Journal articles: 'Health practitioners'

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Rahal, Miguel Antonio, Félix Ricardo Andrusaitis, Thuan Silva Rodrigues, Angelica Castilho Alonso, Julia Maria D’ Andrea Greve, and Luiz Eugênio Garcez Leme. "Gait, posture and transfer assessment among elderly practitioners and non-practitioners of Tai Chi Chuan." Health 05, no. 12 (2013): 117–21. http://dx.doi.org/10.4236/health.2013.512a016.

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Veness, Benjamin G., Holly Tibble, Brin FS Grenyer, Jennifer M. Morris, Matthew J. Spittal, Louise Nash, David M. Studdert, and Marie M. Bismark. "Complaint risk among mental health practitioners compared with physical health practitioners: a retrospective cohort study of complaints to health regulators in Australia." BMJ Open 9, no. 12 (December 2019): e030525. http://dx.doi.org/10.1136/bmjopen-2019-030525.

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ObjectivesTo understand complaint risk among mental health practitioners compared with physical health practitioners.DesignRetrospective cohort study, using incidence rate ratios (IRRs) to analyse complaint risk and a multivariate regression model to identify predictors of complaints.SettingNational study using complaints data from health regulators in Australia.ParticipantsAll psychiatrists and psychologists (‘mental health practitioners’) and all physicians, optometrists, physiotherapists, osteopaths and chiropractors (‘physical health practitioners’) registered to practice in Australia between 2011 and 2016.Outcome measuresIncidence rates, source and nature of complaints to regulators.ResultsIn total, 7903 complaints were lodged with regulators over the 6-year period. Most complaints were lodged by patients and their families. Mental health practitioners had a complaint rate that was more than twice that of physical health practitioners (complaints per 1000 practice years: psychiatrists 119.1 vs physicians 48.0, p<0.001; psychologists 21.9 vs other allied health 7.5, p<0.001). Their risk of complaints was especially high in relation to reports, records, confidentiality, interpersonal behaviour, sexual boundary breaches and the mental health of the practitioner. Among mental health practitioners, male practitioners (psychiatrists IRR: 1.61, 95% CI 1.39 to 1.85; psychologists IRR: 1.85, 95% CI 1.65 to 2.07) and older practitioners (≥65 years compared with 36–45 years: psychiatrists IRR 2.37, 95% CI 1.95 to 2.89; psychologists IRR 1.78, 95% CI 1.47 to 2.14) were at increased risk of complaints.ConclusionsMental health practitioners were more likely to be the subject of complaints than physical health practitioners. Areas of increased risk are related to professional ethics, communication skills and the health of mental health practitioners themselves. Further research could usefully explore whether addressing these risk factors through training, professional development and practitioner health initiatives may reduce the risk of complaints about mental health practitioners.

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Brown, Kyle David, Loralee Sessanna, and Pamela Paplham. "Nurse Practitioners’ and Nurse Practitioner Students’ LGBT Health Perceptions." Journal for Nurse Practitioners 16, no. 4 (April 2020): 262–66. http://dx.doi.org/10.1016/j.nurpra.2019.12.028.

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Tobin, Margaret, and Gus Norris. "Mental health and general practice:Improving linkages using a total quality management approach." Australian Health Review 21, no. 2 (1998): 100. http://dx.doi.org/10.1071/ah980100.

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This paper reports on a project to implement total quality management strategies toimprove the linkages between general practitioners and specialist mental healthservices. The project implemented a process of change and objectively assessed thesuccess of the process. The project involved all mental health staff (n = 100) in theSt George Division of Psychiatry and Mental Health. General practitioners registeredwith the St George Division of General Practice were invited to participate in thechange process. The project showed that the attempts to engage general practitionersin the ongoing care of patients with chronic mental illness is unlikely to be successfuluntil mental health services promote general practitioner linkages as an ongoing servicegoal, relevant at all levels of delivery.

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Bolton, Patrick, Michael Mira, and Mary Sullivan. "The Balmain Hospital General Practice Casualty: An alternative model of primary health care provision." Australian Health Review 20, no. 1 (1997): 100. http://dx.doi.org/10.1071/ah970100.

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The Balmain Hospital General Practice Casualty is a unique casualty style service,staffed and run by local general practitioners. It is a joint initiative of the CentralSydney Area Health Service and the Division of General Practice, Central SydneyArea, and is jointly funded by the Area Health Service and the Commonwealth.The casemix seen and type of services provided suggest that the service is intermediatebetween that provided by general practitioners and that provided by emergencydepartments. The service is well accepted by patients and local general practitioners.A number of benefits are seen by both service providers and users in terms ofcontinuity of care and increased general practitioner skills.

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Carswell, Steven B., Shannon G. Mitchell, Jan Gryczynski, and Elizabeth Lertch. "Computerizing NIAAA’s Best Practices for Youth Screening and Brief Intervention: A Proof-of-Concept Pilot Study of an Automated Alcohol Screening and Intervention Resource Tool." Journal of Drug Education 49, no. 1-2 (December 16, 2019): 3–14. http://dx.doi.org/10.1177/0047237919894960.

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This article reports findings from formative research on translating key elements of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and American Academy of Pediatrics Practitioner’s Guide for pediatric alcohol misuse to a computerized web- and mobile-compatible format with patient risk screening and tailored decision support content. Five practitioners at an urban primary care center used a prototype computerized version of the NIAAA/American Academy of Pediatrics Practitioner’s Guide with 80 adolescent patients during routine health-care visits. Practitioners reported a high level of practitioner and adolescent patient engagement and satisfaction with the prototype. Study findings indicate that computerization of the NIAAA Practitioner’s Guide is feasible and well accepted by providers and adolescent patients and could be useful for addressing alcohol misuse in primary care settings.

