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https://www.readbyqxmd.com/read/29148566/factors-that-influence-the-provision-of-intrapartum-and-postnatal-care-by-skilled-birth-attendants-in-low-and-middle-income-countries-a-qualitative-evidence-synthesis
#1
REVIEW
Susan Munabi-Babigumira, Claire Glenton, Simon Lewin, Atle Fretheim, Harriet Nabudere
BACKGROUND: In many low- and middle-income countries women are encouraged to give birth in clinics and hospitals so that they can receive care from skilled birth attendants. A skilled birth attendant (SBA) is a health worker such as a midwife, doctor, or nurse who is trained to manage normal pregnancy and childbirth. (S)he is also trained to identify, manage, and refer any health problems that arise for mother and baby. The skills, attitudes and behaviour of SBAs, and the extent to which they work in an enabling working environment, impact on the quality of care provided...
November 17, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29138956/nurses-attitudes-and-practices-towards-provision-of-survivorship-care-for-people-with-a-haematological-cancer-on-completion-of-treatment
#2
Raymond Javan Chan, Elise Button, Alison Thomas, Priscilla Gates, Patsy Yates
PURPOSE: The purpose of this study is to assess cancer nurses' perceptions of responsibility, confidence levels and practice in relation to survivorship care for people with a haematological malignancy on completion of treatment. METHODS: A prospective cross-sectional survey was conducted. An online survey was distributed to members of two Australian professional bodies. RESULTS: A total of 310 cancer nurses participated in the study, representing a response rate of 28%...
November 14, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29133338/social-work-s-scope-of-practice-in-the-provision-of-primary-mental-health-care-protocol-for-a-scoping-review
#3
Rachelle Ashcroft, Toula Kourgiantakis, Judith Belle Brown
INTRODUCTION: Social work is a key member of interprofessional primary healthcare teams and foundational to primary healthcare reforms that aim to improve the provision of mental healthcare. Little is known, however, about social work's scope of practice within primary healthcare settings, particularly in the provision of mental healthcare. The objective of this study is to identify and describe social work's scope of practice as it relates to mental healthcare in primary healthcare settings...
November 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29133314/decisional-needs-assessment-of-patients-with-complex-care-needs-in-primary-care-a-participatory-systematic-mixed-studies-review-protocol
#4
Mathieu Bujold, Pierre Pluye, France Légaré, Jeannie Haggerty, Genevieve C Gore, Reem El Sherif, Marie-Eve Poitras, Marie-Claude Beaulieu, Marie-Dominique Beaulieu, Paula L Bush, Yves Couturier, Beatrice Débarges, Justin Gagnon, Anik Giguère, Roland Grad, Vera Granikov, Serge Goulet, Catherine Hudon, Bernardo Kremer, Edeltraut Kröger, Irina Kudrina, Bertrand Lebouché, Christine Loignon, Marie-Therese Lussier, Cristiano Martello, Quynh Nguyen, Rebekah Pratt, Benoit Rihoux, Ellen Rosenberg, Isabelle Samson, Nicolas Senn, David Li Tang, Masashi Tsujimoto, Isabelle Vedel, Bruno Ventelou, Michel Wensing
INTRODUCTION: Patients with complex care needs (PCCNs) often suffer from combinations of multiple chronic conditions, mental health problems, drug interactions and social vulnerability, which can lead to healthcare services overuse, underuse or misuse. Typically, PCCNs face interactional issues and unmet decisional needs regarding possible options in a cascade of interrelated decisions involving different stakeholders (themselves, their families, their caregivers, their healthcare practitioners)...
November 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29132909/a-comprehensive-systematic-review-of-pharmacy-perspectives-on-interprofessional-education-and-collaborative-practice
#5
REVIEW
Alla El-Awaisi, Sundari Joseph, Maguy Saffouh El Hajj, Lesley Diack
INTRODUCTION: Pharmacists are key professionals in the collaborative working process and are integral members of the healthcare team. However, there is paucity of information regarding their perspectives towards interprofessional education (IPE) and collaborative practice. AIMS: The aim of this systematic review is to synthesize, summarise and evaluate the quality of the quantitative and qualitative literature related to the perspectives of pharmacy students, pharmacy faculty and practising pharmacists toward IPE and collaborative practice...
