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National Senior's Strategy

N Sherin Susan Paul, Mathew Asirvatham
In an anticipation of the rising geriatric population in India, the Central government constituted the National Policy for Older Persons in 1999 to promote the health and welfare of senior citizens in India. A major strategy of this policy is to encourage families to take care of their older family members. The policy also encourages voluntary organizations to supplement the care provided by the family and provide care and protection to vulnerable elderly people. The implementation of this policy, particularly in the rural areas, has been negligible and calls for a scaling-up of programs to address the physical, psychological, and social needs of the poor...
April 2016: Journal of Family Medicine and Primary Care
Ron Bowles, Gregory S Anderson, Colleen Vaughan
The Building Resilient Communities Workshop was hosted and organized by the Justice Institute of British Columbia, with the support of Emergency Management British Columbia and the Canadian Safety and Security Program, Defence Research and Development Canada, Centre for Security Science. Thirty-four participants from multiple levels of government, senior practitioners, policy makers, academia, community members, and a variety of agencies disseminated knowledge and developed concrete strategies and priority actions areas for supporting ongoing and emerging initiatives in community and disaster resilience planning...
July 2016: Journal of Emergency Management: JEM
Giuliano Russo, Inês Rego, Julian Perelman, Pedro Pita Barros
That the current economic crisis is having an impact on population health and healthcare utilisation across Europe is fairly established; how national health systems and markets are reacting is however still poorly understood. Drawing from the economic literature we conducted 21 interviews with physicians, policy-makers and healthcare managers in Portugal, to explore their perceptions on the impact of the crisis on the country's market medical services, on physicians' motivation, and the ensuing coping strategies...
September 2016: Health Policy
Aziza Mwisongo, Alice Ntamwishimiro Soumare, Juliet Nabyonga-Orem
BACKGROUND: A number of Global health initiatives (GHIs) have been created to support low and middle income countries. Their support has been of different forms. The African Region has benefitted immensely from GHIs and continues to register an increase in health partnerships and initiatives. However, information on the functioning and operationalisation of GHIs in the countries is limited. METHODS: This study involved two country case studies, one in Tanzania and the other one in Zambia...
2016: BMC Health Services Research
Corina Naughton, Nicky Hayes, Zainab Zahran, Christine Norton, Geraldine Lee, Joanne M Fitzpatrick, Mary Crawford, Stephen Tee
BACKGROUND: Preparing the nursing workforce to meet the challenges of an ageing population is a priority for many countries. The development of an Older Person's Nurse Fellowship (OPNF) programme for senior clinical nurses is an important innovation. OBJECTIVES: This article describes the philosophical development, delivery and early evaluation of the OPNF. DESIGN: In 2014, Health Education England funded 24 senior clinical nurses to participate in the OPNF...
September 2016: Nurse Education Today
Erwin Loh, Jennifer Morris, Laura Thomas, Marie Magdaleen Bismark, Grant Phelps, Helen Dickinson
Purpose The paper aims to explore the beliefs of doctors in leadership roles of the concept of "the dark side", using data collected from interviews carried out with 45 doctors in medical leadership roles across Australia. The paper looks at the beliefs from the perspectives of doctors who are already in leadership roles themselves; to identify potential barriers they might have encountered and to arrive at better-informed strategies to engage more doctors in the leadership of the Australian health system. The research question is: "What are the beliefs of medical leaders that form the key themes or dimensions of the negative perception of the 'dark side'?"...
July 4, 2016: Leadership in Health Services
Benoit Chaput, Ali Mojallal, Nicolas Bertheuil, Raphael Carloni, Jean Louis Grolleau, Raphael Sinna, Farid Bekara, Christian Herlin
Background The recent development of perforator flaps has changed the reconstructive strategy for common integumental defects and has refocused the attention of microsurgeons to donor site morbidity. We asked a representative panel of microsurgeons about the free flap they would use to cover a common integumental defect on their own body to investigate the best free-flap donor sites. Methods In total, 100 practitioners participated in the "FreeFlap4U" study, representing 77.3% of the French national plastic surgery teams practicing microsurgery...
