Clinician attitudes, experiences, and use of coercion

2016 ◽  
Author(s):  
Beth Angell
Keyword(s):  
Health Care Professionals ◽  
Large Scale ◽  
Clinical Care ◽  
Healthcare Providers ◽  
Local Health ◽  
Voluntary Organizations ◽  
Staff Attitudes ◽  
The People ◽  
Care And Support ◽  
Key Factor

This chapter focuses on the people who provide clinical care and support in the community, including doctors, nurses, social workers, support workers, and psychologists who may be employed by the local health or social care authority, voluntary organizations, or private healthcare providers or occupational schemes. This chapter considers the evidence available from large-scale surveys in several countries of the opinions of mental health-care professionals about community coercion and their experiences of its use. Differences between different staff groups will be identified and conclusions drawn about what can or should be learnt from this. The often markedly similar staff attitudes will be described and the potential implications of this for practice outlined. Where formal powers to compel exist, their use varies both between and within jurisdictions and it is generally believed that staff attitudes are a key factor in this.

scholarly journals The Year of Care approach: developing a model and delivery programme for care and support planning in long term conditions

2019 ◽  
Author(s):  
Sue Roberts ◽  
Simon Eaton ◽  
Tracy Finch ◽  
Nick Lewis-Barned ◽  
Monique Lhussier ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Behaviours ◽  
Local Health ◽  
Implementation Framework ◽  
Long Term Conditions ◽  
Training Support ◽  
Care And Support ◽  
Health Communities

Abstract Background: People with long term conditions (LTCs) make most of the daily decisions and carry out the activities which affect their health and quality of life. Only a fraction of each contact with a health care professional (HCP) is spent supporting this. This paper describes how care and support planning (CSP) and an implementation framework to redesign services, were developed to address this in UK general practice. Focussed on what is important to each individual, CSP brings together traditional clinical issues and the person’s lived experience in a solution focussed, forward looking conversation with an emphasis on ‘people not diseases’. Methods: The components of CSP were developed in three health communities using diabetes as an exemplar. This model was extended and refined for other single conditions and multimorbidity across 40 sites and two nations, over 15 years. Working with local teams and communities the authors used theoretical models of care, implementation and spread, developing and tailoring training, support and resources to embed CSP as usual care, sharing learning across a community of practice. Results: The purpose, content, process, developmental hurdles and impact of this CSP model are described, alongside an implementation strategy. There is now a robust, reproducible five step model; preparation, conversation, recording, actions and review. Uniquely, preparation, involving information sharing with time for reflection, enables an uncluttered conversation with a professional focussed on what is important to each person. The components of the Year of Care House act as a checklist for implementation, a metaphor for their interdependence and a flexible framework. Spreading CSP involved developing exemplar practices and building capacity across local health communities. These reported improved patient experience, practitioner job satisfaction, health behaviours and outcomes, teamwork, practice organisation, resource use, and links with wider community activities. Conclusions: Tested in multiple settings, CSP is a reproducible and practical model of planned care applicable to all LTCs, with the capacity to be transformative for people with LTCs and health care professionals. It recaptures relational dimensions of care with transactional elements in the background. Options for applying this model and implementation framework at scale now need to be explored.

scholarly journals The Rationale for Potential Pharmacotherapy of COVID-19

2020 ◽  
Vol 13 (5) ◽  
pp. 96 ◽  
Author(s):  
Maha Saber-Ayad ◽  
Mohamed A. Saleh ◽  
Eman Abu-Gharbieh
Keyword(s):  
Clinical Trials ◽  
Health Care Professionals ◽  
Large Scale ◽  
Clinical Care ◽  
Management Strategies ◽  
Standard Of Care ◽  
World Health ◽  
High Morbidity ◽  
Human Coronavirus ◽  
The World

On 11 March 2020, the coronavirus disease (COVID-19) was defined by the World Health Organization as a pandemic. Severe acute respiratory syndrome-2 (SARS-CoV-2) is the newly evolving human coronavirus infection that causes COVID-19, and it first appeared in Wuhan, China in December 2019 and spread rapidly all over the world. COVID-19 is being increasingly investigated through virology, epidemiology, and clinical management strategies. There is currently no established consensus on the standard of care in the pharmacological treatment of COVID-19 patients. However, certain medications suggested for other diseases have been shown to be potentially effective for treating this infection, though there has yet to be clear evidence. Therapies include new agents that are currently tested in several clinical trials, in addition to other medications that have been repurposed as antiviral and immune-modulating therapies. Previous high-morbidity human coronavirus epidemics such as the 2003 SARS-CoV and the 2012 Middle East respiratory syndrome coronavirus (MERS-CoV) prompted the identification of compounds that could theoretically be active against the emerging coronavirus SARS-CoV-2. Moreover, advances in molecular biology techniques and computational analysis have allowed for the better recognition of the virus structure and the quicker screening of chemical libraries to suggest potential therapies. This review aims to summarize rationalized pharmacotherapy considerations in COVID-19 patients in order to serve as a tool for health care professionals at the forefront of clinical care during this pandemic. All the reviewed therapies require either additional drug development or randomized large-scale clinical trials to be justified for clinical use.

