Journal articles on the topic 'Internationally Qualified Health Practitioner'
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Cooper, Melissa, Philippa Rasmussen, and Judy Magarey. "Governance of skilled migration and registration of internationally qualified health practitioners: an Australian policy perspective." Australian Health Review 44, no. 2 (2020): 178. http://dx.doi.org/10.1071/ah19018.
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This paper presents a policy perspective on the topical issue of migration and registration of internationally qualified health practitioners (IQHPs), with a focus on international medical graduates and internationally qualified nurses and midwives. Current views, regulatory governance and recommendations affecting skilled migration and registration of IQHPs were examined, specifically whether current and proposed practices are transparent, consistent, equitable, robust, cost-effective and assist in ensuring IQHPs demonstrate the necessary qualifications and experience for protection of the Australian public. The complexity of the current regulatory and administrative application and approval processes for IQHPs seeking to live and work in the Australian healthcare setting provides significant opportunities for future research, particularly those areas of reform under consideration by the Health Ministers’ Advisory Council.
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Battaglia, Lana M., and Catherine A. Flynn. "A review of research about the transition from student social worker to practitioner: Exploring diversity." Journal of Social Work 20, no. 6 (May 28, 2019): 834–57. http://dx.doi.org/10.1177/1468017319852598.
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Summary With increasing student mobility to and from western host-universities, newly qualified social workers are more likely to enter the field in an unfamiliar context. To examine whether current knowledge appropriately informs education and support for a diversifying cohort of newly qualified social workers in the Australian context, a scoping review was conducted on 53 articles investigating the transition to social work practice. Research conducted over a 45-year period from a broad range of international contexts was included in the review. Findings Findings suggest that current understandings do not reflect the needs or experiences of the present cohort of newly qualified social workers as they transition to social work practice. Rather, study samples, mostly derived from western contexts, are notably homogenous, with most participants described by researchers, as ‘white’. Additionally, there is an assumption that students transition to practice within the same context as their education. Current knowledge therefore does not capture the various ways internationally mobile, newly graduated social workers may transition to practice, or how it is experienced. Applications Findings suggest that further examination is urgently needed on the pathways navigated to practice by diverse and mobile early career social workers. Further consideration of the influences of diversity and mobility on experience is needed, using more inclusive research methods, to capture the variability and complexity of the transition to practice as the profession diversifies and mobilises.
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Jebara, T., T. McIntosh, F. Stewart, R. Bruce, A. Osprey, and S. Cunningham. "Views and perceptions on the designated prescribing practitioner role, barriers, and facilitators for its implementation in community pharmacy: a theory-based quantitative study." International Journal of Pharmacy Practice 30, Supplement_1 (April 1, 2022): i13—i14. http://dx.doi.org/10.1093/ijpp/riac021.019.
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Abstract Introduction Scottish Government aims to increase numbers of pharmacist independent prescribers (IP) in community to improve healthcare access. This includes utilising qualified IPs as Designated Prescribing Practitioners (DPP) to increase capacity to supervise pharmacists on IP courses. Aim To investigate views and perceptions of practice-based stakeholders and identify potential influences on DPP implementation for Scottish community pharmacists (CP) Methods A theory-based cross-sectional online survey of stakeholders involved in DPP role implementation (e.g. Directors of Pharmacy, Prescribing Leads, IP qualified CPs) was employed. Participation invites were shared with Scottish health boards and CP organisations via email and social media. Snowball sampling was used so no key individual was omitted. The questionnaire was informed by Royal Pharmaceutical Society (RPS) DPP Framework (1) and Consolidated Framework for Implementation Research (2). It examined views and awareness of DPP role, implementation drivers, and obstacles. The tool was reviewed for credibility and dependability then piloted. Data were analysed descriptively. Results Ninety-nine responses were received (NB: Since this was a national survey of multiple stakeholders without a defined sample list, response rate was indeterminate). Two-fifths (n=39, 40.2%) were community pharmacists with majority qualified for more than 10 years (n=76, 76.8%). Only 18 had previous involvement with IP courses. The table shows awareness and views of the role based on RPS framework. Respondents had positive attitudes to DPP implementation with the majority supporting it (72, 73.5%) and believing that its advantages outweigh any disadvantages (74, 75.5%). Facilitators of successful implementation were having clearly defined leadership roles (89, 90.9%), piloting (85, 87.6%), and incentives (65, 88.8%). Drivers for uptake of role included improving patient care (94, 96%) and the profession (91, 92.8%), self-development (91, 92.8%), developing individual pharmacists (89, 90.8%), payment (77, 79.4%), and being recognised by peers/employers (73, 75.2%). Conclusion There was positivity regarding DPP role, its acceptability in, and advantages for CP. Resource-related concerns were expressed that need further consideration to ensure effective implementation. This is the first study internationally to explore views on DPP role. Given the Scottish focus, findings may lack generalisability. Future research should focus on theory-based evaluation of structures and processes of implementation. References (1) Royal Pharmaceutical Society. Designated Prescribing Practitioner Competency Framework [internet]. London: Royal Pharmaceutical Society; 2019 [Cited 28/09/2021]. Available from: https://www.rpharms.com/resources/frameworks/designated-prescribing-practitioner-competency-framework (2) Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.
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Attard, Melanie, Alexa McArthur, Dagmara Riitano, Edoardo Aromataris, Chris Bollen, and Alan Pearson. "Improving communication between health-care professionals and patients with limited English proficiency in the general practice setting." Australian Journal of Primary Health 21, no. 1 (2015): 96. http://dx.doi.org/10.1071/py13095.
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Quality service provision and patient safety and satisfaction in encounters with health-care professionals relies on effective communication between the practitioner and patient. This study aimed to identify effective practices for improving communication between clinical staff in general practice and patients with limited English proficiency, and to promote their implementation in general practice. Effective interventions and strategies were identified from a review of international research. Experiences with their use in practice were explored via focus group discussions with general practitioners and practice nurses. The results suggest that, wherever possible, communication in the patient’s primary language is preferable; use of a qualified medical interpreter should be promoted, and practices should have a standardised and documented procedure for accessing interpreter services. General practice staff must increase their awareness about services that are available to facilitate communication with patients with limited English proficiency, and also develop attitudes, both individual and organisational, that will maximise the effectiveness of these strategies. These findings were used to develop brief, evidence-based practice guidelines that were disseminated to focus group participants for evaluation of utility and general feedback. This evidence-based guidance is now available to assist clinical and administrative general practice staff across regional and metropolitan South Australia.
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Schmude, Marcel, Nahya Salim, Hila Azadzoy, Mustafa Bane, Elizabeth Millen, Lisa O’Donnell, Philipp Bode, Ewelina Türk, Ria Vaidya, and Stephen Gilbert. "Investigating the Potential for Clinical Decision Support in Sub-Saharan Africa With AFYA (Artificial Intelligence-Based Assessment of Health Symptoms in Tanzania): Protocol for a Prospective, Observational Pilot Study." JMIR Research Protocols 11, no. 6 (June 7, 2022): e34298. http://dx.doi.org/10.2196/34298.
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Background Low- and middle-income countries face difficulties in providing adequate health care. One of the reasons is a shortage of qualified health workers. Diagnostic decision support systems are designed to aid clinicians in their work and have the potential to mitigate pressure on health care systems. Objective The Artificial Intelligence–Based Assessment of Health Symptoms in Tanzania (AFYA) study will evaluate the potential of an English-language artificial intelligence–based prototype diagnostic decision support system for mid-level health care practitioners in a low- or middle-income setting. Methods This is an observational, prospective clinical study conducted in a busy Tanzanian district hospital. In addition to usual care visits, study participants will consult a mid-level health care practitioner, who will use a prototype diagnostic decision support system, and a study physician. The accuracy and comprehensiveness of the differential diagnosis provided by the diagnostic decision support system will be evaluated against a gold-standard differential diagnosis provided by an expert panel. Results Patient recruitment started in October 2021. Participants were recruited directly in the waiting room of the outpatient clinic at the hospital. Data collection will conclude in May 2022. Data analysis is planned to be finished by the end of June 2022. The results will be published in a peer-reviewed journal. Conclusions Most diagnostic decision support systems have been developed and evaluated in high-income countries, but there is great potential for these systems to improve the delivery of health care in low- and middle-income countries. The findings of this real-patient study will provide insights based on the performance and usability of a prototype diagnostic decision support system in low- or middle-income countries. Trial Registration ClinicalTrials.gov NCT04958577; http://clinicaltrials.gov/ct2/show/NCT04958577 International Registered Report Identifier (IRRID) DERR1-10.2196/34298
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Lian, Siqing, Yu Xia, Jinzhi Zhang, Xiaoning Han, Chunhua Chi, and Michael D. Fetters. "Comparison of general practice residents’ attitudes and perceptions about training in two programmes in China: a mixed methods survey." Family Medicine and Community Health 7, no. 4 (November 2019): e000238. http://dx.doi.org/10.1136/fmch-2019-000238.
