Bibliografias temáticas / Community consultation

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Literatura científica selecionada sobre o tema "Community consultation"

Autor: Grafiati
Publicado: 4 de junho de 2021
Última modificação: 20 de fevereiro de 2023

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Artigos de revistas sobre o assunto "Community consultation"

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Royal, Richard. "Community consultation". Renewable Energy Focus 9, n.º 1 (janeiro de 2008): 48–49. http://dx.doi.org/10.1016/s1471-0846(08)70025-8.

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Stolee, Paul, J. Kenneth Le Clair e Linda Kessler. "Geriatric Psychiatry Consultation in the Community". Canadian Journal of Psychiatry 39, n.º 8_suppl (outubro de 1994): 27–33. http://dx.doi.org/10.1177/070674379403908s05.

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While increasing emphasis is being placed on geriatric psychiatry consultation and outreach services, there is considerable variation in terms of the composition and direction of these programs. Programs vary in terms of their objectives, location, target population, use of health professions and other resources and their method of consultation. The purposes of this paper are to review the characteristics of existing programs, to review the needs of the targets of consultation and to consider theoretical and methodological approaches which have been found to be useful in mental health/psychiatric consultation, in continuing medical education, and in program evaluation. On the basis of this review, future directions for effective approaches to consultative outreach in geriatric psychiatry will then be proposed.
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Froese, Arthur, Patrice Dwyer-Sepic e Kevin Parker. "Child Psychiatric Consultation Service to Community Agencies: A Collaborative Approach Involving Three Community Agencies". Canadian Journal of Psychiatry 42, n.º 6 (agosto de 1997): 656–58. http://dx.doi.org/10.1177/070674379704200613.

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Objective: To report the early experience of a multiagency child psychiatric consultation service. Method: The program is described, and the demographic characteristics of clients referred to the consultation program over the first 25 months of operation are presented. Referrals were examined for demographics and the questions consultees wanted to have answered. Results: In 59 of 100 consultations, physical and/or sexual abuse was proved or highly suspected. In 82 of the 100 cases, consultees had questions pertaining to management issues. Questions related to diagnostic issues numbered 62, and there were 45 questions about safety issues. Conclusion: Effective psychiatric consultations services to rural areas can be established. Once established, the questions of consultees can provide an effective training ground for future community-oriented child psychiatrists.
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McConaha, Jamie L., Lauren M. Finoli, Jennifer E. Heasley e Philip D. Lunney. "Assessing Student Pharmacist Impact on Patient Over-the-Counter Medication Selection". Journal of Pharmacy Practice 26, n.º 3 (22 de janeiro de 2013): 280–87. http://dx.doi.org/10.1177/0897190012465957.

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Objective: To evaluate the financial and clinical outcomes of an over-the-counter (OTC) medication consultation performed by doctorate of pharmacy student pharmacists in a community pharmacy. Design: Cross-sectional survey. Setting: Independent and chain community pharmacy locations in Pittsburgh, Pennsylvania. Participants: Fourth professional year (PY4) advanced experiential student pharmacists on community rotations at the designated settings who performed OTC consultations and the participants of these encounters. Main Outcome Measured: Financial and clinical impact of an OTC consultation performed by student pharmacists on rotation. Results: A total of 559 OTC consultations were offered in 5 participating community pharmacy settings over a period of 1 year. Student pharmacists initiated 62.4% of all documented interactions and 60.5% of all participants accepted the consultation offer. The student pharmacists’ OTC recommendations resulted in significant cost savings to the participant. Those participants accepting consultation reported being more likely to consult with a pharmacist in the future. PY4 students were also able to demonstrate capability in impacting clinical outcomes on several occasions by implementing OTC medication changes due to patient safety concerns. Conclusion: Student pharmacist OTC consultations have the potential to positively impact both financial and clinical outcomes associated with the use of OTC medications.
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Heller, Kenneth. "Consultation to Community Groups". Counseling Psychologist 13, n.º 3 (julho de 1985): 403–9. http://dx.doi.org/10.1177/0011000085133008.

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Biros, Michelle H. "Does Community Consultation Matter?" Academic Emergency Medicine 20, n.º 1 (janeiro de 2013): 104–5. http://dx.doi.org/10.1111/acem.12044.

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Mclaughlin, Hugh, Denise Brown e Alys M. Young. "Consultation, Community and Empowerment". Journal of Social Work 4, n.º 2 (agosto de 2004): 153–65. http://dx.doi.org/10.1177/1468017304044859.

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CARSON, LYN. "PERSPECTIVES ON COMMUNITY CONSULTATION". Australian Planner 32, n.º 4 (janeiro de 1995): 217–21. http://dx.doi.org/10.1080/07293682.1995.9657691.

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Lu, Jiayun, Emily Ketterer e Patricia McGuire. "Implementation of psychiatric e-consultation in family medicine community health centers". International Journal of Psychiatry in Medicine 54, n.º 4-5 (22 de agosto de 2019): 296–306. http://dx.doi.org/10.1177/0091217419869081.

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Psychiatric E-consult is an innovative model of psychiatric consultation via the electronic health record. The project was completed as a quality improvement effort within a residency program in order to increase timely access to psychiatric consultation. Over 100 electronic consultations were requested in the initial 20 months of this project. Questions ranged from assistance with medication management, diagnostic clarification, to referral to outside resources. Findings from this quality improvement project include that the e-consultation model enhanced primary care physicians’ and associated primary care health professionals’ management of behavioral issues, increased behavioral health knowledge, and subjectively improved patient care.
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Matthews, Alicia K., Susan Newman, Emily E. Anderson, Amparo Castillo, Marilyn Willis e Wendy Choure. "Development, implementation, and evaluation of a Community Engagement Advisory Board: Strategies for maximizing success". Journal of Clinical and Translational Science 2, n.º 1 (fevereiro de 2018): 8–13. http://dx.doi.org/10.1017/cts.2018.13.

