Conclusion: Gazing with Soft Eyes: Envisioning a Responsive, Integrative Healthcare System

2018 ◽  
pp. 689-692
Author(s):  
Mary Koithan
Keyword(s):  
Healthcare System ◽  
Clinical Settings ◽  
Delivery Of Care ◽  
Call To Action ◽  
Health And Wellbeing ◽  
System P ◽  
Integrative Healthcare ◽  
Policy Arena

Integrative nursing offers a way to transform our beleaguered healthcare system, offering new solutions and paths to a system that is responsive, person-centered, relationship-based that is also affordable, and accessible. The principles of integrative nursing offer additional clarity about nursing’s role in the delivery of care across patient populations and clinical settings to promote health and wellbeing as well as serves as a call to action in the policy arena. Integrative nurses not only provide care that supports wholeness and healing but serve as activists that advocates for a hopeful and inclusive healthcare system.

Choice Matters

2018 ◽  
Author(s):  
Gordon Moore ◽  
John A. Quelch ◽  
Emily Boudreau
Keyword(s):  
Public Policy ◽  
Social Media ◽  
Healthcare Provider ◽  
Healthcare System ◽  
Consumer Choice ◽  
Marketing Management ◽  
Appropriate Use ◽  
System P ◽  
The U.S

Choice Matters: How Healthcare Consumers Make Decisions (and Why Clinicians and Managers Should Care) is a timely and thoughtful exploration of the controversial role of consumers in the U.S. healthcare system. In most markets today, consumers have more options and autonomy than ever before. Empowered consumers easily shop around for products and services that better meet their needs, and they widely share their reviews on social media to inform and influence other consumers. Businesses have responded with better experiences and prices to compete for consumers’ business. Though healthcare has lagged behind other industries in this respect, there is a rising tide of interest in consumer choice and empowerment in healthcare markets. However, most healthcare provider organizations, individual doctors, and health insurers are unprepared to consider patients as consumers. The authors draw upon the fields of medicine, marketing, management, psychology, and public policy as they take a substantive, in-depth look at consumer choice and point out its appropriate use, as well as its limitations. This book addresses perplexing issues, such as how healthcare differs from other consumer-driven markets, how consumers make healthcare decisions, and how increased consumer choice in healthcare can not only aid and empower American consumers but also improve the overall healthcare system.

A Systematic Review of Practiced-Based Research of Complementary and Integrative Health Therapies as Provided for Pain Management in Clinical Settings: Recommendations for the Future and A Call to Action

Pain Medicine ◽  
2021 ◽  
Author(s):  
Natalie L Dyer ◽  
Jessica Surdam ◽  
Jeffery A Dusek
Keyword(s):  
Systematic Review ◽  
Rating Scale ◽  
Retention Rates ◽  
Future Research ◽  
Clinical Settings ◽  
Call To Action ◽  
Integrative Health ◽  
Positive Effects ◽  
Percent Improvement ◽  
Pain Outcomes

Abstract Objective The goal of this systematic review was to evaluate practice-based, real-world research of individualized complementary and integrative health (CIH) therapies for pain as provided in CIH outpatient clinics. Methods A systematic review was conducted using PubMed, Ovid, Cochrane, Web of Science, Scopus and Embase through Dec 2020. The study was listed in the PROSPERO database (CRD42020159193). Major categories of variables extracted included study details and demographics; interventions; and outcomes. Results The literature search yielded 3,316 records with 264 assessed for full text review. Of those, 23 studies (including ∼8,464 patients) were specific to pain conditions as a main outcome. Studies included chiropractic, acupuncture, multimodal individualized intervention/programs, physiotherapy, and anthroposophic medicine therapy. Retention rates ranged from 53% to 91%, with studies offering monetary incentives showing the highest retention. The 0–10 numerical rating scale was the most common pain questionnaire (n = 10, 43% of studies), with an average percent improvement across all studies and timepoints of 32% (range 18–60%). Conclusions Findings from this systematic review of practice-based, real-word research indicate that CIH therapies exert positive effects on various pain outcomes. Although all studies reported beneficial impacts on one or more pain outcomes, the heterogeneous nature of studies limits our overall understanding of CIH as provided in clinical settings. Accordingly, we present numerous recommendations to improve publication reporting and guide future research. Our call to action is future, practice-based CIH research is needed, but should be more expansive and in association with a CIH scientific society with academic and healthcare members.