scholarly journals The Year of Care approach: developing a model and delivery programme for care and support planning in long term conditions within general practice

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Sue Roberts ◽  
Simon Eaton ◽  
Tracy Finch ◽  
Nick Lewis-Barned ◽  
Monique Lhussier ◽  
...  
Keyword(s):  
Health Care ◽  
General Practice ◽  
Health Care Professionals ◽  
Local Health ◽  
Implementation Framework ◽  
Long Term Conditions ◽  
Training Support ◽  
Care And Support ◽  
Health Communities

Abstract Background People with long term conditions (LTCs) make most of the daily decisions and carry out the activities which affect their health and quality of life. Only a fraction of each contact with a health care professional (HCP) is spent supporting this. This paper describes how care and support planning (CSP) and an implementation framework to redesign services, were developed to address this in UK general practice. Focussed on what is important to each individual, CSP brings together traditional clinical issues and the person’s lived experience in a solution focussed, forward looking conversation with an emphasis on ‘people not diseases’. Methods The components of CSP were developed in three health communities using diabetes as an exemplar. This model was extended and refined for other single conditions and multimorbidity across 40 sites and two nations, over 15 years. Working with local teams and communities the authors used theoretical models of care, implementation and spread, developing and tailoring training, support and resources to embed CSP as usual care, sharing learning across a community of practice. Results The purpose, content, process, developmental hurdles and impact of this CSP model are described, alongside an implementation strategy. There is now a robust, reproducible five step model; preparation, conversation, recording, actions and review. Uniquely, preparation, involving information sharing with time for reflection, enables an uncluttered conversation with a professional focussed on what is important to each person. The components of the Year of Care House act as a checklist for implementation, a metaphor for their interdependence and a flexible framework. Spreading CSP involved developing exemplar practices and building capacity across local health communities. These reported improved patient experience, practitioner job satisfaction, health behaviours and outcomes, teamwork, practice organisation, resource use, and links with wider community activities. Conclusions Tested in multiple settings, CSP is a reproducible and practical model of planned care applicable to all LTCs, with the capacity to be transformative for people with LTCs and health care professionals. It recaptures relational dimensions of care with transactional elements in the background. Options for applying this model and implementation framework at scale now need to be explored.

Wireless Networking in an Underserved Neighborhood: Ethnographic Methods for Understanding Technology and Culture

2009 ◽  
Vol 31 (1) ◽  
pp. 11-15
Author(s):  
Jerome Crowder ◽  
Jessica Wilson ◽  
Esperanza Vredenburg
Keyword(s):  
Health Care ◽  
Wireless Networking ◽  
Local Health ◽  
Seek Health Care ◽  
Technology And Culture ◽  
Heart Monitoring ◽  
The People ◽  
Care And Support ◽  
Local Health Care ◽  
Medical Researcher

In the spring of 2006, a Houston medical researcher solicited our help in understanding how residents living in Pecan Park, an East Houston neighborhood, seek health care, perceive their neighborhood, and use technology. An ethnographic perspective was needed for the development of an hand-held electronic heart monitoring device (similar to a Sony PSP) that would enable patients to better manage their health1. We would identify the people, places and things that residents trust and where they go for local health care and support. The medical team would then coordinate with a Community Health Worker (CHW) program to provide local support to users of the device, or train particular residents to become CHWs.

scholarly journals Clinical Application and Educational Training for Pharmacogenomics

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 163 ◽  
Author(s):  
Jason W. Guy ◽  
Isha Patel ◽  
Julie H. Oestreich
Keyword(s):  
Clinical Application ◽  
Health Care Professionals ◽  
Clinical Care ◽  
Healthcare Providers ◽  
The United States ◽  
Current Evidence ◽  
Clinical Settings ◽  
Educational Training ◽  
Secondary Objective ◽  
Medication Selection