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IntroductionThe purpose of this paper is to describe the formation, operation, and evaluation of a Community Engagement Advisory Board (CEAB) that serves as a resource of the University of Illinois at Chicago’s (UIC) Center for Clinical and Translational Sciences (CCTS).MethodsCurrent CEAB roles and functions, operating procedures for research consultations and program evaluation strategies were described. Investigators receiving a consultation from 2009 to 2017 (n=91, response rate 78%) were surveyed via an online survey immediately after the consultation and at 12-month follow-up.ResultsOverall, CEAB members were viewed as having sufficient information (92%) and expertise (79%) to provide consultation. Satisfaction levels with the specific consultation received and the overall consultation service were high. The majority of investigators indicated that they would come back to the CEAB for a future consultation, if needed, and would recommend a consultation to others (93% and 96%, respectively). At 12-months, 87% of respondents indicated they had implemented at least some of the recommendations received and 93% said that the consultation influenced their subsequent research.ConclusionsData from recent annual evaluations highlight the benefits of CEAB for consulting investigators. Our model can be used to inform the development of future CEAB boards.
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Teses / dissertações sobre o assunto "Community consultation"

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Al-Nagar, Ahmed. "An exploration of consultation skills in community pharmacists". Thesis, University of East Anglia, 2014. https://ueaeprints.uea.ac.uk/53369/.

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Background: The role of the community pharmacist has evolved from compounding and dispensing to providing patient focused services which require more patient interaction. Previous research has described pharmacist consultation skills as not optimal or patient centred. The aim of the thesis was to add an in depth understanding about the possible reasons behind this. Method: The thesis comprises three studies; the first study used focus groups to investigate community pharmacists’ experiences and perceptions of their consultations with patients. The second study was the first nationwide questionnaire based study to investigate consultation skills training received by community pharmacists. The final study was a feasibility study to investigate the use of an innovative interactional-analysis methodology known as the Roter Interactional Analysis to audio recorded community pharmacy consultations. Results: The results showed while community pharmacists enjoy speaking to patients, a number of factors limit the quality of these interactions. The nationwide questionnaire results indicates that a large number of community pharmacists have not had any formal consultation skills training and seek more advanced consultation skills training. Analysis showed consultation skills training could influence confidence and had a positive impact on the delivery of more patient facing services. The use of an interactional analysis system is a useful tool to develop future consultation skills training in community pharmacy. Conclusion: The thesis has provided a more in depth understanding of the consultation based challenges facing community pharmacists, community pharmacy as a profession and researchers investigating pharmacist-patient interaction. It has also identified many areas which require further development if community pharmacists are going to undertake high quality consultations. It will be important for these to be fully considered if any future proposed changes to community pharmacy roles are to be successful.
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Armstrong, Todd. ""Celebrating community knowledge: Encouraging involvement, achieving ownership and building confidence through comprehensive community consultation"". School of Native Human Services, 2000. http://142.51.24.159/dspace/handle/10219/447.

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Pauktuutit Inuit Women's Association of Canada has demonstrated a historical commitment to addressing health care issues among Inuit communities, and HIV/AIDS is no exception. Since the story of Leetia Geetah, the first Inuk woman diagnosed with HIV, hit the news in 1988, Pauktuutit has been increasingly involved in HIV/AIDS issues.
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Campbell, Michael, Mobeen Moslem, Preston Spriggel e Terri Warholak. "Identifying Drug Therapy Problems Through Patient Consultation at Community Pharmacies". The University of Arizona, 2013. http://hdl.handle.net/10150/614231.

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Class of 2013 Abstract
Specific Aims: The objective of this quality improvement project is to evaluate if drug therapy problems in a community pharmacy setting can be identified via patient counseling at the time of prescription pick up. The central hypothesis of the project is that patient consultation will aid in identifying drug therapy problems and reduce the amount of negative effects posed by these problems. Methods: This project will assess data obtained through a medication therapy intervention report utilized in multiple community pharmacy environments in Arizona. Any consultation provided to a patient by a pharmacist or pharmacy intern regarding a new or transferred prescription will be eligible for data collection. The primary dependent variable is the number of drug therapy problems identified during consultation. Drug therapy problems will be assessed via expert opinion to identify the potential negative impact they may have posed to patients. Data analysis will involve the frequency and type of drug therapy problems identified during data collection. Main Results: A total of 1305 prescriptions were screened during the data collection period. A total of 29 drug therapy problems were identified upon patient consultation. This yielded a 2.2% drug therapy problem occurrence during data collection. The most commonly occurring drug therapy problem involved a patient drug allergy or sensitivity issue. Conclusion: Future research is warranted on the effects that drug therapy problems have on patients and the healthcare system. This project is descriptive in nature and may not be applicable to every community pharmacy in Arizona.
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McCandless, Kaisa M. "Beyond the stakeholder paradox : to meaningful consultation with community stakeholders". Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=79788.