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Takashima, Risa, and Kazuko Saeki. "Professional identities of occupational therapy practitioners in Japan." Health 05, no. 06 (2013): 64–71. http://dx.doi.org/10.4236/health.2013.56a2010.

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Heale, Roberta. "Theory of the Evolution of Nurse Practitioner Practice." Nurse Practitioner Open Journal 1, no. 1 (May 30, 2021): 23–36. http://dx.doi.org/10.28984/npoj.v1i1.340.

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Aim: To determine the nurse practitioner's perception of scope of practice and understanding of changes to practice over time. Background: A great deal of research about nurse practitioners has been conducted related to such things as role clarity, transition, or preparedness to practice and job satisfaction. Conceptual models of nurse practitioner practice have been developed to highlight practice processes, interprofessional relationships and more. However, none of this literature addresses nurse practitioner's perception of scope of practice, the impact of their changing practice experiences and how the understanding of their practice changes over time. Methods: This grounded theory study was undertaken in Ontario, Canada, with interviews of primary health care nurse practitioners which resulted in the Theory of the Evolution of Nurse Practitioner Practice. Conclusion: Within this theory, scope of practice is defined as nurse practitioners working to their maximum potential. There are both intrinsic and extrinsic elements which render maximum practice potential a fluid and changing state.

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Elliston, Kevin, and June Wilkinson. "Supporting public health practitioners." Primary Health Care 16, no. 6 (July 5, 2006): 18–20. http://dx.doi.org/10.7748/phc.16.6.18.s20.

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Hubelbank, Jeanne H., Penelope M. Glynn, and Carol Frazier Love. "Occupational Health Nurse Practitioners." AAOHN Journal 36, no. 10 (October 1988): 420–24. http://dx.doi.org/10.1177/216507998803601004.

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Nicholson, Wendy. "Health improvement and health promoting practitioners." British Journal of School Nursing 9, no. 5 (June 2, 2014): 232–33. http://dx.doi.org/10.12968/bjsn.2014.9.5.232.

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Cross, Sue. "Community Practitioners and Health Visitors Handbook Community Practitioners and Health Visitors Handbook." Nursing Standard 16, no. 30 (April 10, 2002): 26. http://dx.doi.org/10.7748/ns2002.04.16.30.26.b65.

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Raupach, Jane, Wendy Rogers, Anne Magarey, Graham Lyons, and Libby Kalucy. "Advancing Health Promotion in Australian General Practice." Health Education & Behavior 28, no. 3 (June 2001): 352–67. http://dx.doi.org/10.1177/109019810102800309.

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Health promotion activities, while having the potential to prevent disease and decrease the burden of ill health, often play a minor role in the health care offered by general practitioners. There are several identified barriers to the involvement of Australian general practitioners in health promotion. These include structural barriers and barriers within the practice setting, individual practitioner and patient factors, and difficulties in evaluating the outcomes of health promotion activities. This article explores the barriers to the engagement of Australian general practice with health promotion and reviews several recent initiatives that have the potential to increase the health promotion activities of general practitioners. These initiatives act at the level of the individual practitioner, the practice, and in the community. Despite the lack of a coordinated national approach, these strategies form an important development in general practice.

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Gibbs, Chris, Barbara Murphy, Deepika Ratnaike, Kate Hoppe, and Harry Lovelock. "Implementing a collaborative mental health care model: the MHPN." Journal of Integrated Care 25, no. 4 (October 16, 2017): 237–46. http://dx.doi.org/10.1108/jica-06-2017-0014.

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Purpose The purpose of this paper is to describe the development and experience of the Mental Health Professionals’ Network (MHPN) in building and supporting a national interdisciplinary professional development platform in community mental health to enhance practitioner response to the needs of consumers. Design/methodology/approach The key components of the MHPN model are described highlighting effective ways of engaging practitioners and supporting interdisciplinary practice. The MHPN has two key programs – Face-to-Face Interdisciplinary Practitioner Networks and an Online Professional Development Program. Findings The MHPN model has had significant uptake in communities across Australia and continues to grow. Practitioners report positive outcomes in engaging with other practitioners, improving their professional knowledge and having gained increased confidence in the provision of mental health care to patients. Practical implications The progress and learnings to date offer some useful insights that can be applied to other settings to support integrated care for patients with mental health problems through enhancing collaborative care among practitioners at the primary care level. Originality/value MHPN is a unique, national, successful platform delivering opportunities for interdisciplinary professional development in the primary mental health sector. The model is cost effective, practitioner driven, and transferable to other settings.

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Bradfield, Owen M., Marie M. Bismark, David M. Studdert, and Matthew J. Spittal. "Characteristics and predictors of regulatory immediate action imposed on registered health practitioners in Australia: a retrospective cohort study." Australian Health Review 44, no. 5 (2020): 784. http://dx.doi.org/10.1071/ah19293.