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ObjectiveTo understand general practice (GP) residents’ attitudes about their residency training in China.DesignMixed methods survey administered cross-sectionally.SettingTwo GP training programmes similar in most regards according to current GP training policy of 5 years’ undergraduate degree in medicine and 3 years of postgraduate GP residency training—but differing as the Beijing programme has adopted educational innovations beyond the nationally prescribed standard curriculum used by the second Shenzhen programme.Participants105 (85%) of eligible GP trainees, 35 (90%) in the innovative Beijing programme and 70 (83%) in the standard training Shenzhen programme.ResultsOverall, residents felt discrimination because of specialty choice, and that they lacked competency as a general practitioner. Many residents commented faculty had negative teaching attitudes. Beijing residents were more satisfied than Shenzhen residents with their training (p=0.001), and felt teaching faculty had sufficient knowledge (p<0.001), and appropriate attitudes towards teaching (p=0.004). Beijing residents more strongly agreed on five items about good future job prospects (all p<0.05).ConclusionThese Chinese GP residents identify areas for improvement in their training as well as strengths. Higher satisfaction with faculty teaching and job optimism in Beijing where GP residents receive training from specifically qualified faculty, and can earn special certification, suggest that the educational innovations enhance training and promote positivity about job prospects. These findings imply that GP residents in China face many training challenges that are similar to other international reports, while also implicating benefits of using an innovative curricular approach.
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Singh, Madhav Madhusudan, and Uma Shankar Garg. "Laws Applicable to Medical Practice and Hospitals in India." International Journal of Research Foundation of Hospital and Healthcare Administration 1, no. 1 (2013): 19–24. http://dx.doi.org/10.5005/jp-journals-10035-1004.
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ABSTRACT Healthcare in India features a universal healthcare care system run by the constituent states and territories. Law is an obligation on the part of society imposed by the competent authority, and noncompliance may lead to punishment in the form of monetary fine or imprisonment or both. The earliest known code of laws called the code of Hammurabi governed the various aspects of health practices including the fees payable to physician for satisfactory services. The first ever code of medical ethics called the Hippocratic oath was laid down 2500 years ago, in the 5th century BC, by Hippocrates'the Greek physician. The modern version of Hippocratic Oath (called the declaration of Geneva), devised by the WHO after the second world war and is accepted by international medical fraternity. The process of establishment of healthcare system during the colonial rule also necessitated creation of legislative framework for practitioners of medicine. As the number of doctors qualified in Indian medical colleges increased, creation of laws for them became necessary. The medical council of India, a national level statutory body for the doctors of modern medicine, was constituted after the enactment of Indian Medical Council Act 1933. The first legal recognition and registration for the Indian systems of medicine came when the Bombay Medical Practitioner’ Act was passed in 1938. Laws governing the commissioning of hospital are the laws to ensure that the hospital facilities are created after due process of registration, the facilities created are safe for the public using them, have at least the minimum essential infrastructure for the type and volume of workload anticipated and are subject to periodic inspections to ensure compliance. There are other laws pertaining to governing to the qualification/practice and conduct of professionals, sale, storage of drugs and safe medication, management of patients, environmental safety, employment and management of manpower, medicolegal aspects and laws pertaining to safety of patients, public and staff within the hospital premises. There are laws governing professional training and research, business aspects, licences/certifications required for hospitals, etc. A hospital administrator should be aware about all these laws, regulations, policies, procedures, reports and returns and keep abreast with the latest amendments to be on the safe side of law and provide quality care to the patients. How to cite this article Singh MM, Garg US, Arora P. Laws Applicable to Medical Practice and Hospitals in India. Int J Res Foundation Hosp Healthc Adm 2013;1(1):19-24.
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Cashin, Andrew. "The First Private Practice as a Registration Authority Authorised Nurse Practitioner in Australia." Australian Journal of Primary Health 12, no. 3 (2006): 20. http://dx.doi.org/10.1071/py06041.
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The first private practice conducted, owned by and advertised as an authorised nurse practitioner practice in Australia was established in February 2004. A mental health nurse practitioner established the practice in a medical centre to provide counselling and mental health services for individuals, couples and families. This paper discusses the first 18 months of operation and considers the experience in the context of the small amount of published data, internationally, related to nurse owned and run private practices in general, and nurse practitioner practices. The practical steps of setting up, reimbursement and meeting challenges, in particular, are discussed. Diary entries and copies of emails were used as data through which the experience was tracked. The conclusion was reached that private practice as a nurse practitioner is possible. Scope of practice and financial remuneration are limited by the current third party reimbursement arrangements under Medicare and the lack of provision of PBS provider numbers to nurse practitioners.
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Safari, Kolsoom, Lisa McKenna, and Jenny Davis. "Transition experiences of internationally qualified health care professionals: A narrative scoping review." International Journal of Nursing Studies 129 (May 2022): 104221. http://dx.doi.org/10.1016/j.ijnurstu.2022.104221.
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Hutchinson, Taryn. "On being a psychological wellbeing practitioner in CAMHS." Clinical Psychology Forum 1, no. 312 (December 2018): 22–25. http://dx.doi.org/10.53841/bpscpf.2018.1.312.22.
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This article presents the experience of a qualified psychological wellbeing practitioner (PWP) working in a child and adolescent mental health service (CAMHS). It aims to provide insight into adapting the adult Improving Access to Psychological Therapies (IAPT) model to a CAMHS context and the PWP’s experience of this.
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Bond, Malcolm. "International Classification of Functioning, Disability, and Health: A Contemporary Model of Disablement." Guides Newsletter 20, no. 4 (July 1, 2015): 3–8. http://dx.doi.org/10.1001/amaguidesnewsletters.2015.julaug01.
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Abstract This article begins with a consult of a patient using the International Classification of Functioning, Disability, and Health (ICF), published by the World Health Organization in 2001. The ICF framework serves as the conceptual model for the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition. In contrast to the issues of morbidity-centric documentation schemas, the ICF platform provides a standardized nomenclature to chart functioning, specifically an integrative biopsychosocial model of functioning that defines the components of functioning. The ICF qualifier serves as the titratable dimension of function; the qualifier not only satisfies the need for charting progress but also, when aggregated, provides the possibility of identifying the quantitative metrics of a cohort (eg, service needs, length of hospitalization, level of care, functional outcomes, and return-to-work potential). Implementing ICF into routine documentation moves practitioners toward the concept of functioning not as a consequence of disease but rather toward the real-life dynamics among health condition, body function, body structure, and environmental factors that determine functioning. ICF will be an essential basis for the standardization of data concerning all aspects of human functioning and disability around the world. ICF will be useful for persons with all forms of disabilities, not only for identifying health care and rehabilitative needs but also in identifying and measuring the effect of the physical and social environments.
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Anderson, Niall C. "Reflections on the benefits of challenges of transitioning from being a trainee to a qualified health psychologist." Health Psychology Update 29, no. 1 (2020): 3–4. http://dx.doi.org/10.53841/bpshpu.2020.29.1.3.