October 2016: Journal of Reconstructive Microsurgery
Sonia Wutzke, Emily Morrice, Murray Benton, Andrew Wilson
Objective Despite being a healthy country by international standards, Australia has a growing and serious burden from chronic diseases. There have been several national efforts to tackle this problem, but despite some important advances much more needs to be done. From the viewpoint of diverse stakeholders, the present study examined two approaches to controlling chronic disease in Australia: (1) the 2005 National Chronic Disease Strategy (NCDS); and (2) the 2008 National Partnership Agreement on Preventive Health (NPAPH)...
June 16, 2016: Australian Health Review: a Publication of the Australian Hospital Association
Julie Bobitt, Andiara Schwingel
While U.S. national policies have been developed to support evidence-based (EB) lifestyle programs for older adults, there has been limited research to determine to what extent these programs actually reach local communities. This study sought to identify factors that impact the implementation of EB physical activity, nutrition, and chronic disease management programs at regional (Area Agencies on Aging, AAAs) and community levels (Senior Centers, SCs). Interviews were conducted with directors of 4 AAAs and 12 SCs to understand their perspectives on EB program implementation...
May 23, 2016: Journal of Aging & Social Policy
Deborah A Cohen, Bing Han, Catherine J Nagel, Peter Harnik, Thomas L McKenzie, Kelly R Evenson, Terry Marsh, Stephanie Williamson, Christine Vaughan, Sweatha Katta
INTRODUCTION: An extensive infrastructure of neighborhood parks supports leisure time physical activity in most U.S. cities; yet, most Americans do not meet national guidelines for physical activity. Neighborhood parks have never been assessed nationally to identify their role in physical activity. METHODS: Using a stratified multistage sampling strategy, a representative sample of 174 neighborhood parks in 25 major cities (population >100,000) across the U.S...
October 2016: American Journal of Preventive Medicine
Kathryn Levy, Jessica Voit, Amit Gupta, Christopher M Petrilli, Vineet Chopra
BACKGROUND: Whether the "July Effect" affects perspectives or has prompted changes in US Internal Medicine residency programs is unknown. METHODS: We designed a survey-based study to assess views and efforts aimed at preventing harm in July. A convenience sampling strategy (email listserv and direct messages to program leaders via the Electronic Residency Application Service) was used to disseminate the survey. RESULTS: The response rate was 16% (65/418 programs); however, a total of 262 respondents from all 50 states where residency programs are located were included...
July 2016: American Journal of Medicine
Jonathan Fuchs, Aminta Kouyate, Liz Kroboth, Willi McFarland
Structured, mentored research programs for high school and undergraduate students from underrepresented minority (URM) backgrounds are needed to increase the diversity of our nation's biomedical research workforce. In particular, a robust pipeline of investigators from the communities disproportionately affected by the HIV epidemic is needed not only for fairness and equity but for insights and innovations to address persistent racial and ethnic disparities in new infections. We created the Summer HIV/AIDS Research Program (SHARP) at the San Francisco Department of Public Health for URM undergraduates as a 12-week program of hands-on research experience, one-on-one mentoring by a senior HIV investigator, didactic seminars for content and research methods, and networking opportunities...
September 2016: AIDS and Behavior
Phindile Chitsulo Lupafya, Beatrice L Matanje Mwagomba, Kathy Hosig, Lucy M Maseko, Henry Chimbali
Malawi is a Sub-Saharan African country experiencing the epidemiological transition from predominantly infectious to noncommunicable diseases (NCDs) with dramatically increasing prevalence of lifestyle-related diseases such as obesity, hypertension, and diabetes. Malawi's 2011-2016 Health Sector Strategic Plan included NCDs, and an NCD Control Program was established with subsequent development of a National Action Plan for prevention and management of NCDs launched in 2013. The current study was designed to identify gaps in implementation of NCD control program policies and action plan strategies by describing current efforts toward prevention and management of NCDs in Malawi with emphasis on challenges and opportunities...
