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Journal articles on the topic "Culturally competent care":
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Chin, J. L. "Cultural competence. Viewpoint. Culturally competent health care." Public Health Reports 115, no. 1 (January 1, 2000): 25–34. http://dx.doi.org/10.1093/phr/115.1.25.
Dissertations / Theses on the topic "Culturally competent care":
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Byrd, Rebekah J. "Culturally competent medical care of LGBTQ patients." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/911.
Oya, Kumi. "A Narrative Inquiry on Culturally Competent Dementia Care." Thesis, California Institute of Integral Studies, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10814538.
This narrative research offers an inquiry that intends to inspire thinking about a culturally competent dementia care framework in the United States. The main research question is: How does a culture hold dementia care? A subquestion is: What can we in the United States learn from other cultures about dementia care to enhance this care for all? The inquiry was designed to conduct narrative research focusing on Japanese culture in the context of caregiving to people with dementia; 4 professional and 4 family caregivers from this culture, who have cared or have been caring for persons with dementia, were interviewed. The narratives reflected the caregivers' lived experiences and how they were culturally compelled to give and sustain care.
This inquiry assumes that a person-centered dementia care model is challenging for the U.S. healthcare system, despite attempts to do so, due to the prevailing values and beliefs in the United States that center around a cure model as opposed to a care model. It also assumes that ideal person-centered dementia care in the United States needs to pay close attention to the cultural competence of caregivers and healthcare professionals, as their clients identify as persons through their cultural ways of being. These assumptions are grounded in the literature review.
As a result of narrative data analysis, 5 themes emerged from the data among family caregivers, and 2 themes among professional caregivers as the commonality. In addition, 4 themes emerged not as common themes but as unique themes. This dissertation examined Japanese interdependent construal of the self and demonstrated that these themes could be explained through understanding Japanese sense of self.
It is evident that interdependence between the self and others is deeply embedded in Japanese culture. Without a doubt, interdependence uniquely manifests in the caregivers’ attitudes, values and worldviews of caregiving in Japanese culture. Although the limited number of participants should be considered, these findings/caregivers’ insights generated from this study aim to promote and encourage dialogues regarding what culturally competent dementia care looks like among caregivers and beyond in the United States when taking care of people from different cultures.
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Joshua, Solomon, and Solomon Joshua. "Enhancing Culturally Competent Care for Obesity Among African Immigrants." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626636.
Purpose: This DNP project examines the effectiveness of a brief educational presentation to
improve cultural competency care for obesity among African Immigrants. This project focused
on providers at southwestern urban primary care clinic to become culturally competent in caring
for African immigrants with obesity. The findings and recommendations of this project also
serve as resource for other providers locally and nation-wide who provide care for African
immigrant population.
Method: Utilizing a purposeful sampling method, quantitative pre-test and post-test
questionnaires were used to evaluate cultural knowledge and intended clinical practices of
participants (N =5), feasibility and satisfaction of the educational activity. Aggregate data
collected from the pre-and post-test questionnaires were analyzed and discussed through
thematic and descriptive analysis.
Results: All participants demonstrated significant enhancement in cultural competency in
knowledge in regard to nutrition, physical activity and linguistics/communication, body image
perception and obesity management in African cultural context. Also, one hundred percent (n=5)
of the participants recorded very high level of satisfaction of the intervention content and
delivery.
Conclusion: The education intervention was successful in enhancing providers’ cultural
knowledge and competence in caring for African immigrants with obesity. It also serves as
valuable initiative to further develop culturally competent care based on evidence-based practice
to enhance the quality of care delivery for African immigrants as well as other vulnerable
minority populations.