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I was previously employed as a trainee health psychologist by NHS Education for Scotland to complete the BPS Stage 2 Qualification in Health Psychology. Having qualified, I was employed initially as a NHS-based practitioner health psychologist, and subsequently as a university-based Senior Research Associate. This has afforded me the fortunate position of being able to reflect upon the transition from being a trainee to qualified health psychologist. The article provides a reflective account my experience of the transition between preparing to submit the portfolio to one-year post-qualification, with a particular focus on the main benefits and challenges experienced.
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Freed, Shelby Lee, Doria Thiele, Madilyn Gardner, and Emily Myers. "COVID-19 Evaluation and Testing Strategies in a Federally Qualified Health Center." American Journal of Public Health 112, S3 (June 2022): S284—S287. http://dx.doi.org/10.2105/ajph.2022.306827.
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Federally Qualified Health Centers (FQHCs) are organizations that provide primary care services to our nation’s most vulnerable communities. This nurse practitioner–led intervention sought to double the number of available COVID-19 evaluation and testing appointments within an FQHC. Results showed a significant increase in the availability of respiratory clinic appointments, the number of completed appointments, and the number of tests completed. This demonstrates nurse practitioners’ ability to work with organizations to develop innovative systems that can be adapted for future use. (Am J Public Health. 2022;112(S3):S284–S287. https://doi.org/10.2105/AJPH.2022.306827 )
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Roberts, J. "A UK Operational Practitioner View – some Challenges of Health Informatics are Trans-national." Methods of Information in Medicine 41, no. 01 (2002): 55–59. http://dx.doi.org/10.1055/s-0038-1634314.
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Summary Objective: To explore the relevance of catalysts and inhibitors to the achievement of an inclusive identity for health informatics; particularly from an operational perspective in the UK. Methods: Consideration of the different dimensions of health informatics, as practised in a working healthcare delivery environment; specifically commenting on the synergy and disjunctions with academic and scientific practitioners in the same domain. Results and Conclusions: There appear to be common ground and internationally applicable issues across the domain. Recognising the differences and similarities will contribute towards harmonisation of the field and its ultimate elevation to a mature discipline and profession.
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Morley, Mary. "Moving from Student to New Practitioner: The Transitional Experience." British Journal of Occupational Therapy 69, no. 5 (May 2006): 231–33. http://dx.doi.org/10.1177/030802260606900506.
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Preceptorship is now a requirement for all newly qualified occupational therapists joining the National Health Service (Department of Health 2005). This is intended to ameliorate the difficulties experienced by new practitioners when moving from the role of student into clinical work. A number of studies confirm the importance of providing both support and challenge in the first year of practice. This opinion piece presents the case for the introduction of preceptorship, building on the expertise of clinical supervisors. This role of preceptor could improve the transitional experience of new practitioners and support the development of their skills and their confidence.
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Marshall, Catherine, and Elizabeth Phelps Davidson. "As assistant principals enter their careers: a case for providing support." International Journal of Mentoring and Coaching in Education 5, no. 3 (September 5, 2016): 272–78. http://dx.doi.org/10.1108/ijmce-04-2016-0038.
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Purpose – The purpose of this paper is to offer a viewpoint on the challenges that assistant principals (APs) face and to make the case for intentional mentoring, coaching, and sponsorship of individuals in these roles. Design/methodology/approach – The authors provide a professional viewpoint based on scholarly literature and their practitioner observation. Findings – The authors propose that by focussing on APs, being systematic about supporting APs, and expanding and deepening understandings of the hurdles and dilemmas they face, the schools will have a more robust leadership pipeline and more satisfied and effective APs. They recommend that school districts, whether in the USA or internationally, consider adopting specific and intentional strategies to mentor, coach, and sponsor new APs, with what they call Mentor-Sponsor Models. Originality/value – The author recommendation for school districts to create Mentor Banks of qualified, exemplary senior principals who can sponsor and mentor new APs as an “in house” model for developing district talent is an original idea that could be easily implemented in larger school districts.
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Alvarez, Kiara, Yesenia Marroquin, Luis Sandoval, and Cindy Carlson. "Integrated Health Care Best Practices and Culturally and Linguistically Competent Care: Practitioner Perspectives." Journal of Mental Health Counseling 36, no. 2 (April 1, 2014): 99–114. http://dx.doi.org/10.17744/mehc.36.2.480168pxn63g8vkg.
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Practitioners in two federally qualified health centers (FQHCs) were interviewed to explore how their organizations carried out best practices in cultural and linguistic competence (CLC) when integrating mental health services into primary care. Archival data and data from interviews with eight clinical service providers were analyzed using exploratory cross-case synthesis. To highlight best practices in integrated health care (IHC), clinical, systemic, and organizational themes were identified: patient-centered care for underserved populations, building and sustaining a successful multidisciplinary team, and increasing capacity and adapting to changing circumstances. CLC did not emerge as a distinct interview theme, though it was present in subthemes and was discussed by both mental health and medical practitioners as central to effective healthcare delivery. The results underscore the need for culturally-tailored research and training that examines how IHC can best serve diverse groups and communities.
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Stephen, Gordon. "The place of the non-medically qualified CAM practitioner in the future integrated health-care agenda." European Journal of Integrative Medicine 4 (September 2012): 44–45. http://dx.doi.org/10.1016/j.eujim.2012.07.579.
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Heale, Roberta, Simone Dahrouge, Sharon Johnston, and Joan E. Tranmer. "Characteristics of Nurse Practitioner Practice in Family Health Teams in Ontario, Canada." Policy, Politics, & Nursing Practice 19, no. 3-4 (August 15, 2018): 72–81. http://dx.doi.org/10.1177/1527154418792538.
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Nurse practitioners (NPs) in Ontario work in a number of settings, including physician-led, interprofessional Family Health Teams (FHTs). However, many aspects of NP practice within the FHTs are unknown. Our study aimed to describe the characteristics of NP practice in FHTs and the relationships between NPs and physicians within this model. This cross-sectional descriptive study analyzed NP service and diagnostic code data collected for every NP patient encounter from 2012 to 2015. Encounter data were linked to health administrative data housed at the Institute for Clinical Evaluative Sciences to allow for comparison with physician service and diagnostic codes. Findings demonstrated that NPs saw patients across all age groups for one to more than five problems per encounter and that NPs handled both acute and episodic care and chronic disease management issues. Patients with chronic conditions had more encounters with physicians than with NPs. In addition, compared to physicians, NPs saw more female than male patients. Our findings provide a snapshot of NP practice in FHTs and may be useful in informing other practice models in Ontario, elsewhere in Canada, and internationally. More evidence is needed, however, to clarify the responsibilities of the NPs in collaborative relationships with physicians and to embed policies that will ensure that NPs work to their full potential. In addition, applying service coding to all health care providers in FHTs could enhance data on interprofessional teams and the individual clinicians that comprise them.
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Connell, Lauren, Yvonne Finn, Rosie Dunne, and Jane Sixsmith. "Health literacy education programmes developed for qualified health professionals: a scoping review protocol." HRB Open Research 4 (January 11, 2022): 97. http://dx.doi.org/10.12688/hrbopenres.13386.2.
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Introduction: Health literacy education, for health professionals, has been identified as having the potential to improve patient outcomes and has been recognized as such in policy developments. Health literacy, as a relational concept, encompasses individuals’ skills and how health information is processed in relation to the demands and complexities of the surrounding environment. Focus has been predominantly on the dimension of functional health literacy (reading, writing and numeracy), although increasing emphasis has been placed on interactive and critical domains. Such dimensions often guide the development of health professional education programmes, where the aim is to enhance the patient-practitioner relationship, and ultimately reduce the health literacy burden experienced by patients navigating health services. Currently little is known about qualified health professionals’ education in health literacy and communication skills, and development, implementation or evaluation of such interventions. Aim: To identify and map current educational interventions to improve health literacy competencies and communication skills of qualified health professionals. Methods: A scoping review will be conducted drawing on methods and guidance from the Joanna Briggs Institute, and will be reported according to the Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist. This study will retrieve literature on health professional education for health literacy and communication skills through a comprehensive search strategy in the following databases: CINAHL; Medline (Ovid); the Cochrane Library; EMBASE; ERIC; UpToDate; PsycINFO. Grey literature will be searched within the references of identified articles; Lenus; ProQuest E-Thesis Portal; RIAN and OpenGrey. A data charting form will be developed with categories including: article details, demographics, intervention details, implementation and evaluation methods. Conclusion: Little is known about the extent and nature of the current evidence base therefore a scoping review will be conducted, in order to identify programme characteristics in relation to health literacy competencies and communication skills.
