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Participatory action research

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https://www.readbyqxmd.com/read/28715794/an-introduction-to-the-emergency-department-adult-clinical-escalation-protocol-ed-ace
#1
Eoin Coughlan, Una Geary, Abel Wakai, Ronan O'Sullivan, John Browne, Eilish McAuliffe, Marie Ward, Fiona McDaid, Conor Deasy
PURPOSE OF THE STUDY: This study demonstrates how a participatory action research approach was used to address the challenge of the early and effective detection of the deteriorating patient in the ED setting. The approach enabled a systematic approach to patient monitoring and escalation of care to be developed to address the wide-ranging spectrum of undifferentiated presentations and the phases of ED care from triage to patient admission. This paper presents a longitudinal patient monitoring system, which aims to provide monitoring and escalation of care, where necessary, of adult patients from triage to admission to hospital in a manner that is feasible in the unique ED environment...
November 14, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28699562/which-green-way-description-of-the-intervention-for-mobilising-against-aedes-aegypti-under-difficult-security-conditions-in-southern-mexico
#2
REVIEW
Arcadio Morales-Perez, Elizabeth Nava-Aguilera, José Legorreta-Soberanis, Sergio Paredes-Solís, Alejandro Balanzar-Martínez, Felipe René Serrano-de Los Santos, Claudia Erika Ríos-Rivera, Jaime García-Leyva, Robert J Ledogar, Anne Cockcroft, Neil Andersson
BACKGROUND: Community mobilisation for prevention requires engagement with and buy in from those communities. In the Mexico state of Guerrero, unprecedented social violence related to the narcotics trade has eroded most community structures. A recent randomised controlled trial in 90 coastal communities achieved sufficient mobilisation to reduce conventional vector density indicators, self-reported dengue illness and serologically proved dengue virus infection. METHODS: The Camino Verde intervention was a participatory research protocol promoting local discussion of baseline evidence and co-design of vector control solutions...
May 30, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28699556/community-led-trials-intervention-co-design-in-a-cluster-randomised-controlled-trial
#3
Neil Andersson
In conventional randomised controlled trials (RCTs), researchers design the interventions. In the Camino Verde trial, each intervention community designed its own programmes to prevent dengue. Instead of fixed actions or menus of activities to choose from, the trial randomised clusters to a participatory research protocol that began with sharing and discussing evidence from a local survey, going on to local authorship of the action plan for vector control.Adding equitable stakeholder engagement to RCT infrastructure anchors the research culturally, making it more meaningful to stakeholders...
May 30, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28699548/when-communities-are-really-in-control-ethical-issues-surrounding-community-mobilisation-for-dengue-prevention-in-mexico-and-nicaragua
#4
REVIEW
Robert J Ledogar, Carlos Hernández-Alvarez, Amy C Morrison, Jorge Arosteguí, Arcadio Morales-Perez, Elizabeth Nava-Aguilera, José Legorreta-Soberanis, Dawn Caldwell, Josefina Coloma, Eva Harris, Neil Andersson
We discuss two ethical issues raised by Camino Verde, a 2011-2012 cluster-randomised controlled trial in Mexico and Nicaragua, that reduced dengue risk though community mobilisation. The issues arise from the approach adopted by the intervention, one called Socialisation of Evidence for Participatory Action. Community volunteer teams informed householders of evidence about dengue, its costs and the life-cycle of Aedes aegypti mosquitoes, while showing them the mosquito larvae in their own water receptacles, without prescribing solutions...
May 30, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28699542/community-cost-benefit-discussions-that-launched-the-camino-verde-intervention-in-nicaragua
#5
Carlos Hernandez-Alvarez, Jorge Arosteguí, Harold Suazo-Laguna, Rosa Maria Reyes, Josefina Coloma, Eva Harris, Neil Andersson, Robert J Ledogar
BACKGROUND: Recent literature on community intervention research stresses system change as a condition for durable impact. This involves highly participatory social processes leading to behavioural change. METHODS: Before launching the intervention in the Nicaraguan arm of Camino Verde, a cluster-randomised controlled trial to show that pesticide-free community mobilisation adds effectiveness to conventional dengue controls, we held structured discussions with leaders of intervention communities on costs of dengue illness and dengue control measures taken by both government and households...
May 30, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28696858/enhancing-the-science-of-discovery-in-public-health-systems-and-services-research-through-participatory-research-methods
#6
William C Livingood, Lori A Bilello, Ulyee Choe, Katryne Lukens-Bull
The objective was to combine cost analysis and participatory research to identify actionable cost-saving opportunities in public health services for sexually transmitted infections (STI). This study used a mixed-methods approach of analyzing Florida public health data, combined with participatory research approaches to data collection including quantitative web-based surveys, qualitative in-depth interviews, and group discussions. Florida surveillance and administrative data on STIs and county health department (CHD) costs of services for 2012 were analyzed in addition to primary data collected from all Florida CHDs during 2014 and 2015...