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This thesis argues that the stakeholder paradox (Goodpaster, 1991) has hindered the achievement of meaningful consultation processes because it perpetuates a management-centered discourse of stakeholder engagement aimed at producing stakeholder consent and legitimating organizational action. In order to advance beyond the use of stakeholder consultation as a sophisticated public relations tool, and instrument of organizational power and persuasion, it must be treated as a series of activities (discussion, deliberation and decision making) linked together through the common modality of negotiative communication.
An analysis of practice guidelines, protocols and key informant interviews using a critical organizational communication approach evaluates the extent to which contemporary instances of consultation practice account for the specificity of stakeholder context, address power and capacity gaps between consulting organizations, and enables all stakeholders to engage in a negotiative dialogue that has a direct influence upon the decision-making process of a project. This thesis argues that operationalizing tenets of a critical communication framework within consultation practice has the potential to produce the conditions for conducting a meaningful consultation with community stakeholders.
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Holdsworth, Marion. "Consultation and training challenges at the Mamre Community Health Project". Master's thesis, University of Cape Town, 1994. http://hdl.handle.net/11427/13476.

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Bibliography: leaves 58-65.
South African mental health services are in a crisis. Rural areas are particularly neglected. While shortage of resources is readily acknowledged, there have been various suggestions mooted to address these inadequacies. These solutions include: decentralisation, promotion of primary mental health care, encouraging community participation and involvement of indigenous helpers. Psychological consultation and training is a valuable way of implementing most of these suggestions as it is estimated that many mental health disorders are not diagnosed or treated because front-line workers do not have the knowledge or skill to do so. Although consultation and training is accepted as a useful way of working, it is not without problems. Certain factors make it more or less possible to implement. These factors are discussed. Particular attention is paid to the topic of hierarchical relations inherent in intra-and interprofessional contexts. It is believed that these relations may interfere with the creation of equitable consultant-consultee partnerships, and therefore hinder the consultation and training process. The present research evaluates factors which facilitate or hinder the consultation and training programme at the Mamre Community Health Project. This project is a non-government organisation aiming to improve of the health of the community of Mamre, a small rural town on the west coast of the Western Cape. Target consultees, including nursing sisters, social workers and paraprofessionals, were interviewed using a semi-structured interview schedule. The aim was to elicit experiences and opinions of consultation and training. Psychological consultants who had worked at the Mamre Community Health Project were also interviewed using a semi-structured interview schedule to elicit their experiences of consultation. Athematic analysis highlights factors which facilitate and factors which inhibit the process. Results are discussed in the light of the literature review, and recommendations are made regarding the future practice of consultation and training.
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Williams, Jessica K. "Consultee-centered consultation within community-based residences for individuals with disabilities". Thesis, Alfred University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3737729.

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Managing the behavioral needs of individuals with developmental disabilities has been a long-standing concern for group home managers and direct care staff. Consultee-centered consultation has a history of documented benefits for children in schools and was theorized to be beneficial to adults with developmental disabilities residing in group homes. Adults with disabilities continue to experience behavioral difficulties while staff lack the training to maintain quality support services. Caplan’s consultee-centered consultation (1993) bridges the gap between client centered behavioral consultation and consultee effectiveness in addressing client behavioral concerns. The purpose of this study was to investigate the effects of consultee-centered consultation on client behavior and the group home environment. Three community-based group homes were chosen to participate in this study using matched assignment. Participants included ten clients with challenging behaviors, two consultees (managers of group-homes), three data collectors and direct-care staff working with clients. This study showed encouraging support of a decrease in the frequency of challenging behaviors exhibited by clients residing in two group homes that received consultee-centered consultation for twelve and six weeks. The level of job satisfaction for employees participating in this study did not demonstrate change over the course of the 15-week study. Despite a lack of support for a change in employee satisfaction, both consultees receiving consultee-centered consultation reported that consultation helped them to address staff concerns and improvements in their level of confidence and skills.

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Fyfe, Nicholas R. "Community/police consultation in London and the political geography of policing". Thesis, University of Cambridge, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.304033.

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Collins, Kathryn L., of Western Sydney Hawkesbury University e Faculty of Environmental Management and Agriculture. "Talking garbage: a study of local opposition, waste management and community consultation". THESIS_FEMA_xxx_Collins_K.xml, 1998. http://handle.uws.edu.au:8081/1959.7/38.

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Every attempt by the NSW State Government to site waste treatment and disposal facilities has been met by opposition from local communities. Increasing interest is being shown in community consultation and public participation in the decision-making processes concerning the siting of waste management technologies. This thesis examines the rationale behind, and potential of, community consultation through an examination of two case studies. The thesis concludes that the reasons and remedies for local opposition typically given by experts and regulatory authorities are flawed. The engineering concerns which have dominated approaches to choosing and siting waste management technologies are of little consequence to the way in which communities judge whether the facilities pose an acceptable societal risk. The issues of concern to communities include the legitimacy of the decision-making process, the relative fairness of the decision to site, and whether the institutions responsible for managing and operating the technologies are trustworthy. If waste management technologies rely on local acceptability for their siting, the approach taken to resolve the waste problem must include societal as well as engineering concerns in the design of courses of action to manage the risk.
Doctor of Philosophy (PhD)
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Collins, Kathryn L. "Talking garbage: a study of local opposition, waste management and community consultation". Thesis, [Richmond, N.S.W.] : Faculty of Environmental Management and Agriculture, University of Western Sydney, 1998. http://handle.uws.edu.au:8081/1959.7/38.