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Claridge, Rosemary, Lesley Gray, Maria Stubbe, Lindsay Macdonald, Rachel Tester, and Anthony Dowell. "General practitioner opinion of weight management interventions in New Zealand." Journal of Primary Health Care 6, no. 3 (2014): 212. http://dx.doi.org/10.1071/hc14212.
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INTRODUCTION: Internationally, a number of studies have investigated general practitioner (GP) opinion of weight management interventions. To date there have been no similar studies carried out in New Zealand. This study aimed to explore GP opinion of weight management interventions in one region of New Zealand. Understanding GP opinion is important, as rates of obesity are increasing and GPs are front-line health care service providers. The data collected could be used to guide health service development in New Zealand, and to inform training and support of GPs in obesity management. METHODS: A qualitative study using inductive thematic analysis of a series of 12 semi-structured interviews with GPs in the Wellington region of New Zealand. FINDINGS: Five key themes were identified: 1) GP perceptions of what the GP can do; 2) the roots of the obesity problem; 3) why the GP doesnt succeed; 4) current primary care interventions; and 5) bariatric surgery. CONCLUSION: The GPs interviewed felt responsible for treatment of obesity in their patients. They expressed a sense of disempowerment regarding their ability to carry this out, identifying multiple barriers. These included: a society where overweight is seen as normal; complex situations in which weight management is rooted in personal issues; stigma associated with overweight and its management; lack of efficacious interventions; and low resource availability. Bariatric surgery was viewed cautiously in general, though some examples of positive results were reported, as well as a desire for increased access to this treatment option. KEYWORDS: Body weight change; general practice; obesity; primary health care; therapy
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Ashe, Louise, David Nelson, Eirini Kontou, Aneesa Lindau, Ian McGonagle, and Ros Kane. "A systematic review of practitioner enquiry into adverse childhood experiences in primary care." Journal of Health Visiting 10, no. 3 (March 2, 2022): 110–26. http://dx.doi.org/10.12968/johv.2022.10.3.110.
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This article presents the findings of a systematic review undertaken to assess adverse childhood experiences (ACE) enquiry among practitioners of primary care for children's services. Literature was eligible for inclusion if it included the primary care practitioner experience of ACE enquiry, was published from 1998–2021 and was in English. The most frequently cited themes across all included studies were time and training, with time the most commonly cited barrier. The findings indicate that aspects of the health visitor service model include facilitators to integrate ACE enquiry into routine health visitor practice, although the research highlights barriers of time and resources. Further research is required to expand the limited evidence base for incorporating ACE enquiry into health visitor practice in the UK and to similar models of care internationally.
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Bourke, Christopher J., Andrew McAuliffe, and Lisa M. Jamieson. "Addressing the oral health workforce needs of Aboriginal and Torres Strait Islander Australians." Australian Health Review 45, no. 4 (2021): 407. http://dx.doi.org/10.1071/ah20295.
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Tooth decay and gum disease, the main dental diseases affecting Australians, can cause pain and deformity as well as affecting eating and speech. Dental practitioners are efficient and effective in relieving dental pain, and they can effectively restore oral function. There is good evidence that better health care outcomes for Aboriginal and Torres Strait Islander patients are associated with care from Aboriginal and Torres Strait Islander health professionals. Unfortunately, the representation of Aboriginal and Torres Strait Islander people within the dental practitioner workforce is very low. We argue that a strategic approach, along with additional investment, is needed to increase the number of Aboriginal and Torres Strait Islander people qualified as dental practitioners.
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Rogers, Amy. "Promoting health and wellbeing across community nursing teams: role of the specialist practitioner district nurse." British Journal of Community Nursing 26, no. 5 (May 2, 2021): 224–27. http://dx.doi.org/10.12968/bjcn.2021.26.5.224.
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There is a growing concern around the health and wellbeing of community nurses due to the high complexities of and demand on district nursing services. It is well recognised that district nursing services have no limits to their capacity, and they have been dealing with an increasing caseload, with no increases in resources or staff. Consequently, this has left community nurses feeling exhausted and experiencing burnout, which, in the long term, can lead to compassion fatigue, which can in turn compromise patient safety. Specialist practitioner qualified district nurses (SPQDN) require the skills and knowledge to promote health and wellbeing, in order to provide a positive work environment and limit work-related stress and burnout despite the challenges encountered. This article explores possible strategies to promote health and wellbeing among community nurses and the barriers that SPQDNs encounter in doing so.
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Ong, Jo Ann, Dieter Gebauer, Estie Kruger, and Marc Tennant. "Referral patterns of emergency physicians regarding head and neck pathology in Western Australia." Faculty Dental Journal 9, no. 4 (October 2018): 147–50. http://dx.doi.org/10.1308/rcsfdj.2018.147.
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Those dual qualified in oral and maxillofacial surgery (OMFS) in Australia have a scope of practice that includes dentoalveolar surgery, facial fractures, craniofacial deformities, salivary gland disease, temporomandibular joint disorders, and the treatment of oral and facial cancers with reconstruction. This differs from other countries such as the UK, the US, France and Brazil, which can lead to complexities of interaction when internationally trained health professionals, who may be unaware of this wide breadth of practice, are the ‘gatekeepers’ at tertiary health facilities. 1 – 3
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Molrine, Charlotte, and Drayton Kathy-Ann. "International Clinical Standards and Cultural Practices in Speech-Language Pathology Graduate Education: A Model from Trinidad and Tobago." Perspectives on Global Issues in Communication Sciences and Related Disorders 3, no. 1 (May 2013): 14–21. http://dx.doi.org/10.1044/gics3.1.14.
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Global directions is one of seven societal trends identified by the American Speech-Language-Hearing Association (ASHA, 2010) as expected to influence the profession of speech-language pathology (SLP) worldwide. In the Caribbean country of Trinidad and Tobago (T&T), only a small cohort of SLPs currently provide private service delivery. To increase the number of qualified practitioners, a graduate SLP program has been proposed. The program must reflect the values of the Trinbagonian people, while aligning competencies and standards of evidence-based practice with the World Health Organization's (WHO, 2011) 21st-century mandate. The 12 SLPs currently practicing in T&T were surveyed about their international graduate educational and clinical experiences and service delivery practices in T&T. They were invited to indicate which of the 2014 Standards and Implementation Procedures for the Certificate of Clinical Competence in Speech-Language Pathology (ASHA, 2012) would be necessary for graduate SLP program preparation in T&T and what additional content and/or clinical skill areas would be needed for competent culturally sensitive service delivery. The results indicated that all Trinbagonian practitioners support a graduate program modeled on the 2014 SLP Certification Standards, but they identified challenges to service delivery in T&T that need to be addressed in specific graduate program coursework and clinical education.
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Santos-Rocha, Rita, Marta Fernandes de Carvalho, Joana Prior de Freitas, Jennifer Wegrzyk, and Anna Szumilewicz. "Active Pregnancy: A Physical Exercise Program Promoting Fitness and Health during Pregnancy—Development and Validation of a Complex Intervention." International Journal of Environmental Research and Public Health 19, no. 8 (April 18, 2022): 4902. http://dx.doi.org/10.3390/ijerph19084902.
