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https://www.readbyqxmd.com/read/28820761/development-and-evaluation-of-a-systems-thinking-education-strategy-for-baccalaureate-nursing-curriculum-a-pilot-study
#1
Louise A Fura, Kathleen Z Wisser
Nurse educators are charged to develop and evaluate curricula on systems thinking to prepare future nurses to provide safe nursing care. The goal of this pilot study was to design and evaluate a four-hour educational strategy that prepares future professional nurses to use systems thinking approaches in the delivery of safe patient care. This study exposed prelicensure baccalaureate nursing students to systems thinking principles, which included didactic and experiential activities. A descriptive design was used to determine the effect of an on-campus educational strategy...
September 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28816513/iterative-design-and-testing-for-the-development-of-a-game-based-chlamydia-awareness-intervention-a-pilot-study
#2
Rui Jiang, James McKanna, Samantha Calabrese, Magy Seif El-Nasr
OBJECTIVES: Herein we describe a methodology for developing a game-based intervention to raise awareness of Chlamydia and other sexually transmitted infections among youth in Boston's underserved communities. MATERIALS AND METHODS: We engaged in three design-based experiments. These utilized mixed methods, including playtesting and assessment methods, to examine the overall effectiveness of the game. In this case, effectiveness is defined as (1) engaging the target group, (2) increasing knowledge about Chlamydia, and (3) changing attitudes toward Chlamydia testing...
August 2017: Games for Health
https://www.readbyqxmd.com/read/28812842/governance-and-capacity-to-manage-resilience-of-health-systems-towards-a-new-conceptual-framework
#3
Karl Blanchet, Sara L Nam, Ben Ramalingam, Francisco Pozo-Martin
The term resilience has dominated the discourse among health systems researchers since 2014 and the onset of the Ebola outbreak in West Africa. There is wide consensus that the global community has to help build more resilient health systems. But do we really know what resilience means, and do we all have the same vision of resilience? The present paper presents a new conceptual framework on governance of resilience based on systems thinking and complexity theories. In this paper, we see resilience of a health system as its capacity to absorb, adapt and transform when exposed to a shock such as a pandemic, natural disaster or armed conflict and still retain the same control over its structure and functions...
April 4, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28809587/severe-asthma-emergency-care-patient-driven-solutions
#4
Karen Newell, Chris Corrigan, Geoffrey Punshon, Alison Leary
Purpose Patients with severe asthma were choosing not to use the emergency department (ED) in extremis and were self-medicating when experiencing severe asthma, putting their lives at risk. This local issue reflected a nationwide situation. The purpose of this paper is to better understand the reasons behind patients' reluctance to attend ED and to consider practical solutions in a structured way. Design/methodology/approach Systems thinking (soft systems methodology) was used to examine the issues resulting in this reluctance to attend the ED...
August 14, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28805197/family-of-a-person-suffering-from-schizophrenia-in-the-context-of-a-qualitative-approach-to-understanding-the-family-as-a-system
#5
Andrzej Witusik
Qualitative analysis of the family system including a person suffering from schizophrenia is an underestimated research paradigm in modern psychiatry, clinical psychology and psychotherapy. This method is important both from the cognitive point of view and for evaluation of the effectiveness of therapy. AIM: The aim of the study was a qualitative analysis of the therapeutic process in a family whose member is suffering from schizophrenic psychosis. MATERIALS AND METHODS: The study of the process using qualitative research methodology in the paradigm of systemic thinking pointing to the mutual interactions in the family system inducing relapses in the identified patient, with identification of triangulation processes, transgenerational myths inheritance and coalitions formed by the family members...
July 21, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/28802455/from-control-to-causation-validating-a-complex-systems-model-of-running-related-injury-development-and-prevention
#6
A Hulme, P M Salmon, R O Nielsen, G J M Read, C F Finch
INTRODUCTION: There is a need for an ecological and complex systems approach for better understanding the development and prevention of running-related injury (RRI). In a previous article, we proposed a prototype model of the Australian recreational distance running system which was based on the Systems Theoretic Accident Mapping and Processes (STAMP) method. That model included the influence of political, organisational, managerial, and sociocultural determinants alongside individual-level factors in relation to RRI development...
November 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/28774319/policy-experimentation-and-innovation-as-a-response-to-complexity-in-china-s-management-of-health-reforms
#7
REVIEW
Lewis Husain
There are increasing criticisms of dominant models for scaling up health systems in developing countries and a recognition that approaches are needed that better take into account the complexity of health interventions. Since Reform and Opening in the late 1970s, Chinese government has managed complex, rapid and intersecting reforms across many policy areas. As with reforms in other policy areas, reform of the health system has been through a process of trial and error. There is increasing understanding of the importance of policy experimentation and innovation in many of China's reforms; this article argues that these processes have been important in rebuilding China's health system...