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ObjectiveImmediate action is an emergency power available to Australian health practitioner regulatory boards to protect the public. The aim of this study was to better understand the frequency, determinants and characteristics of immediate action use in Australia. MethodsThis was a retrospective cohort study of 11200 health practitioners named in notifications to the Australian Health Practitioner Regulation Agency (AHPRA) between January 2011 and December 2013. All cases were followed until December 2016 to determine their final outcome. ResultsOf 13939 finalised notifications, 3.7% involved immediate action and 9.7% resulted in restrictive final action. Among notifications where restrictive final action was taken, 79% did not involve prior immediate action. Among notifications where immediate action was taken, 48% did not result in restrictive final action. Compared with notifications from the public, the odds of immediate action were higher for notifications lodged by employers (mandatory notifications OR=21.3, 95% CI 13.7–33.2; non-mandatory notifications OR=10.9, 95% CI 6.7–17.8) and by other health practitioners (mandatory notifications OR=11.6, 95% CI 7.6–17.8). Odds of immediate action were also higher if the notification was regulator-initiated (OR=11.6, 95% CI 7.6–17.8), lodged by an external agency such as the police (OR=11.8, 95% CI 7.7–18.1) or was a self-notification by the health practitioner themselves (OR=9.4, 95% CI 5.5–16.0). The odds of immediate action were higher for notifications about substance abuse (OR=9.9, 95% CI 6.9–14.2) and sexual misconduct (OR=5.3, 95% CI 3.5–8.3) than for notifications about communication and clinical care. ConclusionsHealth practitioner regulatory boards in Australia rarely used immediate action as a regulatory tool, but were more likely to do so in response to mandatory notifications or notifications pertaining to substance abuse or sexual misconduct. What is known about this topicHealth practitioner regulatory boards protect the public from harm and maintain quality and standards of health care. Where the perceived risk to public safety is high, boards may suspend or restrict the practice of health practitioners before an investigation has concluded. What does this paper add?This paper is the first study in Australia, and the largest internationally, to examine the frequency, characteristics and predictors of the use of immediate action by health regulatory boards. Although immediate action is rarely used, it is most commonly employed in response to mandatory notifications or notifications pertaining to substance abuse or sexual misconduct. What are the implications for practitioners?Immediate action is a vital regulatory tool. Failing to immediately sanction a health practitioner may expose the public to preventable harm, whereas imposing immediate action where allegations are unfounded can irreparably damage a health practitioner’s career. We hope that this study will assist boards to balance the interests of the public with those of health practitioners.

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Bismark, Marie M., Martin Fletcher, Matthew J. Spittal, and David M. Studdert. "A step towards evidence-based regulation of health practitioners." Australian Health Review 39, no. 4 (2015): 483. http://dx.doi.org/10.1071/ah14222.

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In 2010 Australia established a national registration and accreditation scheme, covering more than 620000 health practitioners. The data held by the Australian Health Practitioner Regulation Agency is a remarkable platform for research aimed at improving health practitioner regulation, health care quality and workforce planning.

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Biggar, Susan, Louisa M. Lobigs, and Martin Fletcher. "How Can We Make Health Regulation More Humane? A Quality Improvement Approach to Understanding Complainant and Practitioner Experiences." Journal of Medical Regulation 106, no. 1 (April 1, 2020): 7–15. http://dx.doi.org/10.30770/2572-1852-106.1.7.

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Health-professional regulation plays a central role in patient safety by responding to concerns about the conduct of health practitioners that may breach professional standards. This study aims to understand the experience of both complainants and registered health practitioners during the management of a notification (complaint or concern) with a health-practitioner board in Australia. Experience-survey responses from complainants (n=1,217) and practitioners (n=1,604) with a recently closed notification were analyzed using descriptive and thematic analysis. Respondents in both groups felt the process was not fair or impartial, and lacked transparency and adequate updates. The time taken to reach an outcome was a frustration for many (complainants 46%, practitioners 49%). A notable difference between the groups was their view of the outcome: 70% of practitioners were satisfied and 71% of complainants dissatisfied. Finally, many practitioners (89%) reported high levels of stress. Designing regulatory processes that are robust and humane is complex and multifaceted. However, the symmetry of priorities for both parties identified — fairness, transparency, communication, timeliness and empathic contact — highlights the value of understanding both complainant and practitioner experiences. This knowledge can lead to improvements in the trustworthiness and effectiveness of health-practitioner regulation, and its contribution to patient safety.

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Waterreus, Anna, and Vera A. Morgan. "Treating body, treating mind: The experiences of people with psychotic disorders and their general practitioners – Findings from the Australian National Survey of High Impact Psychosis." Australian & New Zealand Journal of Psychiatry 52, no. 6 (September 9, 2017): 561–72. http://dx.doi.org/10.1177/0004867417728806.

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Objectives: To describe from the perspective of people living with psychotic illness their use of general practitioner services over a 12-month period and the experiences, attitudes and challenges general practitioners face providing health care to this population. Methods: A two-phase design was used. Phase 1, screening for psychosis, occurred in public specialised mental health services and non-government organisations within seven catchment sites across Australia. In Phase 2, 1825 people who were screened positive for psychosis were randomly selected for interview which included questions about frequency and reason for general practitioner contact in the 12 months prior to interview. General practitioners (1473) of consenting participants were also surveyed. Results: Almost all (90.3%) survey participants had consulted a general practitioner in the 12-month period, on average 8.9 times, and 28.8% of attenders had consulted 12 times or more. The majority (83.5%) attended one general practitioner practice. Most (77.6%) general practitioners wanted to be involved in the mental health care of their patient. Although 69.1% said the management of their patient was not problematic for their practice, one in five general practitioners reported issues related to patient non-compliance with treatment and non-attendance at scheduled appointments; time constraints; and lack of feedback from treating mental health services. Conclusion: People with psychotic disorders consult general practitioners, some very frequently. Most Australian general practitioners believe they have a responsibility to review the physical and mental health of their patients. Improved communication between general practitioners and mental health services, and easier access to mental health support, may help general practitioners manage the complex mental, physical and social problems of their patients.

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Twellaar, Mascha, Yvonne Winants, and Inge Houkes. "How healthy are Dutch general practitioners? Self-reported (mental) health among Dutch general practitioners." European Journal of General Practice 14, no. 1 (January 2008): 4–9. http://dx.doi.org/10.1080/13814780701814911.

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Rovito, Michael J., Janna Manjelievskaia, James E. Leone, Michael Lutz, Chase T. Cavayero, and David Perlman. "Recommendations for Treating Males: An Ethical Rationale for the Inclusion of Testicular Self-Examination (TSE) in a Standard of Care." American Journal of Men's Health 12, no. 3 (December 3, 2015): 539–45. http://dx.doi.org/10.1177/1557988315620468.

