scholarly journals The role of registered nurses in primary care and public health collaboration: A scoping review

Nursing Open ◽  
2020 ◽  
Vol 7 (4) ◽  
pp. 1197-1207 ◽  
Author(s):  
Monica Swanson ◽  
Sabrina T. Wong ◽  
Ruth Martin‐Misener ◽  
Annette J. Browne

This chapter begins by covering the UK health profile, then defines the key concepts in primary care and public health, and outlines the generic long-term conditions model. It provides a brief overview of the National Health Service, including differences in England, Northern Ireland, Scotland, and Wales. It covers current NHS entitlements for people from overseas, commissioning of services, and public health in a broader context. It also describes health needs assessment, and provides an overview of the services in primary care, the role of general practice, and other primary healthcare services. Further services, including those to prevent unplanned hospital admission, aid hospital discharge, those that support children and families, housing, social support, and care homes are all covered.


Author(s):  
M. D. Abu Bashar ◽  
Nazia Begam

Diabetes is a major worldwide epidemic and a public health challenge of 21<sup>st</sup> century with &gt;415 million individuals living with the disease and this number is expected to grow to staggering 642 million by 2040. Of patients with this disease, 90% to 95% have type 2 DM. Factors contributing to this increase mainly of type 2 diabetes include an aging population, improved survival rates, and the increasing prevalence of overweight or obesity.


BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019367 ◽  
Author(s):  
Elizabeth A Sturgiss ◽  
Nicholas Elmitt ◽  
Emily Haelser ◽  
Chris van Weel ◽  
Kirsty A Douglas

ObjectivesObesity management is an important issue for the international primary care community. This scoping review examines the literature describing the role of the family doctor in managing adults with obesity. The methods were prospectively published and followed Joanna Briggs Institute methodology.SettingPrimary care. Adult patients.Included papersPeer-reviewed and grey literature with the keywords obesity, primary care and family doctors. All literature published up to September 2015. 3294 non-duplicate papers were identified and 225 articles included after full-text review.Primary and secondary outcome measuresData were extracted on the family doctors’ involvement in different aspects of management, and whether whole person and person-centred care were explicitly mentioned.Results110 papers described interventions in primary care and family doctors were always involved in diagnosing obesity and often in recruitment of participants. A clear description of the provider involved in an intervention was often lacking. It was difficult to determine if interventions took account of whole person and person-centredness. Most opinion papers and clinical overviews described an extensive role for the family doctor in management; in contrast, research on current practices depicted obesity as undermanaged by family doctors. International guidelines varied in their description of the role of the family doctor with a more extensive role suggested by guidelines from family medicine organisations.ConclusionsThere is a disconnect between how family doctors are involved in primary care interventions, the message in clinical overviews and opinion papers, and observed current practice of family doctors. The role of family doctors in international guidelines for obesity may reflect the strength of primary care in the originating health system. Reporting of primary care interventions could be improved by enhanced descriptions of the providers involved and explanation of how the pillars of primary care are used in intervention development.


2021 ◽  
Vol 19 (2) ◽  
pp. 2290
Author(s):  
Cláudia B. Santos-Pinto ◽  
Claudia S. Osorio-de-Castro ◽  
Larissa M. Ferreira ◽  
Elaine S. Miranda

Background: Zika virus (ZIKV) infection emerged in Brazil in 2015, leading to the declaration of a national public health emergency, mainly due to its consequences for pregnant women and newborn babies. The Zika epidemic demanded major efforts from the public health system to address the full range of disease consequences. Objective: The objective of this study was to investigate the role of Primary Health Care pharmacists working in the city of Campo Grande in the State of Mato Grosso do Sul. Methods: A qualitative cross-sectional interview-based study with pharmacists working in municipal Primary Health Care services was carried out to investigate knowledge about the disease and involvement in the response to the health emergency. Informed consent was obtained. After coding, the corpus underwent thematic analysis. Results: The data show that few professionals had received specific training in public health. Knowledge largely encompassed disease transmission by the mosquito and collective and individual preventive measures. Findings highlight knowledge gaps relating to signs and symptoms, diagnosis, consequences of infection, and the role of epidemiological surveillance. Most professionals mentioned at least one of the recommendations on the use of medicines in symptom management protocols. The practical implications surrounding knowledge gaps and misconceptions were reflected in pharmacists´ role in response, restricted to counselling on preventive measures. Few respondents participated in institutional groups and committees or in multiprofessional teams involving case management. Conclusions: The study identified important knowledge gaps and showed that the involvement of pharmacy professionals in the response to the Zika epidemic was timid or inadequate. The results also suggest that pharmacists failed to recognize their role in interventions related to the ZIKV epidemic. Findings highlight the need to increase the involvement of primary care pharmacists in community-based actions, for communication and reduction of health risks, and emergency preparedness and response.


2021 ◽  
Vol 2 (3) ◽  
pp. 133-148
Author(s):  
Nur Laeli Rokhmah ◽  
Mufdlillah Mufdlillah ◽  
Enny Fitriahadi

Public Health Center shows some decreases in health service during Covid 19 Pandemic. This scoping review aims to review evidence related to the implementation of PHC during Covid-19 Pandemic. This paper adopted Arksey O'Malley framework consisting of five stages: identifying scoping review questions and relevant articles; searching for articles, conducting charting data; compiling, summarizing and reporting results. This paper reviewed 6 articles. Three themes were obtained: the role of cadres; barriers; and innovations at PHC. The results conclude that the practice of PHC in Indonesia does not accomodate the community need adequately yet. Therefore it s necessary to evaluate PHC activities and improve partnership with community and related stakeholders


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Velez Lapão

Abstract Health evidence should drive health policies towards health determinants targets. Amongst the environmental health determinants, climate change represents now a clear public health threat. The constant increase of temperatures has multiple consequences on population health, already observed in Europe and elsewhere. The role of healthcare services is paramount, moreover the use of new technologies that can mitigate CO2 emissions and reduce costs while improving healthcare coverage. Reducing the impacts of climate change on the environment and population health is a challenge affecting everyone: it is therefore essential to get actors from all sectors, moreover from the technology side. A scoping review addressed the impact of digital health services on climate change mitigation. Leveraging from previous work on telemedicine and health digital services an impact analysis was done covering both the CO2 mitigation and Costs. An example from a 20 years' telemedicine service is used to exemplify the impact. The impact of a Telecardiology service, as an example of digital service, was addressed and the CO2 mitigation calculated. This service has so far avoided about 2000 flights from Africa to Europe, which means a reduction of more than 16 000 Tons of CO2. From this analysis is complemented with a scoping review showing the evidence from other digital health cases. The optimization of resources is critical in healthcare. In this regard, it is important to assess the actual benefits obtained with the health digital services, giving evidence on the righteousness of the decision-making. Clearly digital health services should be promoted to tackle both health coverage from distance patients and to mitigate climate change footprint and should motivate policy-makers to take this challenge more seriously. This work is contributing to SDG3, improving health, to SDG4, allowing to provide distance health education at relatively low cost and to SDG 13, by reducing the CO2 footprint.


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