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Physical activity during pregnancy is a public health issue. In the view of reproducibility and the successful implementation of exercise interventions, reporting the quality of such study design must be ensured. The objective of this study was to develop and validate a physical exercise program promoting fitness and health during pregnancy. A qualitative methodological study was carried out. For the description of the exercise program, the Consensus on Exercise Reporting Template (CERT) was used. For the validation of the program, the revised guideline of the Criteria for Reporting the Development and Evaluation of Complex Interventions in Health Care (CReDECI2) was followed and went through three stages of development, piloting, and evaluation. The customizable exercise program was designed and validated by exercise and health specialists based on evidence-based, international recommendations and supported by different educational tools to be implemented by qualified exercise professionals in health and fitness settings. A 12-week testing intervention addressing a group of 29 pregnant women was carried out. The program’s feasibility was subsequently evaluated by all the pregnant women. The CReDECI2 process guides practitioners and researchers in developing and evaluating complex educational interventions. The presented intervention may assist exercise specialists, health professionals, and researchers in planning, promoting, and implementing a prenatal exercise program.
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Kim, Kun Hyung, Tae-Hun Kim, Min Hwangbo, and Gi Young Yang. "Anaemia and Skin Pigmentation after Excessive Cupping Therapy by An Unqualified Therapist in Korea: A Case Report." Acupuncture in Medicine 30, no. 3 (September 2012): 227–28. http://dx.doi.org/10.1136/acupmed-2012-010185.
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A case is reported of skin pigmentation and associated anemia resulting from persistently repeated cupping therapies performed by an unqualified practitioner in South Korea. Almost 30 sessions of excessive cupping therapies with blood loss over two months yielded little benefit but led the patient to admit a hospital and receive blood transfusion for acquired iron deficiency anemia. Skin pigmentation on the cupping-attached region remained without any subjective discomfort. We suggest the importance of qualified health professionals when receiving cupping treatments.
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Mereuta, Ion. "Constantin Țîbîrnă - Chairman of the Council of Experts of the Ministry of Health, promoter of the training of national scientific staff." Bulletin of the Academy of Sciences of Moldova. Medical Sciences, no. 2(73) (November 2022): 12–17. http://dx.doi.org/10.52692/1857-0011.2022.2-73.01.
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Constantin Țîbîrnă - notorious personality of medical science, founder of a local surgery, promoter of the training of highly qualified staff, Politician and State, Deputy, Pedagogue-Teacher, with a medical activity during 60 years (1950- 2010), creator of the School of Thoraco-abdominal Surgery, oro-maxillo-facial, oncological, infantile, Honorary Member of the Academy of Sciences of Moldova, one of the founders of the Academy of Medical Sciences of the Republic of Moldova, Promoter of International Science and Surgery internationally. He trained 30 doctors and habilitated doctors, coordinated the defense of doctoral theses in medical sciences in various specialties (about 200), founded the Țîbîrnă Dynasty of doctors - about 72 doctors and nurses.
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Rowlands, Gill, Bimasal Tabassum, Paul Campbell, Sandy Harvey, Anu Vaittinen, Lynne Stobbart, Richard Thomson, Mandy Wardle-McLeish, and Joanne Protheroe. "The Evidence-Based Development of an Intervention to Improve Clinical Health Literacy Practice." International Journal of Environmental Research and Public Health 17, no. 5 (February 26, 2020): 1513. http://dx.doi.org/10.3390/ijerph17051513.
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Low health literacy is an issue with high prevalence in the UK and internationally. It has a social gradient with higher prevalence in lower social groups and is linked with higher rates of long-term health conditions, lower self-rated health, and greater difficulty self-managing long-term health conditions. Improved medical services and practitioner awareness of a patient’s health literacy can help to address these issues. An intervention was developed to improve General Practitioner and Practice Nurse health literacy skills and practice. A feasibility study was undertaken to examine and improve the elements of the intervention. The intervention had two parts: educating primary care doctors and nurses about identifying and enhancing health literacy (patient capacity to get hold of, understand and apply information for health) to improve their health literacy practice, and implementation of on-screen ‘pop-up’ notifications that alerted General Practitioners (GPs) and nurses when seeing a patient at risk of low health literacy. Rapid reviews of the literature were undertaken to optimise the intervention. Four General Practices were recruited, and the intervention was then applied to doctors and nurses through training followed by alerts via the practice clinical IT system. After the intervention, focus groups were held with participating practitioners and a patient and carer group to further develop the intervention. The rapid literature reviews identified (i) key elements for effectiveness of doctors and nurse training including multi-component training, role-play, learner reflection, and identification of barriers to changing practice and (ii) key elements for effectiveness of alerts on clinical computer systems including ‘stand-alone’ notification, automatically generated and prominent display of advice, linkage with practitioner education, and use of notifications within a targeted environment. The findings from the post-hoc focus groups indicated that practitioner awareness and skills had improved as a result of the training and that the clinical alerts reminded them to incorporate this into their clinical practice. Suggested improvements to the training included more information on health literacy and how the clinical alerts were generated, and more practical role playing including initiating discussions on health literacy with patients. It was suggested that the wording of the clinical alert be improved to emphasise its purpose in improving practitioner skills. The feasibility study improved the intervention, increasing its potential usefulness and acceptability in clinical practice. Future studies will explore the impact on clinical care through a pilot and a randomised controlled trial.
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Campaner, Gabriel Rene M. "The presence of a Surgical Care Practitioner in the perioperative team is of benefit both to the patient and the consultant-led extended surgical team." Journal of Perioperative Practice 29, no. 4 (May 4, 2018): 81–86. http://dx.doi.org/10.1177/1750458918764520.
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Non-medically qualified professionals have progressively advanced and developed in line with the country’s constantly evolving health care system. Recently, increasing hospital activity, underfunding in health care and a falling number of doctors have left the NHS perpetually underdoctored, underfunded and overstretched. As the current health care climate demands these ‘non-doctors’ to demonstrate competent knowledge and skill in providing safe and effective care, this paper discusses limitations, the scope of practice as well as the benefits the Surgical Care Practitioner provides to the modern extended surgical team, and most importantly – the patients under their care.
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McIntyre, Meredith J. "Safety of non-medically led primary maternity care models: a critical review of the international literature." Australian Health Review 36, no. 2 (2012): 140. http://dx.doi.org/10.1071/ah11039.
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The Australian government has announced major reforms with the move to a primary maternity care model. The direction of the reforms remains contentious; with the Australian Medical Association warning that the introduction of non-medically led services will compromise current high standards in maternity services and threaten the safety of mothers and babies. The purpose of this paper is to conduct a critical review of the literature to determine whether there is convincing evidence to support the safety of non-medically led models of primary maternity care. Twenty-two non-randomised international studies were included representing midwifery-led care, birth centre care and home birth. Comparative outcome measurements included: perinatal mortality; perinatal morbidity; rates of medical intervention in labour; and antenatal and intrapartum referral and transfer rates. Findings support those of the three Cochrane reviews, that there is sufficient international evidence to support the conclusion of no difference in outcomes associated with low risk women in midwifery-led, birth centre and home birth models compared with standard hospital or obstetric care. These findings are limited to services involving qualified midwives working within rigorous exclusion, assessment and referral guidelines, limiting the number of urgent intrapartum transfers that come with increased risk of perinatal mortality. What is known about the topic? Systematic reviews of maternal and perinatal outcomes associated with midwifery-led care when compared to conventional intrapartum hospital care concluded that these non-medically led models of care are associated with several benefits for low risk women and their babies with no identified adverse effects. What does this paper add? The finding of no difference in outcomes associated with midwifery-led, birth centre and home birth compared with standard hospital or obstetric care is limited to international studies involving women in the care of qualified midwives working within rigorous guidelines for practice involving inter-professionally agreed exclusion, assessment and referral criteria. What are the implications for practitioners? Midwives caring for women in non-medically led models are urged to be vigilant to the need for early detection and prompt action in the event of unforseen complications to avoid an over emphasis on normality. This decreases the likelihood of urgent intrapartum transfers that come with an increased risk of perinatal mortality.
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Hack-Polay, Dieu, and Magdalena Read. "Accelerated two-year degrees in the UK: potential impact on student mental health." Journal of Public Mental Health 19, no. 1 (October 1, 2019): 27–34. http://dx.doi.org/10.1108/jpmh-05-2019-0057.