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The phrase “standard of care” is primarily a legal term representing what procedure a reasonable person (i.e., health practitioner) would administer to patients across similar circumstances. One major concern for health practitioners is delivering and advocating for treatments not defined as a standard of care. While providing such treatments may meet certain ethical imperatives, doing so may unwittingly trigger medical malpractice litigation fears from practitioners. Apprehension to deviate, even slightly, from the standard of care may (seem to) put the practitioner at significant risk for litigation, which, in turn, may limit options for treatment and preventive measures recommended by the practitioner. Specific to testicular treatment, certain guidelines exist for cancer, torsion, vasectomy, and scrotal masses, among others. As it relates to screening, practitioner examination is expected for patients presenting with testicular abnormalities. Testicular self-examination (TSE) advocacy, however, is discouraged by the U.S. Preventive Services Task Force, which may prompt a general unwillingness among health practitioners to promote the behavior. Considering the benefits TSE has beyond cancer detection, and the historical support it has received among health practitioners, it is paramount to consider the ethical implications of its official “exclusion” from preventive health and clinical care recommendations (i.e., standard of care). Since good ethics should lead practitioner patient care guidelines, not fear of increased malpractice risks, we recommend the development of a standard of care for counseling males to perform TSE.

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Doe, Prosper T. "Traditional Health Practitioners as Primary Health Workers." Tropical Doctor 28, no. 4 (October 1998): 249–50. http://dx.doi.org/10.1177/004947559802800430.

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Rutkow, Lainie, Jon S. Vernick, Natalie L. Semon, Artensie Flowers, Nicole A. Errett, and Jonathan M. Links. "Translating Legal Research on Mental and Behavioral Health during Emergencies for the Public Health Workforce." Public Health Reports 129, no. 6_suppl4 (November 2014): 123–28. http://dx.doi.org/10.1177/00333549141296s416.

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Translation strategies are critical for sharing research with public health practitioners. To disseminate our analyses of legal issues that arise relative to mental and behavioral health during emergencies, we created 10 brief translational tools for members of the public health workforce. In consultation with an interdisciplinary project advisory group (PAG), we identified each tool's topic and format. PAG members reviewed draft and final versions of the tools. We then worked with local health departments throughout the country to distribute the tools along with a brief survey to determine practitioners' perceived utility of the tools. Through survey responses, we learned that practitioners believed the tools provided information that would be useful during the planning, response, and recovery phases of an emergency. This article describes the creation of the PAG, the development of the tools, and lessons learned for those seeking to translate legal and ethical research findings for practitioner audiences.

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Harris, Peter, and Richard Henry. "General practitioners and public health." Medical Journal of Australia 173, no. 2 (July 2000): 66–67. http://dx.doi.org/10.5694/j.1326-5377.2000.tb139243.x.

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Waldrop, Julee B. "Nurse Practitioners and Public Health." Journal for Nurse Practitioners 18, no. 2 (February 2022): 129–30. http://dx.doi.org/10.1016/j.nurpra.2022.01.012.

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Parker, Gordon. "Occupational health and general practitioners." BMJ 328, no. 7437 (February 21, 2004): s73.2—s74. http://dx.doi.org/10.1136/bmj.328.7437.s73-a.

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Letzring, Timothy D., and Marilyn S. Snow. "Mental health practitioners and HIPAA." International Journal of Play Therapy 20, no. 3 (July 2011): 153–64. http://dx.doi.org/10.1037/a0023717.

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Killeen, Rosemary M. "Public Health Practitioners — That's Us?" Canadian Pharmacists Journal / Revue des Pharmaciens du Canada 138, no. 8 (November 2005): 10–11. http://dx.doi.org/10.1177/171516350513800802.

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Paris, J. A. G., A. P. Wakeman, and R. K. Griffiths. "General practitioners and public health." Public Health 106, no. 5 (September 1992): 357–66. http://dx.doi.org/10.1016/s0033-3506(05)80184-2.

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Kilburg, Richard R. "Impairment in Mental Health Practitioners." QRB - Quality Review Bulletin 14, no. 4 (April 1988): 129–32. http://dx.doi.org/10.1016/s0097-5990(16)30203-2.

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Thompson, Theresa M. "Nurse Practitioners and Environmenatl Health." AAOHN Journal 45, no. 1 (January 1997): 6. http://dx.doi.org/10.1177/216507999704500102.

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Raftery, Chris. "Nurse practitioner succession planning: forward thinking or just an after-thought?" Australian Health Review 37, no. 5 (2013): 585. http://dx.doi.org/10.1071/ah13072.

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This paper examines the concept of backfill and succession planning for an elite speciality nursing group, nurse practitioners. Nurse practitioners work in many public, private, inpatient and outpatient settings across the country. This discussion is relevant to all practicing nurse practitioners, but especially those with their own specific patient group. A nurse practitioner is an elite nursing specialist with specific speciality skills. While present, nurse practitioners can be most effective at holistically managing their patient group. However, if an endorsed nurse practitioner is no longer present, for a short or long interval, their specific skills and abilities cannot be easily substituted or replaced in the short term. This potential compromise in patient care can be detrimental to the developing reputation of the role of the nurse practitioner. In order to address the shortage of specifically skilled nurse practitioners across the country in all specialties, there is a need to forward plan and consider contingencies for succession in the event of short- or long-term absences from the clinical environment. Succession planning is the key to patient safety and the successful implementation of the role of the nurse practitioner. What is known about the topic? While succession planning itself is not a new concept, nurse practitioner role development for the most part has been about advancing innovative nurse-led models of care, as opposed to planning for future needs. What does the paper add? This paper aims to reignite the role development discussion to highlight the need for better alignment of succession planning with the establishment of nurse practitioner roles. What are the implications for the practitioner? Better alignment of succession planning and role development will ensure continuity of nurse practitioner models of care well beyond our pioneering nurse practitioners’ working life.