For the over two million African Immigrants in the United States, obesity and its related
complications is a constant struggle for this minority population. Health disparities exist for all
minority groups suffering from poverty in the US, and the immigrant population is at a higher
risk for these disparities due to the slower rate of acculturation. The effort to address obesity
among immigrants especially those of African descent is significantly influenced by providers’
cultural knowledge, sensitivity and competency in healthcare delivery. This project outlines the
development, implementation and evaluation of a brief PowerPoint presentation aiming to
educate healthcare providers on cultural competency and appropriateness in caring for African
Immigrants with obesity.
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Henriksson, Malin. "Cultural competence in Swedish primary care : Are some providers more prone to be culturally competent than others?" Thesis, Växjö University, School of Social Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-864.
Cultural competence has become an important topic since the society has evolved to be more multicultural, these societies have a big problem with their healthcare systems and it is said that primary care in Sweden must become better adjusted to the needs of minorities. The objective of this study was to investigate the degree of cultural competence in primary care in Sweden and to examine if the degree of cultural competence had a relation to the providers personality, gender, age ethnicity and educational level. Three different county councils were asked to participate but only one agreed. From 13 different primary care wards, 111 participants filled in three different instruments measuring personality, cultural competence and social desirability. The result of Pearson correlations, partial correlations, two-tailed independent t-tests and a χ²- test show that the degree of cultural competence is relatively low. Also, persons who are more conscientious and open, less neurotic, and educated at a university are more prone to be culturally competent. This investigation shows that there is a need to make individuals who work in primary care more aware of these issues. The focus should not lie on personnel level alone, but on organizational level as well.
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Haghshenas, Abbas Public Health & Community Medicine Faculty of Medicine UNSW. "Negotiating norms, navigating care: the practice of culturally competent care in cardiac rehabilitation." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/32280.
BACKGROUND Increasingly, it is recognised that the unique needs of people from culturally and linguistically diverse backgrounds (CaLDB) should be addressed within a framework of cultural competence. To date, there are limited data on the issues facing CaLDB patients in the Cardiac Rehabilitation (CR) setting. Appreciation of an individual???s values, attitudes and beliefs underpins negotiation of behaviour change in the CR setting. Therefore an understanding of patient and professional interactions is of key importance. OBJECTIVES The focus of this study has been to undertake an exploration of CR service delivery to people from culturally and linguistically diverse backgrounds, using Arabic speaking people as an exemplar of a CaLDB group. More broadly, this research project has sought to identify factors, which influence the practice of health professionals towards CaLDB patients, and to develop a model for evaluation of culturally competent health care in the CR setting. The study sought to achieve these aims by addressing the following research questions: 1. In what way do health practitioners in CR adjust their treatment and support to accommodate the perceived needs of CaLDB communities? 2. In what way do factors (such as individual and organisation perspectives) influence the adjustment of clinical practice and service delivery of CR practitioners; and what are practitioners??? and patients??? perception of barriers and facilitators to service delivery? 3. To what level are CaLDB patients satisfied with CR services? This study design is comprised of the following elements: (1) interviews with health practitioners and Arabic speaking background patients as an exemplar of CaLDB patients; (2) review of policy and procedure documents and medical records; and (3) field observation. METHOD This thesis embraces a qualitative approach as the primary method of investigation to align with the exploratory and descriptive nature of the study. The main methods used in the study were: in depth interviews with health professionals and patients; field observations; appraisal of relevant documents and consultation with expert panels. Study samples were selected through a purposive sampling strategy.Data were analysed using the method of content analysis, guided by the research questions. FINDINGS In total, 25 health professionals (20 female and 5 male) and 32 patients (21 male and 11 female) were interviewed. The method of qualitative content analysis was used for data analysis. Data analysis revealed four major themes: 1) The challenging context; 2) Tuning practices; 3) Influencing factors; and 4) Goodness of fit. The study demonstrated a challenging context for CR delivery, both from the perspective of patients and health professionals. Data reveal a process of reflection, negotiation, and navigation of care by CR health professionals in an effort to understand and meet the diverse needs of CALDB patients. CONCLUSION On the basis of the study findings, a process-oriented model of tuning practice to achieve cultural competence in CR delivery is proposed to inform policy, research and clinical practice.