July 11, 2017: Population Health Management
https://www.readbyqxmd.com/read/28693390/collaborating-with-nurse-leaders-to-develop-patient-safety-practices
#7
Anne Kanerva, Tuula Kivinen, Johanna Lammintakanen
Purpose The organisational level and leadership development are crucial elements in advancing patient safety, because patient safety weaknesses are often caused by system failures. However, little is known about how frontline leader and director teams can be supported to develop patient safety practices. The purpose of this study is to describe the patient safety development process carried out by nursing leaders and directors. The research questions were: how the chosen development areas progressed in six months' time and how nursing leaders view the participatory development process...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28686956/evaluation-of-a-collaborative-project-to-develop-sustainable-healthcare-education-in-eight-uk-medical-schools
#8
S C Walpole, F Mortimer
INTRODUCTION: Environmental change poses pressing challenges to public health and calls for profound and far-reaching changes to policy and practice across communities and health systems. Medical schools can act as a seedbed where knowledge, skills and innovation to address environmental challenges can be developed through innovative and collaborative approaches. OBJECTIVES: The objectives of this study were to (1) explore drivers and challenges of collaboration for educational development between and within medical schools; (2) evaluate the effectiveness of a range of pedagogies for sustainable healthcare education; and (3) identify effective strategies to facilitate the renewal of medical curricula to address evolving health challenges...
July 4, 2017: Public Health
https://www.readbyqxmd.com/read/28685035/initiating-a-participatory-action-research-process-in-the-agincourt-health-and-socio-demographic-surveillance-site
#9
Oghenebrume Wariri, Lucia D'Ambruoso, Rhian Twine, Sizzy Ngobeni, Maria van der Merwe, Barry Spies, Kathleen Kahn, Stephen Tollman, Ryan G Wagner, Peter Byass
BACKGROUND: Despite progressive health policy, disease burdens in South Africa remain patterned by deeply entrenched social inequalities. Accounting for the relationships between context, health and risk can provide important information for equitable service delivery. The aims of the research were to initiate a participatory research process with communities in a low income setting and produce evidence of practical relevance. METHODS: We initiated a participatory action research (PAR) process in the Agincourt health and socio-demographic surveillance site (HDSS) in rural north-east South Africa...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28682708/photovoice-and-persons-with-physical-disabilities-a-scoping-review-of-the-literature
#10
Ebenezer Dassah, Heather M Aldersey, Kathleen E Norman
Photovoice is a group analysis method often affiliated with participatory action research (PAR). It has become increasingly popular in qualitative research with people with physical disabilities. This article details the results of a study that sought to understand the scope of the literature related to how photovoice is conducted with people with physical disabilities. We performed a scoping review related to use of photovoice in physical disabilities research. We identified 20 articles that featured diverse participants with physical disabilities and demonstrated a range of approaches to data collection, analysis, and dissemination...
July 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28679937/actions-to-empower-digital-competences-in-healthcare-workforce-a-qualitative-approach
#11
Stathis Th Konstantinidis, Sisi Li, Vicente Traver, Nabil Zary, Panagiotis D Bamidis
While healthcare systems are taking advantage of the ICT to improve healthcare services, healthcare workforce needs additional competencies in order to continue the provision of the best achievable care. In this paper emphasis is given to an active research effort taken during the MEI2015 Conference. Based on hands-on group-work, participants identified the actions needed to boost the acquisition of IT competences by healthcare workforce and collaboratively indicated the most important actions. The leading priority actions were integration of IT into Curriculum, continuous IT/eHealth training at the work place, raising awareness of IT competences, participatory decisions for actions, match healthcare applications to users' own context, inclusion of professionals in the development of eHealth projects...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28679428/using-participatory-methods-to-design-an-mhealth-intervention-for-a-low-income-country-a-case-study-in-chikwawa-malawi
#12
Rebecca Laidlaw, Diane Dixon, Tracy Morse, Tara K Beattie, Save Kumwenda, Grant Mpemberera
BACKGROUND: mHealth holds the potential to educate rural communities in developing countries such as Malawi, on issues which over-burdened and under staffed health centres do not have the facilities to address. Previous research provides support that mHealth could be used as a vehicle for health education campaigns at a community level; however the limited involvement of potential service users in the research process endangers both user engagement and intervention effectiveness. METHODS: This two stage qualitative study used participatory action research to inform the design and development of an mHealth education intervention...
July 5, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28677332/the-development-of-the-person-centred-situational-leadership-framework-revealing-the-being-of-person-centredness-in-nursing-homes
#13
Brighide M Lynch, Tanya McCance, Brendan McCormack, Donna Brown
AIMS AND OBJECTIVES: To implement and evaluate the effect of using the Person-Centred Situational Leadership Framework to develop person-centred care within nursing homes. BACKGROUND: Many models of nursing leadership have been developed internationally in recent years but do not fit with the emergent complex philosophy of nursing home care. This study develops the Person-Centred Situational Leadership Framework that supports this philosophy. It forms the theoretical basis of the action research study described in this paper...