scholarly journals Linking the Unitary Paradigm to Policy through a Synthesis of Caring Science and Integrative Nursing

2017 ◽  
Vol 30 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Mary S. Koithan ◽  
Mary Jo Kreitzer ◽  
Jean Watson
Keyword(s):  
Patient Care ◽  
Healthcare System ◽  
Care Delivery ◽  
Healthcare Policy ◽  
Patient Centered ◽  
Nursing Knowledge ◽  
Call To Action ◽  
Caring Science ◽  
Patient Care Delivery

The principles of integrative nursing and caring science align with the unitary paradigm in a way that can inform and shape nursing knowledge, patient care delivery across populations and settings, and new healthcare policy. The proposed policies may transform the healthcare system in a way that supports nursing praxis and honors the discipline’s unitary paradigm. This call to action provides a distinct and hopeful vision of a healthcare system that is accessible, equitable, safe, patient-centered, and affordable. In these challenging times, it is the unitary paradigm and nursing wisdom that offer a clear path forward.

Normal physiology of the endocrine system

2016 ◽  
Author(s):  
Simon Baudouin ◽  
Steve Ball
Keyword(s):  
Endocrine System ◽  
Cellular Level ◽  
Signal Transduction Pathways ◽  
Clinical Settings ◽  
Hormone Regulation ◽  
Functional Design ◽  
Hormone Action ◽  
Adaptive Responses ◽  
System P

The endocrine system describes an array of chemical signals (hormones). Working in concert with the nervous system, the endocrine system forms a complex neurohumoral network, communicating changes in the environment to facilitate adaptive responses and serving to integrate those responses in a coherent, coordinated manner. The endocrine system has inherent rhythmicity, which has important implications for the integration and coordination of metabolism, and how we measure endocrine signals in clinical settings. At a cellular level, hormone action is mediated through a series of discrete, but interacting signal transduction pathways. This chapter outlines a functional design approach to endocrinology; providing a framework covering the principles of hormone regulation and hormone action—critical for understanding the role of the endocrine system in physiology and pathophysiology.

DNP Residency: A Model for the Clinical Doctorate

2008 ◽  
Vol 1 (2) ◽  
pp. 81-85
Author(s):  
Judy Honig ◽  
Janice Smolowitz
Keyword(s):  
Nursing Education ◽  
Nursing Practice ◽  
Clinical Settings ◽  
Clinical Practicum ◽  
Doctor Of Nursing Practice ◽  
Delivery Of Care ◽  
Clinical Doctorate ◽  
Over Time

The doctor of nursing practice clinical residency is a key component of doctoral nursing education that combines clinical practicum with scholarly reading and seminars to provide an in-depth experience for students. During the residency students integrate and synthesize knowledge by demonstrating competency in an area of nursing practice and completing a scholarly project. This article describes a doctor of nursing practice residency for students whose focus is the delivery of care to a panel of patients across clinical settings over time.

scholarly journals Canadian smart cities: health remedies, side effects and hard to swallow pills

2021 ◽  
Author(s):  
Andrew Ramsaroop
Keyword(s):  
Side Effects ◽  
Performance Measurement ◽  
Case Studies ◽  
Healthcare System ◽  
Smart City ◽  
Smart Cities ◽  
National Data ◽  
Health And Wellbeing ◽  
Individual Privacy ◽  
Measurement Framework