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Pollock-Robinson, M. Catherine. "Family-centered care, patient-centered care, and culturally competent care common themes and background meanings /." Pullman, Wash. : Washington State University, 2009. http://www.dissertations.wsu.edu/Thesis/Spring2009/m_pollockrobinson_042409.pdf.
Ellis, Theresa Anne. "Caught in the middle| Nurses responding to a hospital's strategy of culturally competent care." Thesis, Fielding Graduate University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3627604.
Leaders of organizations continually experience challenges when attempting to implement new strategies by aligning staff at various organizational levels to the new strategies. The effectiveness of alignment to strategy is demonstrated especially in how strategy manifests on the front line as staff respond to the mandate of the strategic changes. Organizational dynamics analyzed through a psychodynamic "lens" further explain the challenges of alignment to strategy. The health care industry experiences pressure to adjust their strategies to ensure quality patient care, especially because hospitals are under scrutiny to reduce hospital readmissions and address health disparities for disadvantaged groups of patients in surrounding communities. One strategy adjustment that hospitals are implementing is improving culturally competent care, which requires transformational changes in practice, especially at the front line: nurses. This qualitative, single-case study at a hospital in the eastern United States focuses on exploring nurses' experiences as they respond to a hospital's mandate of changes related to providing culturally competent care. Data were collected through 25 semistructured interviews, two focus groups, and historical and archival data. The findings from this study support literature on the challenges and tensions related to this transformative change in how care is delivered. The findings also reveal the anxiety that these challenges and tensions trigger at the institutional and individual levels and the resulting behaviors, interpreted by psychodynamic theory of basic assumption, where nurses fluctuated between approach and avoidance of the work.
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Edwards, Ann Marie Elizabeth. "Implementation of a Transcultural Nursing Education Program to Improve Nurses' Cultural Competence." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6996.
The exponential growth of culturally diverse populations in the United States has led to a multicultural patient population while the nursing workforce remains predominantly White. At the project site, managers identified that staff nurses struggled to deliver culturally competent care. The purpose of this project was to improve the cultural competence of registered nurses (RNs) through a transcultural nursing education program. Leininger's transcultural nursing theory guided the project. Sources of evidence used to develop a face-to-face educational program included peer-reviewed journals, credible websites, and the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-R tool. Aggregate pretest and posttest scores were used to determine RNs' competency levels. The Statistical Package for the Social Sciences software was used for data analysis, and a paired t test was used to determine the impact of the program. Of the 22 participants, 4 (18%) scored within the culturally competent range on the pretest, compared to 17 (77%) on the posttest. These findings were statistically significant (p < 0.000) and demonstrated a positive outcome from the educational project. Key recommendations are to continue this education for other RNs in the facility and at other facilities in the network. The implications of this project for positive social change include raising the cultural competency of nurses, which has the potential to improve patient outcomes.
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Nguyen, Vi H. "Will culturally competent Vietnamese-speaking healthcare providers reduce hemoglobin A1C-readings for Vietnamese diabetic patients?" Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1524147.
This retrospective study was conducted to evaluate whether culturally competent resources, such as Vietnamese-speaking healthcare providers, one-on-one public health nurse (PHN) education session(s), and free healthcare services would affect the results of the following questions: (a) Will the 114 study subjects achieve HbAIC reduction at 6-month and 12-month periods? (b) Is there a correlation between HbA1C reduction and the number of the provider visits? and (c) Is there a significant HbA1C reduction for the one-on-one PHN education participants compared to the non-participants? The result findings were analyzed using the Chi-Square tests and the two-sample t-tests. On average, the 114 subjects achieved HbA1C reductions of0.57% and 0.63% at 6-month and 12-month periods, respectively. However, there was no direct correlation between the HbA1C reductions and the frequency of provider visits. Furthermore, the PHN education session(s) did not significantly affect the rate of HbA1C reduction for the attendees. In conclusion, future studies on culturally competent interventions should be studied in the Vietnamese patients diagnosed with diabetes mellitus.