November 2, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29130384/characterising-the-growth-in-palliative-care-prescribing-2011-2015-analysis-of-national-medical-and-non-medical-activity
#6
Lucy Ziegler, Michael I Bennett, Matt Mulvey, Tim Hamilton, Alison Blenkinsopp
BACKGROUND: The role of non-medical prescribers working in palliative care has been expanding in recent years and prescribers report improvements in patient care, patient safety, better use of health professionals' skills and more flexible team working. Despite this, there is a lack of empirical evidence to demonstrate its clinical and economic impact, limiting our understanding of the future role of non-medical prescribers within a healthcare system serving an increasing number of people with palliative care needs...
November 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/29126585/-information-booklet-for-related-hematopoietic-stem-cell-donors-guidelines-from-the-francophone-society-of-bone-marrow-transplantation-and-cellular-therapy-sfgm-tc
#7
Alice Polomeni, Laure Tardieu, Malika Ainaoui, Christelle Andrianne, Nelly Bancillon, Valerie Chapel, Nathalie Chevallier, Solène Evrard, Isabelle Fournier, Guillaume Gargallo, Sandrine Godin, Dominique Issarni, Laetitia Le Bars, Barbara Renaud, Ibrahim Yakoub-Agha, Anne Wallart, Natacha De Bentzmann
Providing information to living donors is first and foremost a legal obligation as well as an ethical one, not to mention necessary to health care provision. It's been shown that quality of information concerning the procedure's practical aspects, scheduling of clinical tests and examinations, withdrawing stem cells for the donation, post-donation symptoms, and support provided by healthcare teams, directly impacts the donor's quality of experience. Taking this into consideration our group decided it was essential to create an informational support for donors in the form of a booklet to be provided in different hematopoietic stem cell transplant centers across France...
November 7, 2017: Bulletin du Cancer
https://www.readbyqxmd.com/read/29125408/improving-stroke-transitions-development-and-implementation-of-a-social-work-case-management-intervention
#8
Anne K Hughes, Amanda T Woodward, Michele C Fritz, Mathew J Reeves
Strokes impact over 800,000 people every year. Stroke care typically begins with inpatient care and then continues across an array of healthcare settings. These transitions are difficult for patients and caregivers, with psychosocial needs going unmet. Our team developed a case management intervention for acute stroke patients and their caregivers aimed at improving stroke transitions. The intervention focusses on four aspects of a successful care transition: support, preparedness, identifying and addressing unmet needs, and stroke education...
November 10, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/29121989/determining-the-impact-of-a-new-physiotherapist-led-primary-care-model-for-back-pain-protocol-for-a-pilot-cluster-randomized-controlled-trial
#9
Jordan Miller, David Barber, Catherine Donnelly, Simon French, Michael Green, Jonathan Hill, Joy MacDermid, Jacquelyn Marsh, Kathleen Norman, Julie Richardson, Monica Taljaard, Timothy Wideman, Lynn Cooper, Colleen McPhee
BACKGROUND: Back pain is a leading contributor to disability, healthcare costs, and lost work. Family physicians are the most common first point of contact in the healthcare system for people with back pain, but physiotherapists (PTs) may be able to support the primary care team through evidence-based primary care. A cluster randomized trial is needed to determine the clinical, health system, and societal impact of a primary care model that integrates physiotherapists at the first visit for people with back pain...
November 9, 2017: Trials
https://www.readbyqxmd.com/read/29120252/interprofessional-ethics-education-seminar-for-undergraduate-health-science-students-a-pilot-study
#10
Kathleen Cino, Rita Austin, Cristina Casa, Christine Nebocat, Adele Spencer
To prepare for the modern collaborative healthcare system, health science academia is charged with educating future professionals to be competent members of the interprofessional team. The purpose of this pilot study was to assess self-efficacy for interprofessional education (IPE) in medical laboratory technology, dental hygiene, and nursing students before and after an IPE session. The specific topic of ethics was the focus of the session. The interprofessional seminar was designed to compare the codes of ethics from each programme through discussion and a case-based approach...
