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https://www.readbyqxmd.com/read/27904435/the-challenges-of-primary-health-care-nurse-leaders-in-the-wake-of-new-health-care-reform-in-norway
#1
Wivi-Ann Tingvoll, Torill Sæterstrand, Leon Mendel McClusky
BACKGROUND: The local municipality, whose management style is largely inspired by the New Public Management (NPM) model, has administrative responsibilities for primary health care in Norway. Those responsible for health care at the local level often find themselves torn between their professional responsibilities and the municipality's market-oriented funding system. The introduction of the new health care reform process known as the Coordination Reform in January 2012 prioritises primary health care while simultaneously promoting a more collaborative and multidisciplinary approach to health care...
2016: BMC Nursing
https://www.readbyqxmd.com/read/27903161/a-call-for-saving-interdisciplinary-pain-management
#2
Xiulu Ruan, Alan David Kaye
Chronic pain is pervasive and costly. In 2011, the Institute of Medicine (IOM) released a landmark report on chronic pain, which estimated that more than 100 million Americans suffer from chronic pain, making pain a major and significant public health problem. The benefits of interdisciplinary pain management programs are undeniable and have been demonstrated for over a half century. Until health care leaders and other stakeholders such as insurers work together to ensure best practices in pain management, we will certainly end up in a lose-lose situation for both the health care teams and patients...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27900588/modeling-informatics-at-vertex-pharmaceuticals-incorporated-our-philosophy-for-sustained-impact
#3
Georgia McGaughey, W Patrick Walters
Molecular modelers and informaticians have the unique opportunity to integrate cross-functional data using a myriad of tools, methods and visuals to generate information. Using their drug discovery expertise, information is transformed to knowledge that impacts drug discovery. These insights are often times formulated locally and then applied more broadly, which influence the discovery of new medicines. This is particularly true in an organization where the members are exposed to projects throughout an organization, such as in the case of the global Modeling & Informatics group at Vertex Pharmaceuticals...
November 29, 2016: Journal of Computer-aided Molecular Design
https://www.readbyqxmd.com/read/27896504/essential-resources-for-implementation-and-sustainability-of-evidence-based-health-promotion-programs-a-mixed-methods-multi-site-case-study
#4
M Dattalo, M Wise, J H Ford Ii, B Abramson, J Mahoney
As of October 2016, use of federal Older Americans Act funds for health promotion and disease prevention will be restricted to the Administration on Aging's criteria for high-level evidence-based health promotion programs. Dissemination of these programs to rural communities remains limited. Therefore a strong need exists to identify strategies that facilitate program implementation and sustainability. The objective of this study was to compare organizational readiness and implementation strategies used by rural communities that achieved varying levels of success in sustaining evidence-based health promotion programs for older adults...
November 28, 2016: Journal of Community Health
https://www.readbyqxmd.com/read/27893261/implementation-of-behavioral-health-interventions-in-real-world-scenarios-managing-complex-change
#5
Khaya D Clark, Benjamin F Miller, Larry A Green, Frank V de Gruy, Melinda Davis, Deborah J Cohen
Introduction: A practice embarks on a radical reformulation of how care is designed and delivered when it decides to integrate medical and behavioral health care for its patients and success depends on managing complex change in a complex system. We examined the ways change is managed when integrating behavioral health and medical care. Method: Observational cross-case comparative study of 19 primary care and community mental health practices. We collected mixed methods data through practice surveys, observation, and semistructured interviews...
November 28, 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27891567/barriers-and-facilitators-to-sustainment-of-an-evidence-based-supported-employment-program
#6
Valerie A Noel, Gary R Bond, Robert E Drake, Deborah R Becker, Gregory J McHugo, Sarah J Swanson, Alison E Luciano, Mary Ann Greene
Large-scale initiatives to expand evidence-based practices are often poorly implemented and rarely endure. The purpose of this study was to identify the perceived barriers and facilitators to sustainment of an evidence-based supported employment program, Individual Placement and Support (IPS). Within a 2-year prospective study of sustainment among 129 IPS programs in 13 states participating in a national learning community, we interviewed IPS team leaders and coded their responses to semi-structured interviews using a conceptual framework adapted from another large-scale implementation study...
November 28, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27881208/the-west-africa-disaster-preparedness-initiative-strengthening-national-capacities-for-all-hazards-disaster-preparedness
#7
Melinda J Morton Hamer, Paul L Reed, Jane D Greulich, Gabor D Kelen, Nicole A Bradstreet, Charles W Beadling
OBJECTIVE: The Ebola outbreak demonstrated the need for improved disaster response throughout West Africa. The West Africa Disaster Preparedness Initiative was a training and assessment effort led by US Africa Command and partners to strengthen capacities among 12 West African partner nations (PNs). METHODS: Series of 3-week training sessions with representatives from each PN were held from 13 July through 20 November 2015 at the Kofi Annan International Peacekeeping Training Centre in Accra, Ghana...