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Every attempt by the NSW State Government to site waste treatment and disposal facilities has been met by opposition from local communities. Increasing interest is being shown in community consultation and public participation in the decision-making processes concerning the siting of waste management technologies. This thesis examines the rationale behind, and potential of, community consultation through an examination of two case studies. The thesis concludes that the reasons and remedies for local opposition typically given by experts and regulatory authorities are flawed. The engineering concerns which have dominated approaches to choosing and siting waste management technologies are of little consequence to the way in which communities judge whether the facilities pose an acceptable societal risk. The issues of concern to communities include the legitimacy of the decision-making process, the relative fairness of the decision to site, and whether the institutions responsible for managing and operating the technologies are trustworthy. If waste management technologies rely on local acceptability for their siting, the approach taken to resolve the waste problem must include societal as well as engineering concerns in the design of courses of action to manage the risk.
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Alshammari, Adel H. N. A. "Improving community pharmacy consultations for people with depression". Thesis, University of Bradford, 2015. http://hdl.handle.net/10454/14480.

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Aims The aims of this study were to increase community pharmacists’ willingness and confidence to provide consultations for people with depression, and to enhance patients’ awareness of the pharmacists’ developing role. Research Design To observe pharmacist-patient consultations, the researcher developed a patient scenario. Pharmacist knowledge and attitude questionnaires were adapted, and a skills observation checklist was developed. Assessments of patient satisfaction levels took place before and after pharmacist training, which included a simulated consultation and action planning. The consultations were both video recorded and observed. Participants undertook a short interview with the researcher and each pharmacist developed his/her own plan for continuing professional development (CPD). An exploration of the interview transcripts was undertaken qualitatively. A University Ethics Panel approved the project. Results There were twenty-two pharmacists who took part in the study, comprising eighteen males and four females. MPharm students comprised one female and two males, and community pharmacists made up three females and sixteen males. The quantitative results: It was found that pharmacists possessed appropriate knowledge (the mean score was 75%, which showed that the pharmacists were aware of the safety and action of anti-depressants). The mean score for attitude was 54%, which tends towards the positive. When observing the simulated consultations, the mean score for initiating a consultation session was recorded at 28%. This indicates that the pharmacists were not very interested in initiating rapport with patients. However, the highest mean score calculated was 61%, which corresponded with closing a consultation. For data collection and action, the mean scores were 42% and 35%, respectively, and this indicates the need for improvement in these areas. The qualitative findings: The pharmacists demonstrated good knowledge about anti-depressants and held positive attitudes towards people with depression. However, the pharmacists were not very willing to exercise the responsibilities of their extended role or provide additional services for patients. The pharmacists lacked certain skills and opportunities to be able to enhance the patients’ satisfaction. The pharmacists in this study needed to improve their soft skills in some areas and engage in mutual discussion with patients in order to enhance patients’ expectations with the service provided. Conclusion/discussion The knowledge and attitude of pharmacists were good, but their consultation skills could be improved. Although simulated consultation allowed pharmacists to review their skills and practice the apparent impact on patient care was limited. This study has enable greater understanding of pharmacist strategies when consulting people with depression, and the findings could be used by those developing training programmes for enhancing pharmacists skills.
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Livros sobre o assunto "Community consultation"

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Dungey, Jo. Community consultation. London: LGIU, 1999.

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Partnership, Herefordshire Community Safety. Community consultation. Hereford: Herefordshire Council, 2001.

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Gibson, Tony. Showing what you mean (not just talking about it). Telford: Neighbourhood Initiatives Foundation, 1996.

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Forest, Bristol/Avon Community. Forest Plan: Consultation Draft. Bristol: Bristol/Avon Community Forest, 1994.

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Dougherty, A. Michael. Consultation: Practice and perspectives in school and community settings. 2a ed. Pacific Grove: Brooks/Cole Pub. Co., 1995.

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1945-, Dougherty A. Michael, ed. Psychological consultation and collaboration in cchool and community settings. 5a ed. Australia: Brooks/Cole Cengage Learning, 2009.

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1945-, Dougherty A. Michael, ed. Psychological consultation and collaboration in school and community settings. 4a ed. Belmont, CA: Brooks/Cole-Thomson Learning, 2005.

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1945-, Dougherty A. Michael, ed. Psychological consultation and collaboration in school and community settings. 3a ed. Australia: Brooks/Cole, 2000.

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Forest, Bristol/Avon Community. Forest Plan: Consultation Draft Summary. Bristol: Bristol/Avon Community Forest, 1994.

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Victoria. Human Rights Consultative Committee. Human rights consultation community discussion paper. East Melbourne: Human Rights Consultative Committee, 2005.

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Capítulos de livros sobre o assunto "Community consultation"

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Bullock, Karen. "Consultation". In Citizens, Community and Crime Control, 73–100. London: Palgrave Macmillan UK, 2014. http://dx.doi.org/10.1057/9781137269331_4.

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Wint, Shirlette. "Community Consultation and Mediation with Racialized and Marginalized Minorities". In Cultural Consultation, 183–201. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7615-3_9.

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Kimball, Chase Patterson. "New Dimensions in Liaison Consultation". In Epidemiology and Community Psychiatry, 161–67. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-4700-2_23.

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Cherniss, Cary. "Preentry Issues in Consultation". In A Quarter Century of Community Psychology, 89–101. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-1-4419-8646-7_6.

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Tran, Tuan Anh. "Community Participation, Consultation and Communication". In Developing Disaster Resilient Housing in Vietnam: Challenges and Solutions, 119–45. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-26743-2_5.

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Liljestrand, Johan. "Case Study 5: Community Consultation". In Interreligious Engagement in Urban Spaces, 233–38. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-16796-7_22.

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McGonigle, John J. "Staff Training and Community Consultation". In Inpatient Behavior Therapy for Children and Adolescents, 23–51. Boston, MA: Springer US, 1992. http://dx.doi.org/10.1007/978-1-4899-2332-5_2.