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Dallman, Amber, Eydie Abercrombie, Rebecca Drewette-Card, Maya Mohan, Michael Ray, and Brian Ritacco. "Elevating Physical Activity as a Public Health Priority: Establishing Core Competencies for Physical Activity Practitioners in Public Health." Journal of Physical Activity and Health 6, no. 6 (November 2009): 682–89. http://dx.doi.org/10.1123/jpah.6.6.682.

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Background:Physical activity has emerged as a vital area of public health. This emerging area of public health practice has created a need to develop practitioners who can address physical activity promotion using population-based approaches. Variations in physical activity practitioners' educations and backgrounds warranted the creation of minimal standards to establish the competencies needed to address physical activity as a public health priority.Methods:The content knowledge of physical activity practitioners tends to fall into 2 separate areas—population-based community health education and individually focused exercise physiology. Competencies reflect the importance of a comprehensive approach to physical activity promotion, including areas of community health while also understanding the physiologic responses occurring at the individual level.Results:Competencies are organized under the Center for Disease Control and Prevention's 5 benchmarks for physical activity and public health practice.Conclusions:The greatest impact on physical activity levels may be realized from a well-trained workforce of practitioners. Utilization of the competencies will enable the physical activity practitioner to provide technical assistance and leadership to promote, implement, and oversee evaluation of physical activity interventions.

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Wiggers, John H., and Rob Sanson-Fisher. "General Practitioners as Agents of Health Risk Behaviour Change: Opportunities for Behavioural Science in Patient Smoking Cessation." Behaviour Change 11, no. 3 (September 1994): 167–76. http://dx.doi.org/10.1017/s0813483900005064.

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General practitioners have been suggested as occupying a position in the community that offers considerable potential for reducing the prevalence of health risk behaviours. Green, Eriksen, and Schor (1988) have proposed that if general practitioners are to effectively adopt a role in modifying patient health risk behaviours, a number of prerequisite conditions must be met. Using the model proposed by Green et al., this paper reviews the literature to describe the circumstances under which general practitioners currently practise this role. The review focuses on the circumstances relating to practitioner modification of one patient health risk behaviour: smoking. Research detailing the extent of practitioner involvement in the modification of this risk behaviour is also reviewed. The paper concludes by discussing the opportunities available for behavioural scientists to facilitate general practitioners' adoption of a role in patient smoking cessation.

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Kaminskiy, Emma, Simon Senner, and Johannes Hamann. "Attitudes towards shared decision making in mental health: a qualitative synthesis." Mental Health Review Journal 22, no. 3 (September 11, 2017): 233–56. http://dx.doi.org/10.1108/mhrj-01-2017-0003.

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Purpose Shared decision making (SDM) prioritises joint deliberation between practitioner and service user, and a respect for service-users’ experiential knowledge, values and preferences. The purpose of this paper is to review the existing literature pertaining to key stakeholders’ attitudes towards SDM in mental health. It examines whether perceived barriers and facilitators differ by group (e.g. service user, psychiatrist, nurse and social worker) and includes views of what facilitates and hinders the process for service users and practitioners. Design/methodology/approach This review adopts the principles of a qualitative research synthesis. A key word search of research published between 1990 and 2016 was undertaken. Qualitative, quantitative and mixed methods studies were included. Findings In total, 43 papers were included and several themes identified for service user and practitioner perspectives. Both practitioners and service users see SDM as an ethical imperative, and both groups highlight the need to be flexible in implementing SDM, suggesting it is context dependent. A range of challenges and barriers are presented by both practitioners and service users reflecting complex contextual and cultural features within which interactions in mental health take place. There were qualitative differences in what service users and practitioners describe as preventing or enabling SDM. The differences highlighted point towards different challenges and priorities in SDM for service users and practitioners. Originality/value The presentation of nuanced views and attitudes that practitioners and service users hold represent an important and under reported area and offer insight into the reasons for the gap between idealised policy and actual practice of SDM in mental health settings.

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Kumar, Sukhender, Narendra Jangid, and Munish Kumar Bawa. "UNQUALIFIED HEALTH CARE PROVIDERS AND RURAL PUBLIC HEALTH IN RAJASTHAN." International Journal of Advanced Research 10, no. 09 (September 30, 2022): 651–55. http://dx.doi.org/10.21474/ijar01/15405.

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There are many players for health care delivery systems like public and private providers. In between, another service delivery system exists and survived at large scale in rural India. One of them is called Rural Medical Practitioner or quacks or Jhola Chaap (unqualified service provider) or unethical practitioner. The term RMP is still not clear. In the lay men language, RMP stands for registered medical practitioner but only graduate in MBBS are registered by the Medical Council of India and has a valid licence to practices allopathic medicine in public health. In the medical world. In many developing countries like India, informal or rural medical practitioner provides the large-scale services to the poor and villagers. These practitioners cater a large population especially in rural India. In Rajasthan, the coverage of population by Government Public Health Services is not sufficient. This study carried out with interviewing 117 unqualified health care providers in rural area of Rajasthan. The current paper discusses about academic background, training, experience, daily patient load and practice of informal health care providers altering the unavailable health care professional for a long time. As resulted, a total of 95 (81.20%) informal health care providers have their own clinic where they attend the patients and provide services 24 x 7 without charging consultation fee, go for home visits to see the patient and refer the patients in critical situation to Government health facilities, etc. The strong presence of these so-called rural practitioners in the basket of private health care system put the rural health in very critical situations.

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Horner, Deborah, and Kim Asher. "General Practitioners and Mental Health Staff Sharing Patient Care: Working Model." Australasian Psychiatry 13, no. 2 (June 2005): 176–80. http://dx.doi.org/10.1080/j.1440-1665.2005.02184.x.