This research paper investigates the ways in which health was talked about and addressed in Infrastructure Canada’s Smart City Challenge. Using the Smart City Challenge applications as the basis of the research, and two as in depth case studies. The main critiques of Smart City Technologies, as well as the concept of Co Creation, and a Performance Measurement Framework were used to identify if the applications could improve, how and if citizens were engaged meaningfully, and where in the healthcare system will the proposed technologies make measurable improvements. Findings from the study indicate there needs to be: greater protections for individual privacy, greater resident engagement/involvement, having health and wellbeing as core nets of a smart city challenge, and greater protections for indigenous data sovereignty. If these recommendations are taken into account, they will lead to more robust applications in the next iteration Smart City Challenge, and will provide invaluable steps towards greater national data guidelines.

scholarly journals Addressing Health-Related Myths in the Culturally Diverse African American Population: A Call to Action

2021 ◽  
Author(s):  
Lucson Joseph
Keyword(s):  
Healthcare System ◽  
West Indies ◽  
Culturally Diverse ◽  
Healthcare Services ◽  
The United States ◽  
Call To Action ◽  
African American Population ◽  
Adverse Health Outcomes ◽  
Health Related ◽  
Barriers To Healthcare

African Americans (AAs) experience numerous challenges that socially, economically, and physically affect their communities. Recent studies have found that a diverse array AAs encounter many struggles as they navigate the United States (U.S.) healthcare system to access care and receive healthcare services. AA communities are significantly affected by the burden of chronic diseases. They face considerable barriers to healthcare services that contribute to adverse health outcomes. This paper explains the daily struggles many AAs face within their communities to access and navigate the healthcare system due to culturally held myths and barriers. This paper discusses commonly held myths among Afro-Caribbean and West Indies populations living within the state of Georgia to suggest a call to action to address health disparities in this population.

Part Two Rights, 6 Social Rights

2017 ◽  
Author(s):  
Espinosa Manuel José Cepeda ◽  
Landau David
Keyword(s):  
Healthcare System ◽  
Economic Crisis ◽  
Large Scale ◽  
Case Law ◽  
Civil Servants ◽  
Social Rights ◽  
Constitutional Court ◽  
Internally Displaced Persons ◽  
Internally Displaced ◽  
System P

This chapter looks at the Court’s extensive jurisprudence on social rights. The Colombian Constitution of 1991 contains a long list of social rights, however it was initially unclear to what extent they were justiciable. The Constitutional Court quickly established that they could be litigated in many circumstances, and has since developed case law reaching across many different domains. This chapter considers, for example, the Court interventions in the rights to health, housing, and water. It also reviews the Court’s response to the economic crisis of the late 1990s, in which it weighed the need for austerity against the rights of homeowners and civil servants. Finally, it looks at the Court’s major structural injunctions and ongoing supervision on certain large-scale public problems, including the rights of internally displaced persons and the structure of the healthcare system.

scholarly journals The Kaleidoscope Model of Integrative Healthcare as a collaborative paradigm for cardiology and chiropractic: a call to action

2018 ◽  
Vol 7 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Daniel J. Cohen ◽  
Steven Schulman ◽  
Charles S. Masarsky ◽  
Marion Todres-Masarsky
Keyword(s):  
Call To Action ◽  
Integrative Healthcare

Disseminating, Teaching, and Implementing Evidence-Based Practices

2016 ◽  
pp. 247-266
Author(s):  
John C. Norcross ◽  
Thomas P. Hogan ◽  
Gerald P. Koocher ◽  
Lauren A. Maggio
Keyword(s):  
Implementation Science ◽  
Empirical Research ◽  
Healthcare System ◽  
Research Evidence ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Evidence Based Practices ◽  
What Works ◽  
System P

Moving research evidence from science to service, from the lab bench to the bedside, poses a challenge for evidence-based practices (EBPs). Translation(al) research inclusively refers to the process of successfully moving research-supported discoveries into established practice and policy. This chapter begins with synopses of the empirical research on predicting adoption of EBP and the barriers to its implementation. The chapter then reviews effective methods for disseminating, teaching, and implementing EBPs. Like EBP itself, the new field of implementation science sensitively integrates the best research evidence, clinical expertise, and staff characteristics and preferences into deciding what works in each unique healthcare system.

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