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1
Blackwelder, Reid B. "Alternative Medicine Family Practice". Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/6997.
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Bayard, Max, Cathy Peoples, Jim Holt e David Daniel. "An Interactive Approach to Teaching Practice Management to Family Practice Residents". Digital Commons @ East Tennessee State University, 2003. https://dc.etsu.edu/etsu-works/6492.
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Three years ago, our residency program began a new approach to teaching practice management to our second- and third-year residents. The underlying principles for the new curriculum involved a realization that our residents lacked basic business understanding and that they would likely learn more effectively through a hands-on approach.The newcurriculum, which we describe in this article, is in large part built around the establishment of a mockpractice during thesecond year ofresidency. Although the curriculum is still evolving, initial response and evaluation have been encouraging.
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Bayard, Max, Jim Holt, Cathy Peoples e Bendik Clark. "An Innovative Practice Management Curriculum". Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/6504.
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Rew, Meera. "Family centred social work practice with stepfamilies". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ62833.pdf.
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Wilson, Barbara Dian. "'Careful disorderliness' : writing about family mediation practice". Thesis, University of Portsmouth, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.500347.
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This thesis comprises fifteen papers and a commentary on their contribution to the field of academic and practitioner knowledge about family mediation, reflecting the author's interest in the theoretical frameworks surrounding this subject. Written over a seven-year period (2000-2007), they reflect the author's evolution as a family mediator and Professional Practice Consultant, and were published against a turbulent background of ongoing political and practice discourses.
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Kohler, Levi R. "Vaccination Policies of Utah Family Practice Clinics". BYU ScholarsArchive, 2015. https://scholarsarchive.byu.edu/etd/5980.
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The purpose of this study was to collect information regarding healthcare worker (HCW) vaccination policies in Utah family practice clinics. Data sources: The study was conducted in Utah family practice clinics in the most densely populated counties in the state and was a cross-sectional descriptive design. Data were collected from 155 family practice clinic managers. Analyses included frequencies and percentages for quantitative items and a content analysis for open-ended items. Conclusions: HCWs are employed in environments where infectious diseases can be easily spread from person to person, thus, vaccinations can be instrumental in protecting the health of HCWs and patients alike. In Utah, 56.8% of family practice clinics had either no vaccination policy for HCWs or had a policy with no consequences for noncompliance. Utah family practice clinics need to implement changes to create and maintain HCW vaccination policies. Implications for practice: Nurse practitioners can be leaders and change agents by working with their county and state health departments to create state-wide policies that mirror the position statements from the American Nurses Association and the American Association of Nurse Practitioners.
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Holt, Jim. "Addressing Childhood Obesity in Primary Care Practice". Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/6508.
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Nupdal, Jason Bentley. "Implementing Clinical Practice Guidelines in Family Practice: Caring for Children with ADHD". Diss., North Dakota State University, 2014. https://hdl.handle.net/10365/27368.
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The purpose of this Practice Improvement Project was to promote evidence-based
practice in caring for children ages 4-18 with Attention Deficit Hyperactivity Disorder (ADHD)
in the family practice setting. The American Academy of Pediatric Clinical Practice Guidelines
(CPG) and the Diagnostic and Statistical Manual of Mental Health Conditions, 5th Ed. (DSM-V)
diagnostic criteria for ADHD were embedded in the electronic health record (EHR) in the form
of an evaluation tool/template to guide the Primary Care Providers (PCPs) in documenting
evidence-based practice in the assessment, diagnosis and treatment of ADHD. Primary
stakeholders are PCPs of Riverview Clinic who care for children with ADHD. Neuman?s System Theoretical framework was used assuring a comprehensive holistic
approach to caring for children with ADHD. The logic model was applied to direct project
process while providing a framework for project evaluation. A focused forum was held to
educate PCPs on the American Academy of Pediatrics (AAP) CPG and the DSM-V ADHD
diagnostic criteria. PCPs were introduced to the tool with instruction on use. Six weeks post
launching, a retrospective chart audit was done to evaluate for the presence of evidence basedpractice
documentation with the evaluation tool/template versus without. When utilized, the evaluation tool/template demonstrates a higher rate of documentation
supportive of evidence-based practice. The tool enhances provider?s comfort level in caring for
children with ADHD while promoting optimal quality outcome for the child. Project outcome
suggests the tool be used by PCPs in documenting evidence-based practice. Key words: ADHD,
children, management, EHR, template, co-morbid conditions, and clinical practice guidelines.
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Polaha, Jodi. "Practice Transformation in Pediatric Primary Care". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/6665.
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This session will describe the evolution of the Pediatric Primary Behavioral Health Model in one clinic including the integration of behavioral health and social services into a residency training clinic. The implementation strategy used to develop this model will be described.