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Objective: The paper describes a shared care programme developed by mental health services and general practitioners for shifting patients with chronic psychiatric disorders to the care of a general practitioner. The programme is characterized by: (i) a dedicated mental health service general practitioner liaison position to manage the programme and provide support to both patients and doctors; (ii) a multidisciplinary care planning meeting that includes mental health staff, the patient, the general practitioner and a carer; and (iii) a jointly developed individual management plan that specifies patient issues, strategies to deal with these issues, persons responsible for monitoring and a review date. Methods: The shared care protocol, the results of a review of patient mental health indicators and general practitioner satisfaction with the programme are described. Results: Outcomes to date suggest that patients' mental health is not compromised and may be enhanced by transfer to general practitioners within the shared care model. Indicators of mental health outcomes (Health of the Nation Outcome Scale and Life Skills Profile scores) show improved patient symptomatology and functioning in most cases. Conclusions: The programme fits the model of recovery-based mental health services and complies with current local, state and Commonwealth policies that encourage integrated and collaborative approaches by mental health services and general practitioners in delivering mental health care to persons with chronic mental illness.

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Clark, Shannon, Rhian Parker, Brenton Prosser, and Rachel Davey. "Aged care nurse practitioners in Australia: evidence for the development of their role." Australian Health Review 37, no. 5 (2013): 594. http://dx.doi.org/10.1071/ah13052.

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Aim To consider evidence surrounding the emerging role of nurse practitioners in Australia with a particular focus on the provision of healthcare to older people. Methods Methods used included keyword, electronic database and bibliographic searches of international literature, as well as review of prominent policy reports in relation to aged care and advanced nursing roles. Results This paper reports on evidence from systematic reviews and international studies that show that nurse practitioners improve healthcare outcomes, particularly for hard to service populations. It also maps out the limited Australian evidence on the impact of nurse practitioners’ care in aged care settings. Conclusions If Australia is to meet the health needs of its ageing population, more evidence on the effectiveness, economic viability and sustainability of models of care, including those utilising nurse practitioners, is required. What is known about the topic? Australia, like many industrialised countries, faces unprecedented challenges in the provision of health services to an ageing population. Attempts to respond to these challenges have resulted in changing models of healthcare and shifting professional boundaries, including the development of advance practice roles for nurses. One such role is that of the nurse practitioner. There is international evidence that nurse practitioners provide high-quality healthcare. Despite being established in the United States for nearly 50 years, nurse practitioners are a relatively recent addition to the Australian health workforce. What does this paper add? This paper positions a current Australian evaluation of nurse practitioners in aged care against the background of the development of the role of nurse practitioners internationally, evidence for the effectiveness of the role, and evidence for nurse practitioners in aged care. Recent legislative changes in Australia now mean that private nurse practitioner roles can be fully implemented and hence evaluated. In the face of the increasing demands of an ageing population, the paper highlights limitations in current Australian evidence for nurse practitioners in aged care and identifies the importance of a national evaluation to begin to address these limitations. What are the implications for practitioners? The success of future healthcare planning and policy depends on implementing effective initiatives to address the needs of older Australians. Mapping the terrain of contemporary evidence for nurse practitioners highlights the need for more research into nurse practitioner roles and their effectiveness across Australia. Understanding the boundaries and limitations to current evidence is relevant for all involved with health service planning and delivery.

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Sandell, Tiffany, Andrew Miller, and Heike Schütze. "Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care." International Journal of Environmental Research and Public Health 20, no. 1 (December 21, 2022): 108. http://dx.doi.org/10.3390/ijerph20010108.

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(1) Background: Patients treated with radiotherapy require follow-up care to detect and treat acute and late side effects, and to monitor for recurrence. The increasing demand for follow-up care poses a challenge for specialists and general practitioners. There is a perception that general practitioners do not have the specialised knowledge of treatment side effects and how to manage these. Knowing the concordance between general practitioner and oncologist clinical assessments can improve confidence in healthcare professionals. This study aimed to measure the level of agreement between general practitioners and radiation oncologists using a standardised clinical assessment; (2) Methods: a cross-sectional clinical practice study; sample aim of 20 breast, prostate or colorectal patients, three years post-radiotherapy treatment; their general practitioner and radiation oncologist; (3) Results: There was acceptable percent agreement (>75%) and a moderate to almost perfect agreement (Fleiss kappa) for all variables between the 15 general practitioner-radiation oncologist dyads; (4) Conclusions: The general practitioner and radiation oncologist concordance of a clinical follow-up assessment for radiation oncology patients is an important finding. These results can reassure both general practitioners and oncologists that general practitioners can provide cancer follow-up care. However, further studies are warranted to confirm the findings and improve reassurance for health professionals.

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Larsen, Cathrin Brøndbo, and Heidi Gilstad. "Qualitative Research Studies Addressing Patient-Practitioner Communication about Online Health Information." International Journal of Environmental Research and Public Health 19, no. 21 (October 27, 2022): 14004. http://dx.doi.org/10.3390/ijerph192114004.

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Modern healthcare is becoming increasingly technologized, knowledge-intensive, and specialized, which has consequences for communication between patients andpractitioners in clinical encounters. Health information is increasingly accessible to patients through online resources . The objective of this paper is to provide an overview of existing studies that address how patients communicate with practitioners about online health information and to identify the key topics raised in these studies. With the concept of eHealth literacy as its point of departure, this paper specifically highlights the eHealth literacy topic of how patients comprehend, appraise and communicate online health information before and during the encounter with the healthcare professionals. In the literature search, we focus on qualitative studies that consider patients’ and/or practitioners’ reflections on online health information. We searched PUBMED, SCOPUS and Web of Science to capture research from various fields. Sixteen studies were included that met the following criteria: Qualitative study, focus on patient-practitioner communication, eHealth literacy and online information. The results show that the vast majority of studies were based on qualitative interviews, addressing patients’ and practitioners’ perspectives. Key topics in studies addressing patient perspectives were: reasons for seeking online information; calibrating understanding of online information with the practitioner; and barriers to discussing online information with practitioners. Key topics raised in studies focusing on practitioners were: trust in the patient and the online health information he/she presented as well as strategies to respond to patients who referred to online health information. The review highlights the need for further qualitative studies, preferably observational studies from authentic clinical communication situations, in order to capture how patients and practitioners communicate about online health information.

