The Mental Capacity Act 2005 was enacted with the aim of improving the protection provided by the law to the most vulnerable people in society. The principles of the act specify to whom the act can be applied, and how to ensure these individuals are placed at the centre of decision-making about their treatment and care. It covers those people who raise objections to treatments and care proposed by health and social care professionals and, crucially, it offers protection to those who raise no objection. Appropriate application of the act should ensure all treatment and care planned for vulnerable people is in those individuals' best interests...
November 30, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27894307/regional-health-workforce-monitoring-as-governance-innovation-a-german-model-to-coordinate-sectoral-demand-skill-mix-and-mobility
#11
E Kuhlmann, O Lauxen, C Larsen
BACKGROUND: As health workforce policy is gaining momentum, data sources and monitoring systems have significantly improved in the European Union and internationally. Yet data remain poorly connected to policy-making and implementation and often do not adequately support integrated approaches. This brings the importance of governance and the need for innovation into play. CASE: The present case study introduces a regional health workforce monitor in the German Federal State of Rhineland-Palatinate and seeks to explore the capacity of monitoring to innovate health workforce governance...
November 28, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27892809/civil-capacity-in-transition-age-youth-with-history-of-central-nervous-system-compromise-a-review
#12
Jacobus Donders
OBJECTIVE: The purpose of this paper is to review various aspects of decision-making capacities in children and adolescents with a history of central nervous system compromise over the course of development and into transition to adulthood. METHOD: The literature on consent capacity in various domains is reviewed, with reference to state-specific legal definitions and requirements, and illustrated with a case example. CONCLUSIONS: Neuropsychologists who use an evidence-based assessment approach, and who can clearly communicate their findings in reference to specific probate court standards, can make a unique contribution to the legal system while serving their clients who are transitioning from adolescence into adulthood...
November 28, 2016: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/27891023/capacity-issues-and-decision-making-in-dementia
#13
REVIEW
Soumya Hegde, Ratnavalli Ellajosyula
Capacity to make one's own decisions is fundamental to the autonomy of the individual. Capacity is a functional assessment made by a clinician to determine if a patient is capable of making a specific decision. Competency is a global assessment and legal determination made by a judge in court. Capacity evaluation for a patient with dementia is used to determine whether the patient is capable of giving informed consent, participate in research, manage their finances, live independently, make a will, and have ability to drive...
October 2016: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/27887665/in-the-eye-of-the-beholder-to-make-global-health-estimates-useful-make-them-more-socially-robust
#14
Elizabeth Pisani, Maarten Kok
A plethora of new development goals and funding institutions have greatly increased the demand for internationally comparable health estimates in recent years and have brought important new players into the field of health estimate production. These changes have rekindled debates about the validity and legitimacy of global health estimates. This paper draws on country case studies and personal experience to support our opinion that the production and use of estimates are deeply embedded in specific social, economic, political, and ideational contexts, which vary at different levels of the global health architecture...
2016: Global Health Action
https://www.readbyqxmd.com/read/27884478/vaccine-provision-delivering-sustained-widespread-use
#15
Scott Preiss, Nathalie Garçon, Anthony L Cunningham, Richard Strugnell, Leonard R Friedland
The administration of a vaccine to a recipient is the final step in a development and production process that may have begun several decades earlier. Here we describe the scale and complexity of the processes that brings a candidate vaccine through clinical development to the recipient. These challenges include ensuring vaccine quality (between 100 and 500 different Quality Control tests are performed during production to continually assess safety, potency and purity); making decisions about optimal vaccine presentation (pre-filled syringes versus multi-dose vials) that affect capacity and supply; and the importance of maintaining the vaccine cold chain (most vaccines have stringent storage temperature requirements necessary to maintain activity and potency)...
November 21, 2016: Vaccine
https://www.readbyqxmd.com/read/27884182/operations-research-for-resource-planning-and-use-in-radiotherapy-a-literature-review
#16
Bruno Vieira, Erwin W Hans, Corine van Vliet-Vroegindeweij, Jeroen van de Kamer, Wim van Harten
BACKGROUND: The delivery of radiotherapy (RT) involves the use of rather expensive resources and multi-disciplinary staff. As the number of cancer patients receiving RT increases, timely delivery becomes increasingly difficult due to the complexities related to, among others, variable patient inflow, complex patient routing, and the joint planning of multiple resources. Operations research (OR) methods have been successfully applied to solve many logistics problems through the development of advanced analytical models for improved decision making...
November 25, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27884133/recovering-disrupted-social-capital-insights-from-lao-dpr-rural-villagers-perceptions-of-local-leadership
#17
Jinho Kim, Ji-Hye Kim, Vanphanom Sychareun, Minah Kang
BACKGROUND: Social capital is often believed to be one of the key prerequisites for successful implementation of community-based health programs. In less-developed countries, local leaders are positioned as major players in broad community health strategies and interventions, and their capacities and roles are expected to increase in prominence in future community-health-care promotions. In this study, we examined how local leaders' capacities could be related to social capital in rural villages in Lao PDR, and thus to villagers' willingness to participate in community-based health efforts...
November 25, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27876273/the-macarthur-competence-assessment-tools-for-assessing-decision-making-capacity-in-schizophrenia-a-meta-analysis
#18
Shi-Bin Wang, Yuan-Yuan Wang, Gabor S Ungvari, Chee H Ng, Ren-Rong Wu, Jijun Wang, Yu-Tao Xiang
OBJECTIVE: This meta-analysis aimed to examine the decisional capacity measured by the MacArthur Competence Assessment Tools (MacCAT) in schizophrenia. METHOD: English (PubMed, PsycINFO, Embase, Cochrane Library databases and the Cochrane Controlled Trials Register) and Chinese (Wan Fang Database and Chinese National Knowledge Infrastructure) databases were systematically and independently searched from 1995 until August 1, 2016. Weighted and standardized mean differences were calculated...
November 18, 2016: Schizophrenia Research
https://www.readbyqxmd.com/read/27875649/competence-in-plain-english
#19
Tom Tomlinson
Like many other bioethicists, I often give talks on clinical topics that may touch on the patient's right of autonomy with regard to medical treatment and, from there, may move to questions about whether said patient has the capacity to exercise said right. When I get to that subject, I might ask, "Is this person competent to refuse treatment?" A stunned silence falls over the room, until finally a hand shoots up. "'Competent' is a legal term," I am instructed. "Don't you mean to ask whether he has the capacity to make decisions for himself?" The tone suggests that I'm being helped to make a very important distinction...
November 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27874181/ags-position-statement-making-medical-treatment-decisions-for-unbefriended-older-adults
#20
Timothy W Farrell, Eric Widera, Lisa Rosenberg, Craig D Rubin, Aanand D Naik, Ursula Braun, Alexia Torke, Ina Li, Caroline Vitale, Joseph Shega
In this position statement, we define unbefriended older adults as patients who: (1) lack decisional capacity to provide informed consent to the medical treatment at hand; (2) have not executed an advance directive that addresses the medical treatment at hand and lack capacity to do so; and (3) lack family, friends or a legally authorized surrogate to assist in the medical decision-making process. Given the vulnerable nature of this population, clinicians, health care teams, ethics committees and other stakeholders working with unbefriended older adults must be diligent when formulating treatment decisions on their behalf...
November 22, 2016: Journal of the American Geriatrics Society
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