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Polaha, Jodi. "Gun Violence Prevention in Pediatric Practice". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6658.
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Polaha, Jodi. "Gun Violence Prevention in Pediatric Practice". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6662.
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Tse, Chow Sau-wan Wendy. "Towards a practice model of family life education /". [Hong Kong : University of Hong Kong], 1986. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12325934.
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Toms, Gill. "Applications of family-centred care in clinical practice". Thesis, Bangor University, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.540738.
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Tse, Chow Sau-wan Wendy, e 周秀雲. "Towards a practice model of family life education". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1986. http://hub.hku.hk/bib/B31247714.
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Hampson, Claire L. "Integrating family-focused practice into routine addiction services". Thesis, University of Birmingham, 2013. http://etheses.bham.ac.uk//id/eprint/3987/.
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This thesis reports the evaluation of a training program aimed to promote a whole Organisation shift towards greater involvement of affected family members within addiction treatment and services. A two-phase quasi-experimental design integrating action research is described. The Pilot phase involved two teams within the Organisation receiving a family-focused training and on-going supervision package. During this phase, the evaluation outcome measures were developed and pilot tested. Phase two then involved selecting two further teams at random to receive the training package (‘immediate’ training), whilst the two remaining teams served as a control and received the package following a delay (‘delayed’ training). Staff who had received immediate training reported significant increases in positive attitudes towards family-focused practice, as well as increases in the proportion of family-focused practice in their daily routine work. Significant improvements in attitudes were, however, also evident in the absence of the training package during the delayed comparison group’s waiting period. The study supports the use of an Organisational platform to implement change towards more family-focused addiction treatment. The results indicate that addiction services are capable of implementing family-focused practice, however, success depends on many factors at the level of the individual service provider, organization and outside environment.
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Bitter, James Robert. "Theory and Practice of Family Therapy and Counseling". Digital Commons @ East Tennessee State University, 2014. http://amzn.com/1111840504.
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Ch. 1. Introduction and overview -- Ch. 2. The genograms of family therapy -- Ch. 3. The family practitioner as person and professional -- Ch. 4. Virtue, ethics, and legality in family practice -- Ch. 5. Theories and techniques of family therapy and counseling -- Ch. 6. Adlerian family therapy -- Ch. 7. Multigenerational family therapy -- Ch. 8. Human validation process model -- Ch. 9. Symbolic-experiential family therapy -- Ch. 10. Structural family therapy -- Ch. 11. Strategic family therapy -- Ch. 12. Solution-focused and solution-oriented therapy -- Ch. 13. Postmodernism, social construction, and narratives in family therapy -- Ch. 14. Feminist family therapy -- Ch. 15. Cognitive-behavioral family therapy -- Ch. 16. Parenting for the 21st century -- Ch. 17. Integration I: from self-discovery to family practice: forming a relationship and family assessment -- Ch. 18. Integration II: shared meaning, facilitating change, and tailoring interventions.
Theory and practice of family counseling and therapy, 2nd Edition embraces multiple perspectives and provides a comprehensive discussion of contemporary family theories and practices, including human validation process and symbolic-experiential models. Bitter encourages students' personal growth and development as family therapists with a warm, inviting writing style and numerous self-reflection and active-learning exercises. Learning is enhanced through a consistent chapter organization and the use of a single case, the Quest family, throughout. This approach enables students to compare and contrast the various models and see how different approaches can be used in an integrated way. The text presents a four-stage process for conducting family sessions, including processes for forming relationships, family assessment, hypothesizing and shared meaning, and facilitating change. Each chapter ends with a Quest family case (which applies the model discussed in the chapter to the fictional Quest family), a summary and multicultural evaluation section, exercises for personal and professional growth, contact and Web information for finding out more about the specific therapy, recommended supplementary readings, and references. Additional cases throughout the text, based on Bitter's years of practice in marriage and family counseling, help students see how theories play out in the real world. A unique chapter on "Parenting for the 21st Century" addresses the fact that a majority of family counseling deals with parenting questions and issues.https://dc.etsu.edu/etsu_books/1071/thumbnail.jpg
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Allen, Kim, Margaret Machara e Debbie Farr. "The Progression and Practice of Family Life Coaching". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/secfr-conf/2019/schedule/5.
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Coaching is being used in a number of fields, careers, and situations including in the work of family life. Family Life Coaches enable family identified change through the relationship between the family scientist and the family (Allen and Huff, 2014). From a family perspective, rather than presenting as experts, family life coaches utilize coaching techniques to empower families in navigating normative life stages as well as unique life processes. The mission of the Family Life Coaching Association is to create research-based, globally recognized credentials; training standards; and networking opportunities for family life coaches. This workshop will cover the origins of Family Life Coaching, demonstrate a coaching session, and participants will be able to practice coaching techniques and discuss the direction of professionalizing the field of Family Life Coaching.