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Shiu-Thornton, Sharyne. "Culturally competent perinatal health care for Chinese and Mien refugees : ethnographic narratives from Seattle's International District Health Clinic /." Thesis, Connect to this title online; UW restricted, 2001. http://hdl.handle.net/1773/6468.
Purnell, Larry D., and Eric A. Fenkl. Handbook for Culturally Competent Care. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8.
Campinha-Bacote, Josepha. The process of cultural competence: A culturally competent model of care. Wyoming, Ohio: Transcultural C.A.R.E. Associates, 1991.
Campinha-Bacote, Josepha. The process of cultural competence in the delivery of healthcare services: A culturally competent model of care. [Cincinnati, Ohio?]: Transcultural C.A.R.E. Associates, 2003.
Davis, Betsy J. Culturally competent health care for adolescents: A guide for primary care providers. Chicago, IL: Dept. of Adolescent Health, American Medical Association, 1994.
Book chapters on the topic "Culturally competent care":
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Ramalanjaona, Georges, and Marcus L. Martin. "Culturally Competent Faculty." In Diversity and Inclusion in Quality Patient Care, 31–38. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-22840-2_4.
Pacquiao, Dula. "Culturally Competent Multicultural Workforce." In Global Applications of Culturally Competent Health Care: Guidelines for Practice, 275–86. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-69332-3_31.
Purnell, Larry D., and Eric A. Fenkl. "Transcultural Diversity and Health Care." In Handbook for Culturally Competent Care, 1–6. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_1.
Purnell, Larry D., and Eric A. Fenkl. "Barriers to Culturally Competent Health Care." In Handbook for Culturally Competent Care, 19–26. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_3.
Purnell, Larry D., and Eric A. Fenkl. "People of Chinese Heritage." In Handbook for Culturally Competent Care, 109–19. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_10.
Purnell, Larry D., and Eric A. Fenkl. "People of Cuban Heritage." In Handbook for Culturally Competent Care, 121–31. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_11.
Purnell, Larry D., and Eric A. Fenkl. "People of European American Heritage." In Handbook for Culturally Competent Care, 133–41. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_12.
Purnell, Larry D., and Eric A. Fenkl. "People of Filipino Heritage." In Handbook for Culturally Competent Care, 143–54. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_13.
Purnell, Larry D., and Eric A. Fenkl. "People of German Heritage." In Handbook for Culturally Competent Care, 155–62. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_14.
Purnell, Larry D., and Eric A. Fenkl. "People of Guatemalan Heritage." In Handbook for Culturally Competent Care, 163–72. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_15.
Conference papers on the topic "Culturally competent care":
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Sgorbissa, Antonio, Irena Papadopoulos, Barbara Bruno, Christina Koulouglioti, and Carmine Recchiuto. "Encoding Guidelines for a Culturally Competent Robot for Elderly Care." In 2018 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS). IEEE, 2018. http://dx.doi.org/10.1109/iros.2018.8594089.
Maung Maung, Kyi Phyu, and Amoneeta Beckstein. "The Need for Ethical and Multiculturally Competent Practice of Psychology in Myanmar." In 7th International Conference on Spirituality and Psychology. Tomorrow People Organization, 2022. http://dx.doi.org/10.52987/icsp.2022.011.