November 24, 2016: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/27866793/tracking-the-dissemination-of-a-culturally-targeted-brochure-to-promote-awareness-of-hereditary-breast-and-ovarian-cancer-among-black-women
#8
Courtney Lynam Scherr, Linda Bomboka, Alison Nelson, Tuya Pal, Susan Thomas Vadaparampil
OBJECTIVE: Black women have a higher rate of BRCA1 and BRCA2 (BRCA) mutations, compared with other populations, that increases their risk for hereditary breast and ovarian cancer (HBOC). However, Black women are less likely to know about HBOC and genetic testing. Based on a request from a community advisory panel of breast cancer survivors, community leaders and healthcare providers in the Black community, our team developed a culturally targeted educational brochure to promote awareness of HBOC among Black women...
October 31, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27852357/a-multifaceted-approach-to-reduction-of-catheter-associated-urinary-tract-infections-in-the-intensive-care-unit-with-an-emphasis-on-stewardship-of-culturing
#9
Katherine M Mullin, Christopher S Kovacs, Cynthia Fatica, Colette Einloth, Elizabeth A Neuner, Jorge A Guzman, Eric Kaiser, Venu Menon, Leticia Castillo, Marc J Popovich, Edward M Manno, Steven M Gordon, Thomas G Fraser
BACKGROUND Catheter-associated urinary tract infections (CAUTIs) are among the most common hospital-acquired infections (HAIs). Reducing CAUTI rates has become a major focus of attention due to increasing public health concerns and reimbursement implications. OBJECTIVE To implement and describe a multifaceted intervention to decrease CAUTIs in our ICUs with an emphasis on indications for obtaining a urine culture. METHODS A project team composed of all critical care disciplines was assembled to address an institutional goal of decreasing CAUTIs...
November 17, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27851699/designing-tomorrow-bringing-our-own-chair%C3%A2-leading-the-conversations
#10
Joan Ellis Beglinger
A highly visible transition occurred earlier this year with the retirement of Pam Thompson, MS, RN, CENP, FAAN, from her role as CEO of the American Organization of Nurse Executives. Ms Thompson was always an advocate of promoting the voice of nursing. This month, the spotlight will shine on a team of nurse leaders who found their voice, got involved, and led the conversation. We will trace their journey as they analyzed their situation, applied the evidence, and used their seat at the table.
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27849646/team-based-primary-care-the-medical-assistant-perspective
#11
Bethany Sheridan, Alyna T Chien, Antoinette S Peters, Meredith B Rosenthal, Joanna Veazey Brooks, Sara J Singer
BACKGROUND: Team-based care has the potential to improve primary care quality and efficiency. In this model, medical assistants (MAs) take a more central role in patient care and population health management. MAs' traditionally low status may give them a unique view on changing organizational dynamics and teamwork. However, little empirical work exists on how team-based organizational designs affect the experiences of low-status health care workers like MAs. PURPOSES: The aim of this study was to describe how team-based primary care affects the experiences of MAs...
November 15, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27849499/trauma-resuscitation-evaluation-times-and-correlating-human-patient-simulation-training-differences-what-is-the-standard
#12
Timothy J Bonjour, Grigory Charny, Robert E Thaxton
BACKGROUND: Rapid effective trauma resuscitations (TRs) decrease patient morbidity and mortality. Few studies have evaluated TR care times. Effective time goals and superior human patient simulator (HPS) training can improve patient survivability. OBJECTIVES: The purpose of this study was to compare live TR to HPS resuscitation times to determine mean incremental resuscitation times and ascertain if simulation was educationally equivalent. The study was conducted at San Antonio Military Medical Center, Department of Defense Level I trauma center...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27849463/core-temperature-in-service-members-with-and-without-traumatic-amputations-during-a-prolonged-endurance-event
#13
Anne M Andrews, Christina Deehl, Reva L Rogers, Alison L Pruziner
INTRODUCTION: Service members with traumatic amputations may be at an increased risk of elevated core body temperature, since their ability to dissipate heat may decrease with the reduction in body surface area (BSA) after injury. Elevated core temperature can impair physical performance during combat operations potentially putting the service members and their teams at risk. The purpose of this study was to compare core temperature between individuals with and without amputations during a prolonged endurance event...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27848426/support-scheme-will-help-nursing-s-leaders-of-the-future-step-up
#14
(no author information available yet)
It is hard to overstate the importance of leadership in nursing. Ward and community teams rarely thrive without a strong sister or charge nurse, while the most successful organisations in the NHS and the independent sector are invariably well led by teams that have a nurse to the fore.
