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https://www.readbyqxmd.com/read/28723997/access-to-health-care-as-a-human-right-in-international-policy-critical-reflections-and-contemporary-challenges
#1
Camilo Hernán Manchola Castillo, Volnei Garrafa, Thiago Cunha, Fernando Hellmann
Using the United Nations (UN) and its subordinate body, the World Health Organization (WHO), as a frame of reference, this article explores access to healthcare as a human right in international intergovernmental policies. First, we look at how the theme of health is treated within the UN, focusing on the concept of global health. We then discuss the concept of global health from a human rights perspective and go on to outline the debate surrounding universal coverage versus universal access as a human right, addressing some important ethical questions...
July 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28721701/challenges-of-connectedness-in-personal-recovery-for-rural-mothers-with-mental-illness
#2
Rochelle Helena Hine, Darryl Maybery, Melinda Jane Goodyear
Social connection is a fundamental human need, but challenging for individuals with characteristics that are socially stigmatized. Parenting with mental illness presents obstacles, as well as opportunities, for connection. In the present study, we examined connectedness within a personal recovery paradigm for rural mothers with a mental illness. In-depth interviews with 17 mothers with a mental illness, utilizing constructivist grounded theory, resulted in six categories of meaning, including 'yearning for connection', 'connecting intensely', 'encountering rejection and exclusion', 'choosing isolation', 'being known', and 'finding peers/helping others'...
July 18, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28720270/cancer-through-black-eyes-the-views-of-uk-based-black-men-towards-cancer-a-constructivist-grounded-theory-study
#3
Betselot Mulugeta, Susan Williamson, Rob Monks, Thomas Hack, Kinta Beaver
PURPOSE: Little is known about black African (BA) and black African-Caribbean (BAC) men's views towards cancer; yet culture and acculturation can contribute to the way in which people understand, explain and develop their attitudes towards cancer. Hence, cancer prevention and early detection strategies may not be sensitive to United Kingdom (UK)-based black men's views, affecting their awareness of risk factors and early detection services. This study explored the views of UK-based BA and BAC men towards cancer...
August 2017: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/28711151/intelligent-cooperation-a-framework-of-pedagogic-practice-in-the-operating-room
#4
Gary Sutkin, Eliza B Littleton, Steven L Kanter
BACKGROUND: Surgeons who work with trainees must address their learning needs without compromising patient safety. METHODS: We used a constructivist grounded theory approach to examine videos of five teaching surgeries. Attending surgeons were interviewed afterward while watching cued videos of their cases. Codes were iteratively refined into major themes, and then constructed into a larger framework. RESULTS: We present a novel framework, Intelligent Cooperation, which accounts for the highly adaptive, iterative features of surgical teaching in the operating room...
July 1, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28705161/entrustment-of-the-on-call-senior-medical-resident-role-implications-for-patient-safety-and-collective-care
#5
Noureen Huda, Lisa Faden, Mark Goldszmidt
BACKGROUND: The on-call responsibilities of a senior medicine resident (SMR) may include the admission transition of patient care on medical teaching teams (MTT), supervision of junior trainees, and ensuring patient safety. In many institutions, there is no standardised assessment of SMR competency prior to granting these on-call responsibilities in internal medicine. In order to fulfill competency based medical education requirements, training programs need to develop assessment approaches to make and defend such entrustment decisions...
July 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28693410/staying-married-after-stroke-a-constructivist-grounded-theory-qualitative-study
#6
Sharon Anderson, Norah C Keating, Donna M Wilson
BACKGROUND: Marriages are one of the most powerful predictors of health and longevity, yet research in stroke has focused separately on survivors' experience of impairments and how spouses deal with caregiving. OBJECTIVES: The purpose of this constructivist grounded theory study was to understand the key themes related to reconstruction or breakdown of marriages after stroke. METHODS: In semi-structured interviews, 18 couples in long-term marriages discussed how their marriages were reconstructed or broke down after one member of the couple returned home after being hospitalized for a stroke...
July 10, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28691003/leadership-development-of-rehabilitation-professionals-in-a-low-resource-country-a-transformational-leadership-project-based-model
#7
Maureen Romanow Pascal, Monika Mann, Kim Dunleavy, Julia Chevan, Liliane Kirenga, Assuman Nuhu
BACKGROUND AND RATIONALE: This paper presents an overview of the activities and outcomes of the Leadership Institute (LI), a short-term leadership development professional development course offered to physiotherapists in a low-resource country. Previous studies have provided examples of the benefits of such programs in medicine and nursing, but this has yet to be documented in the rehabilitation literature. The prototype of leadership development presented may provide guidance for similar trainings in other low-resource countries and offer the rehabilitation community an opportunity to build on the model to construct a research agenda around rehabilitation leadership development...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28682456/how-hospital-clinicians-select-patients-for-skilled-nursing-facilities
#8
Robert E Burke, Emily Lawrence, Amy Ladebue, Roman Ayele, Brandi Lippmann, Ethan Cumbler, Rebecca Allyn, Jacqueline Jones
OBJECTIVE: To understand how hospital-based clinicians evaluate older adults in the hospital and decide who will be transferred to a skilled nursing facility (SNF) for postacute care. DESIGN: Semistructured interviews paired with a qualitative analytical approach informed by Social Constructivist theory. SETTING: Inpatient care units in three hospitals. Purposive sampling was used to maximize variability in hospitals, units within hospitals, and staff on those units...