Pharmacogenomics—defined as the study of how genes affect a person’s response to drugs—is growing in importance for clinical care. Many medications have evidence and drug labeling related to pharmacogenomics and patient care. New evidence supports the use of pharmacogenomics in clinical settings, and genetic testing may optimize medication selection and dosing. Despite these advantages, the integration of pharmacogenomics into clinical decisions remains variable and challenging in certain practice settings. To ensure consistent application across settings, sufficient education amongst current and future healthcare providers is necessary to further integrate pharmacogenomics into routine clinical practice. This review highlights current evidence supporting clinical application of medications with pharmacogenomic labeling. The secondary objective is to review current strategies for educating health professionals and student trainees. One national organization predicts that most regions in the United States will soon contain at least one healthcare system capable of applying pharmacogenomic information. Applying genotype-guided dosing to several FDA-approved medications may help produce beneficial changes in patient outcomes. Identifying best practices for educating health care professionals and trainees remains vitally important for continuing growth of pharmacogenomic services. As pharmacogenomics continues to expand into more areas of healthcare, current and future practitioners must pursue and maintain competence in pharmacogenomics to ensure better outcomes for patients.

scholarly journals The Year of Care approach: developing a model and delivery programme for care and support planning in long term conditions within general practice

2019 ◽  
Author(s):  
Sue Roberts ◽  
Simon Eaton ◽  
Tracy Finch ◽  
Nick Lewis-Barned ◽  
Monique Lhussier ◽  
...  
Keyword(s):  
Health Care ◽  
General Practice ◽  
Health Care Professionals ◽  
Local Health ◽  
Implementation Framework ◽  
Long Term Conditions ◽  
Training Support ◽  
Care And Support ◽  
Health Communities

Abstract Background: People with long term conditions (LTCs) make most of the daily decisions and carry out the activities which affect their health and quality of life. Only a fraction of each contact with a health care professional (HCP) is spent supporting this. This paper describes how care and support planning (CSP) and an implementation framework to redesign services, were developed to address this in UK general practice. Focussed on what is important to each individual, CSP brings together traditional clinical issues and the person’s lived experience in a solution focussed, forward looking conversation with an emphasis on ‘people not diseases’. Methods: The components of CSP were developed in three health communities using diabetes as an exemplar. This model was extended and refined for other single conditions and multimorbidity across 40 sites and two nations, over 15 years. Working with local teams and communities the authors used theoretical models of care, implementation and spread, developing and tailoring training, support and resources to embed CSP as usual care, sharing learning across a community of practice. Results: The purpose, content, process, developmental hurdles and impact of this CSP model are described, alongside an implementation strategy. There is now a robust, reproducible five step model; preparation, conversation, recording, actions and review. Uniquely, preparation, involving information sharing with time for reflection, enables an uncluttered conversation with a professional focussed on what is important to each person. The components of the Year of Care House act as a checklist for implementation, a metaphor for their interdependence and a flexible framework. Spreading CSP involved developing exemplar practices and building capacity across local health communities. These reported improved patient experience, practitioner job satisfaction, health behaviours and outcomes, teamwork, practice organisation, resource use, and links with wider community activities. Conclusions: Tested in multiple settings, CSP is a reproducible and practical model of planned care applicable to all LTCs, with the capacity to be transformative for people with LTCs and health care professionals. It recaptures relational dimensions of care with transactional elements in the background. Options for applying this model and implementation framework at scale now need to be explored.

scholarly journals Disinfection Measures for COVID-19

2021 ◽  
Vol 58 (2) ◽  
pp. 559-565
Author(s):  
Ketki Fuladi, Dr. Swaroopa Chakole
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
The Body ◽  
Mitigation Measures ◽  
Governmental Agencies ◽  
Viral Spread ◽  
The Earth ◽  
The People ◽  
High Virulence ◽  
Key Factor

BACKGROUND COVID-19 or coronavirus disease 2019 is seriously affecting the day-to-day life of all the people on the Earth. The lethal nature and high virulence are the key factor that are adversely affecting the mitigation measures. SUMMARY Extreme uncertainty attached to the COVID-19 is a challenge that is faced by health care professionals and governmental agencies in controlling the viral spread. The virus can sustain inside and outside the body for considerable amount of time. Coronavirus can survive on many surfaces and can create menace. Therefore, it is necessary to assess the situation and certainly act upon it. Disinfection measures are the best suited for containment of the virus. CONCLUSION More study needs to be done in order to assess the benefits of disinfection measures.