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Holman, Angela Rowe. "Family counselors' experiences with multiculturalism in professional practice". W&M ScholarWorks, 2006. https://scholarworks.wm.edu/etd/1550154091.
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Holt, Jim. "New Payment Models Within a Virtual Practice". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6452.
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Blackwelder, Reid B. "Review of Complementary Medicine and Clinical Practice". Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/6912.
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Reviews the book, Complementary medicine and clinical practice edited by David P. Rakel and Nancy Faass (2006). Complementary and alternative medicine, or CAM, as it is known, has been an important and controversial topic for allopathic medicine. Although the majority of the patients in this country will use one or more forms of complementary medicine, and spend more out-of-pocket money on CAM techniques and practitioners than on allopathic ones, there is still a great deal of uncertainty among practicing physicians about what exactly CAM consists of. This book goes a long way toward helping to clarify this diverse and changing topic. Overall, each of the topics in the book emphasizes a refreshing focus on health compared with the antidisease focus of many more traditional medical articles and books. Each of the chapters integrates the technique and philosophy of the topic explored into an overall health-oriented approach to patient care. Rakel and Faass's book creates a template for a new model of medicine. Given its broad scope, it is ideal for family physicians to consider as we envision the evolution of our practices.
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Calhoun, McKenzie L. "Discussion on Interprofessional Education and Practice". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6886.
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Calhoun, McKenzie L. "Advancing Pharmacy Practice Expert Panel". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6883.
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Spielmans, Kara L. "Attention-Deficit/Hyperactivity Disorder Knowledge and Practices: A Survey of Pediatricians and Family Practice Physicians". DigitalCommons@USU, 2008. https://digitalcommons.usu.edu/etd/6138.
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Attention-deficit/hyperactivity disorder (ADHD) is a common childhood disorder often treated by pediatricians or family practice physicians. ADHD knowledge held by treating physicians may be an important predictor in patient outcomes. This study examined ADHD knowledge and common assessment and treatment practices of pediatricians and family practice physicians via a national survey sent to members of the American Academy of Pediatrics and the American Academy of Family Physicians. Mailings included the Knowledge of Attention Deficit Disorders Scale--Revised (KADDS-R) arid a demographic/practice questionnaire. Although both physician types reported utilizing assessment and treatment methods consistent with current ADHD practice guidelines, findings suggested that pediatricians had greater ADHD knowledge than did family physicians. Physicians who had completed a behavioral pediatric rotation or training specific to ADHD had greater knowledge than physicians who had not done so. The number of new ADHD evaluations conducted monthly was also related to ADHD knowledge. Implications for future research examining ADHD knowledge, training, and outcomes are discussed.
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Kirby, Beverley. "Developing participatory practice, grassroots leadership in family resource programs". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0016/MQ53633.pdf.
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Kennedy, Christina. "Feeding the family : exploration of mothers' experiences and practice". Thesis, Liverpool John Moores University, 2015. http://researchonline.ljmu.ac.uk/4581/.
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A mother's practice of feeding the family is viewed as risk behaviour in published health literature where the dominant research interest lies in its pathogenic potential in the aetiology of Child Obesity. Mothers’ 'participative knowledge' of their practice, which is their lived experience as known and given meaning by them, is absent from this literature. The aim of the thesis is to address this gap in knowledge and reflect upon its significance for health promotion. The exploration of mothers’ family feeding practices was conducted by means of a Co-operative Inquiry (Heron, 1996) which I adapted as a community participatory research study with a core group of 13 volunteer mothers. This community of mothers from a former mining community in the NW of England became in time my co-researchers in the investigation of what feeding the family entailed and meant for them. There are two phases of the inquiry. In Phase 1, methods were developed to enable mothers to collect data and to engage in reflection and dialogue so as to describe and explain their practice. In Phase 2, the Inquiry process was directed towards empowering mothers to engage in transformative experiential learning. Findings at the end of Phase 1 highlighted that the mothers’ routine practices often exposed their children to risk factors linked to childhood obesity. It also identified that their reality and lived experience systematically exposed mothers to social injustice that had the potential to undermine their health. At the end of Phase 2 however, new insights into the potential meaning of their practice, led the mothers to make changes in family feeding; and to transform an alienating environment into an empowering experience of true community. The author reflects and discusses the inquiry and its findings by drawing upon theories of knowledge, practice and health; and empirical evidence of risk factors in health inequalities. This study extends the body of knowledge about family feeding with insights into the participative reality of mothers’ practice. The Author recommends health research should embrace new theoretical frameworks for inquiry with mothers to develop a more socially just knowledge of their practice that can empower both mothers and community.