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Trickett, Edison J., Charles Barone e Roderick Watts. "Contextual Influences in Mental Health Consultation". In Handbook of Community Psychology, 303–30. Boston, MA: Springer US, 2000. http://dx.doi.org/10.1007/978-1-4615-4193-6_13.

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Moir, Peter, e Matthew Moir. "Community Policing and the Role of Community Consultation". In Policing Australia, 211–35. London: Macmillan Education UK, 1992. http://dx.doi.org/10.1007/978-1-349-15143-1_9.

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Skene, Loane. "Community Consultation in a Liberal Society". In Considering Religions, Rights and Bioethics: For Max Charlesworth, 41–50. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-18148-2_5.

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Trabalhos de conferências sobre o assunto "Community consultation"

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Johnson, Ian G., John Vines, Nick Taylor, Edward Jenkins e Justin Marshall. "Reflections on Deploying Distributed Consultation Technologies with Community Organisations". In CHI'16: CHI Conference on Human Factors in Computing Systems. New York, NY, USA: ACM, 2016. http://dx.doi.org/10.1145/2858036.2858098.

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Ramanayake, R. M. D. T., e Chethika Abeynayake. "A COMPARATIVE STUDY OF CRITICAL SUCCESS CRITERIA ON SUSTAINABLE HOUSING; A CASE OF - LOW INCOME HOUSING, SRI LANKA". In Beyond sustainability reflections across spaces. Faculty of Architecture Research Unit, 2021. http://dx.doi.org/10.31705/faru.2021.1.

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Sustainable housing is a popular topic with regard to the SDG, sustainable communities and Sustainable cities. Although different researches have come up with regard to different CSC of specific contexts there are very limited studies on CSC on Sustainable low-income housing. This research aims to compare the CSC on Sustainable low-income Housing in designing stage in Sri Lankan Context. 18 CSC were derived from comprehensive literature review and re-examined through the 27 professionals and ranked from community on three locations. Relative Importance Index- RII, Min Max Normalization and Gap analyses were employed in the ranking process of Critical Success Criteria. The highest importance has been ranked with Efficiency use of water and energy, Users Satisfaction and Quality of Housing while least importance is ranked with Maintainability, Public Consultation and community participation and cater for Disables and by Literature, Experts and Community respectively. Anyway, Public Consultation and Community Participation, newly derived CSC which is highly ranked among community is to be concentrated among the professionals for the attention and applications in practices. The findings of the research would support to the designers, architectures, planners specialized in this field to ensure the successful delivery of sustainable housing.
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Qu, Dehao. "Practice and Exploration of Psychological Consultation in the Platform Construction of Community Youth Club". In 2nd International Conference on Judicial, Administrative and Humanitarian Problems of State Structures and Economic Subjects (JAHP 2017). Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/jahp-17.2017.22.

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Baskaran, V., WS Lim e T. McKeever. "S108 Primary care re-consultation after community acquired pneumonia: a large population-based cohort study". In British Thoracic Society Winter Meeting 2019, QEII Centre, Broad Sanctuary, Westminster, London SW1P 3EE, 4 to 6 December 2019, Programme and Abstracts. BMJ Publishing Group Ltd and British Thoracic Society, 2019. http://dx.doi.org/10.1136/thorax-2019-btsabstracts2019.114.

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Koohang, Alex, Tom Seymour, Robert Skovira e Gary DeLorenzo. "Panel Discussion: Challenges of Open Educational Resources". In InSITE 2007: Informing Science + IT Education Conference. Informing Science Institute, 2007. http://dx.doi.org/10.28945/3050.

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Open Education Resources (OERs) are defined as “technology-enabled, open provision of educational resources for consultation, use and adaptation by a community of users for noncommercial purposes. They are typically made freely available over the Web or the Internet. Their principal use is by teachers and educational institutions to support course development, but they can also be used directly by students. Open Educational Resources include learning objects such as lecture material, references and readings, simulations, experiments and demonstrations, as well as syllabi, curricula and teachers' guides.” UNESCO (2002, paragraph 3)
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"EPIDEMIOLOGICAL CHARACTERISTICS OF A SAMPLE OF PATIENTS WITH SUBSTANCE USE FROM THE PSYCHIATRIC CARE UNIT OF THE SOCIAL AFFAIRS SERVICE OF THE UNIVERSITY OF SALAMANCA". In 23° Congreso de la Sociedad Española de Patología Dual (SEPD) 2021. SEPD, 2021. http://dx.doi.org/10.17579/sepd2021p019v.

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Introduction: University life presents changes and challenges that may affect the mental health of its community and be the onset of substance use. Aim: To study epidemiological characteristics in our sample to help to improve prevention and treatment for mental health problems related to substance use. Materials and Methods: The descriptive study is based on a sample of 49 people, 37 women and 12 men, members of the university community. A database was designed with clinical information about psychiatric patients obtained from the interview and entry sheets during the first visit. Results: 53,1% of the sample confirmed substance use. The mean age of patients was 22,35 years and 69,2% of them were women and 30,8% were men. Alcohol was the main used substance (80,8%), followed by tobacco (57,7%) and cannabis (30,8%). Most patients were from other provinces of Spain different from Salamanca (57,7%). Law and Social Sciences (38,5%) and Health Sciences (26,9%) were the most frequent academic fields. The main contact method was self-consultation (76,9%) and in most cases (46,2%) the reason of the consultation was not specific. After the interview, the main diagnosis impressions were major depressive disorder (19,2%), anxiety disorder (15,3%) and prodromal symptoms of psychosis (15,4%). Most of the patients were treated with a combination of medication and psychotherapy (42,3%). Conclusion: We should consider the possible impact of substance use in our patient’s mental health and take account of it when choosing their treatment. We should continue studying epidemiological characteristics to help to improve prevention measures and treatments in the future.
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Teghe, Daniel, Bruce A. Knight e Cecily Knight. "The SWIMS CD-ROM Pilot: Using Community Development Principles and Technologies of the Information Society to Address Identified". In InSITE 2004: Informing Science + IT Education Conference. Informing Science Institute, 2004. http://dx.doi.org/10.28945/2770.