November 9, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27846837/prevalence-aetiology-treatment-and-outcomes-of-shock-in-children-admitted-to-kenyan-hospitals
#15
George Mbevi, Philip Ayieko, Grace Irimu, Samuel Akech, Mike English
BACKGROUND: Shock may complicate several acute childhood illnesses in hospitals within low-income countries and has a high case fatality. Hypovolemic shock secondary to diarrhoea/dehydration and septic shock are thought to be common, but there are few reliable data on prevalence or treatment that differ for the two major forms of shock. Examining prevalence and treatment practices has become important since reports suggest high risks from liberal use of fluid boluses in African children...
November 16, 2016: BMC Medicine
https://www.readbyqxmd.com/read/27846124/effectiveness-and-experiences-of-families-and-support-workers-participating-in-peer-led-parenting-support-programs-delivered-as-home-visiting-programs-a-comprehensive-systematic-review
#16
Ailsa Munns, Robin Watts, Desley Hegney, Roz Walker
BACKGROUND: Designing child and family health services to meet the diverse needs of contemporary families is intended to minimize impacts of early disadvantage and subsequent lifelong health and social issues. Innovative programs to engage families with child and family support services have led to interest in the potential value of peer-led home visiting from parents in local communities. There is a range of benefits and challenges identified in a limited number of studies associated with home visiting peer support...
October 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27843324/the-reablement-team-s-voice-a-qualitative-study-of-how-an-integrated-multidisciplinary-team-experiences-participation-in-reablement
#17
Kari Margrete Hjelle, Olbjørg Skutle, Oddvar Førland, Herdis Alvsvåg
BACKGROUND: Reablement is an early and time-limited home-based rehabilitation intervention that emphasizes intensive, goal-oriented, and multidisciplinary assistance for people experiencing functional decline. Few empirical studies to date have examined the experiences of the integrated multidisciplinary teams involved in reablement. Accordingly, the aim of this study was to explore and describe how an integrated multidisciplinary team in Norway experienced participation in reablement...
2016: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/27842918/qualitative-assessment-of-simulation-based-training-for-pediatric-trauma-resuscitation
#18
Rita V Burke, Natalie E Demeter, Catherine J Goodhue, Heather Roesly, Alyssa Rake, L Caulette Young, Todd P Chang, Elizabeth Cleek, Inge Morton, Jeffrey S Upperman, Aaron R Jensen
BACKGROUND: Effective teamwork is critical in the trauma bay, although there is a lack of consensus related to optimal training for these skills. We implemented in situ trauma simulations with debriefing as a possible training methodology to improve team-oriented skills. METHODS: Focus groups were conducted with multidisciplinary clinicians who respond to trauma activations. The focus group questions were intended to elicit discussion on the clinicians' experiences during trauma activations and simulations with an emphasis on confidence, leadership, cooperation, communication, and opportunities for improvement...
November 11, 2016: Surgery
https://www.readbyqxmd.com/read/27831843/realizing-improvement-through-team-empowerment-rite-a-team-based-project-based-multidisciplinary-improvement-program
#19
David B Larson, L Jake Mickelsen, Kandice Garcia
Performance improvement in a complex health care environment depends on the cooperation of diverse individuals and groups, allocation of time and resources, and use of effective improvement methods. To address this challenge, we developed an 18-week multidisciplinary training program that would also provide a vehicle for effecting needed improvements, by using a team- and project-based model. The program began in the radiology department and subsequently expanded to include projects from throughout the medical center...
November 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27829490/strategies-to-improve-male-involvement-in-pmtct-option-b-in-four-african-countries-a-qualitative-rapid-appraisal
#20
Donela Besada, Sarah Rohde, Ameena Goga, Nika Raphaely, Emmanuelle Daviaud, Vundli Ramokolo, Vuyolwethu Magasana, Nobuntu Noveve, Tanya Doherty
BACKGROUND: The World Health Organization recommends that antiretroviral therapy be started as soon as possible, irrespective of stage of HIV infection. This 'test and treat' approach highlights the need to ensure that men are involved in prevention of mother-to-child HIV transmission (PMTCT). This article presents findings from a rapid appraisal of strategies to increase male partner involvement in PMTCT services in Uganda, Democratic Republic of Congo, Malawi, and Côte d'Ivoire in the context of scale-up of Option B+ protocol...
2016: Global Health Action
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