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Polaha, Jodi, Leigh Johnson, Millie Wykoff, J. Montgomery, S. Peace, D. Sloan e Reid Blackwelder. "Champion Teams: An Implementation Strategy to Drive Practice Improvement". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6561.
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Developing collaborative practice is an ongoing process requiring frequent upgrades as team members and processes are added. Recently, faculty in ETSU’s Department of Family Medicine have been experimenting with a mechanism for iterative upgrades to team care practice known as Champion Teams. Champion Teams are based on the Institute of Medicine’s "learning health care system" approach in which practitioners develop an internal strategy for implementing new evidence based practices on an ongoing basis. In this presentation, our interprofessional team will describe team-based education and practice at ETSU as it relates to the Champion Team concept including its origins, evidence-base, and the logistics of how it functions. We will provide examples of four Champion Team projects including: 1) integrating behavioral health, 2) increasing attendance at medical visits, 3) increasing vaccination rates, and 4) a transition to a new pharmacological regimen for congestive heart failure patients. The exemplars will demonstrate how quality improvement data informed progressive changes and confirmed implementation outcomes. During discussion, we will encourage participants to identify their own targets for champion teams.
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Tew, Jerry. "The politics of the family and family therapy : a critical analysis of theory and practice". Thesis, University of Warwick, 1992. http://wrap.warwick.ac.uk/97170/.
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This thesis aims to develop a new theoretical framework by which to understand family organisation and the processes of family therapy from a political perspective - a framework that will highlight (changing) power relationships rather than assume some notion of functional order. In constructing and evaluating such a theoretical framework, I will draw upon the traditions of critical theory and qualitative research. My starting points are an overview of existing critical understandings of 'the family', and an examination of how 'power' itself may be theorised in a rigorous manner. I will review how such perspectives may expose specific relations of oppression or recognition that underpin particular forms of organisation, from the scale of the social formation as a whole to that of 'the individual'. Psychoanalysis and discourse theory have provided concepts whereby to deconstruct the dynamics of 'the individual' - in particular the concept of 'subjectivity' - which I will develop further so as to encompass participation, not just in discursive structures, but also in structures of emotional and material relations. In a critical appraisal of the various theoretical and practice traditions within family therapy, I will look at how the hegemony of systems theory has begun to be questioned and alternative metaphors for familial organisation proposed. However, as I will argue, none of these provide a satisfactory basis for understanding power relations in the family. I will therefore go on to apply a new conceptualisation of family organisation - that of 'subjectivity' - which is developed out of the theoretical traditions discussed earlier. I will theorise 'the family', not just as the context in which individual subjectivity may be constructed, but as an entity that may be seen to participate in the social formation as a subjectivity in its own right. Instead of understanding familial organisation as a natural outcome of self-regulating processes (as in systems theory), it may thus be seen to reflect the ways in which a family may have been constructed as a subjectivity in and by an oppressive social formation - its coherence only being maintained by a degree of internal violence and repression. Building on this, I will develop a theoretical framework by which to analyse, from a political perspective, the breakdown of family functioning and the specific ways in which the organisation of family life may be reconstructed through the processes of family therapy. Following on from this, I will test out the value of the theoretical framework in an analysis of three examples of family therapy practice. My source material is transcripts taken from videotapes of actual family sessions, and these are analysed in terms of the evidence they provide of minute-by-minute changes in power relations within family organisation (often in response to particular interventions by the therapist). Out of this in-depth study of a small number of case examples, my primary aim will be to assess the practical value of the various elements of the theoretical framework in exposing how familial power relations have been structured and how (and whether) they may be modified during the course of family therapy. In turn, this may enable me to reach some preliminary conclusions as to how specific family therapy interventions may affect family organisation in ways that are either oppressive or empowering.
28
Usatine, Richard, Jim Holt, Miranda Lu e Alexandra Verdieck. "Dermoscopy: Expanding ‘Scope’ of Practice and Preventing Skin Cancer Deaths". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/6446.
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In this hands-on preconference workshop, we will introduce dermoscopy, a proven adjunctive tool that increases sensitivity and specificity of melanoma detection and improves diagnostic accuracy for basal and squamous cell carcinomas. Participants will learn how to use a dermatoscope in clinical practice and learn the two-step algorithm to diagnose unknown skin lesions and determine the need for biopsy. Biopsy techniques will be taught with a handson evidence-based approach that can be applied at one’s home institution. Participants will leave with fundamental competence in the use of dermoscopy for early skin cancer detection, improved understanding of biopsy techniques, tools to train others, free apps, Dermoscopedia, online resources, and online and in-person courses.
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Calhoun, McKenzie L., e Micah Cost. "Nuts and Bolts of Collaborative Pharmacy Practice". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6903.