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Vassbotn, Ane Drougge, Hege Sjøvik, Trond Tjerbo, Jan Frich, and Ivan Spehar. "General practitioners’ perspectives on care coordination in primary health care: A qualitative study." International Journal of Care Coordination 21, no. 4 (December 2018): 153–59. http://dx.doi.org/10.1177/2053434518816792.

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Introduction To explore Norwegian general practitioners’ experiences with care coordination in primary health care. Methods Qualitative study using data from five focus groups with 32 general practitioners in Norway. We analysed the data using systematic text condensation, a descriptive and explorative method for thematic cross-case analysis of qualitative data. Results The general practitioners had different notions of care pathways. They expressed a wish and an obligation to be involved in planning and coordination of primary health-care services, but they experienced organisational and financial barriers that limited their involvement and contribution. General practitioners reported lack of information about and few opportunities for involvement in formal coordination initiatives, and they missed informal arenas for dialogue with other primary health-care professionals. They argued that the general practitioner’s role as coordinator should be recognised by other parties and that they needed financial compensation for contributions and attendance in meetings with the municipality. Discussion General practitioners need informal arenas for dialogue with other primary health-care professionals and access to relevant information to promote coordinated care. There might be an untapped potential for improving patient care involving general practitioners more in planning and coordinating services at the system level. Financial compensation of general practitioners contribution may promote increased involvement by general practitioners.

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Okonji, Marx, Frank Njenga, David Kiima, James Ayuyo, Pius Kigamwa, Ajit Shah, and Rachel Jenkins. "Traditional health practitioners and mental health in Kenya." International Psychiatry 5, no. 2 (April 2008): 46–48. http://dx.doi.org/10.1192/s1749367600005610.

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The prevalence of psychiatric morbidity among rural and urban Kenyan primary care attenders has been reported to be as high as 63% (Ndetei & Muhangi, 1979; Dhapdale & Ellison, 1983; Dhapdale et al, 1989; Sebit, 1996). For its population of 32 million, Kenya has only 16 psychiatrists and 200–300 psychiatric nurses, but there are just over 2000 primary healthcare centres, staffed by general nurses and clinical officers, and the main burden for assessing and caring for people with mental disorders falls upon members of the primary care teams. However, mental disorders are poorly recognised (Dhapdale & Ellison, 1983) and inadequately treated in primary care (Muluka & Dhapdale, 1986). Moreover, Kenyan primary care workers often lack training in mental health (Dhapdale et al, 1989; see also Ndetei, this issue, p. 31).

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Hoff, Wilbur. "Traditional Health Practitioners as Primary Health Care Workers." Tropical Doctor 27, no. 1_suppl (January 1997): 52–55. http://dx.doi.org/10.1177/00494755970270s116.

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The author conducted a field study in 1993 to evaluate the effectiveness of four projects that were training traditional health practitioners (THPs) to provide primary health care (PHC) services in Ghana, Mexico, and Bangladesh. The study, funded by a grant from the World Health Organization, Division of Strengthening Health Services, concluded that incorporating trained THPs in PHC programmes can be cost effective in providing essential and culturally relevant health services to communities. The main objective of the study was to evaluate how effective the training projects were and to determine what impacts they might have upon the communities served. A qualitative field evaluation was performed using data collected from project documents, observations, and field interviews with a selection of health agency staff, THPs, and community members. A summary of results is presented from the four field studies. For details refer to the full report1.

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Vizbaraitė, Daiva, Eva Arlauskaitė, Violeta Ūsė, and Roma Aleksandravičienė. "LIFESTYLE PECULIARITIES OF YOGA PRACTITIONERS AND NON-PRACTITIONERS." Baltic Journal of Sport and Health Sciences 3, no. 98 (2015): 58–65. http://dx.doi.org/10.33607/bjshs.v3i98.95.

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Background. In the modern world, people are short of time for physical and spiritual education, which may lead to major health problems. Due to passive lifestyle, many of them have a poor body composition, impaired circulation and reduced flexibility, which may contribute to physical disorders and susceptibility to chronic diseases (Chen, Tseng, Ting, & Huang, 2007). Hypothesis: lifestyle of yoga practitioners is healthier and health evaluation is better compared to those of non- practitioners. The aims of the research were to asses and compare the features of lifestyle and health evaluation of yoga practitioners and non-practitioners. Methods. The study included middle-aged participants (from 35 to 55 years). A total of 193 people were evaluated, 86 of them were practising yoga. Among these participants, 63 were women, 23 – men. The other 107 did not practise yoga, 58 of them were women, 43 – men. The questionnaire of the lifestyle of Lithuanian adults was used (Grabauskas, Klumbienė, & Petkevičienė, 2011). Results. The analysis of the results confirmed the hypothesis proposed at the beginning of the work. Yoga practitioners’ nutrition, physical activity, addictions and evaluation of their health was better than those of non- practitioners. Conclusion. Yoga practitioners have healthier lifestyle habits, they consume less animal fat, eat more fruits, cereals and cereal-based products. In addition, they are more physically active than non- practitioners, both men and women often exercise alone or in group practice sessions and without yoga they have more kinds of physical activity. A lower prevalence of addictions was observed among them; none of them smoked and they had a lower intake of alcohol beverages compared to yoga non-practitioners. Yoga practitioners are healthier and have a better value of their health and the quality of life.