ABSTRACT Myanmar’s mental health system is in dire need of improvement. The importance of mental health care has generally been overlooked and undervalued in the country. The negligence seems to stem from a lack of policies, training, infrastructure, funding, stigmatization, and a suitable ethical code of conduct. Due to six decades of international isolation, the small discipline of psychology, which already faced social disdain due to stigmatization, was further degraded as an academic discipline. Coupled with the recent ongoing violence that likely contributed to trauma amongst some of the population, this highlights the importance of well-established multiculturally competent ethical guidelines for psychology to gain a respectable reputation as a viable mental health treatment and as a scientific study of human behavior. This paper is an autoethnography exploring Myanmar’s barriers to effective mental health care while emphasizing establishing an empirically backed culturally competent ethical code of conduct for Myanmar’s field of psychology. As an individual born and raised in Myanmar, the first author hopes to shed some light on the mental health crisis in Myanmar by sharing her personal experiences. The authors also reviewed and analyzed the American Psychological Association’s (APA) Ethical Principles of Psychologists and Code of Conduct and explored the multiculturally competent adaptability and applicability of the APA Ethical Code of Conduct to Myanmar culture. Recommendations and implications for practitioners and future research were offered. KEYWORDS: Ethical Code of Conduct, mental health care, multicultural competence, Myanmar, psychology
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Parker, Ricardo, Patric Schiltz, Ernesta Wright, Jhenifa Parker, Denise Tolbert, Lezlee Matthews, and LaQuetta Shamblee. "Abstract 4234: A culturally competent, community driven, collaborative approach to health care education conferences addressing the health disparities of African Americans." In Proceedings: AACR Annual Meeting 2017; April 1-5, 2017; Washington, DC. American Association for Cancer Research, 2017. http://dx.doi.org/10.1158/1538-7445.am2017-4234.
Suza, Dewi Elizadiani, Setiawan, Farida Linda Sari Siregar, and Diah Arruum. "The Cultural Competency Scale for Clinical Pediatric Nurse (CCS-CPN) in Indonesia: Scale Development and Psychometric Evaluation." In The 9th International Nursing Conference: Nurses at The Forefront Transforming Care, Science and Research. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008330606640671.
Duveau, Camille, and Vincent Lorant. "P85 How to tackle unintentional discrimination in primary health care: general practitioners’ implicit biases and cultural competence." In Society for Social Medicine Annual Scientific Meeting Abstracts. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/jech-2021-ssmabstracts.171.
Belikova, Ekaterina, Nikolai Borytko, Irina Vlasyuk, and Natalia Glazkova. "Foreign students at Russian universities: intercultural interaction as a basis for countering extremism." In East – West: Practical Approaches to Countering Terrorism and Preventing Violent Extremism. Dela Press Publishing House, 2022. http://dx.doi.org/10.56199/dpcshss.eavl1332.
The paper raises an actual issue of the mechanisms for foreign students’ socio-cultural adaptation in modern conditions of education in the Russian Federation, as a measure to counter extremism. The authors analyze the results of their own sociological research conducted among foreign students of Volgograd State University. Based on the data obtained, the authors came to the conclusion that properly developed mechanisms of foreign students’ socio-cultural adaptation to new living conditions positively affects the quality and quantity of students’ knowledge, skills and abilities. Moreover, integration of foreign and Russian students is essential, but the emphasis in educational field should take into the account foreign students’ socio-cultural specifics. A student can show high rates of entry into the proposed socio-cultural environment, acceptance of attitudes, values, norms of the host country. In order to conduct a competent policy of intercultural interaction, it is necessary to create a clear program for the prevention of interethnic conflicts and extremism among students.
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BALODE, Ilze, Anna VINTERE, Daiva RIMKUVIENĖ, and Eve ARUVEE. "ADULT MATHEMATICAL COMPETENCE IN THE CONTEXT OF SUSTAINABLE DEVELOPMENT: CASE OF BALTIC STATES." In RURAL DEVELOPMENT. Aleksandras Stulginskis University, 2018. http://dx.doi.org/10.15544/rd.2017.220.
