scholarly journals Trauma-informed knowledge, awareness, practice, competence and confidence of rural health staff: A descriptive study

2021 ◽  
Vol 11 (9) ◽  
pp. 1
Author(s):  
Kaye Ervin ◽  
Carol Reid ◽  
Tegan Podubinski ◽  
Jacquie Phillips
Keyword(s):  
Rural Health ◽  
Health Care Systems ◽  
Health Staff ◽  
Trauma History ◽  
Trauma Informed Care ◽  
Service Staff ◽  
Care Systems ◽  
Trauma Informed ◽  
Survey Results

Background and objective: By adopting a trauma-informed approach to care at the organisational and clinical levels, health care systems and providers can enhance the quality of care that they deliver and improve health outcomes for individuals with a trauma history. This study aimed to explore the trauma-related knowledge, attitudes awareness, practice, competence and confidence of health service staff from three small rural health services in Victoria, Australia, and examine their self-reported capacity to respond to clients with a trauma history.Methods: Staff from each site were invited to complete a paper-based survey. The survey included demographic information and questions related to knowledge and understanding of trauma, experience of trauma-informed care and confidence engaging in, and perceived importance of, trauma-informed practices. Results: The respondents were predominately nurses. Results showed that 16% of respondents had undertaken training in trauma-informed care and 44% disagreed that they had an understanding of trauma-informed practices. There were high levels of agreement for statements related to knowledge and understanding of trauma and low levels of agreement with statements related to experience of trauma-informed care. More than 70% of respondents reported that they had little knowledge of the principals of trauma-informed care, and little experiencing with practicing trauma-informed care.Discussion and conclusions: Overall, the survey results showed that staff were trauma-aware, but supported the need for more education and training in trauma-informed practices and improved organisational approaches to support trauma-informed approaches. It is important for organisations to shift from being trauma aware to being trauma-informed, by building foundational awareness of these practices and reinforcement through continuing education.

Hallucinogenic/psychedelic 5HT2A receptor agonists as rapid antidepressant therapeutics: Evidence and mechanisms of action

2021 ◽  
pp. 026988112098642
Author(s):  
Rafael Guimarães dos Santos ◽  
Jaime EC Hallak ◽  
Glen Baker ◽  
Serdar Dursun
Keyword(s):  
Health Care Systems ◽  
Treatment Compliance ◽  
Therapeutic Effects ◽  
Beneficial Effects ◽  
Antidepressant Effects ◽  
Care Systems ◽  
Drug Treatments ◽  
Fast Acting

Major depressive disorder (MDD) is among the most prevalent mental health disorders worldwide, and it is associated with a reduced quality of life and enormous costs to health care systems. Available drug treatments show low-to-moderate response in most patients, with almost a third of patients being non-responders (treatment-resistant). Furthermore, most currently available medications need several weeks to achieve therapeutic effects, and the long-term use of these drugs is often associated with significant unwanted side effects and resultant reductions in treatment compliance. Therefore, more effective, safer, and faster-acting antidepressants with enduring effects are needed. Together with ketamine, psychedelics (or classic or serotoninergic hallucinogens) such as lysergic acid diethylamide (LSD), psilocybin, and ayahuasca are among the few compounds with recent human evidence of fast-acting antidepressant effects. Several studies in the 1950s to 1970s reported antidepressive and anxiolytic effects of these drugs, which are being confirmed by modern trials (LSD, one trial; psilocybin, five trials; ayahuasca, two trials). The effects of these drugs appear to be produced primarily by their agonism at serotonin (5-hydroxytryptamine, 5-HT) receptors, especially the 5-HT2A receptor. Considering the overall burden of MDD and the necessity of new therapeutic options, the promising (but currently limited) evidence of safety and efficacy of psychedelics has encouraged the scientific community to explore more fully their beneficial effects in MDD.

‘Untying the Knot’: Achieving Integrative and Collaborative Care within Trauma and Fear Saturated Systems – A Practice-Focused Discussion Paper

2017 ◽  
Vol 42 (2) ◽  
pp. 104-107 ◽  
Author(s):  
Dilip Balu
Keyword(s):  
Child Protection ◽  
Health Care Systems ◽  
Traumatic Experience ◽  
Ripple Effect ◽  
Discussion Paper ◽  
Care Systems ◽  
Trauma Informed ◽  
The Impact ◽  
The Brain ◽  
Mental Health Care Systems

The author's clinical experience with the Child Protection and Mental Health Care systems informs this brief practice-focused paper. The author posits that Secondary Traumatic Stress and Vicarious Trauma are central to understanding the impact of relationally traumatic material and the experience of individuals, families, team and the wider ecology of care systems. In particular, the author hypothesises that the tendency of systems to become fragmented in operation, with silos of sub-parts working parallel to each other, may be a natural adaptation to the ways in which traumatic experience ripples across system boundaries. This ‘ripple effect’ may lead to increasing emotional and relational reactivity, and survival-oriented inward focus of energies and efforts. The metaphor of the brain and nervous system is used to explore ideas of connection and integration in care systems. Trauma-informed leadership by individuals and teams is also touched upon in relation to reducing fear-driven clinical practice.