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In this paper we describe a pilot project to develop and assess the potential of CD-ROM based resources to address the identified informational needs of a community of education professionals. We focus on the development process, although we also briefly describe the project evaluation and its results. The context in which the pilot was developed and implemented was the Social Well-being in Mackay Schools Program, in which a model was being developed to address issues of young people presenting ‘at risk’ within educational settings. The development and distribution of the CD-ROM was not an easy or straightforward task, requiring extensive research and community consultation. It also required drawing on theoretical and methodological insights from across disciplines (especially from Community Development and Education) to develop a contextually relevant understanding of the factors affecting the informational needs of the community, and of the ways in which the process of addressing these needs might lead to the empowerment of its members. The ease with which the relevant technologies were accessed and used by researchers and community workers who possessed no formal or advanced training in the use of ICTs indicated that the ‘new’ technologies can readily complement and assist in community development, thus giving impetus to the thesis that new forms of empowerment are possible because of the advent of the Information Society.
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Mann, GB, M. Pitcher, K. Shanahan, L. Storer, I. Rio, B. Bell, S. Hookey et al. "Abstract P3-08-04: Survivorship care involving a nurse-led survivorship consultation, community support and shared care with primary practitioners". In Abstracts: Thirty-Sixth Annual CTRC-AACR San Antonio Breast Cancer Symposium - Dec 10-14, 2013; San Antonio, TX. American Association for Cancer Research, 2013. http://dx.doi.org/10.1158/0008-5472.sabcs13-p3-08-04.

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Bentley, Ian, e Georgia Watson. "Architectural Culture as a Barrier to Urban Regeneration". In 1995 ACSA International Conference. ACSA Press, 1995. http://dx.doi.org/10.35483/acsa.intl.1995.18.

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The importance of involving local residents and workers in the regeneration of run-down urban areas is now enshrined in UK central government policy, through such programmes as Estate Action and City Challenge. However, it is widely accepted that effective community involvement is difficult to achieve in practice; and it is clear that one of the reasons for this difficulty stems from the presence of cultural barriers between architects and local people. The presence and importance of these barriers has been confirmed by various practitioners’ accounts (for example Thompson, 1988) and is consistently clear from the authors’ own consultancy experience in tenant-consultation work with the Oxford Brookes University Urban Regeneration Consultancy (URC) in a variety of situations, over the last six years (Bentley, 1993).
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AlMukdad, Sawsan, Nancy Zaglou, Ahmed Awaisu, Nadir Kheir, Ziyad Mahfoud e Maguy El Hajj. "Exploring the Role of Community Pharmacists in Weight Management in Qatar: A Mixed Methods study". In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0154.

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Aim: Obesity is a major public health burden in Qatar. Pharmacists can play an important role in providing weight management services (WMS). This study aimed to explore the attitude, practice, perceived competence and role of community pharmacists in obesity and WMS in Qatar. Methods: A mixed-method explanatory sequential design was applied in the study. A validated online questionnaire was used followed by qualitative one-to-one interviews. Quantitative data were analyzed using Statistical Package of Social Sciences Version 24, while qualitative data were analyzed using thematic analysis. Results: Of 600 randomly selected community pharmacists, 270 completed the survey (response rate 45%). More than half of the pharmacists indicated that they often or always explain to patients the risks associated with overweight and obesity (56.2%), recommend weight loss medications, herbs or dietary supplements (52.4%), and counsel about their proper use and/or side effects (56.9%). Conversely, a large proportion of the pharmacists rarely or never measure patients’ waist circumference (83.8%) or calculate their body mass index (72.1%). Over 80% had very positive attitudes towards their role in weight management. Around three-quarters of the participants agreed or strongly agreed that difficulty in following-up with the patient (80.7%), lack of private consultation area (75.7%) and lack of pharmacist time (75.2%) are barriers for implementing WMS. More than 60% stated that they are fully competent in 7 out of 24 WMS related statements. Some emerging include pharmacist’s role and impact in weight management, need for training about weight management, impact of social media on patients’ perceptions, and adoption of best practices for WMS. Conclusion: Qatar pharmacists reported positive attitudes towards provision of WMS. However, they identified several barriers against provision of comprehensive weight management programs. Several strategies are proposed to overcome barriers and to improve provision of WMS in community pharmacies in Qatar.
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Relatórios de organizações sobre o assunto "Community consultation"

1

McLean, Karen, Celine Chu, Julianna Mallia e Susan Edwards. Developing a national Playgroup statement : Stakeholder consultation strategy. Australian Catholic University, 2021. http://dx.doi.org/10.24268/acu.8ww69.

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[Extract] In 2019 Playgroup Australia established a National Advisory Group, including representatives from government, not-for-profit, community and research sectors, to support the development of a National Playgroup Statement. The forthcoming statement is intended to provide a unifying voice for playgroup provision in practice, research and policy nationwide. Two core strategies were recommended by the National Advisory Group to support the development of the Playgroup Statement. These were: a) a literature review canvassing the existing evidence base of outcomes and benefits of playgroup participation for children and families; and b) a stakeholder consultation strategy to capture children’s and families’ experiences and perspectives of playgroup participation, and the impact of playgroup participation on their lives. This report details the findings from the stakeholder consultation strategy.
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Maier, Anna. Technical assistance for community schools: Enabling strong implementation. Learning Policy Institute, agosto de 2022. http://dx.doi.org/10.54300/222.688.