Mathematical competence is one of the eight basic key competencies which are defined by EU Directives. Mathematical competence includes the skills of applying basic processes and principles of mathematics in everyday contexts. The aim of current research is to identify the role of adult mathematics education and mathematical competence in sustainable development in case of Baltic States. We are continuing the investigations that began in the Nordplus research project “Cooperation to strengthen the citizens' math skills in the context of sustainable development and welfare”. The main objective of the research is to highlight the role of mathematics in a lifelong context. We separate two aspects of mathematics role in sustainable development. The first considers mathematics as a tool in processional work, the second considers the role of mathematical competence in the development of person's intelligence and personality. Both aspects are widely discussed in the scientific literature and in the programmatic documents of United Nations, United Nations Educational Scientific and Cultural Organizationn, Organisation for Economic Cooperation and Development. Through combining insights of theoretical goals of leading international institutions and actual survey data we can show the value of mathematical competence in adults in the Baltic states.
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Radchuk, Halyna, Zoryana Adamska, Mariia Oliinyk, and Solomiia Chopyk. "Paradigms in Modern Higher Education Development." In ATEE 2020 - Winter Conference. Teacher Education for Promoting Well-Being in School. LUMEN Publishing, 2021. http://dx.doi.org/10.18662/lumproc/atee2020/26.
The theoretical and methodological analysis of modern educational paradigms is made in the article and axiological vectors of higher education development are distinguished on this basis. Four basic educational paradigms have been identified: cognitive informational (traditional, cognitive), personal (humanistic), competence and cultural (humanitarian). It has been found that, unlike instrument-oriented learning, which provides the translation, reproduction and assimilation of knowledge, skills, technologies (cognitive informational and competence paradigms) and therefore is secondary to the processes of personality development, education should firstly be focused on becoming holistic personality, ensure his organic and unique (personal and cultural paradigms). It has been substantiated that at the theoretical level there is a sharp narrowing of the semantic field of scientific and pedagogical reflection: attention is paid to the production of the amount of knowledge, given social behavior, technologies of activity of the future specialist. Therefore, education in its humanitarian sense suffers first of all and the quality of education is often reduced to the level of acquisition of special knowledge and mastery of professional skills. It has been shown that higher education institutions are more and more inclined to a pragmatic education, training professionals, and functionaries. In this case, information overload blocks the affective-emotional sphere of the individual, prevents adequate, holistic perception of reality, actualization of creative potential. It is determined that the reform of modern education should be based on the idea of the integrity, which actualizes the problem of careful reflexive and methodological support of the modern higher education system and the development of specific humanitarian educational technologies.
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Sidorova, Tatyana A. "DOCTOR-PATIENT RELATIONSHIPS IN THE FOCUS OF MEDICAL ETHICS MODELS." In All-Russian Conference with International Participation "Education, Social Mobility, and Human Development: to the 90th Anniversary of Prof. L.G. Borisova". Novosibirsk State University, 2022. http://dx.doi.org/10.25205/978-5-4437-1383-0-162-181.
The interactions of the subjects of medicine, primarily a doctor and a patient, are considered in the projection of two logics: solidary and competing relations. This approach develops the critique of the dominance of the concept of patient autonomy that comes with the bioethics represented in the ethics of care by K. Dörner, A. Moll and others. The conceptual forms of competition and solidarity are identified as oppositions to power and equality, autonomy and care, individualism and interdependence of subjects of medicine, anti-paternalism and paternalism, neglect and attentiveness, the legal and ethical meaning of informed consent, control and compliance, medical services and medical care. In medicine, from point of view of bioethics, the solidary relations could be expressed in a paternalistic model. Paternalism is the basic form of relationship between a doctor and a patient in medicine, which is recorded throughout the centuries-old history of medical ethics. The paternalistic model is based on ethical connotations such as doctor’s responsibility and mutual trust. Autonomy has a legal and economic predication. The ethics of care, traditional for the Russian cultural model, implies not so much the doctor’s authorities over the patient, recognizing him as unequal in medical decisions, but in modern healthcare it can be combined with a voluntary expression of consent to medical interventions with the properly provided information.