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Collaborative pharmacy practice rules went into effect on February 20, 2017. With these rules come new opportunities for pharmacists to work with prescribers to improve patient outcomes and increase access to pharmacist-provided care. This one-hour webinar, presented live by the Tennessee Pharmacists Association on March 9, 2017, provides information about how to properly implement collaborative pharmacy practice in pharmacy settings.
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Polaha, Jodi, e Karen Schetzina. "A Collaborative Practice Model for Pediatric Primary Care". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6670.
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Vanhook, Patricia M., e Julie D. Hubbard. "Nurse Family Partnership: A Two Generation Approach Using the Nurse Family Partnership Model". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7421.
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Blackwelder, Reid B. "How to Work Efficiently with Medical Students in Your Practice". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6946.
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Click, Ivy A., Jeri Ann Basden e Fred Tudiver. "Does Structured Quality Improvement Training for Residents Increase QI in Practice?" Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/6397.
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East Tennessee State University implemented quality improvement (QI) training for second-year family medicine residents in 2009. Results in 2011 indicated training increased scores in QI skill assessments as well as self-efficacy in QI. With residents who completed the training now in practice, does the increase in knowledge and skill translate to increased QI in practice? A survey of graduates compares frequency of QI cycles and self-assessment of QI skills among graduating classes, those receiving QI training and those graduating before training began. Residents that completed the QI curriculum rated their training higher; however residents that did not receive training were more involved in QI in practice. We suggest that this is due to QI involvement increasing with practice. Results will guide curriculum improvements to strengthen future resident training.
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Polaha, Jodi. "Innovation in Clinical Psychology Practice: Getting Our Help Where It’s Needed". Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/6695.
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Fox, Beth A., Jodi Polaha e Ivy A. Click. "Implementation of Team Care Training and Team Care Practice". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/6376.
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Cantin, Christina. "Family Practice Nurses and Smoking Cessation Interventions for Pregnant Women". Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/23953.
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PURPOSE: To describe 1) smoking cessation (SC) interventions by Family Practice Nurses (FPN) during prenatal visits, and 2) the predictors and barriers of FPN-provided SC counselling for pregnant women.
DESIGN: Non-experimental, descriptive, correlational design. Onetime, cross-sectional questionnaire using a previously validated questionnaire, modified and converted to electronic format.
METHODS: Descriptive and multivariable analysis. Predictors investigated included nurses’ age, beliefs about their role in SC, self-efficacy to provide effective counselling, SC training, and interest in updating SC knowledge.
PARTICIPANTS: Eighty-nine members of the Ontario Family Practice Nurses’ interest group (18% response rate) working in primary care settings across Ontario.
RESULTS: Nearly one quarter (21.5%) of respondents never offer SC counselling to pregnant women. Nurses with higher levels of self-efficacy were more likely to provide SC counselling. Nurses are less likely to provide concrete assistance in the quitting process or arrange follow-up. The most commonly cited barriers included lack of time and cost of medication.
CONCLUSIONS: FPNs are not consistently providing evidence-based SC interventions for pregnant women. Training to enhance self-efficacy may increase the frequency, efficiency and quality of FPN-provided SC interventions.
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Lindskov, Cecilia. "Family centre practice and modernity : a qualitative study from Sweden". Doctoral thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-7943.
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Family centres have become a common institution to promote health and wellbeingamong young children (0-6 years of age) and their parents in Sweden. Thecore of the work is usually based on both maternal and child health care, a preschooland social services, all located under the same roof in the local community.The family centre in this study, known as the "Family House", was the firstof its type to be built in the city of Kristianstad, Sweden.The overall aim of the thesis was to understand family centre practice throughprofessionals' and parents' perceptions of the Family House and its relationship to modernity.The study employed a qualitative design using phenomenography as method tocapture people's perceptions of the practice. The research also drew on the approachof action research, where participants and researchers co-generateknowledge through collaborative communicative processes. Data was generatedfrom semi-structured interviews conducted with nineteen professionals andsixteen individual parents. Dialogue sessions with the professionals of the studyhave been held in order that they and the researcher could enter into a dialoguebased on the findings of the interviews. Data was consequently also generatedfrom these meetings.The way the professionals perceived the practice of the Family House fell intothree categories, namely, as a professional service, the provision of an informalmeeting place for professionals and families with young children or as a broadcommunity-based centre. Parents' perceptions fell into four categories; as aprofessional reception to obtain expert guidance and support, a study circle andliving room to informally share experiences and socialising, and a playgroundfor children where children could interact and learn social skills.One core finding of this thesis is that family centre practice for those involvedcontained a balancing act between simple modern expertise to control the futureand late modern opportunities for self-realisation and reflexivity.Parents and professionals shared the responsibility for children's well-being andthe distinction between private and public was blurred since parents used theHouse as a social arena for developing personal relations. It was also an arenafor integration between Swedes and immigrants based on engagement for bothcultural diversity and similarity.