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A growing number of states are launching community school initiatives to ensure family and community engagement, provide enriched and expanded learning, and offer integrated supports for students. This brief offers examples from the National Center for Community Schools and from New York, New Mexico, and California showing how technical assistance can build capacity through consultation, training, coaching, and knowledge building. These examples indicate the ways that states are designing technical assistance (TA) systems to support practitioners, the value of providing differentiated TA supports, and the impact of cross-sector partnerships on TA provision.
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Vergani, Matteo. Community-centered P/CVE Research in Southeast Asia: Opportunities and Challenges. RESOLVE Network, janeiro de 2021. http://dx.doi.org/10.37805/rve2021.1.

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The definition and understanding of community-centered preventing and countering violent extremism (P/CVE) research lacks analytical clarity. This chapter examines this concept with a focus on the Southeast Asian context, reflecting on opportunities, challenges, and pitfalls, to lay the foundation for future theorization and comparative P/CVE research in local contexts. Collaboration with independent and genuine community actors is advantageous for all stakeholders, since deficient trust, tamed and crystallized relationships, and a lack of resources and capacities can result in biased research findings. The chapter advocates for the establishment of research and evaluation frameworks in National Action Plans, with the aim to set out common definitions, measurement tools, and methodologies in consultation with all stakeholders, including community actors. This is a necessary step in producing systematic, cumulative, and comparative research and evaluation findings that hold true across local contexts. Finally, the chapter discusses the ethical implications of conducting community-centered P/CVE research with minority communities––such as the creation of suspicious, ostracized, and alienated communities––as well as with majority communities. It also speaks to the potential for research findings and topics of focus interfering in or being instrumentalized to impact a country’s democratic process. Although the Southeast Asian context is used to discuss the opportunities and challenges of the different approaches to community-centered P/CVE research, key findings are likely relevant to other contexts.
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Jones, Theresa, e Elisabeth Storer. Key Considerations: Adherence to COVID-19 Preventive Measures in Greater Kampala, Uganda. Institute of Development Studies (IDS), março de 2022. http://dx.doi.org/10.19088/sshap.2022.005.

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This brief sets out key considerations for risk communications and community engagement (RCCE) to promote adherence to COVID-19 preventive measures in greater Kampala, Uganda. It looks at adherence to COVID-19 preventive measures, assesses the challenges to their adoption and outlines key considerations for partners working in RCCE and the wider COVID-19 emergency response. The brief responds to concern (as of March 2022) about COVID-19 transmission in informal urban areas in Uganda due to their high population density, limited sanitary infrastructure, and reported low uptake of vaccination. Ensuring effective communication and engagement with a series of preventative measures is essential in limiting the spread of COVID-19. The Ministry of Health and response partners have been proactive, however interventions and guidance for COVID-19 have taken limited account of social science research about the perceptions and practices related to COVID-19 regulations. This brief aims to address this gap so these data may be used to inform more effective and practicable guidance for vulnerable groups. This brief draws primarily on an analysis of existing scientific and grey literature. Additional primary data was collected through consultation with six social science and RCCE experts who focus on this geographical area. The brief was requested by UNICEF Uganda in consultation with the Uganda Ministry of Health (MoH) RCCE subcommittee and the RCCE technical working group for the Eastern and South Africa region (ESAR). It was developed for SSHAP by Theresa Jones (Anthrologica) and supported by Elizabeth Storer (London School of Economics), with contributions and reviews by colleagues at Anthrologica, the Institute of Development Studies (IDS), UNICEF ESARO and Uganda, Makerere University, the London School of Hygiene and Tropical Medicine (LSHTM), Dreamline Products and the IFRC.
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Kennedy, Marie, Aisha Conner-Gaten, Jamie Hazlitt, Javier Garibay e Marisa Ramirez. Assessing the Diversity of the E-collection of the William H. Hannon Library; a Phased Project. William H. Hannon Library, 2018. http://dx.doi.org/10.15365/whhl.librarian.2018.1022.

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The American Library Association’s 1982 statement on Diversity in Collection Development reminds librarians of our professional responsibility “to select and support the access to materials on all subjects that meet, as closely as possible, the needs, interests, and abilities of all persons in the community the library serves. This includes materials that reflect political, economic, religious, social, minority, and sexual issues.” The William H. Hannon (WHH) Library’s vision statementaffirms that the library views itself as Bridge, Gateway, Agora, and Enterprise. To ensure that our materials collection aligns with our institutional vision and meets the research needs of our diverse campus population, the project team proposed an assessment of our electronic collection through the lens of diversity. The assessment was to determine if the library’s online databases (most often the first point of research consultation for our students and faculty) are adequately “bridging disciplines” (Bridge) and “representing diverse topics and perspectives” (Gateway). What the team learns will inform the library collection strategy, to ensure that it builds collections that deliberately and positively contribute to an inclusive campus climate. [1] http://library.lmu.edu/aboutthelibrary/libraryvisionmission/
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Shyshkina, Mariya P., e Maiia V. Marienko. Augmented reality as a tool for open science platform by research collaboration in virtual teams. [б. в.], fevereiro de 2020. http://dx.doi.org/10.31812/123456789/3755.