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Smith, Andrew L. "Solving the Engagement Enigma." In SPE Annual Technical Conference and Exhibition. SPE, 2022. http://dx.doi.org/10.2118/210024-ms.
Abstract The adoption of green credentials requires cultural change within our organisations and the need to attract, train, develop and retain a new breed of talent demanding a net zero future. This is fine in theory but one of the first objectives our industry must solve is the Engagement Enigma, otherwise none of these aspects will be achieved. This paper now provides a solution to solving the Engagement Enigma as it may be clearly demonstrated by the 4C's which show that the key process to ensure Engagement, is the underlying synergy created by starting a Career, acquiring Competence, demonstrating Care and a transparent feedback Culture created throughout an organisation by encouraging Continual Professional Development or CPD. We are therefore in the unique position to ensure that the oil & gas industry can also synergistically implement the IPIECA SDG's as an integral component of CPD to provide genuine engagement. The solution to the Engagement Enigma is a new paradigm which now clearly shows that to those skilled in the art it is self-evident that all the above UN SDG topics may be synergistically combined to provide us with a unique and novel solution to the Engagement Enigma.
Reports on the topic "Culturally competent care":
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Parsons, Helen M., Hamdi I. Abdi, Victoria A. Nelson, Amy M. Claussen, Brittin L. Wagner, Karim T. Sadak, Peter B. Scal, Timothy J. Wilt, and Mary Butler. Transitions of Care From Pediatric to Adult Services for Children With Special Healthcare Needs. Agency for Healthcare Research and Quality (AHRQ), May 2022. http://dx.doi.org/10.23970/ahrqepccer255.
Objective. To understand the evidence base for care interventions, implementation strategies, and between-provider communication tools among children with special healthcare needs (CSHCN) transitioning from pediatric to adult medical care services. Data sources. We searched Ovid MEDLINE, Ovid Embase, the Cochrane Central trials (CENTRAL) registry, and CINAHL to identify studies through September 10, 2021. We conducted grey literature searches to identify additional resources relevant to contextual questions. Review methods. Using a mixed-studies review approach, we searched for interventions or implementation strategies for transitioning CSHCN from pediatric to adult services. Two investigators screened abstracts and full-text articles of identified references for eligibility. Eligible studies included randomized controlled trials, quasi-experimental observational studies, and mixed-method studies of CSHCN, their families, caregivers, or healthcare providers. We extracted basic study information from all eligible studies and grouped interventions into categories based on disease conditions. We summarized basic study characteristics for included studies and outcomes for studies assessed as low to medium risk of bias using RoB-2. Results. We identified 9,549 unique references, 440 of which represented empirical research; of these, 154 (16 major disease categories) described or examined a care transition intervention with enough detail to potentially be eligible for inclusion in any of the Key Questions. Of these, 96 studies met comparator criteria to undergo risk of bias assessment; however only 9 studies were assessed as low or medium risk of bias and included in our analytic set. Low-strength evidence shows transition clinics may not improve hemoglobin A1C levels either at 12 or 24 months in youth with type 1 diabetes mellitus compared with youth who received usual care. For all other interventions and outcomes, the evidence was insufficient to draw meaningful conclusions because the uncertainty of evidence was too high. Some approaches to addressing barriers include dedicating time and resources to support transition planning, developing a workforce trained to care for the needs of this population, and creating structured processes and tools to facilitate the transition process. No globally accepted definition for effective transition of care from pediatric to adult services for CSHCN exists; definitions are often drawn from principles for transitions, encompassing a broad set of clinical aspects and other factors that influence care outcomes or promote continuity of care. There is also no single measure or set of measures consistently used to evaluate effectiveness of transitions of care. The literature identifies a limited number of available training and other implementation strategies focused on specific clinical specialties in targeted settings. No eligible studies measured the effectiveness of providing linguistically and culturally competent healthcare for CSHCN. Identified transition care training, and care interventions to
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Thomashow, Linda, Leonid Chernin, Ilan Chet, David M. Weller, and Dmitri Mavrodi. Genetically Engineered Microbial Agents for Biocontrol of Plant Fungal Diseases. United States Department of Agriculture, 2005. http://dx.doi.org/10.32747/2005.7696521.bard.