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Purpose The purpose of this paper is to examine the ramifications of accelerated two-year degrees for student mental health. Since it was legislated in early 2019 in the UK, there has been limited debate in academia and among policymakers about the potential viability and risks of the compressed degree programmes. Design/methodology/approach The paper is based on an analysis of various academic and practitioner viewpoints as well as theoretical perspectives. Findings The paper found a mixed reception of the compressed degree programme among the academic and practitioner communities. In addition to apprehensions about the quality of education, there are concerns raised about the impact of the pressure deriving from the workload of the accelerated degree. The authors’ assessment considers a potential increase in stress and other more acute state of mental health degradation among students, especially international students, as well as students with families. Originality/value This policy analysis paper makes a significant contribution to the debate on the issue of two-year degrees that has not attracted academic scrutiny commensurate with its importance. The authors conclude that two-year degrees will have far-reaching ramifications, locally and internationally as the UK continues to push for its widening participation agenda as well as maintain its position as one of the top three destinations for international students. The authors suggest that wider discussions with stakeholder and some impact studies are needed before the accelerated degrees are further popularised in universities.
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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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Fothergill, Lauren Jade, Amani Al-Oraibi, Jonathan Houdmont, Joy Conway, Catrin Evans, Stephen Timmons, Ruth Pearce, and Holly Blake. "Nationwide evaluation of the advanced clinical practitioner role in England: a cross-sectional survey." BMJ Open 12, no. 1 (January 2022): e055475. http://dx.doi.org/10.1136/bmjopen-2021-055475.
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Background and study objectiveIn response to growing pressures on healthcare systems, the advanced clinical practice (ACP) role has been implemented widely in the UK and internationally. In England, ACP is a level of practice applicable across various healthcare professions, who exercise a level of autonomy across four domains, referred to as the four pillars of practice (education, leadership, research and clinical practice). A national framework for ACP was established in 2017 to ensure consistency across the ACP role, however current ACP governance, education and support is yet to be evaluated. This study aimed to analyse data from a national survey of the ACP role to inform the development and improvement of policies relating to ACP in the National Health Service (NHS) in England.DesignA cross-sectional survey with free-text comments.SettingThe survey was distributed across primary and secondary levels of care to three distinct groups in England, including individual ACPs, NHS provider organisations and Trusts and primary care settings.ParticipantsA total of 4365 surveys were returned, from ACP staff (n=4013), NHS provider organisations and Trusts (n=166) and primary care organisations (n=186).ResultsConsiderable variation was found in role titles, scope of practice, job descriptions and educational backgrounds of ACPs. Differing approaches to governance were noted, which led to inconsistent ACP frameworks in some organisations. A further challenge highlighted included committing time to work across the four pillars of advanced practice, particularly the research pillar. ACPs called for improvements in supervision and continuing professional development alongside further support in navigating career pathways.ConclusionsA standardised approach may support ACP workforce development in England and enable ACPs to work across the four pillars of practice. Due to the wide uptake of ACP roles internationally, this study has relevance across professions for global healthcare workforce transformation
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Gargi, Gaveshna, and Amit Saini. "Tourniquet application in snake bite: are we aware?" International Journal of Research in Medical Sciences 8, no. 8 (July 24, 2020): 3031. http://dx.doi.org/10.18203/2320-6012.ijrms20203459.
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Background: To assess the use of tourniquets as mentioned in National Snake Bite Management Protocol among peripheral health care providers.Methods: This was a prospective cross-sectional study conducted in a tertiary care institute between June 2016 to June 2017. A total of 36 patients of snake bite referred from peripheral health facility were enrolled in the study and were evaluated for : date and time of bite, site of bite, weather snake was seen, type of envenomation, first aid given in Govt facility/alternative practitioner, tourniquet applied/not applied, anti snake venom given/not given as first aid and outcome.Results: The mean age of the study population was 39 years (17.38) range 18 years to 75 years. 18 patients were male and 18 were female. 30 (83.3%) patients had site of bite over the extremities’. The venom was hemotoxic in 12 (33.3%) patients and neurotoxic 21 (58.3%). 30 (83.3%) patients received first aid in the Government health facility manned by qualified in healthcare practitioner and 6 (16.7%) were treated by traditional healers. 29 (80.6%) patients had a tight tourniquet tied to the site of the bite when seen in emergency department of institute. None of the patients had their limbs splinted. 31 (86.1%) patients had received anti snake venom (ASV) at the peripheral health facility. The mortality rate was 5.6% with only 2 deaths.Conclusions: The majority of peripheral health care providers both qualified and unqualified use tourniquets in patients suffering with snake bite. The peripheral health care providers are not aware of importance of limb splinting and immobilisation. Though the rate of instilling ASV is good, the health care providers in the peripheral institutes should be made aware of recommendations of national snake bite management protocol with regard to use of tourniquets and limb splitting in snake bite patients.
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Horner, Susan L. "The Health Care Quality Improvement Act of 1986: Its History, Provisions, Applications and Implications." American Journal of Law & Medicine 16, no. 4 (1990): 453–98. http://dx.doi.org/10.1017/s0098858800008510.
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Congress granted qualified immunity from liability for peer review participation to physicians, osteopaths and dentists, created a national practitioner data bank to track inept, incompetent or unprofessional physicians, and enacted procedural rules for due process, privilege restrictions, and reporting and disbursement of information. The Health Care Quality Improvement Act of 1986 is now in full force, and peer review participants are anxious to cloak themselves with immunity from actions brought by health care professionals. Although its goals are worthy, HCQIA's effects remain to be seen. Serious loopholes appear to exist, warranting close monitoring and possibly early amendment of the Act. Cautious judicial assessment is needed, in order to prevent not only circumvention of the Act's requirements by artful litigants, but also use of the national data bank by health care entities as a pretext for denying privileges and escaping antitrust liability.
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Morley, Mary. "Developing a Preceptorship Programme for Newly Qualified Occupational Therapists: Action Research." British Journal of Occupational Therapy 70, no. 8 (August 2007): 330–38. http://dx.doi.org/10.1177/030802260707000802.
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This action research study used three focus groups and one interview to explore the experiences of five recently qualified occupational therapists, four supervisors and five occupational therapy managers. The participants were asked to identify the perceived development needs of new practitioners and the mechanisms that supported or hindered these being met. The findings showed that the recently qualified occupational therapists experienced satisfaction at making a difference in their first posts. However, for some, their first post had fallen short of their expectations because they faced challenges when moving from student to practitioner, sometimes with limited support. The participants identified development needs that they felt were common to other new practitioners and also the factors that constrained or enabled the meeting of these needs. These findings informed the second phase of the action research study to design a preceptorship programme that was compliant with the revised National Health Service employment contract (Department of Health 2005) and would improve the transitional experience of occupational therapists. This paper presents the focus group results and the rationale for the preceptorship programme, which was launched as a pilot evaluation study with occupational therapy staff from over 20 organisations in Autumn 2005.
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Pant, Smriti, Saugat Koirala, and Madhusudan Subedi. "Access to Maternal Health Services during COVID-19." Europasian Journal of Medical Sciences 2, no. 2 (July 8, 2020): 48–52. http://dx.doi.org/10.46405/ejms.v2i2.110.
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Most causes of maternal morbidity and mortality can be prevented by giving prompt, suitable treatment to the women by qualified health practitioners. Maternal health services (MHS), which include antenatal care, delivery care, and postnatal care, can play a crucial role in preventing maternal health problems. The recent coronavirus disease (COVID-19) pandemic has had a disastrous effect on the health care delivery system of people of all ages, on a global scale but pregnant women face particular challenges. The aim of this review is to assess the effect of COVID-19 on access to MHS. For writing this narrative review, national and international reports on maternal health services during COVID-19, along with journal articles on the related topic were reviewed. Due to this pandemic, women worldwide are facing more barriers to accessing maternal health care, including restrictions, transport challenges, and anxiety over possibly being exposed to coronavirus. Many women preferred not to seek healthcare due to the fear of themselves being infected with the virus or transmitting it to their unborn babies. Additionally, movement restriction has made it difficult for many pregnant women to reach health care facilities. Even those who managed to reach health facilities have reported not receiving timely care. As a result, a considerable rise in maternal mortality globally has been estimated over the next six months. Despite the circumstances, efforts have been made to boost maternal health in both developed and developing countries. This pandemic has highlighted the importance of health preparedness with special attention given to vulnerable people like pregnant women and newborns while planning for such events. Keywords: Childbirth, COVID19, Maternal Health, Pandemic, Pregnancy, Women’s health
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Sutton, Carole. "Using the Strengths and Difficulties Questionnaire in practice." Journal of Health Visiting 9, no. 11 (November 2, 2021): 464–68. http://dx.doi.org/10.12968/johv.2021.9.11.464.