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Lindskov, Cecilia. "Family centre practice and modernity : a qualitative study from Sweden". Thesis, Liverpool John Moores University, 2009. http://researchonline.ljmu.ac.uk/5930/.
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Family centres have become a common institution to promote health and wellbeing among young children (0-6 years of age) and their parents in Sweden. The core of the work is usually based on both maternal and child health care, a preschool and social services, all located under the same roof in the local community. The family centre in this study, known as the "Family House", was the first of its type to be built in the city of Kristianstad, Sweden. The overall aim of the thesis was to understand family centre practice through professionals' and parents' perceptions of the Family House and its relationship to modernity. The study employed a qualitative design using phenomenography as method to capture people's perceptions of the practice. The research also drew on the approach of action research, where participants and researchers co-generate knowledge through collaborative communicative processes. Data was generated from semi-structured interviews conducted with nineteen professionals and sixteen individual parents. Dialogue sessions with the professionals of the study have been held in order that they and the researcher could enter into a dialogue based on the findings of the interviews. Data was consequently also generated from these meetings. The way the professionals perceived the practice of the Family House fell into three categories, namely, as a professional service, the provision of an informal meeting place for professionals and families with young children or as a broad community based centre. Parents' perceptions fell into four categories; as a professional reception to obtain expert guidance and support, a study circle and living room to informally share experiences and socialising, and a playground for children where children could interact and learn social skills. One core finding of this thesis is that family centre practice for those involved contained a balancing act between simple modem expertise to control the world and late modem opportunities for self-realisation and reflexivity. The House enhanced both parents' and professionals' mastery of the world, supporting a stable and trusting world view under uncertain late modem conditions. Parents and professionals shared the responsibility for children's well-being and the distinction between private and public was blurred since parents used the House as a social arena for developing personal relations. It was also an arena for integration between Swedes and immigrants based on engagement for both cultural diversity and similarity.
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Wallace, Rick L., e Nakia J. Woodward. "A Blueprint for Tomorrow: FPIN-The Family Practice Inquiries Network". Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/8775.
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Usatine, Richard, Jim Holt, Alex Verdieck-Devlaeminck e Miranda Lu. "Dermoscopy: Expanding ‘Scope’ of Practice and Preventing Skin Cancer Deaths". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/6449.
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Community health outreach workers (CHOWs) have been demonstrated to increase CRC screening patient education for vulnerable, medically underserved patients as well as increase CRC screening rates in rural populations.1,2 This project examined the effectiveness of CHOWs in increasing CRC screening rates among low-income, underserved ethnic minorities in Portland, Maine. Eligible patients were ages 50-75; due for CRC screening; enrolled in Medicaid or had no health insurance; and spoke Arabic, English, French, Kinyarwanda, Somali, Spanish or Vietnamese. Seven CHOWs were trained in CRC screening outreach and assigned to patients from their own ethnic communities where they employed culturally sensitive interventions to reduce barriers to CRC screening. CHOWs attempted contact with patients by phone four times prior to sending a language-specific letter to patients recommending CRC screening. CHOWs offered fecal immunochemical testing (FIT) or colonoscopy and provided tailored education and frequent reminders for colonoscopies, explanations about procedures for bowel preps, transportation to colonoscopies, reminders and instructions for FIT completion as well as assistance with health insurance and financial barriers. Upon completion of this session, participants should be able to: Define the role of a community health outreach worker (CHOW) in CRC screening. State three common sociocultural barriers patients experience for CRC screening. Identify the efficacy of CHOWs in increasing CRC screening rates.
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Polaha, Jodi, J. Shore, C. Turvey, E. Nelson, M. Mishkind e R. Ciulla. "Transformations in Telemental Health Technology and Policy: Implications for Practice". Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/6687.
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Moorhead, Robert George. "Communication skills training for general practice". Title page, contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09MD/09mdm825.pdf.
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Bibliography: leaves 554-636. Examines aspects of teaching medical students communication skills at a time when they are entering their clinical years. Integrates reports of 12 data-gathering exercises centred on medical student communication skills with the international literature, and with the author's reflections as an experienced educator and G.P. Recommends that communication skills training in a general practice setting should be a crucial factor in all future training of medical students.
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McLaughlin, Sarah L. "Enhancing Culturally Responsive Practice in a District: Engaging Families through Culturally Responsive Practice". Thesis, Boston College, 2020. http://hdl.handle.net/2345/bc-ir:108810.