Going the Distance

2020 ◽  
Author(s):  
Ron Harris
Keyword(s):  
Large Scale ◽  
Western Europe ◽  
Family Firms ◽  
Global Trade ◽  
Long Distance ◽  
Business Corporation ◽  
Modern Economy ◽  
Key Factor ◽  
Silk Route ◽  
Passive Investors

Before the seventeenth century, trade across Eurasia was mostly conducted in short segments along the Silk Route and Indian Ocean. Business was organized in family firms, merchant networks, and state-owned enterprises, and dominated by Chinese, Indian, and Arabic traders. However, around 1600 the first two joint-stock corporations, the English and Dutch East India Companies, were established. This book tells the story of overland and maritime trade without Europeans, of European Cape Route trade without corporations, and of how new, large-scale, and impersonal organizations arose in Europe to control long-distance trade for more than three centuries. It shows that by 1700, the scene and methods for global trade had dramatically changed: Dutch and English merchants shepherded goods directly from China and India to northwestern Europe. To understand this transformation, the book compares the organizational forms used in four major regions: China, India, the Middle East, and Western Europe. The English and Dutch were the last to leap into Eurasian trade, and they innovated in order to compete. They raised capital from passive investors through impersonal stock markets and their joint-stock corporations deployed more capital, ships, and agents to deliver goods from their origins to consumers. The book explores the history behind a cornerstone of the modern economy, and how this organizational revolution contributed to the formation of global trade and the creation of the business corporation as a key factor in Europe's economic rise.

Etude de l'aménagement d'une forêt classée au Mali avec la participation des populations riveraines - Données du problème et éléments de méthodologie | A Study of the Management of a State-Owned Forest in Mali with the Participation of the Population Living nearby - Issue under Investigation and Elements of Methodology

2000 ◽  
Vol 151 (3) ◽  
pp. 80-83
Author(s):  
Pascal Schneider ◽  
Jean-Pierre Sorg
Keyword(s):  
Natural Resources ◽  
Research Methodology ◽  
Large Scale ◽  
Environmental Context ◽  
Forest Resources ◽  
The State ◽  
Commercial Use ◽  
Economic Context ◽  
The People

In and around the state-owned forest of Farako in the region of Sikasso, Mali, a large-scale study focused on finding a compromise allowing the existential and legitimate needs of the population to be met and at the same time conserving the forest resources in the long term. The first step in research was to sketch out the rural socio-economic context and determine the needs for natural resources for autoconsumption and commercial use as well as the demand for non-material forest services. Simultaneously, the environmental context of the forest and the resources available were evaluated by means of inventories with regard to quality and quantity. According to an in-depth comparison between demand and potential, there is a differentiated view of the suitability of the forest to meet the needs of the people living nearby. Propositions for a multipurpose management of the forest were drawn up. This contribution deals with some basic elements of research methodology as well as with results of the study.

Ayurveda and Communicable Diseases

2017 ◽  
Vol 2 (05) ◽  
Author(s):  
Ashok G. Naikar ◽  
Ganapathi Rao ◽  
Panchal Vinayak J.
Keyword(s):  
Oral Tradition ◽  
World View ◽  
Close Association ◽  
Practical Aspect ◽  
Oral Traditions ◽  
Local Health ◽  
The People ◽  
The World ◽  
Pertinent Question ◽  
Cultural Domination

Indian medical heritage flows in two distinctive but mutually complimenting streams. The oral tradition being followed by millions of housewives and thousands of local health practitioners is the practical aspect of codified streams such as Ayurveda, Siddha, Unani. These oral traditions are head based and take care of the basic health needs of the people using immediately available local resources. Majority of these are plant based remedies, supplemented by animal and mineral products. Many of the practices followed by these local streams can be understood and evaluated by the codified stream such as Ayurveda. These streams are not static, historical scrutiny of their evolution shows the enriching phenomena at all times. Thus we have more than 7000 species of higher and lower plants and hundreds of minerals and animal product used in local health tradition to manage hundreds of disease conditions. A pertinent question that arises here is that in which basis these systems got enriched. Is it just trial error method over a point of time which gave rise to this rich tradition, is it an intuitive knowledge born out of close association with nature. One of the reasons for this attitude can be, that one is always made to believe that the science means that which can be explained by western models of logic and epistemology. The world view being developed and adopted by the dominant western scientific paradigm never fits in to the world view being followed and practiced by the indigenous traditions. This is well accepted by us due to the last 200 yrs of political and cultural domination by western and other alien forces.

Sign in / Sign up

Export Citation Format

Share Document