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This article is intended to draw the attention of any practitioners who are unaware of the Strengths and Difficulties Questionnaire (SDQ) to this excellent and accessible resource. It is an instrument that lends itself to the evaluation of practice by any qualified practitioner, health visitor, teacher, social worker, community nurse, school nurse or researcher who wishes, with the parents' permission, to understand whether their work with a child's family or teachers is having the desired impact. It is brief and straightforward to administer and is readily accessible online. This article explores the SDQ and its usefulness.
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Chun Tie, Ylona, Melanie Birks, and Jane Mills. "The Experiences of Internationally Qualified Registered Nurses Working in the Australian Healthcare System: An Integrative Literature Review." Journal of Transcultural Nursing 29, no. 3 (August 21, 2017): 274–84. http://dx.doi.org/10.1177/1043659617723075.
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Introduction: International nurses account for 20% of the Australian nurse workforce. This review aims to identify and appraise research findings on the experiences of internationally qualified registered nurses working in the Australian healthcare system. Methodology: The review was structured using Whittemore and Knafl modified framework for integrated reviews. A systematic database search was undertaken. Articles ( n = 48) were identified for appraisal based on set inclusion and exclusion criteria. Evaluation using the Critical Appraisal Skills Program tool resulted in ( n = 16) articles in the final data set. Results: Three broad themes were identified: (a) Transitioning—Need for appropriate, timely, and adequate supports to assist transition to practice; (b) Practicing within local contexts—How expectations were different to the reality of clinical practice; and (c) Experiencing prejudice—when racial prejudice occurred. Discussion: Appropriate programs including cultural-safety education can mitigate adverse workforce dynamics within culturally diverse health care teams to enable provision of culturally congruent health care.
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Uikey, Aishwary Arun, Mithilesh M. Dhamande, Kashish Mangal, Anjali G. Bhoyar, Seema R. Sathe, and Rupali M. Patel. "Evaluation of Knowledge and Attitude toward Dental Implant Supported Prosthesis among Medical Practitioners of Wardha Region." Journal of Evolution of Medical and Dental Sciences 10, no. 30 (July 26, 2021): 2286–89. http://dx.doi.org/10.14260/jemds/2021/467.
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BACKGROUND Dental knowledge of qualified medical practitioners is different when compared to the general public. Even though they are qualified in the medical field their knowledge about dental diseases, relationship of oral health with systemic diseases and life-threatening dental diseases are scarce. The role that a medical practitioner can play in improving oral health of the population depends on his own knowledge about oral diseases and their effect on general health, his attitude towards dentistry and their routine practice to maintain oral health. The purpose of this study was to assess the level of awareness regarding the use of implants in dentistry among the medical practitioners. METHODS Custom made questionnaire comprising of 10 closed-ended questions was designed and validated. 50 medical practitioners from different walks of medicine were randomly selected and provided with the questionnaire. Answers of all the subjects were then tabulated and subjected to statistical analysis. RESULTS After statistical analysis, the results obtained showed a large number of medical practitioners’ negative response to maximum questions. CONCLUSIONS It was inferred that a huge gap in knowledge exists which needs to be addressed KEY WORDS Edentulism, Dental Implants, Health Care Workers
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Brown, Steven. "A review of Operating Department Practitioner students’ experiences of clinical placements as a result of changing organisations in each academic year." Journal of Perioperative Practice 29, no. 3 (September 13, 2018): 42–48. http://dx.doi.org/10.1177/1750458918800668.
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Operating Department Practitioner students as part of their education undertake placements that enable them alongside their academic studies to meet the Health and Care Professions Council Standards of Proficiency; however, like all education providers there was an annual shortage of appropriate placements. As a result, the organisation involved in this review needed to explore an alternative approach to allocating clinical placements. In addition, the course team wanted to change how students gained their clinical skills and possibly increase their understanding of the Operating Department Practitioner role. Traditionally the institution involved (like other Operating Department Practitioner education providers) placed students in one organisation for all of their clinical placements unlike other professions such as nursing who placed students in different areas. The review resulted in students being placed in a different organisation in each year of their course. A qualitative methodology in the form of focus groups was employed to review students’ views of the change and their clinical experiences. This resulted in students highlighting areas such as readiness for being qualified and links to evidenced-based practice as benefits of the new system. The review has been successful in terms of placement numbers but also student experiences, although an ongoing review is being undertaken, the change has been successful.
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Branson, Amanda, Pamela Myles, Mishka Mahdi, and Roz Shafran. "The Relationship between Competence and Patient Outcome with Low-Intensity Cognitive Behavioural Interventions." Behavioural and Cognitive Psychotherapy 46, no. 1 (September 14, 2017): 101–14. http://dx.doi.org/10.1017/s1352465817000522.
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Background: Little is understood about the relationship between therapist competence and the outcomes of patients treated for common mental health disorders. Furthermore, the evidence is yet to extend to competence in the delivery of low-intensity cognitive behavioural interventions. Understanding this relationship is essential to the dissemination and implementation of low-intensity cognitive behavioural interventions. Aims: The aim of this study was to explore the relationship between Psychological Well-being Practitioner (PWP) competence and patient outcome within the framework of the British government's Improving Access to Psychological Therapies (IAPT) initiative. Method: Forty-seven PWPs treating 3688 patients participated. Relationships between PWP scores on three observed standardized clinical examinations and reliable change in patients’ symptoms of anxiety and depression were explored at two time points: during the year-long training phase, and over a 12-month follow-up. Results: Results indicated that patients treated by qualified PWPs achieved superior outcomes than those treated by trainees. Little support was found for a general association between practitioner competence in delivering low-intensity cognitive behavioural interventions and patient outcome, either during or post-training; however, significantly more patients of the most competent PWPs demonstrated reliable improvement in their symptoms of anxiety and depression than would be expected by chance alone and fewer deteriorated compared with those treated by the least competent PWPs. Conclusion: Results were indicative of a complex, non-linear relationship, with patient outcome affected by PWP status (trainee or qualified) and by competence at its extremes. The implications of these results for the dissemination and implementation of low-intensity cognitive behavioural interventions are discussed.
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Ryan, Nuala F., Elaine Berkery, Bernadette O’Malley, Claire O’Donnell, and Helen Purtill. "An evidenced-based approach to understanding and informing talent management practices for internationally trained nurses in healthcare: A systematic review protocol." PLOS ONE 17, no. 12 (December 1, 2022): e0278048. http://dx.doi.org/10.1371/journal.pone.0278048.
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This paper details a protocol for a systematic review that will be used to identify, critically appraise, and synthesize current academic evidence relating talent management practices for internationally trained nurses in healthcare organizations. Databases used in the search will include CINAHL with full text (EBSCOhost), PubMED, PsycINFO, Embase, Business Source Complete, Academic Source Complete, Web of Science, and Medline. Searches are limited to studies in English. Based on receiving funding approval in May this review will systematically search all materials in databases up until 2022, with predetermined search terms. All studies will be screened based on specific criteria and predetermined search terms using the Boolean terminology. Risk of any bias will be considered and assessed using the checklist provided by the National Institute of Health and Clinical excellence. Two assessors will review the findings using convergence and any disagreement will be settled by a third-party reviewer. The systematic review will produce a synthesis of the data related to talent management practices for internationally trained nurses in healthcare settings, as well as outlining areas for further research. The study will be the first of its type to systematically review and synthesize talent management practices for internationally trained nurses. In particular, the findings will provide the latest, validated evidence to narrate the development talent management practices specifically in relation to the strategically important cohort of internationally trained nurses in healthcare organizations. It will also help create a pipeline of suitably qualified candidates for future roles, as well as helping internationally trained nurses identify career trajectories. By systematically gathering and analyzing the relevant research, a stakeholder informed evidence-based approach to talent management for this cohort can be informed as a way of improving the quality and safety of care to the patient.