April 2016: Health Education & Behavior: the Official Publication of the Society for Public Health Education
Angela Christiansen, Tracey Barnes, Toni Bewley, Axel Kaehne, Dave Lynes, Andrew Kirkcaldy
AIM: To explore the impact of the National Health Service England's Open and Honest Care Programme on patient safety, patient and staff experience and improvement practices within acute National Health Service settings. BACKGROUND: The Open and Honest Care Programme forms a key tenet of the Nursing Midwifery and Care Staff Strategy launched by the Department of Health in England and Wales in 2012. METHODS: An electronic survey (n = 387) was administered to National Health Service staff...
September 2016: Journal of Nursing Management
Jae Won Hong, Jung Hyun Noh, Dong-Jun Kim
Although reducing dietary salt consumption is the most cost-effective strategy for preventing progression of cardiovascular and renal disease, policy-based approaches to monitor sodium intake accurately and the understanding factors associated with excessive sodium intake for the improvement of public health are lacking. We investigated factors associated with high sodium intake based on the estimated 24-hour urinary sodium excretion, using data from the 2009 to 2011 Korea National Health and Nutrition Examination Survey (KNHANES)...
March 2016: Medicine (Baltimore)
Anthony D LaMontagne, Allison J Milner, Amanda F Allisey, Kathryn M Page, Nicola J Reavley, Angela Martin, Irina Tchernitskaia, Andrew J Noblet, Lauren J Purnell, Katrina Witt, Tessa G Keegel, Peter M Smith
BACKGROUND: In this paper, we present the protocol for a cluster-randomised trial to evaluate the implementation and effectiveness of a workplace mental health intervention in the state-wide police department of the south-eastern Australian state of Victoria. n. The primary aims of the intervention are to improve psychosocial working conditions and mental health literacy, and secondarily to improve mental health and organisational outcomes. METHODS/DESIGN: The intervention was designed collaboratively with Victoria Police based on a mixed methods pilot study, and combines multi-session leadership coaching for the senior officers within stations (e...
2016: BMC Psychiatry
Samuel S Kim, Zain Khalpey, Sherry L Daugherty, Mohammad Torabi, Alex G Little
BACKGROUND: This study determined patterns of chest tube (CT) selection and management after open lobectomy and minimally invasive lobectomy by thoracic surgeons. METHODS: Surveys were sent electronically to 5,175 thoracic surgeons, and 475 were completed. Responses, blinded so individuals could not be identified, were analyzed and compared according to surgeon characteristics (academic/private practice, years in practice, lobectomy volume, and geographic region)...
March 2016: Annals of Thoracic Surgery
Barbara F Brandt, Frank B Cerra, Connie White Delaney
The National Center for Interprofessional Practice and Education, a United States public-private partnership, was formed to provide national leadership, scholarship, evidence, and coordination to advance interprofessional education (IPE) and practice. Many external drivers led to the creation of the partnership that culminated in the National Center: patient safety initiatives, the need for care coordination and transitions efforts, quality improvement imperatives, calls for teamwork and workforce optimization, newly defined national core competencies for interprofessional collaborative practice, practice redesign, escalating health care costs, and state and federal policies...
2015: Journal of Interprofessional Care
Miguel A Ramos
Background: One of the National Center for Geriatric Health-Research Institute (NCGH-RI) mission is to be the leader in innovative health care approaches to improve the quality of life of the Senior Citizens in the country, and one of its strategies to attain its mission is to look into at how it can promote clinical outcomes in conditions that are prevalent in this population. One such condition that has been identified is "Sarcopenia" which up to this point has been the subject of intensive research both in basic and clinical levels...
2015: Journal of Nutritional Science and Vitaminology
Sara A McComb, Jane M Kirkpatrick
BACKGROUND: The changing higher education landscape is prompting nurses to rethink educational strategies. Looking beyond traditional professional boundaries may be beneficial. We compare nursing to engineering because engineering has similar accreditation outcome goals and different pedagogical approaches. PURPOSE: We compare students' cognitive complexity and motivation to learn to identify opportunities to share pedagogical approaches between nursing and engineering...
January 2016: Nursing Outlook
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