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Kverno, Karan. "Promoting Access Through Integrated Mental Health Care Education." Open Nursing Journal 10, no. 1 (April 30, 2016): 73–77. http://dx.doi.org/10.2174/187443460160101073.

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Mental disorders are the leading cause of non-communicable disability worldwide. Insufficient numbers of psychiatrically trained providers and geographic inequities impair access. To close this treatment gap, the World Health Organization (WHO) has called for the integration of mental health services with primary care. A new innovative online program is presented that increases access to mental health education for primary care nurse practitioners in designated mental health professional shortage areas. To create successful and sustainable change, an overlapping three-phase strategy is being implemented. Phase I is recruiting and educating primary care nurse practitioners to become competent and certified psychiatric mental health nurse practitioners. Phase II is developing partnerships with state and local agencies to identify and support the psychiatric mental health nurse practitioner education and clinical training. Phase III is sustaining integrated mental health care services through the development of nurse leaders who will participate in interdisciplinary coalitions and educate future students.

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Lin, Ivan, Charmaine Green, and Dawn Bessarab. "‘Yarn with me’: applying clinical yarning to improve clinician–patient communication in Aboriginal health care." Australian Journal of Primary Health 22, no. 5 (2016): 377. http://dx.doi.org/10.1071/py16051.

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Although successful communication is at the heart of the clinical consultation, communication between Aboriginal patients and practitioners such as doctors, nurses and allied health professionals, continues to be problematic and is arguably the biggest barrier to the delivery of successful health care to Aboriginal people. This paper presents an overarching framework for practitioners to help them reorientate their communication with Aboriginal patients using ‘clinical yarning’. Clinical yarning is a patient-centred approach that marries Aboriginal cultural communication preferences with biomedical understandings of health and disease. Clinical yarning consists of three interrelated areas: the social yarn, in which the practitioner aims to find common ground and develop the interpersonal relationship; the diagnostic yarn, in which the practitioner facilitates the patient’s health story while interpreting it through a biomedical or scientific lens; and the management yarn, that employs stories and metaphors as tools for patients to help them understand a health issue so a collaborative management approach can be adopted. There is cultural and research evidence that supports this approach. Clinical yarning has the potential to improve outcomes for patients and practitioners.

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Pentaris, Panagiotis. "Health care practitioners and dying patients." Journal of Education Culture and Society 4, no. 1 (January 11, 2020): 38–43. http://dx.doi.org/10.15503/jecs20131.38.43.

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A full understanding of and a competent approach to dying patients may lead to a more qu-alitative service delivery, an enhanced quality of life paradigms, and the patients’ well-being, all of which remain the ultimate goal of health care practice. The modern world has developed in parallel with secularism and religious diversity. This paper aims to illustrate the secularization process in Britain (with indications of generalized meanings) and juxtaposes it with a descrip-tion of the needs of dying patients regarding the meanings of religion and non-religion. Altho-ugh this paper draws on and provides a review of selected theoretical literature, it also addres-ses a signifi cant challenge: the lack of scientifi c research on the subject. Hence, this paper aims to give an overview of the issues, but not synthesise them. The arguments that are elaborated in the paper are also supported by the author’s current research project in the city of London. The approach here is client oriented, and concerns social and health care. Practitioners ought to become competent, and maintain their competence throughout their professional career. Religious competence seems to have not been at the centre of discussions, regardless of the historical pathway that religious discourse has drawn since the beginnings of huma-nity. The paper concludes with certain suggestions for future research and inclusive appro-aches regarding religious matters.

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Allen, Ruth E. S., and John Read. "Integrated Mental Health Care: Practitioners' Perspectives." Australian & New Zealand Journal of Psychiatry 31, no. 4 (August 1997): 496–503. http://dx.doi.org/10.3109/00048679709065071.

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Objective: Integrated mental health care (IMHC) is a community-based model that considers the patient and informal carers to be the major contributors to stable recovery from severe mental health problems. This study investigates the implementation of IMHC by 35 New Zealand practitioners 1 year after being trained in the model. It also explores their experiences and perceptions regarding the model. Method: Quantitative and qualitative data were gathered by combining a questionnaire survey with in-depth interviews. Results: Few of the trainees had been able to implement the model as much as they would have liked. A primary barrier to implementation was created by the resource constraints that impede most innovative community care initiatives even when demonstrated to be more cost-effective than traditional hospital-based approaches. Concerns particular to IMHC included issues relating to flexibility, time-intensiveness and applicability to New Zealand. Many practitioners found some of the specific intervention strategies and the clear overall structure of the model useful. Its psychosocial emphasis had a positive impact on many practitioners' beliefs about the causes and prognosis of severe mental health problems. Conclusions: Participants offer a range of recommendations as to how IMHC might be applied and adapted. Consultation with staff, consumers, families and Maori, as well as a strengthening of the psychosocial components, are recommended.

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Near, Kelly, Ann Duesing, and Claude Moore. "Informatics training for public health practitioners." Journal of the Medical Library Association : JMLA 97, no. 3 (July 2009): 162. http://dx.doi.org/10.3163/1536-5050.97.3.002.

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Jenkins, Melinda L., and Eileen M. Sullivan-Marx. "NURSE PRACTITIONERS AND COMMUNITY HEALTH NURSES." Nursing Clinics of North America 29, no. 3 (September 1994): 459–70. http://dx.doi.org/10.1016/s0029-6465(22)02232-0.

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Scholes, Julie. "Why health care needs resilient practitioners." Nursing in Critical Care 13, no. 6 (October 19, 2008): 281–85. http://dx.doi.org/10.1111/j.1478-5153.2008.00306.x.

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Journal articles on the topic 'Health practitioners'

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