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Taylor, Katriona, and Gerald H. Burgess. "Views of non-Western trainee or recently-qualified practitioner psychologists on the import of Western psychology into their indigenous non-Western cultures." International Journal of Mental Health 48, no. 4 (October 2, 2019): 272–87. http://dx.doi.org/10.1080/00207411.2019.1708633.
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Yaremchuk, Oksana. "FEATURES OF NEUROLOGY TEACHING TO INTERNS OF GENERAL PRACTICE – FAMILY MEDICINE." International Science Journal of Education & Linguistics 1, no. 3 (August 1, 2022): 141–47. http://dx.doi.org/10.46299/j.isjel.20220103.14.
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The training of highly qualified specialists in accordance with modern standards of providing medical care to the population, taking into account the modern level of development of medical science and practice, is one of the urgent tasks of the domestic health care system. Today’s requirements require the training of specialists at a qualitatively new level. Having completed training at the undergraduate and postgraduate stages, each graduate should be ready to work to provide primary or secondary level medical care. This article describes the experience of using modern innovative technologies in teaching neurology to doctors-interns by specialty “General practice – Family Medicine”. New technologies combined with traditional teaching methods to optimize the educational process, improve the efficiency and effectiveness of education, provides more effective training in neurology to practice general practitioner of doctors “General practice – Family Medicine” in terms of integration into the European educational space. The main principle of distance learning at the post-graduate level of education of a general practitioner – family medicine is independent purposeful work using modern information technologies, the effectiveness of which depends on a methodologically competently structured process by the teacher, the information and communication capabilities of the higher educational institution and the doctor. Interactive, innovative methods increase the effectiveness and efficiency of training, implement more effective training in neurology for the practical activities of a general practitioner – family medicine.
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Van Niekerk, Juani. "Mediese Sertifikate ingevolge die Traditional Health Practitioners Act: Die Kwessie van Geldigheid en Betroubaarheid /Medical Certificates in terms of the Traditional Health Practitioners Act: The Issue of Validity and Reliability." Potchefstroom Electronic Law Journal 22 (August 19, 2019): 1–35. http://dx.doi.org/10.17159/1727-3781/2019/v22i0a5762.
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On 1 May 2014, various provisions of the Traditional Health Practitioners Act 22 of 2007, came into effect. This resulted in the establishment of the Interim Council for Traditional Health Practitioners with the accompanying requirement that traditional healers must register with the council in order to practice lawfully in South Africa. Due to this development, a registered traditional healer is now included in the provisions of section 23 of the Basic Conditions of Employment Act 75 of 1997 for the purposes of issuing a valid medical certificate. Section 23(2) of the Basic Conditions of Employment Act states that a valid medical certificate for the purposes of sick leave must be issued and signed by a medical practitioner or any other person registered with a professional council and qualified to diagnose and treat patients. This stipulation raises several issues in relation to traditional healers. The requirement is that the person concerned must be qualified to diagnose and treat a person, but whether traditional healers qualify in this context is a bone of contention. It seems that the statutory provisions on the standards of training and the qualifications required for purposes of registration in terms of the Traditional Health Practitioners Act are lacking. This creates doubt about whether only fully-fledged traditional healers are registered in terms of the Traditional Health Practitioners Act and whether a registered traditional healer is competent to make a reliable diagnosis for purposes of sick leave. This means that employers remain uncertain about the reliability of a traditional healer's diagnosis and the incapacity of the employee.
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Dąbrowska-Galas, Magdalena, Ryszard Plinta, Jolanta Dąbrowska, and Violetta Skrzypulec-Plinta. "Physical Activity in Students of the Medical University of Silesia in Poland." Physical Therapy 93, no. 3 (March 1, 2013): 384–92. http://dx.doi.org/10.2522/ptj.20120065.
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BackgroundMedical students and other health care professionals have substantial knowledge of the benefits of regular physical activity. Furthermore, as they have an ethical obligation to prescribe suitable exercises, they can influence their patients' attitude toward physical activity and can become role models for their patients. Physical therapists, who are primary care practitioners, have great potential for promoting physical activity; however, their role is still underestimated by patients and health care professionals.ObjectiveThe objectives of this study were to evaluate physical activity level in students of the Medical University of Silesia in Poland and to focus on the role of physical therapist students in promoting physical activity.DesignThis was a cross-sectional study.MethodsThe final analysis included 300 students from the schools of physical therapy, midwifery, nursing, pharmacy, cosmetology, and medicine at the Medical University of Silesia. The short form of the International Physical Activity Questionnaire (IPAQ) was used to evaluate physical activity level.ResultsPhysical therapist students demonstrated the highest level of physical activity, with 46% demonstrating a high level of physical activity, 54% a moderate level of physical activity, and none a low level of physical activity. The largest group of students with a low level of physical activity comprised students from the school of medicine (26%).LimitationsThe number of respondents was relatively small. The main study limitations included its cross-sectional nature and the possibility of self-report biases. Further research is warranted to expand the study nationally and determine which factors influence physical activity.ConclusionsThere was a large group of medical students who, despite being aware of benefits of physical activity, did not meet the recommended level of physical activity. Physical therapist students are well trained and qualified to promote healthy habits and encourage individuals to undertake regular physical activity.
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Rousham, Emily K., Mohammad Aminul Islam, Papreen Nahar, Patricia Jane Lucas, Nahitun Naher, Syed Masud Ahmed, Fosiul Alam Nizame, and Leanne Unicomb. "Pathways of antibiotic use in Bangladesh: qualitative protocol for the PAUSE study." BMJ Open 9, no. 1 (January 2019): e028215. http://dx.doi.org/10.1136/bmjopen-2018-028215.
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IntroductionGlobal actions to reduce antimicrobial resistance (AMR) include optimising the use of antimicrobial medicines in human and animal health. In countries with weak healthcare regulation, this requires a greater understanding of the drivers of antibiotic use from the perspective of providers and consumers. In Bangladesh, there is limited research on household decision-making and healthcare seeking in relation to antibiotic use and consumption for humans and livestock. Knowledge is similarly lacking on factors influencing the supply and demand for antibiotics among qualified and unqualified healthcare providers.The aim of this study is to conduct integrated research on household decision-making for healthcare and antibiotic use, as well as the awareness, behaviours and priorities of healthcare providers and sellers of antibiotics to translate into policy development and implementation.Methods and analysisIn-depth interviews will be conducted with (1) household members responsible for decision-making about illness and antibiotic use for family and livestock; (2) qualified and unqualified private and government healthcare providers in human and animal medicine and (3) stakeholders and policy-makers as key informants on the development and implementation of policy around AMR. Participant observation within retail drug shops will also be carried out. Qualitative methods will include a thematic framework analysis.A holistic approach to understanding who makes decisions on the sale and use of antibiotics, and what drives healthcare seeking in Bangladesh will enable identification of routes to behavioural change and the development of effective interventions to reduce the health risks of AMR.Ethics and disseminationApproval for the study has been obtained from the Institutional Review Board at the International Centre for Diarrhoeal Disease Research, Bangladesh following review by the Research and Ethics Committees (PR-16100) and from Loughborough University (R17-P081). Information about the study will be provided in a participant information letter in Bangla (to be read verbally and given in writing to participants). A written informed consent form in Bangla will be obtained and participants will be informed of their right to withdraw from the study. Dissemination will take place through a 1 day dissemination workshop with key stakeholders in public health and policy, practitioners and scientists in Bangladesh, and through international conference presentations and peer-review publications. Anonymised transcripts of interviews will be made available through open access via institutional data repositories after an embargo period.