The Power of One: Clinical Practice in Neurogenics: Informing the Public

1999 ◽  
Vol 9 (4) ◽  
pp. 35-35
Author(s):  
Nancy Helm-Estabrooks
Keyword(s):  
Clinical Practice ◽  
The Public

scholarly journals Impact of the COVID-19 Pandemic on Physicians Working in the Head and Neck Field

2021 ◽  
Vol 25 (01) ◽  
pp. e150-e159
Author(s):  
Rui Imamura ◽  
Ricardo F. Bento ◽  
Leandro L. Matos ◽  
William N. William ◽  
Gustavo N. Marta ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Head And Neck ◽  
Personal Protective Equipment ◽  
Outpatient Care ◽  
Online Survey ◽  
Family Income ◽  
Protective Equipment ◽  
Psychological Burden ◽  
The Public ◽  
The Third

Abstract Background With the COVID-19 pandemic, the clinical practice of physicians who work in the head and neck field in Brazil dropped dramatically. The sustained impact of the pandemic is not known. Methods An anonymous online survey was distributed to Brazilian otolaryngologists, head and neck surgeons, medical and radiation oncologists, asking about their clinical practice in the third to fourth months of the pandemic. Results The survey was completed by 446 specialists. About 40% reported reduction of more than 75% in outpatient care. A reduction of 90% to 100% in airway endoscopies was reported by 50% of the responders, and the same rate of reduction regarding surgeries (pediatric or nasosinusal) was reported by 80% of them. Family income decreased by 50%, and the psychological burden on physicians was considerable. The availability of personal protective equipment and safety precautions were limited, especially in the public sector. Conclusion COVID-19 is still impacting the head and neck field, and safety concerns may hinder the prompt resumption of elective care.

scholarly journals The Defeat Depression Campaign

1997 ◽  
Vol 21 (3) ◽  
pp. 148-150 ◽  
Author(s):  
Ann Macaskill ◽  
Norman Macaskill ◽  
A. Nicol
Keyword(s):  
Clinical Practice ◽  
Royal College ◽  
Questionnaire Survey ◽  
Clinical Management ◽  
The Public ◽  
Health Practitioners ◽  
The Impact

The Royal College of Psychiatrists launched a five year campaign in 1992 to better inform health practitioners and the public about depression. A questionnaire survey of Sheffield general practitoners (GPs) to assess the impact of the Defeat Depression Campaign on their knowledge and clinical management of depression was carried out in May 1994, half way through the campaign. Overall, 75% of GPs who responded indicated that the Defeat Depression Campaign had had little or no impact on their clinical practice. It would appear that at its mid-point the Defeat Depression Campaign failed to achieve its main goals in relation to educating GPs about depression and its management.

Exodus of Clinicians from Public Sector to Non-Clinical Practice in Private Sector in Dar es Salaam Tanzania; Exploring the Drivers

2020 ◽  
Vol 31 (2) ◽  
pp. 45-58
Author(s):  
Elice Temu ◽  
Gasto Frumence ◽  
Nathanael Sirili
Keyword(s):  
Public Health ◽  
Clinical Practice ◽  
Public Sector ◽  
Private Sector ◽  
Work Environment ◽  
Health Workforce ◽  
Health Sector ◽  
Dar Es Salaam ◽  
Medical Doctors ◽  
The Public

Background: Globally, shortage of clinicians health workforce is among the major challenges facing the health systems of many countries including Tanzania. Migration of medical doctors from clinical practice to non-clinical practice partly contributes to this challenge. This study aimed to explore factors influencing Medical Doctors’ decision to migrate from clinical practice in the public sector to non-clinical practice in the private sector in Dar es Salaam Tanzania.Methods: An exploratory qualitative study was conducted using 12 in-depth interviews with medical doctors working in the private sector but formerly worked in the public health sector. Interviews were digitally recorded, transcribed verbatim and thematically analyzed.Results: Three main themes emerged; health system-level drivers that has three sub-themes, namely poor work environment, heavy workload due to shortage of clinicians and underfunded public health sector; individual-level drivers, which include four sub-themes: Age, area of specialization, marital status and empathy to patients; and external environment drivers consisting of two sub-themes: peer pressure and community culture.Conclusion: Improving the work environment through increased funding will partly address the main health system drivers underlying migration from the clinical practice. Furthermore, nurturing junior doctors to be enthusiastic and adapting to cultural shocks can partly help to address the individual and external drivers. Keywords: Shortage, Medical Doctors, Clinicians, Physicians, migration, health workforce, Tanzania Clinical Practice, Non-Clinical Practice.

Organizing for Knowledge Management

2011 ◽  
pp. 2261-2275
Author(s):  
J. David Johnson
Keyword(s):  
Knowledge Management ◽  
Clinical Practice ◽  
Health Professionals ◽  
Information Service ◽  
Third Party ◽  
Cancer Information ◽  
Cancer Information Service ◽  
Clinical Practices ◽  
The Public ◽  
Critical Knowledge

The Cancer Information Service is a knowledge management organization, charged with delivering information to the public concerning cancer. This chapter describes how societal trends in consumer/client information behavior impact clinical knowledge management. It then details how the CIS is organized to serve clients and how it can interface with clinical practice by providing referral, by enhancing health literacy, by providing a second opinion, and by giving crucial background, assurance to clients from neutral third party. The CIS serves as a critical knowledge broker, synthesizing and translating information for clients before, during, and after their interactions with clinical practices; thus enabling health professionals to focus on their unique functions.

scholarly journals Embedding the Mental Capacity Act 2005 in clinical practice: an audit review