August 3, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28766742/research-gaps-in-routine-health-information-system-design-barriers-to-data-quality-and-use-in-low-and-middle-income-countries-a-literature-review
#8
REVIEW
Manish Kumar, David Gotz, Tara Nutley, Jason B Smith
Despite the potential impact of health information system (HIS) design barriers on health data quality and use and, ultimately, health outcomes in low- and middle-income countries (LMICs), no comprehensive literature review has been conducted to study them in this context. We therefore conducted a formal literature review to understand system design barriers to data quality and use in LMICs and to identify any major research gaps related understanding how system design affects data use. We conducted an electronic search across 4 scientific databases-PubMed, Web of Science, Embase, and Global Health-and consulted a data use expert...
August 2, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28765470/the-role-of-oral-health-care-professionals-in-providing-medical-services
#9
Michael Glick, Barbara L Greenberg
Integration of oral health care professionals (OHCPs) into medical care could advance efforts to control increasingly prevalent conditions such as cardiovascular disease, diabetes mellitus, human immunodeficiency virus infection, and hepatitis C infection, each of which is associated with significant morbidity and health care costs. Prevention and early intervention are effective for reducing the incidence and severity of these diseases, while increasing cost of health care may drive the need for nontraditional models of health education and delivery...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28753403/disability-policy-evaluation-combining-logic-models-and-systems-thinking
#10
Claudia Claes, Neelke Ferket, Stijn Vandevelde, Dries Verlet, Jessica De Maeyer
Policy evaluation focuses on the assessment of policy-related personal, family, and societal changes or benefits that follow as a result of the interventions, services, and supports provided to those persons to whom the policy is directed. This article describes a systematic approach to policy evaluation based on an evaluation framework and an evaluation process that combine the use of logic models and systems thinking. The article also includes an example of how the framework and process have recently been used in policy development and evaluation in Flanders (Belgium), as well as four policy evaluation guidelines based on relevant published literature...
July 2017: Intellectual and Developmental Disabilities
https://www.readbyqxmd.com/read/28753401/an-integrated-approach-to-disability-policy-development-implementation-and-evaluation
#11
Karrie A Shogren, Ruth Luckasson, Robert L Schalock
This article provides a framework for an integrated approach to disability policy development, implementation, and evaluation. The article discusses how a framework that combines systems thinking and valued outcomes can be used by coalition partners across ecological systems to implement disability policy, promote the effective use of resources, incorporate specific support strategies that advance identified disability policy goals and lead to systemic changes and enhanced personal outcomes, and focus on activities that advance a unified vision for disability policy and the attainment of personal outcomes...
July 2017: Intellectual and Developmental Disabilities
https://www.readbyqxmd.com/read/28749562/school-based-systems-change-for-obesity-prevention-in-adolescents-outcomes-of-the-australian-capital-territory-it-s-your-move
#12
Mary Malakellis, Erin Hoare, Andrew Sanigorski, Nicholas Crooks, Steven Allender, Melanie Nichols, Boyd Swinburn, Cal Chikwendu, Paul M Kelly, Solveig Petersen, Lynne Millar
OBJECTIVE: The Australian Capital Territory 'It's Your Move!' (ACT-IYM) was a three-year (2012-2014) systems intervention to prevent obesity among adolescents. METHODS: The ACT-IYM project involved three intervention schools and three comparison schools and targeted secondary students aged 12-16 years. The intervention consisted of multiple initiatives at individual, community, and school policy level to support healthier nutrition and physical activity. Intervention school-specific objectives related to increasing active transport, increasing time spent physically active at school, and supporting mental wellbeing...
July 27, 2017: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/28724155/a-family-systems-curriculum-back-to-the-future
#13
Rebekah Schiefer, Alexandra Verdieck Devlaeminck, Holly Hofkamp, Sheldon Levy, Demetrio Sanchez, John Muench
BACKGROUND AND OBJECTIVES: Although both residents and teaching faculty endorse its value, a recent review of family medicine residency programs confirms minimal formal family systems theory training. We consider the historical context of family systems training in family medicine and other competing priorities in practice and residency curricula. METHODS: We developed a longitudinal family systems curriculum, delivered in the third year of a 4-year residency program, and evaluated 2 years of the program using scales to assess self-reported confidence, knowledge and skills...