July 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28661236/forty-years-of-research-concerning-children-and-youth-in-greenland-a-mapping-review
#14
Mia Glendøs, Peter Berliner
OBJECTIVE: This study undertakes a mapping review of mainly concerning children and youth in Greenland in the period 1976-2016 and reflects on how the research has been conducted and knowledge thereby created about children and youth in Greenland, as well as how the research has been developed over time. DESIGN: 16 online databases; five journals; publication lists originating from seven organisations and ten prominent researchers; and local network and references were used in the search and subsequently screened through the scoping criteria...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28647727/patients-as-partners-in-enhanced-recovery-after-surgery-a-qualitative-patient-led-study
#15
Chelsia Gillis, Marlyn Gill, Nancy Marlett, Gail MacKean, Kathy GermAnn, Loreen Gilmour, Gregg Nelson, Tracy Wasylak, Susan Nguyen, Edamil Araujo, Sandra Zelinsky, Leah Gramlich
OBJECTIVES: Explore the experience of patients undergoing colorectal surgery within an Enhanced Recovery After Surgery (ERAS) programme. Use these experiential data to inform the development of a framework to support ongoing, meaningful patient engagement in ERAS. DESIGN: Qualitative patient-led study using focus groups and narrative interviews. Data were analysed iteratively using a Participatory Grounded Theory approach. SETTING: Five tertiary care centres in Alberta, Canada, following the ERAS programme...
June 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28635570/quality-dementia-care-prerequisites-and-relational-ethics-among-multicultural-healthcare-providers
#16
Gerd Sylvi Sellevold, Veslemøy Egede-Nissen, Rita Jakobsen, Venke Sørlie
BACKGROUND: Many nursing homes appear as multicultural workplaces where the majority of healthcare providers have an ethnic minority background. This environment creates challenges linked to communication, interaction and cultural differences. Furthermore, the healthcare providers have varied experiences and understanding of what quality care of patients with dementia involves. PURPOSE: The aim of this study is to illuminate multi-ethnic healthcare providers' lived experiences of their own working relationship, and its importance to quality care for people with dementia...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28622408/creation-of-the-quebrada-arriba-community-and-academic-partnership-an-effective-coalition-for-addressing-health-disparities-in-older-puerto-ricans
#17
Elsa M Orellano-Colón, Yolanda González-Laboy, Amarelis De Jesús-Rosario
OBJECTIVE: The objective of this project was to develop a community-academic coalition partnership to conduct community-based participatory research (CBPR) to address health disparities in older adults with chronic conditions living in the Quebrada Arriba community. METHODS: We used the 'Developing and Sustaining CPPR Partnerships: A Skill-Building Curriculum', to create the Quebrada Arriba Community-Academic Partnership (QACAP). We assessed the meetings effectiveness and the CBPR experiences of the coalition members in the community-academic partnership...
June 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28622406/building-bridges-to-address-health-disparities-in-puerto-rico-the-salud-para-pi%C3%A3-ones-project
#18
Enid J García-Rivera, Princess Pacheco, Marielis Colón, Mary Helen Mays, Maricruz Rivera, Verónica Munet-Díaz, María Del R González, María Rodríguez, Rebecca Rodríguez, Astrid Morales
Over the past several decades, Puerto Ricans have faced increased health threats from chronic diseases, particularly diabetes and hypertension. The patient-provider relationship is the main platform for individual disease management, whereas the community, as an agent of change for the community's health status, has been limited in its support of individual health. Likewise, traditional research approaches within communities have placed academic researchers at the center of the process, considering their knowledge was of greater value than that of the community...
June 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28614485/-adolescents-access-to-contraception-perceptions-of-health-workers-in-huechuraba-chile
#19
Giovanna Rojas Ramírez, Pamela Eguiguren Bravo, María Isabel Matamala Vivaldi, Irma Palma Manríquez, Thelma Gálvez Pérez
Objective: Identify difficulties in adolescents' access to contraceptive care and information, based on perceptions and experiences of health workers in Huechuraba, in the Metropolitan Region of Chile. Methods: This qualitative, descriptive study incorporated principles of participatory action research, involving health care teams in the survey and data analysis, and generating proposals for improvement. Seventeen (17) semi-structured individual interviews and one group interview were conducted with professionals and technical personnel involved in adolescent care in the commune's health centers...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614478/-a-participatory-model-for-addressing-violence-against-women-in-la-araucan%C3%A3-a-chile
#20
Lucy Mirtha Ketterer Romero, Cecilia Mayorga Muñoz, Marcelo Carrasco Henríquez, Abel Soto Higueras, Ana Tragolaf Ancalaf, Luis Nitrihual, Carlos Del Valle
Violence against women is considered a public health problem that affects women worldwide. Recently, the Directing Council of the Pan American Health Organization declared its serious socioeconomic impact in the Region of the Americas and committed to undertaking actions in the health services to address this problem. Within that framework, this paper describes the steps of a participatory action research (PAR) approach that is being implemented in the Wenteche Territory of the La Araucanía region of Chile, which aims to strengthen community bonds, rekindle opportunities for dialogue with and among the people of the territory, foster social participation and democracy in the generation of pertinent, participatory knowledge regarding this problem, and obtain information to support design of an intervention model adapted to local characteristics...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
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