PENGARUH PENDIDIKAN KESEHATAN CUCI TANGAN TERHADAP PERILAKU CUCI TANGAN DI TK AISYIYAH BUSTANUL ATHFAL BALONGUMBULHARJO CANGKRINGAN SLEMAN YOGYAKARTA

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Widuri Widuri ◽  
Atik Badi’ah ◽  
Tomi Darmawan
Keyword(s):  
Health Education ◽  
Health Behavior ◽  
Health Care Systems ◽  
Hand Washing ◽  
Paired Samples ◽  
Children Health ◽  
Significant Difference ◽  
Care Systems ◽  
Child Health Behavior

Background: Improving the quality of life of children one of which isdetermined by plantingearly child health behavior. Behavior of school children are very varied. If not recognized early, these health problems will affect the learning achievements and future children. Health behavior is a person's response to stimuli or objects associated with illness and disease, health care systems, food, drinks and the environment. Many children do not wash their hands before eating, so it can result in bacteria that is in the hand will be brought in with the food through the mouth and throat to the digestive tract so that the occurrence of gastrointestinal disease.Objective: Knowing the effect of health education hand washing behavior of hand washing in TK Aisyiyah Bustanul Athfal Balong umbulharjo Cangkringan Sleman Yogyakarta.Research methods: This type  of research is one group pretest posttest.Research has been conducted kindergarten Aisyiyah Bustanul Athfal BalongUmbulharjo Cangkringan Sleman Yogyakarta for 2 days commencing on 26 April to 28 April 2014.Results: The results of paired samples correlation calculations indicate thatthere is significant influence effect of health education hand washing behavior of hand washing with sig. (Tailed).000Conclusion: A  significant difference between the effect of health educationhand washingbehavior of hand washing in TK Aisyiyah Bustanul Athfal Balong Umbulharjo Cangkringan Sleman Yogyakarta.

From “Don't Ask, Just Trust” to “Trust Those Who are Accountable”

2014 ◽  
Vol 3 (2) ◽  
pp. 60-73
Author(s):  
Vahé A. Kazandjian
Keyword(s):  
Health Care ◽  
Performance Improvement ◽  
Health Care Systems ◽  
Project Design ◽  
The Past ◽  
Measurement Tools ◽  
Care Systems ◽  
Key Dimensions ◽  
Local Traditions

The past three decades have primarily focused on improving performance across health care providing organizations and even individual professionals. While their interest in performance improvement is global, the strategies across health care systems remain variable and the resulting methods of accountability to select audiences continue to be influenced by tradition and expectation. The purpose of this article is to review the key dimensions of the operationalization of performance measurement and the translation of its findings to statements about quality of care. While significant literature exists on the conceptual debates about the nature of quality, the deciding factor in demonstrating that better quality may have been achieved resides in the acceptability of the measurement tools to translate performance measures into profiles of quality. Fundamentally, the use of the tools is seen as only one component of a successful strategy – the education of various audiences as to what the measures mean not only is a necessary requisite for sound project design but also will determine how the accountability model is shaped in each environment based on the generic measurement tools results, local traditions of care and caring, and expectations about outcomes.

Implementing Distress Screening in a Community and Veteran’s Administration Oncology Clinic

2018 ◽  
Author(s):  
Paul Montgomery ◽  
Nicole Thurston ◽  
Michelle Betts ◽  
C. Scott Smith
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Department Of Veterans Affairs ◽  
Distress Screening ◽  
Community Clinic ◽  
Patients With Cancer ◽  
Community Oncology ◽  
Care Systems

The complexities of cancer treatment present a myriad of life-altering impacts for patients. These impacts can be addressed only if health care systems have been designed to detect and address all of these challenges. One significant, but often hidden, challenge is distress. This reaction to the myriad obstacles that cancer presents can impact the quality of life, and influence outcomes, of patients with cancer. Health systems have been slow to address these problems, and a prime example is the implementation of a distress screening and management system. This case study summarizes distress screening in a community oncology clinic compared to a Department of Veterans Affairs (VA) oncology clinic. The community clinic responded to accreditation and grant-driven initiatives, whereas the VA responded to mental health and integrated primary care initiatives. This case study explores the history and the ongoing challenges of distress screening in these community-based health care systems.