2014 ◽  
Vol 38 (6) ◽  
pp. 291-293 ◽  
Author(s):  
Claudia Dunlop ◽  
Oluwatoyin Sorinmade
Keyword(s):  
Clinical Practice ◽  
Healthcare Professionals ◽  
Public Awareness ◽  
Mental Capacity ◽  
The Public ◽  
Audit Review ◽  
Mental Capacity Act 2005 ◽  
Improve Compliance ◽  
Audit Cycle ◽  
Mental Capacity Act

Aims and methodAn audit cycle assessed compliance of healthcare professionals within Oxleas NHS Foundation Trust with the statutory requirements of the Mental Capacity Act 2005 in patient care. Each stage involved a retrospective review of relevant patient electronic records. The additional purpose of the audit was to make recommendations to improve compliance with the requirement of the Act by healthcare professionals and improve patient understanding of its provisions.ResultsThe audit cycle demonstrated some improvement in clinical practice as well as the need for further efforts at raising the understanding and compliance of clinicians and the public with provisions of the Act.Clinical ImplicationsHealthcare professionals need further understanding of the provisions of the Act and their responsibilities. There is also the need to enhance public awareness to provisions of the Act in relation to their decision-making autonomy. Stakeholders need to put strategies in place for these to be achieved.

Evidence-Based Cancer Practices, Programs, and Interventions

2018 ◽  
Author(s):  
Maria E. Fernandez ◽  
Patricia Dolan Mullen ◽  
Jennifer Leeman ◽  
Timothy J. Walker ◽  
Cam Escoffery
Keyword(s):  
Public Health ◽  
Clinical Practice ◽  
Practice Guidelines ◽  
Cancer Control ◽  
Health Impact ◽  
Evidence Based ◽  
The Public ◽  
Different Types ◽  
Control Research ◽  
Control And Prevention

There are many evidence-based interventions, cancer control practices, programs, treatments, and clinical practice guidelines across cancer control and prevention topic areas that have great potential for decreasing the cancer burden. Nevertheless, challenges in identifying evidence-based interventions (EBIs) that match the needs of community and practice settings, adapting EBIs for new populations and contexts, and implementing EBIs in real-world settings limit the public health impact of cancer control research and its products. This chapter provides an introduction to existing EBIs for cancer control and provides examples of different types of EBIs across the cancer continuum. It highlights issues related to the identification of EBIs, including the evaluation of EBI resources. It also describes processes that can be used to enhance the development, adaptation, and implementation of evidence-based cancer control interventions.

scholarly journals Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Miguel A. Galán-Martín ◽  
Federico Montero-Cuadrado ◽  
Enrique Lluch-Girbes ◽  
M. Carmen Coca-López ◽  
Agustín Mayo-Iscar ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Primary Care ◽  
Chronic Pain ◽  
Clinical Practice ◽  
Physical Exercise ◽  
Public Health System ◽  
The Public ◽  
Neuroscience Education

Abstract Background Chronic musculoskeletal pain affects more than 20% of the population, and the prevalence is increasing, causing suffering, loss of quality of life, disability, and an enormous expenditure on healthcare resources. The most common location for chronic pain is the spine. Many of the treatments used are mainly passive (pharmacological and invasive) and poor outcomes. The treatments currently applied in the public health system do not comply with the recommendations of the main clinical practice guidelines, which suggest the use of educational measures and physical exercise as the first-line treatment. A protocol based on active coping strategies is described, which will be evaluated through a clinical trial and which could facilitate the transfer of the recommendations of the clinical practice guidelines to a primary care setting. Methods Randomised and multicentre clinical trials, which will be carried out in 10 Primary Care centres. The trial will compare the effect of a Pain Neuroscience Education program (six sessions, 10 h) and group physical exercise (18 sessions program carried out in six weeks, 18 h), with usual care physiotherapy treatment. Group physical exercise incorporates dual tasks, gaming, and reinforcement of contents of the educational program. The aim is to assess the effect of the intervention on quality of life, as well as on pain, disability, catastrophism, kinesiophobia, central sensitisation, and drug use. The outcome variables will be measured at the beginning of the intervention, after the intervention (week 11), at six months, and a year. Discussion Therapeutic interventions based on active coping strategies are essential for the treatment of chronic pain and the sustainability of the Public Health System. Demonstrating whether group interventions have an effect size is essential for optimising resources in such a prevalent problem. Trial registration NCT03654235 “Retrospectively registered” 31 August 2018.

scholarly journals The WCET® & Global Enterostomal Therapy Nursing Education

2019 ◽  
Author(s):  
Denise Hibbert
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Clinical Practice ◽  
Adult Learning ◽  
Clinical Supervision ◽  
Formal Education ◽  
Current Evidence ◽  
The Public ◽  
Self Study ◽  
Change In Practice

Enterostomal Therapist is just one of the titles used globally to identify nurses trained in the specialty of ostomy, wound and continence nursing (OWC). Enterostomal Therapy involves components of expert clinical practice, education, leadership and research. Enterostomal Therapists (ETs) are entrusted to be accountable for using their expertise to provide consultation for patients, physicians, nurses, health care organisations and the public. As ETs we are responsible for our education, in developing our expertise and in ensuring our knowledge is up to date in order to base our practice on current evidence. We also need to be discerning enough to know when evidence warrants a change in practice and how to translate this evidence at the bedside for individual patients. The acquisition of knowledge, skills and competence required to develop the expertise necessary to care for patients with these complex conditions, is generally via formal education, clinical supervision and mentorship, experience gained over years working in the field, and last but not least self-study using the principles of adult learning.

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