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Thesis advisor: Martin ScanlanAs the populations of public schools in the United States grow increasingly more diverse, it is critical for district and school leaders to understand how educators make sense of their responsibility to improve outcomes for historically marginalized students. Culturally responsive practice (CRP) is a framework of beliefs and practices to enhance these students’ success. Additionally, it is well established that family engagement in schools also supports student achievement. This qualitative case study explores the intersection of CRP and family engagement by focusing on two research questions: (1) How do educators understand CRP in efforts to engage families of marginalized students and (2) How do educators enact that understanding in practice? It is part of a larger case study examining understanding and enactment of CRP in a diverse Massachusetts school district. Along with Mapp’s (2013) Dual Capacity Building Framework of family engagement, I apply Maitlis’ (2005) organizational sensemaking theory to data collected from semi-structured interviews, document review and an online survey. Findings reveal that educators understood CRP in regards to family engagement as the need to know students and families and recognize differences in their cultures. Also, educator understanding emanates from both personal and professional experiences including learning from colleagues, students and families. However, educators lack a common definition or understanding of CRP in regards to family engagement. Consequently, family engagement practices vary and tend to be more traditional versus reflective of CRP. This study revealed the need for stronger district direction and support for CRP and family engagement
Thesis (EdD) — Boston College, 2020
Submitted to: Boston College. Lynch School of Education
Discipline: Educational Leadership and Higher Education
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Cooper, Heather L. "Evidence-based practice and asthma guideline adherence and barriers a study of a university family practice clinic /". Laramie, Wyo. : University of Wyoming, 2007. http://proquest.umi.com/pqdweb?did=1400966251&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.
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Polaha, Jodi, Tim Bishop, Leigh Johnson, Diana Heiman, Reid B. Blackwelder, Brandon Mizell, Richard Veerman e C. Bridges. "Champion Teams: An Implementation Strategy for Building Interprofessional Practice in Family Medicine Residency Clinics". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6568.
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Chan, Vivian Wing Yan. "Promoting change through collaboration : reshaping the professional boundaries of family physicians through the Division of Family Practice". Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/42867.
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A collaborative framework is increasingly being used to promote change in the way health services are being provided. Collaborations have been studied mostly from a team perspective in health services research (HSR); system and institutional levels of analysis are underutilized. Applying an (neo) institutional perspective, this dissertation explored the role of interorganizational collaborative relationships in promoting practice change in family physicians. Specifically changes in the professional boundaries of family physicians were examined. The dissertation is comprised of two parts. The first study was a systematic qualitative examination of the HSR literature on the concept of professional boundary for family physicians. Fifty articles were reviewed. Conceptual distinctions used by family physicians to describe their role and their work were synthesized to form a multi-faceted notion of professional boundaries of family physicians (i.e., task-related, object-related, and relational). The second study was a case study of a new organizational form, the Division of Family Practice, in a suburban community in British Columbia. The new organizational form employed a collaborative framework to promote system and professional practice change in primary care. Findings were generated from interview texts, organizational documents, and participant observations. The study investigated how professional boundaries of family physicians are being reshaped through family physician’s involvement in collaborative relationships under the Division of Family Practice. Conclusion: collaborations provide a physical as well as a social space for partners (family physicians, the health authority, the government, and the medical association) to share, challenge, and shape each other’s perspectives, values, interests, and goals. The case study demonstrated the Division of Family Practice was successful at disrupting the physician institution and reshaping professional boundaries for family physicians as 1) the profession of family practice is undergoing a process of deinstitutionalization: the professional boundaries of family physicians are not as clear and distinct as they once were and have become a weakened institutional element; 2)the Division was able to disturb and reformulate the reward and sanction mechanisms for family physicians; and 3) the Division has enabled core assumptions and beliefs about family practice to be broken down and redefined.
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Martin, Lauren Leigh. "TECHNOLOGIES OF APPREHENSION: THE FAMILY, LAW, SECURITY, AND GEOPOLITICS IN US NONCITIZEN FAMILY DETENTION POLICY AND PRACTICE". UKnowledge, 2011. http://uknowledge.uky.edu/gradschool_diss/138.
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This dissertation examines how US immigrant family detention policy emerged from reinvigorated border security priorities, immigration policing practices, and international migration flows. Based on a qualitative mixed methods approach, the research traces how discourses of threat, vulnerability, and safety produce detainable child and parent subjects that displace “the family” as a legal entity. I show that immigration law relies on specific kinds of geographical knowledge, producing what I call the ‘geopolitics of vulnerability.’ More broadly, I analyze how current immigration enforcement practices work at local, national, and international scales, so that detention deters future migration as much as it penalizes existing undocumented migrants. Tracing how legal categorization, isolation, criminalization, and forced mobility discipline detained families, I show how detention bears down on migrant networks, defying individualized and national scalings of immigration law. Family detention, like the broader detention system, is authorized through overlapping forms of administrative discretion, and I analyze how the “plenary doctrine of immigration” resonates with ICE’s discretionary authority. Finally, I trace how immigrant rights advocates mobilizes conceptions of “home-like” and “prison-like” facilities, and how ICE reimagined its “residential” facilities in response. Empirically and theoretically, my project contributes the first academic study of US family detention to research on kinship, citizenship, security, geopolitics, and immigration enforcement.