scholarly journals Data Object Exchange (DOEx) as a Method to Facilitate Intraorganizational Collaboration by Managed Data Sharing: Viewpoint (Preprint)

2020 ◽  
Author(s):  
Ronald G Hauser ◽  
Ankur Bhargava ◽  
Ronald Talmage ◽  
Mihaela Aslan ◽  
John Concato
Keyword(s):  
Data Sharing ◽  
Web Application ◽  
Health Care Systems ◽  
Veterans Health ◽  
Health Administration ◽  
Specialized Knowledge ◽  
Data Object ◽  
Care Systems ◽  
User Groups

BACKGROUND To help reduce expenses, shorten timelines, and improve the quality of final deliverables, the Veterans Health Administration (VA) and other health care systems promote sharing of expertise among informatics user groups. Traditional barriers to time-efficient sharing of expertise include difficulties in finding potential collaborators and availability of a mechanism to share expertise. OBJECTIVE We aim to describe how the VA shares expertise among its informatics groups by describing a custom-built tool, the Data Object Exchange (DOEx), along with statistics on its usage. METHODS A centrally managed web application was developed in the VA to share informatics expertise using database objects. Visitors to the site can view a catalog of objects published by other informatics user groups. Requests for subscription and publication made through the site are routed to database administrators, who then actualize the resource requests through modifications of database object permissions. RESULTS As of April 2019, the DOEx enabled the publication of 707 database objects to 1202 VA subscribers from 758 workgroups. Overall, over 10,000 requests are made each year regarding permissions on these shared database objects, involving diverse information. Common “flavors” of shared data include disease-specific study populations (eg, patients with asthma), common data definitions (eg, hemoglobin laboratory results), and results of complex analyses (eg, models of anticipated resource utilization). Shared database objects also enable construction of community-built data pipelines. CONCLUSIONS To increase the efficiency of informatics user groups, a method was developed to facilitate intraorganizational collaboration by managed data sharing. The advantages of this system include (1) reduced duplication of work (thereby reducing expenses and shortening timelines) and (2) higher quality of work based on simplifying the adoption of specialized knowledge among groups.

scholarly journals Data Object Exchange (DOEx) as a Method to Facilitate Intraorganizational Collaboration by Managed Data Sharing: Viewpoint

10.2196/19267 ◽  
2020 ◽  
Vol 8 (10) ◽  
pp. e19267
Author(s):  
Ronald G Hauser ◽  
Ankur Bhargava ◽  
Ronald Talmage ◽  
Mihaela Aslan ◽  
John Concato
Keyword(s):  
Data Sharing ◽  
Web Application ◽  
Health Care Systems ◽  
Veterans Health ◽  
Health Administration ◽  
Specialized Knowledge ◽  
Data Object ◽  
Care Systems ◽  
User Groups

Background To help reduce expenses, shorten timelines, and improve the quality of final deliverables, the Veterans Health Administration (VA) and other health care systems promote sharing of expertise among informatics user groups. Traditional barriers to time-efficient sharing of expertise include difficulties in finding potential collaborators and availability of a mechanism to share expertise. Objective We aim to describe how the VA shares expertise among its informatics groups by describing a custom-built tool, the Data Object Exchange (DOEx), along with statistics on its usage. Methods A centrally managed web application was developed in the VA to share informatics expertise using database objects. Visitors to the site can view a catalog of objects published by other informatics user groups. Requests for subscription and publication made through the site are routed to database administrators, who then actualize the resource requests through modifications of database object permissions. Results As of April 2019, the DOEx enabled the publication of 707 database objects to 1202 VA subscribers from 758 workgroups. Overall, over 10,000 requests are made each year regarding permissions on these shared database objects, involving diverse information. Common “flavors” of shared data include disease-specific study populations (eg, patients with asthma), common data definitions (eg, hemoglobin laboratory results), and results of complex analyses (eg, models of anticipated resource utilization). Shared database objects also enable construction of community-built data pipelines. Conclusions To increase the efficiency of informatics user groups, a method was developed to facilitate intraorganizational collaboration by managed data sharing. The advantages of this system include (1) reduced duplication of work (thereby reducing expenses and shortening timelines) and (2) higher quality of work based on simplifying the adoption of specialized knowledge among groups.

Rural health care systems

JAMA ◽  
1971 ◽  
Vol 216 (10) ◽  
pp. 1623-1626 ◽  
Author(s):  
V. E. Wilson
Keyword(s):  
Health Care ◽  
Rural Health ◽  
Rural Health Care ◽  
Health Care Systems ◽  
Care Systems
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