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https://www.readbyqxmd.com/read/28503194/what-are-effective-strategies-for-implementing-trauma-informed-care-in-youth-inpatient-psychiatric-and-residential-treatment-settings-a-realist-systematic-review
#1
REVIEW
Stephanie A Bryson, Emma Gauvin, Ally Jamieson, Melanie Rathgeber, Lorelei Faulkner-Gibson, Sarah Bell, Jana Davidson, Jennifer Russel, Sharlynne Burke
BACKGROUND: Many young people who receive psychiatric care in inpatient or residential settings in North America have experienced various forms of emotional trauma. Moreover, these settings can exacerbate trauma sequelae. Common practices, such as seclusion and restraint, put young people at risk of retraumatization, development of comorbid psychopathology, injury, and even death. In response, psychiatric and residential facilities have embraced trauma-informed care (TIC), an organizational change strategy which aligns service delivery with treatment principles and discrete interventions designed to reduce rates of retraumatization through responsive and non-coercive staff-client interactions...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28483923/rethinking-priorities-experience-of-an-educational-initiative-to-change-attitudes-behaviours-and-clinical-practice-in-end-of-life-care
#2
Annette Edwards, Viv Barros D'Sa, Fiona Hicks
To implement the National End of Life Care strategy and enable more people to express and achieve their preferences about care at the end of life, senior clinicians outside palliative medicine need to make it a routine part of their practice. However, it is acknowledged that recognising that people are entering the last phase of their illness is not always straightforward, and having conversations about aims of treatment and planning for future care may not be easy. In order to begin to address these challenges, funding was sought from the Yorkshire and the Humber Strategic Health Authority (SHA), and subsequently Health Education England, Yorkshire and the Humber (HEEYH), to pilot a development programme in 2 acute trusts...
May 8, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28431554/a-need-to-accelerate-health-research-productivity-in-an-african-university-the-case-of-makerere-university-college-of-health-sciences
#3
Damalie Nakanjako, Dickens Akena, Dan K Kaye, James Tumwine, Elialilia Okello, Annettee Nakimuli, Andrew Kambugu, Hazel McCullough, Harriet Mayanja-Kizza, Moses R Kamya, Nelson K Sewankambo
BACKGROUND: In the last decade, Makerere University College of Health Sciences (MakCHS) has taken strides in research and training to improve healthcare through collaborative training and research programs. However, there is limited data on the trends of MakCHS faculty contributions to research and on faculty growth to take leading roles in health research. This paper reviews MakCHS faculty research publications over 15.5 years and outlines possible strategies to enhance faculty research outputs...
April 21, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28363725/incidence-of-severe-critical-events-in-paediatric-anaesthesia-apricot-a-prospective-multicentre-observational-study-in-261-hospitals-in-europe
#4
Walid Habre, Nicola Disma, Katalin Virag, Karin Becke, Tom G Hansen, Martin Jöhr, Brigitte Leva, Neil S Morton, Petronella M Vermeulen, Marzena Zielinska, Krisztina Boda, Francis Veyckemans
BACKGROUND: Little is known about the incidence of severe critical events in children undergoing general anaesthesia in Europe. We aimed to identify the incidence, nature, and outcome of severe critical events in children undergoing anaesthesia, and the associated potential risk factors. METHODS: The APRICOT study was a prospective observational multicentre cohort study of children from birth to 15 years of age undergoing elective or urgent anaesthesia for diagnostic or surgical procedures...
March 28, 2017: Lancet Respiratory Medicine
https://www.readbyqxmd.com/read/28355529/allied-health-leadership-in-new-south-wales-a-study-of-perceptions-and-priorities-of-allied-health-leaders
#5
Patricia Bradd, Joanne Travaglia, Andrew Hayen
Objective The aim of the present study was to investigate the opinions and perceptions of senior allied health (AH) leaders in relation to AH leadership, governance and organisation from an Australian public health perspective. The target group was the New South Wales (NSW) Health AH directors or advisors, the most senior public AH professionals in NSW.Methods The study was conducted over a 6-month period in 2014-15 and comprised two parts: (1) data collection through a 46-question online survey that sought the views of AH leaders about the field of AH in NSW; and (2) two confirmatory focus groups with members of the NSW Health Allied Health Directors Committee...
March 30, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28346133/creating-a-climate-that-catalyses-healthcare-innovation-in-the-united-kingdom-learning-lessons-from-international-innovators
#6
Kathrin Cresswell, Sarah Cunningham-Burley, Aziz Sheikh
BACKGROUND: The United Kingdom (UK) lags behind other high-income countries in relation to technological innovation in healthcare. In order to inform UK strategy on how to catalyse innovation, we sought to understand what national strategies can help to promote a climate for innovation in healthcare settings by extracting lessons for the UK from international innovators. METHODS: We undertook a series of qualitative semi-structured interviews with senior international innovators from a range of health related policy, care/service delivery, commercial and academic backgrounds...