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The provision of open science is defined as a general policy aimed at overcoming the barriers that hinder the implementation of the European Research Area (ERA). An open science foundation seeks to capture all the elements needed for the functioning of ERA: research data, scientific instruments, ICT services (connections, calculations, platforms, and specific studies such as portals). Managing shared resources for the community of scholars maximizes the benefits to society. In the field of digital infrastructure, this has already demonstrated great benefits. It is expected that applying this principle to an open science process will improve management by funding organizations in collaboration with stakeholders through mechanisms such as public consultation. This will increase the perception of joint ownership of the infrastructure. It will also create clear and non-discriminatory access rules, along with a sense of joint ownership that stimulates a higher level of participation, collaboration and social reciprocity. The article deals with the concept of open science. The concept of the European cloud of open science and its structure are presented. According to the study, it has been shown that the structure of the cloud of open science includes an augmented reality as an open-science platform. An example of the practical application of this tool is the general description of MaxWhere, developed by Hungarian scientists, and is a platform of aggregates of individual 3D spaces.
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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, julho de 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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Clark-Wilson, Alison, Shakil Ahmed, Tom Kaye e Asma Zubairi. A Theory of Change for Teachers towards a Technology-Enhanced Education System in Bangladesh. EdTech Hub, março de 2022. http://dx.doi.org/10.53832/edtechhub.0088.

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In November 2020, UNICEF requested support from EdTech Hub to help the Government of Bangladesh improve the reach, effectiveness, and inclusiveness of the programme of activities proposed in the government’s Covid-19 Response and Recovery Plan: Education Sector (⇡Ministry of Primary and Mass Education, 2020). At that time, this plan led to a wide and diverse range of programmes initiated by the government and other stakeholders. As a result, EdTech Hub worked with the government and other stakeholders to rapidly create A Theory of Change (TOC) for a technology-enhanced education system (⇡Clark-Wilson et al., 2021). While acknowledging that parents, caregivers, teachers, school, and community leaders are also key stakeholders, the first TOC focused on learners as, ultimately, the desired impacts of a technology-enhanced education system are directed towards learners’ educational outcomes. One recommendation of the earlier working paper was that a TOC should also be developed that focused on teachers as key agents in the development of a technology-enhanced education system for the country. The process to develop this second TOC comprised a desktop review, interviews, and two stakeholder consultation workshops. The resulting teacher-centred TOC draws on existing theory and practice as well as stakeholders’ assumptions of how the evolving technology-enhanced teacher professional development offer might achieve its goals — and what conditions need to be in place to achieve this. This working paper documents and explains the teacher-centred TOC. An output of the EdTech Hub, https://edtechhub.org
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Clark-Wilson, Alison, Shakil Ahmed, Tom Kaye e Asma Zubairi. A Theory of Change for Teachers towards a Technology-Enhanced Education System in Bangladesh. EdTech Hub, março de 2022. http://dx.doi.org/10.53832/edtechhub.0088.

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In November 2020, UNICEF requested support from EdTech Hub to help the Government of Bangladesh improve the reach, effectiveness, and inclusiveness of the programme of activities proposed in the government’s Covid-19 Response and Recovery Plan: Education Sector (⇡Ministry of Primary and Mass Education, 2020). At that time, this plan led to a wide and diverse range of programmes initiated by the government and other stakeholders. As a result, EdTech Hub worked with the government and other stakeholders to rapidly create A Theory of Change (TOC) for a technology-enhanced education system (⇡Clark-Wilson et al., 2021). While acknowledging that parents, caregivers, teachers, school, and community leaders are also key stakeholders, the first TOC focused on learners as, ultimately, the desired impacts of a technology-enhanced education system are directed towards learners’ educational outcomes. One recommendation of the earlier working paper was that a TOC should also be developed that focused on teachers as key agents in the development of a technology-enhanced education system for the country. The process to develop this second TOC comprised a desktop review, interviews, and two stakeholder consultation workshops. The resulting teacher-centred TOC draws on existing theory and practice as well as stakeholders’ assumptions of how the evolving technology-enhanced teacher professional development offer might achieve its goals — and what conditions need to be in place to achieve this. This working paper documents and explains the teacher-centred TOC. An output of the EdTech Hub, https://edtechhub.org
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Bolton, Laura. Synthesis of Work by the Covid Collective. Institute of Development Studies, março de 2022. http://dx.doi.org/10.19088/cc.2022.001.

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Overview: This report looked across Covid Collective outputs and grouped findings into three sections. Section 2) Pandemic response; Section 3) Increased marginalisation; and Section 4) Emergent outcomes. Section 4 describes outcomes, both positive and negative, which evolved and were more unpredictable in nature. Pandemic response: Findings on national response highlight shortfalls in national government actions in Bangladesh, Malawi, the Philippines, Yemen, and Syria. Emergency law responses have, in some cases, led states to exert powers with no legal basis. In transitioning economies, state militarisation is having negative effects on constitutionalism and peacebuilding. Lack of trust in state security institutions is identified as an issue in Yemen. Improved consultation between the community, government and security institutions is needed. From a micro perspective, lockdowns were found to hit households close to subsistence the hardest bringing restrictions in to question with regards to welfare choices. Regional responses had different features (outlined in section 2). It is suggested for future research to look at how regional responses have changed interactions between regional and global organisations. The Islamic Development Bank, for example, helped function as a redistribution pool to improve inequalities between country capacities in the Middle East. The Organisation of Islamic Cooperation (OIC) supported accurate information reporting. International response with regard to vaccination is falling short in terms of equality between developed and developing economies. World Bank response is questioned for being insufficient in quantity and inefficient in delivery.
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