November 9, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29105989/patient-reported-experience-of-the-impact-and-burden-of-neuroendocrine-tumors-oceania-patient-results-from-a-large-global-survey
#11
John Leyden, Nick Pavlakis, David Chan, Michael Michael, Stephen Clarke, Mustafa Khasraw, Timothy Price
AIM: Despite the considerable impact of neuroendocrine tumors (NETs) on patients' lives, the patient journey is not well documented. The aim of this survey was to identify the impact and burden of NETs from the patient perspective. METHODS: This was a self-reported global survey regarding NET knowledge/awareness, disease impact/management, interaction with medical teams, and desired improvements. One hundred thirty-eight patients (7% of the global study) in the Oceania region answered closed-ended questions using graded descriptors on their experience of living with NETs...
November 6, 2017: Asia-Pacific Journal of Clinical Oncology
https://www.readbyqxmd.com/read/29101137/collective-leadership-and-safety-cultures-co-lead-protocol-for-a-mixed-methods-pilot-evaluation-of-the-impact-of-a-co-designed-collective-leadership-intervention-on-team-performance-and-safety-culture-in-a-hospital-group-in-ireland
#12
Eilish McAuliffe, Aoife De Brún, Marie Ward, Marie O'Shea, Una Cunningham, Róisín O'Donovan, Sinead McGinley, John Fitzsimons, Siobhán Corrigan, Nick McDonald
INTRODUCTION: There is accumulating evidence implicating the role of leadership in system failures that have resulted in a range of errors in healthcare, from misdiagnoses to failures to recognise and respond to patient deterioration. This has led to concerns about traditional hierarchical leadership structures and created an interest in the development of collective ways of working that distribute leadership roles and responsibilities across team members. Such collective leadership approaches have been associated with improved team performance and staff engagement...
November 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/29098596/interprofessional-simulation-training-to-promote-working-with-families-and-networks-in-mental-health-services
#13
Christopher Kowalski, Chris Attoe, Isabelle Ekdawi, Claire Parry, Sabrina Phillips, Sean Cross
OBJECTIVE: Working with the families and networks of patients with mental illness has significant benefits. There are, however, numerous barriers to this way of working, meaning that it is not universally privileged in mental healthcare services. This study evaluated the impact of an interprofessional simulation (IPS) course on working with families and networks on participants' confidence, attitudes, and perceived future clinical practice. METHODS: A one-day IPS course pairing high-fidelity scenarios with reflective debriefs was developed...
November 2, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/29096710/putting-research-in-place-an-innovative-approach-to-providing-contextualized-evidence-synthesis-for-decision-makers
#14
Stephen Bornstein, Rochelle Baker, Pablo Navarro, Sarah Mackey, David Speed, Melissa Sullivan
BACKGROUND: The Contextualized Health Research Synthesis Program (CHRSP), developed in 2007 by the Newfoundland and Labrador Centre for Applied Health Research, produces contextualized knowledge syntheses for health-system decision makers. The program provides timely, relevant, and easy-to-understand scientific evidence; optimizes evidence uptake; and, most importantly, attunes research questions and evidence to the specific context in which knowledge users must apply the findings. METHODS: As an integrated knowledge translation (KT) method, CHRSP: Involves intensive partnerships with senior healthcare decision makers who propose priority research topics and participate on research teams; Considers local context both in framing the research question and in reporting the findings; Makes economical use of resources by utilizing a limited number of staff; Uses a combination of external and local experts; and Works quickly by synthesizing high-level systematic review evidence rather than primary studies...
November 2, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/29095335/teaching-home-based-primary-care
#15
Jennifer M Reckrey, Katherine A Ornstein, Ania Wajnberg, M Victoria Kopke, Linda V DeCherrie
Despite the growing homebound population and the development of innovative models of care that work to bring care to people in their homes, home visits are not a routine part of education for many healthcare providers. This manuscript describes the experience of Mount Sinai Visiting Doctors teaching home-based primary care to learners of various disciplines and reports the results of a survey performed to assess trainee experience. Mount Sinai Visiting Doctors is the largest academic home-based primary care program in the country and trainees of various disciplines have nearly 1,700 contact days annually of directly supervised clinical teaching...