July 6, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28681642/indonesian-teachers-epistemological-beliefs-and-inclusive-education
#9
Kieron Sheehy, Budiyanto, Helen Kaye, Khofidotur Rofiah
A growing number of children with intellectual disabilities attend inclusive schools in Indonesia. Previous research has suggested that teachers' type of school and experience influences their beliefs about inclusive education. This research collected questionnaire data from 267 Indonesian teachers and compared the responses from those working in inclusive, special and regular schools regarding their epistemological and pedagogical beliefs. The results showed that teachers in inclusive schools expressed stronger social constructivist beliefs than those in other schools...
January 1, 2017: Journal of Intellectual Disabilities: JOID
https://www.readbyqxmd.com/read/28681441/university-women-s-and-men-s-mindsets-surrounding-postcesarean-birth-findings-and-implications-for-practice-and-policy
#10
Elizabeth Soliday, Gillian Grant, Jillian James, Bailey Noell, Joel Samaduroff
BACKGROUND: Nearly twice as many women report preferring vaginal birth after cesarean (VBAC) than actually undergo it. It is unknown whether the preference pattern would hold in childbearing-aged individuals who had not yet been directly influenced by care experiences. We therefore examined postcesarean birth preferences in nulliparous university women and men to provide additional evidence to help advance related policy and practice. METHODS: An online study of 558 university women and 164 men who read a hypothetical postcesarean birth scenario was conducted...
July 5, 2017: Birth
https://www.readbyqxmd.com/read/28678104/exploring-faculty-developers-experiences-to-inform-our-understanding-of-competence-in-faculty-development
#11
Lindsay Baker, Karen Leslie, Danny Panisko, Allyn Walsh, Anne Wong, Barbara Stubbs, Maria Mylopoulos
PURPOSE: Now a mainstay in medical education, faculty development has created the role of the faculty developer. However, faculty development research tends to overlook faculty developers' roles and experiences. This study aimed to develop an empirical understanding of faculty developer competence by digging deeper into the actions, experiences, and perceptions of faculty developers as they perform their facilitator role. METHOD: A constructivist grounded theory approach guided observations of faculty development activities, field interviews, and formal interviews with 31 faculty developers across two academic institutions from 2013 to 2014...
July 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28677140/coping-strategies-and-social-support-needs-of-experienced-and-inexperienced-nurses-performing-shiftwork
#12
Jane Gifkins, Rebecca Loudoun, Amy Johnston
AIM: The aim of this investigation was to compare perceptions of nurses exposed to short or longer term shift work and their experiences working under this type of scheduling. BACKGROUND: Shift work is a crucial component of nurses' working lives, ensuring continuous care for patients. This study fills a research gap around the personal experiences of shift working nurses and the strategies used to manage the impacts of shift work. DESIGN: Qualitative case study design...
July 5, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28652069/facilitating-tough-conversations-using-an-innovative-simulation-primed-qualitative-inquiry-in-pediatric-research
#13
REVIEW
Ambrose H Wong, Gunjan K Tiyyagura, James M Dodington, Bonnie Hawkins, Denise Hersey, Marc A Auerbach
Deep exploration of a complex healthcare issue in pediatrics may be hindered by the sensitive or infrequent nature of a particular topic in pediatrics. Healthcare simulation builds on constructivist theories to guide individuals through an experiential cycle of action, self-reflection, and open discussion, but has traditionally been applied to the educational domain in health sciences. Leveraging the emotional activation of a simulated experience, investigators can prime participants to engage in open dialog for the purposes of qualitative research...
June 23, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28638516/a-professionalism-curricular-model-to-promote-transformative-learning-among-residents
#14
Cecile M Foshee, Ali Mehdi, S Beth Bierer, Elias I Traboulsi, J Harry Isaacson, Abby Spencer, Cassandra Calabrese, Brian B Burkey
BACKGROUND: Using the frameworks of transformational learning and situated learning theory, we developed a technology-enhanced professionalism curricular model to build a learning community aimed at promoting residents' self-reflection and self-awareness. The RAPR model had 4 components: (1) Recognize: elicit awareness; (2) Appreciate: question assumptions and take multiple perspectives; (3) Practice: try new/changed perspectives; and (4) Reflect: articulate implications of transformed views on future actions...