July 2017: Family Medicine
https://www.readbyqxmd.com/read/28713504/strategic-thinking-and-its-related-factors-in-a-medical-science-university-in-iran
#14
Sedigheh Salavati, Effat Jahanbani Veshareh, Hossein Safari, Amir Veysian, Ghanbar Amirnezhad
BACKGROUND: Having strategic thinking is necessary in order to anticipate future changes and make strategic decisions. This study was carried out to assess the strategic thinking level in managers and personnel of Ahvaz Jundishapour University of Medical Science (AJUMS) - a public university in Iran. METHODS: It was a cross-sectional and analytical study and all managers (50) as well as a sample of personnel (200) from AJUMS participated in it. A researcher-made questionnaire was used in order to measure four dimensions of strategic thinking, including system thinking, futurism, conceptual thinking, and intelligent opportunism along with demographic and organizational characteristics of respondents...
May 2017: Electronic Physician
https://www.readbyqxmd.com/read/28704943/constancy-and-change-key-issues-in-housing-and-health-research-1987-2017
#15
Roderick J Lawrence
The low impact of scientific research on the relations between housing and health during the last 30 years can be attributed to a number of reasons. First, statistical analyses have meant to improve understanding of the relations between what are interpreted and measured as causal factors. However, any single statistical approach fails to account for the dynamic non-linear relations between multiple factors and therefore cannot analyze systemic complexity. Second, there has been too little accumulation and validation of knowledge from scientific research owing to the dominance of cross-sectional studies, and the lack of coordinated research agendas using these approaches in order to confirm empirical findings...
July 12, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28691572/using-systems-thinking-to-train-future-leaders-in-global-health
#16
Anne Paxton, Laura J Frost
Systems Thinking provides a useful set of concepts and tools that can be used to train students to be effective and innovative global health leaders in an ever-changing and often chaotic world. This paper describes an experiential, multi-disciplinary curriculum that uses Systems Thinking to frame and analyse global health policies and practices. The curriculum uses case studies and hands-on activities to deepen students' understanding of the following concepts: complex adaptive systems, dynamic complexity, inter-relationships, feedback loops, policy resistance, mental models, boundary critique, leverage points, and multi-disciplinary, multi-sectoral, and multi-stakeholder thinking and action...
July 9, 2017: Global Public Health
https://www.readbyqxmd.com/read/28687400/a-systems-approach-to-understanding-the-identification-and-treatment-of-sport-related-concussion-in-community-rugby-union
#17
Amanda Clacy, Natassia Goode, Rachael Sharman, Geoff P Lovell, Paul Salmon
AIM: The aim of the present study was to utilise a systems thinking approach to explore the perceived responsibilities for identifying and treating concussion held by different actors across the community rugby system (e.g., players, coaches, parents, medics, referees, and management), as well as their role-specific concussion management strategies. METHODS: A systems approach was taken to assess what different stakeholders within rugby systems perceive their roles to be regarding concussion identification and treatment...
July 4, 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/28685853/developing-an-interdisciplinary-and-cross-sectoral-community-of-practice-in-the-domain-of-forests-and-livelihoods
#18
Cristy Watkins, Jennifer Zavaleta, Sarah Wilson, Scott Francisco
Although significant resources are being spent researching and fostering the relationship between forests and livelihoods to promote mutually beneficial outcomes, critical gaps in our understanding persist. A core reason for such gaps is that researchers, practitioners, and policy-makers lack the structured space to interact and collaborate, which is essential for effective, interdisciplinary research, practice, and evaluation. Thus, scientific findings, policy recommendations, and measured outcomes have not always been synthesized into deep, systemic understanding; learning from practice and implementation does not easily find its way into scientific analyses--; and science often fails to influence policy...
July 7, 2017: Conservation Biology: the Journal of the Society for Conservation Biology
https://www.readbyqxmd.com/read/28659071/using-systems-thinking-in-patient-safety-a-case-study-on-medicines-management
#19
Mandy Brimble, Aled Jones
Systems thinking is used as a way of understanding behaviours and actions in complex healthcare organisations. An important premise of the concept is that every action in a system causes a reaction elsewhere in that system. These reactions can lead to unintended consequences, sometimes long after the original action, and so are not always attributed to them. This article applies systems thinking to a medicines management case study, to highlight how quality-improvement practitioners can use the approach to underpin planning and implementation of patient-safety initiatives...
June 29, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/28658495/recommendations-for-promoting-quality-and-safety-in-health-care-systems
#20
Ann M Stalter, Altagracia Mota
Are you a nurse leader or professional development practitioner in a health care facility? This article provides recommendations to promote quality and safety education with a focus on systems thinking awareness among direct care nurses. A key point is error prevention, which requires a shared effort among all nurses. J Contin Educ Nurs. 2017;48(7):295-297.
July 1, 2017: Journal of Continuing Education in Nursing
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