January 25, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28290218/the-association-between-adolescent-risk-behaviours-and-feelings-of-sadness-or-hopelessness-a-cross-sectional-survey-of-south-african-secondary-school-learners
#7
Shamagonam James, Sasiragha Priscilla Reddy, Afzal Ellahebokus, Ronel Sewpaul, Pamela Naidoo
Poor mental health in adolescents has shown associations with engagement in other risk behaviours. However, evidence of this association in Sub-Saharan Africa, particularly South Africa, is lacking. This study examines the associations between pertinent risk behaviours and feelings of sadness or hopelessness amongst a nationally representative sample of South African school going adolescents. Data was analysed from the South African Youth Risk Behaviour Survey 2011 (n=10,997), a cross-sectional national survey among grades 8-11 school learners...
March 14, 2017: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/28260637/does-autonomy-for-public-hospitals-in-developing-countries-increase-performance-evidence-based-case-studies
#8
REVIEW
Willy De Geyndt
OBJECTIVES: Governments in middle and low income countries have sought ways for the past decades to make their public hospitals more performing. The objectives of this assessment are to: (a) synthesize the experience of eleven countries at granting autonomy to their public hospitals and the obstacles encountered; (b) deduce which autonomy policies have or have not been effective documenting successes and failures; and (c) propose evidence-based recommendations to policy makers. DATA SOURCES: Data for five countries are derived from the author's participation in the autonomy process augmented by current updates provided by national colleagues...
February 27, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28239925/insomnia-management-in-prisons-in-england-and-wales-a-mixed-methods-study
#9
Lindsay H Dewa, Lamiece Hassan, Jenny J Shaw, Jane Senior
Insomnia in prison is common; however, research is limited regarding the management strategies that prison establishments employ. To address this knowledge gap, we conducted a survey to identify how insomnia is detected, diagnosed and treated in adult prisons in England and Wales. Telephone interviews with a purposive sample of health-care managers were then conducted. The survey was sent to all establishments holding adult prisoners, covering screening and assessment methods to detect insomnia; treatment options, both pharmacological and non-pharmacological; the importance of insomnia as a treatable condition; and staff training available...
February 27, 2017: Journal of Sleep Research
https://www.readbyqxmd.com/read/28219446/effective-knowledge-translation-approaches-and-practices-in-indigenous-health-research-a-systematic-review-protocol
#10
Melody E Morton Ninomiya, Donna Atkinson, Simon Brascoupé, Michelle Firestone, Nicole Robinson, Jeff Reading, Carolyn P Ziegler, Raglan Maddox, Janet K Smylie
BACKGROUND: Effective knowledge translation (KT) is critical to implementing program and policy changes that require shared understandings of knowledge systems, assumptions, and practices. Within mainstream research institutions and funding agencies, systemic and insidious inequities, privileges, and power relationships inhibit Indigenous peoples' control, input, and benefits over research. This systematic review will examine literature on KT initiatives in Indigenous health research to help identify wise and promising Indigenous KT practices and language in Canada and abroad...
February 20, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28219149/-study-on-vitamin-a-nutritional-status-of-chinese-urban-elderly-residents-in-2010-2012
#11
J Chen, Y C Hu, C Yang, C F Yun, R Wang, D Q Mao, W D Li, Y H Yang, X G Yang, L C Yang
Objective: To assess the vitamin A nutritional status of the Chinese urban elderly population by analyzing serum retinol level in 2010-2012. Methods: Data were collected from the Chinese National Nutrition and Health Survey in 2010-2012. Using the multi-stage stratified cluster sampling method, serum samples from elderly residents aged ≥60 years old were obtained from 34 metropolis and 41 middle-sized and small cities. Demographic data were collected using a questionnaire survey. The serum retinol concentration was determined by high-performance liquid chromatography...
February 6, 2017: Zhonghua Yu Fang Yi Xue za Zhi [Chinese Journal of Preventive Medicine]
https://www.readbyqxmd.com/read/28183806/commissioning-through-competition-and-cooperation-in-the-english-nhs-under-the-health-and-social-care-act-2012-evidence-from-a-qualitative-study-of-four-clinical-commissioning-groups
#12
Pauline Allen, Dorota Osipovič, Elizabeth Shepherd, Anna Coleman, Neil Perkins, Emma Garnett, Lorraine Williams
OBJECTIVE: The Health and Social Care Act 2012 ('HSCA 2012') introduced a new, statutory, form of regulation of competition into the National Health Service (NHS), while at the same time recognising that cooperation was necessary. NHS England's policy document, The Five Year Forward View ('5YFV') of 2014 placed less emphasis on competition without altering the legislation. We explored how commissioners and providers understand the complex regulatory framework, and how they behave in relation to competition and cooperation...
February 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28169826/-the-coping-strategies-of-patients-with-malignant-wound-an-analytic-study
#13
Nelly Espanet, Sébastien Colson, Karine Baumstarck, Francette Futo, Julien Mancini, Sébastien Salas
Introduction/Background : evolution of the cancerous disease sometimes results in externalization of the tumor to the skin, creating a malignant wound. Limited data describe the coping strategies that individuals will use to deal with this situation. Aim : the main objective is to determine the different strategies of adaptations used by patients with malignant wounds, and links with their clinical and sociodemographic characteristics. Secondary objective is to document body image of these individuals. Materials and methods : an analytic study was proposed to 21 patients with a malignant wound, hospitalized in medical oncology...