June 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28637605/-i-need-to-do-another-course-italian-physiotherapists-knowledge-and-beliefs-when-assessing-psychosocial-factors-in-patients-presenting-with-chronic-low-back-pain
#15
Giacomo Zangoni, Oliver P Thomson
OBJECTIVES: Psychosocial factors play an important role in the development and subsequent recovery of individuals suffering from chronic low back pain (CLBP). The study explored physiotherapists' personal beliefs and knowledge about the biopsychosocial model and the different ways they assess and manage psychosocial factors in patients presenting with CLBP. METHODS: Qualitative research design using semi-structured interviews and a constructivist grounded theory approach to data collection and analysis...
February 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28633376/keeping-things-in-balance-family-experiences-of-living-with-alzheimer-s-disease
#16
Nuria Esandi, Mike Nolan, Cristina Alfaro, Ana Canga-Armayor
Background and Objectives: Historically, research, practice, and policy on Alzheimer's family care has been largely focused on dyadic relationships and the experience of burden and stress, often failing to capture the complex caring dynamics as they unfold over time. This study sought to develop a more nuanced understanding of how people with Alzheimer's disease (AD) and their families are affected by the disease and how they respond to the challenges AD poses. Research Design and Methods: Using constructivist grounded theory, the study explored the experiences of living with AD for native Spanish families residing in Navarra...
June 15, 2017: Gerontologist
https://www.readbyqxmd.com/read/28628898/-talking-about-child-sexual-abuse-would-have-helped-me-young-people-who-sexually-abused-reflect-on-preventing-harmful-sexual-behavior
#17
Gemma McKibbin, Cathy Humphreys, Bridget Hamilton
Harmful sexual behavior carried out by children and young people accounts for about half of all child sexual abuse perpetration. The aim of this study was to draw on the insights of young people who had been sexually abusive to enhance the current prevention agenda. The study involved semi-structured interviews with 14 young people and six treatment-providing workers. Sampling was purposive and the young people had previously completed a treatment program for harmful sexual behaviour in Victoria, Australia...
June 16, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28609686/mentors-and-mentees-intellectual-partnership-through-the-lens-of-the-transformative-learning-theory
#18
Margareth Santos Zanchetta, Annette Bailey, Olesya Kolisnyk, Lorena Baku, Jasna Schwind, Eunice Osino, Kateryna Aksenchuk-Metersky, Niyat Mehari, Oluwafunmbi Babalola, Joneet Christopher, Aafreen Hassan, Newton Leong, Mohamed Mohamed, Patrice Nemhbard-Wedderbrun, Ann Rodrigues, Rona Sales, Liana Salvador-Watts, Lira Santiago, Terry Sizto, Melissa Stevenson, Lina Yu
In this paper we report reflections about the scholarly mentoring experiences of undergraduate nursing students (mentees) and faculty members (mentors) involved in an intellectual partnership at a Canadian university. The paper specifically recounts the impacts of the transformative process experienced by 18 mentees and three mentors, based on their in-depth written critical reflections. In this collaborative initiative, the constructivist framework of Shor and Freire, and Mezirow's Transformative Learning Theory, served as foundations for all interactions between mentees and mentors, and guided the analysis and interpretation of their written self-reflections...
May 31, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28594878/development-and-evaluation-of-a-culturally-appropriate-hypertension-education-cahe-training-program-for-health-care-providers
#19
Jennita G Meinema, Joke A Haafkens, Debbie A D C Jaarsma, Henk C P M van Weert, Nynke van Dijk
BACKGROUND: In Western countries, hypertension and hypertension-related complication are more common in ethnic minority groups of African descent than in indigenous populations. Addressing ethnic minority patients' perceptions of hypertension and its treatment through the use of cultural appropriate hypertension education (CAHE) increases adherence to medication and lifestyle recommendations. Given these effects, it seems warranted to develop a training program on how to deliver this type of patient education for Primary Care Nurse Practitioners (PCNPs)...
2017: PloS One
https://www.readbyqxmd.com/read/28590895/a-qualitative-case-study-of-smartphone-connected-hearing-aids-influences-on-patients-clinicians-and-patient-clinician-interactions
#20
Stella L Ng, Shanon Phelan, MaryAnn Leonard, Jason Galster
BACKGROUND: Innovations in hearing aid technology influence clinicians and individuals who use hearing aids. Little research, to date, explains the innovation adoption experiences and perspectives of clinicians and patients, which matter to a field like audiology, wherein technology innovation is constant. By understanding clinician and patient experiences with such innovations, the field of audiology may develop technologies and ways of practicing in a manner more responsive to patients' needs, and attentive to society's influence...
June 2017: Journal of the American Academy of Audiology
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