The objectives of the project were: a) to construct the site-specific integrative expression cassettes carrying: (i) the chiA gene for a 58-kDa endochitinase, (ii) the pyrrolnitrin biosynthesis operon, and (iii) the acdS gene encoding ACC deaminase; b) to employ these constructs to engineer stable recombinant strains with an expanded repertoire of beneficial activities; c) to evaluate the rhizosphere competence and antifungal activity of the WT and modified strains against pathogenic fungi under laboratory and greenhouse conditions; and d) to monitor the persistence and impact of the introduced strains on culturable and nonculturable rhizosphere microbial populations in the greenhouse and the field. The research generally support our concepts that combining strategically selected genes conferring diverse modes of action against plant pathogens into one organism can improve the efficacy of biological control agents. We hypothesized that biocontrol agents (BCAs) engineered to expand their repertoire of beneficial activities will more effectively control soilborne plant pathogens. In this work, we demonstrated that biocontrol activity of Pseudomonas fluorescens Q8r1-96 and Q2-87, both producing the antibiotic 2,4-diacetylphloroglucinol (2,4-DAPG) effective against the plant pathogenic fungus Rhizoctonia solani, can be improved significantly by introducing and expressing either the 1.6-kb gene chiA, encoding the 58-kDa endochitinase ChiA from the rhizosphere strain SerratiaplymuthicaIC1270, or the 5.8-kb prnABCDoperon encoding the broad-range antibiotic pyrrolnitrin (Prn) from another rhizosphere strain, P. fluorescens Pf-5. The PₜₐcchiAandPₜₐcprnABCDcassettes were cloned into the integrative pBK-miniTn7-ΩGm plasmid, and inserted into the genomic DNA of the recipient bacteria. Recombinant derivatives of strains Q8r1-96 and Q2-87 expressing the PₜₐcchiA or PₜₐcprnABCD cassettes produced endochitinase ChiA, or Prn, respectively, in addition to 2,4-DAPG, and the recombinants gave significantly better biocontrol of R. solani on beans under greenhouse conditions. The disease reduction index increased in comparison to the parental strains Q8r1-96 and Q2-87 to 17.5 and 39.0% from 3.2 and 12.4%, respectively, in the case of derivatives carrying the PₜₐcchiAcassette and to 63.1 and 70% vs. 2.8 and 12,4%, respectively, in the case of derivatives carrying the PₜₐcprnABCDcassette. The genetically modified strains exhibited persistence and non-target effects comparable to those of the parental strains in greenhouse soil. Three integrative cassettes carrying the acdS gene encoding ACC deaminase cloned under the control of different promoters were constructed and tested for enhancement of plant growth promotion by biocontrol strains of P. fluorescens and S. plymuthica. The integrative cassettes constructed in this work are already being used as a simple and efficient tool to improve biocontrol activity of various PGPR bacteria against fungi containing chitin in the cell walls or highly sensitive to Prn. Some parts of the work (e. g., construction of integrative cassettes) was collaborative while other parts e.g., (enzyme and antibiotic activity analyses) were fully synergistic. The US partners isolated and provided to the Israeli collaborators the original biocontrol strains P. fluorescens strains Q8r1-96 and Q2-87 and their mutants deficient in 2,4-DAPG production, which were used to evaluate the relative importance of introduction of Prn, chitinase or ACC deaminase genes for improvement of the biocontrol activity of the parental strains. The recombinant strains obtained at HUJI were supplied to the US collaborators for further analysis.