November 2017: Home Healthcare Now
https://www.readbyqxmd.com/read/29091509/a-person-centered-registry-based-learning-health-system-for-palliative-care-a-path-to-coproducing-better-outcomes-experience-value-and-science
#16
Arif H Kamal, Kathryn B Kirkland, Diane E Meier, Tamara S Morgan, Eugene C Nelson, Steven Z Pantilat
BACKGROUND: Palliative care offers an approach to the care of people with serious illness that focuses on quality of life and aligning care with individual and family goals, and values in the context of what is medically achievable. OBJECTIVE: Measurement of the impact of palliative care is critical for determining what works for which patients in what settings, to learn, improve care, and ensure access to high value care for people with serious illness. METHODS: A learning health system that includes patients and families partnering with clinicians and care teams, is directly linked to a registry to support networks for improvement and research, and offers an ideal framework for measuring what matters to a range of stakeholders interested in improving care for this population...
November 1, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29083254/interprofessional-practice-in-different-patient-care-settings-a-qualitative-exploration
#17
Deborah DiazGranados, Alan W Dow, Nital Appelbaum, Paul E Mazmanian, Sheldon M Retchin
Increasing interprofessional practice is seen as a path to improved quality, decreased cost, and enhanced patient experience. However, little is known about how context shapes interprofessional work and how interventions should be crafted to account for a specific setting of interprofessional practice. To better understand, how the work of interprofessional practice differs across patient care settings we sought to understand the social processes found in varying work contexts to better understand how care is provided...
October 30, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29073824/twelve-tips-for-integrating-leadership-development-into-undergraduate-medical-education
#18
Alex Till, Judy McKimm, Tim Swanwick
Healthcare systems need effective leadership. All healthcare professionals can and should "learn to lead" and this requires a clear focus on leadership development from the earliest stages of a career. Within medicine, undergraduate students should be provided with opportunities to thrive and develop their skills in terms of leadership, management and followership. Drawing from the existing evidence base, the authors' expertise and the latest "thought leadership", these 12 tips provide practical guidance to universities and associated provider organizations, and to academic and clinical faculty, on how to integrate leadership development into their undergraduate medical programs...
October 26, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29069194/worker-s-surveillance-in-the-primary-care-learning-with-family-health-team-of-jo%C3%A3-o-pessoa-para%C3%A3-ba-brazil
#19
Luciana de Assis Amorim, Thais Lacerda E Silva, Horácio Pereira de Faria, Jorge Mesquita Huet Machado, Elizabeth Costa Dias
This study analyzed the Worker's Surveillance activities of Family Health teams, based on the perceptions of physicians and nurses in the city of João Pessoa. We used a 30-question questionnaire split into four blocks: data on the professional, occupational healthcare practices focusing on the production and epidemiological profile, and matrix and institutional support to the teams. A total of 179 professionals participated, 82% of them were female, and 46% aged 50 or more; 60% had worked in the area for more than 10 years...
October 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29065916/a-randomised-controlled-trial-assessing-the-severity-and-duration-of-depressive-symptoms-associated-with-a-clinically-significant-response-to-sertraline-versus-placebo-in-people-presenting-to-primary-care-with-depression-panda-trial-study-protocol-for-a-randomised
#20
George Salaminios, Larisa Duffy, Anthony Ades, Ricardo Araya, Katherine S Button, Rachel Churchill, Tim Croudace, Catherine Derrick, Padraig Dixon, Christopher Dowrick, Simon Gilbody, William Hollingworth, Vivien Jones, Tony Kendrick, David Kessler, Daphne Kounali, Paul Lanham, Alice Malpass, Tim J Peters, Derek Riozzie, Jude Robinson, Debbie Sharp, Laura Thomas, Nicky J Welton, Nicola Wiles, Glyn Lewis
BACKGROUND: Depressive symptoms are usually managed within primary care and antidepressant medication constitutes the first-line treatment. It remains unclear at present which people are more likely to benefit from antidepressant medication. This paper describes the protocol for a randomised controlled trial (PANDA) to investigate the severity and duration of depressive symptoms that are associated with a clinically significant response to sertraline compared to placebo, in people presenting to primary care with depression...
October 24, 2017: Trials
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