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Lee, Jacqueline. "The whole family approach in policy and practice : the construction of family and the gendering of parenting". Thesis, Cardiff University, 2014. http://orca.cf.ac.uk/69695/.
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This thesis interrogates what a whole family approach is in Welsh policy and practice utilising an Integrated Family Support Team (IFST) as the case study. The study examines the construction of ‘family’ in policy, practice and by parents themselves and the impact of gender on practitioner and parental normative constructions of mothering and fathering as care practices. Both the UK and Welsh governments locate their use of a whole family approach within a social exclusion framework that views strong familial bonds as the source of sustainable social capital. Documentary analysis is used to examine the policy construction of a whole family approach and of the target families themselves, as this has implications for the application of a whole family approach in practice and the type and nature of family engagement. To date there has been very limited articulation of the therapeutic process entailed in a whole family approach. Through the use of practitioner interviews this thesis addresses that gap in research. It is imperative to gain an understanding of how practitioners conceptualise and engage with families within a whole family approach as this determines which individuals are included and excluded. This is a particularly pertinent issue given the well-rehearsed arguments regarding mother-blaming and lack of father inclusion within child protection practice. Parental perspectives on the construction of ‘family’, and aspirations for both family life and their own mothering and fathering practices, are explored via analysis of parental accounts and values card-sort statements as recorded (and thereby mediated) by IFST practitioners. The findings from this analysis are that there is a considerable degree of constructive conceptual alignment between policy, practice and parental perspectives on the construction of family, and the gendering of parenting as care practices.
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Polaha, Jodi, Tim Bishop e Leigh Johnson. "A Collaborative Practice Model for Behavioral Health in Primary Care". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6668.
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Kelly, Nancy. "Decision making in child protection practice". Thesis, University of Huddersfield, 2000. http://eprints.hud.ac.uk/id/eprint/4845/.
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This research explores the decision making processes of individuals and groups engaged in child protection practice within social services departments in the UK. The emphasis of the research was to consider how the application of psychological theories and concepts might allow a descriptive and interpretative evaluation of decision processes in child protection practice. The research sought to elaborate upon much of previous social work literature in that it focused upon the processes of decision making rather than the outcomes for participants. Similarly it sought to elaborate upon literature in decision theory in that it focused upon real world, ongoing and naturalistic decision situations. The theoretical framework used in the research was an integrated model of decision making under conditions of risk proposed by Whyte (1989,1991). This model outlines circumstances under which individuals and groups may take decisions in the directions of risk or caution. The methodological approach was grounded in the principles of qualitative research. Drawing upon Forster (1994) and Yin (1989) documentary analysis was applied to case studies. The research considered documents in relation to two categories of child protection cases. Initially those where children who were already known to child protection practitioners had died, namely, child death inquiry reports. Ongoing cases within a local authority child protection department, where the outcomes and decision making were considered to be positive, were then analysed. The interpretation from the first stage of the research suggested that all the concepts outlined in Whyte's model could have explanatory value and that the deaths of children could be a consequence of the ways in which decisions are framed and which leave children in situations of risk. The second stage involved the analysis of documents in relation to eight ongoing cases within a local authority. The number of group meetings held in the eight cases was 38 and in 71% of these the operation of the certainty effect in the direction of risk was evident. In the remaining 39% there was evidence that the certainty effect operated in the direction of caution. Within the documents there was some evidence of group polarisation and groupthink. Resources were committed and escalated consistently in order to ensure the effectiveness of initial plans of action despite evidence that these were unsuccessful in terms of the overall well being of the children. The decisions were shown to be bounded by the 'objective' principles of the Children Act 1989 and Working Together (1991). However themes that emerged from the analysis of the cases suggest that there is a 'subjective' influence on decision processes. Evident within the analysis was a shared fundamental belief in keeping children with their mothers. Both these objective and subjective influences suggest that almost inevitably decision making in child protection practice will be driven in directions that result in courses of action that involve potential and actual risks for children. The findings emphasise how an explicit recognition of the multifaceted nature of decision making can assist in more reflective practice. The ways in which national and local policy impacts upon decision processes, at the level of the individual and groups, need to be monitored in order that the needs of children in situations that involve risk remain paramount.