2016: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/28115331/capacity-of-english-nhs-hospitals-to-monitor-quality-in-infection-prevention-and-control-using-a-new-european-framework-a-multilevel-qualitative-analysis
#14
Michiyo Iwami, Raheelah Ahmad, Enrique Castro-Sánchez, Gabriel Birgand, Alan P Johnson, Alison Holmes
OBJECTIVE: (1) To assess the extent to which current English national regulations/policies/guidelines and local hospital practices align with indicators suggested by a European review of effective strategies for infection prevention and control (IPC); (2) to examine the capacity of local hospitals to report on the indicators and current use of data to inform IPC management and practice. DESIGN: A national and local-level analysis of the 27 indicators was conducted...
January 23, 2017: BMJ Open
https://www.readbyqxmd.com/read/28096037/the-future-is-here-but-there-is-no-reason-to-fear
#15
Nicole Fisher
Nicole Fisher, MPP, PhD, is the founder and chief executive officer at HHR Strategies, a health care and human rights focused advising firm. Additionally, she is a senior policy advisor and expert on health economics, technology, and reform, specifically as they affect vulnerable populations. Nicole runs a health innovation and policy page at Forbes, highlighting and advising companies, ideas, and people that are changing the health landscape. She also is currently pursuing her PhD at the University of North Carolina in the Health Policy and Management Department...
February 2017: Surgery
https://www.readbyqxmd.com/read/28068981/factors-affecting-evidence-use-in-food-policy-making-processes-in-health-and-agriculture-in-fiji
#16
Gade Waqa, Colin Bell, Wendy Snowdon, Marj Moodie
BACKGROUND: There is limited research on the use of evidence to inform policy-making in the Pacific. This study aims to identify and describe factors that facilitate or limit the use of evidence in food-related policy-making in the Health and Agriculture Ministries in Fiji. METHODS: Semi-structured face-to-face interviews were conducted with selected policy-makers in two government ministries that were instrumental in the development of food-related policies in Fiji designed to prevent Non-Communicable Diseases (NCDs)...
January 9, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28064212/impact-of-a-critical-health-workforce-shortage-on-child-health-in-zimbabwe-a-country-case-study-on-progress-in-child-survival-2000-2013
#17
Connie A Haley, Sten H Vermund, Precious Moyo, Aaron M Kipp, Bernard Madzima, Trevor Kanyowa, Teshome Desta, Kasonde Mwinga, Marie A Brault
Despite notable progress reducing global under-five mortality rates, insufficient progress in most sub-Saharan African nations has prevented the achievement of Millennium Development Goal four (MDG#4) to reduce under-five mortality by two-thirds between 1990 and 2015. Country-level assessments of factors underlying why some African countries have not been able to achieve MDG#4 have not been published. Zimbabwe was included in a four-country study examining barriers and facilitators of under-five survival between 2000 and 2013 due to its comparatively slow progress towards MDG#4...
January 7, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28059784/an-international-comparative-study-on%C3%A2-driving-regulations-on-people-with%C3%A2-dementia
#18
You Joung Kim, Hoyoung An, Binna Kim, Young Shin Park, Ki Woong Kim
Over 40% of people with dementia drive, with a two to five times greater accident risk than controls. This has fueled public concerns about the risk of traffic accidents by drivers with dementia (DWD). We compared driving regulations on seniors and DWD between ten European and Asia-Pacific countries to identify key implications for national strategies. Moderate to severe dementia was a reason for driver's license revocation in all countries. However, regulations on mild dementia varied considerably, with most basing their decisions on severity, rather than simply the presence of dementia...
2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27967210/relationship-between-falls-and-complementary-and-alternative-medicine-use-among-community-dwelling-older-adults
#19
Amy Caron, William T Gallo, Laura L Durbin, Thelma J Mielenz
OBJECTIVES: The objective of this study was to examine the potential relationship between different forms of complementary and alternative medicine (CAM) use and falls among older adults in New York City (NYC). DESIGN: This cross-sectional study of data from the NYC Health Indicators Project survey used modified questionnaire items from several national surveys. SETTINGS: Participants were recruited from 56 senior centers located in the 5 boroughs of NYC...
January 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/27934539/healthcare-reform-in-the-middle-east-and-the-usa
#20
Mustafa Z Younis
Mustafa Z Younis speaks to Laura Dormer, Commissioning Editor: Dr Mustafa Z Younis is an internationally recognized scholar and was a member of the Executive Committee of the International Society for Research of Healthcare Financial Management. Dr Younis has authored and published over 200 articles, abstracts and presentations in refereed journals and meetings, and has presented at national and international conferences. Dr Younis has administrative experience as Senior Adviser for the President at Zirve University, Turkey and as Chair of the Department of Health Policy and Management at Florida International University (FL, USA) where he led the accreditation efforts for the Healthcare Management Program...
January 2017: Journal of Comparative Effectiveness Research
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