scholarly journals Social vulnerability and COVID-19: A call to action for paediatric clinicians

2020 ◽  
Author(s):  
Michael Prodanuk ◽  
Stephanie Wagner ◽  
Julia Orkin ◽  
Damien Noone
Keyword(s):  
Social Vulnerability ◽  
Social Needs ◽  
Children And Youth ◽  
Clinical Settings ◽  
Contributing Factors ◽  
Vulnerable Children ◽  
Call To Action ◽  
Community Agencies ◽  
Direct Support ◽  
Isolation Facilities

Abstract The COVID-19 pandemic has had dramatic effects on the lives of children globally. However, socially vulnerable children have been particularly impacted. Certain populations have increased vulnerabilities, including children and youth experiencing homelessness. Increased infection risk due to congregant living and challenges with physical distancing are contributing factors. An urgent need exists for a wholistic approach to care with unique cross-sectoral partnerships across disciplines. A recognition of the unintended consequence of the COVID-19 pandemic on this population is urgently required by all those supporting children. Families should receive direct support in clinical settings to identify their social needs. Partnership with community agencies and advocacy for appropriate isolation facilities for patients experiencing homelessness are critical.

Violence Prevention: A Call to Action

PEDIATRICS ◽  
1994 ◽  
Vol 94 (4) ◽  
pp. 577-578
Author(s):  
Howard Spivak
Keyword(s):  
Urban Communities ◽  
Violent Behavior ◽  
Children And Youth ◽  
Organizational Level ◽  
Health Issues ◽  
Contributing Factors ◽  
Call To Action ◽  
Current Trends ◽  
The Media ◽  
Us Children

The Landscape Of Children's Health Issues Is Changing. While This Is Obvious To Most Pediatricians, Few Would Have Predicted, Even A Decade Ago, The Prominence Of Violence And Violent Injuries In The Present Landscape Facing Children And Youth. What Was Once Seen And Addressed As A Problem Confined To Certain Populations, Particularly Poor And Minority Youth, Is Now Increasingly Visible Throughout The Nation, Crossing All Socioeconomic Boundaries, Affecting Rural, Suburban, And Urban Communities. In Just A Few Years, If Current Trends Continue, Guns Will Kill More Us Children And Youth Than Automobiles.1 Pediatricians And Other Health Professionals Concerned About Children Must Face This Issue Head-On And Must Participate In Efforts To Turn The Tide On Violence And Its Effects On Children. The Key Is To Better Understand The Underlying Risks And Contributing Factors Surrounding This Growing Epidemic And To Clearly Define Our Role, As Individual Pediatricians And At The Professional Organizational Level, In Working To Reduce Those Risks. The Papers Contained In This Supplement Present A Broad Overview Of Some Of The Key Factors Related To Violence As Well As An Overview Of What Is Known About The Responses To These Factors. Four Of The Papers Specifically Focus On How Violent Behavior Is Learned By And Reinforced In Children At Home,2,3 In The Community,4 And Through The Media.5 One Paper Takes A Look At The Role Of Firearms, Particular Hand-Guns, In This Epidemic.6 The Last Three Papers Describe And Review Strategies For Reduction Of Violence In The Community,7 In The Media,8 And Through Advocacy At The State And National Levels.9

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.

Contributing factors to fires in clinical settings during medical laser applications

2012 ◽  
Vol 24 (3) ◽  
pp. 032005 ◽  
Author(s):  
J. Pierce ◽  
S. Lacey ◽  
R. Lopez ◽  
J. Lippert ◽  
J. Franke
Keyword(s):  
Clinical Settings ◽  
Contributing Factors ◽  
Medical Laser ◽  
Laser Applications

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.

scholarly journals The paediatric developmental toolkit: Facilitating learning of child development

2020 ◽  
Author(s):  
Elizabeth Young ◽  
Thivia Jegathesan ◽  
Hyeji Park ◽  
Mohammad Samad Zubairi
Keyword(s):  
Child Development ◽  
Family Medicine ◽  
Developmental Disorders ◽  
Primary Objective ◽  
Children And Youth ◽  
Clinical Settings ◽  
Clinical Teachers ◽  
Clinical Encounters ◽  
Short Period ◽  
Family Medicine Residents

Abstract Background Recent paediatric and family medicine graduates report feeling unprepared to identify and address children and youth with developmental disorders. Developmental history taking and physical examination alone limit engagement with children and youth in an interactive manner to assess development. The paediatric developmental toolkit (PDT) was developed to provide trainees with the opportunity to interact with a child in a play-based manner. Objectives The primary objective of this study was to determine the feasibility of PDT within clinical settings, and qualitatively explore how the PDT can be used by teachers and trainees. Methods Trainees and their clinical teachers participated in a qualitative study. Trainees used the PDT in clinical settings and were interviewed following their clinical encounters. Interactions between clinical teachers and trainees following the use of the PDT were also recorded. Teachers were interviewed following the trainees’ case presentations and closures of clinic visits. Trainee interviews, teacher and trainee interactions, and teacher interviews were audiotaped, transcribed, and analyzed thematically. Results Nine trainees (six paediatric residents, two family medicine residents, and one clinical clerk medical student) and four developmental paediatricians participated in the study. Each trainee used the PDT twice in two different clinical encounters. All residents agreed the PDT enabled them to observe a child’s developmental skills in a short period of time. Clinical teachers all felt the toolkit allowed trainees to more holistically consider a child’s development and diagnosis. Conclusions As medical education shifts to a competency-based education curriculum, the PDT is an innovative tool that can be used to enhance paediatric and family medicine residents’ learning of child development by enabling opportunities for interaction with children.

scholarly journals Amir’s Life Story: Resilience and Other Soft Skills Development to Thrive, Despite Vulnerable Beginnings

2019 ◽  
Author(s):  
Yatela Zainal-Abidin ◽  
Rosna Awang-Hashim ◽  
Hasniza Nordin
Keyword(s):  
Young Adult ◽  
Rural Areas ◽  
Life Story ◽  
Soft Skills ◽  
Children And Youth ◽  
Skills Development ◽  
Future Research ◽  
Vulnerable Children ◽  
Rural Village ◽  
Religiosity And Spirituality

This article explores the life story of Amir, a young adult from a rural village in Malaysia, who built resilience and developed soft skills to thrive in his life despite his vulnerable beginnings. Amir’s strong resilience and other soft skills that assisted him to be outstanding in his academics and career may have resulted from his caring and supportive authoritative mother, countering his strict and harsh authoritarian father, with an ecological system of protective factors and developmental assets strengthened by religiosity and spirituality. However, both his parents’ extremely different confrontive and coercive methods appeared to have worked together towards the development of certain soft skills, such as his entrepreneurial mindset. This fresh outlook may provide guidance to assist vulnerable children and youth from rural areas to thrive, while raising new questions for future research.

scholarly journals Psychosocial support for children

2005 ◽  
Author(s):  
Alison Clarke ◽  
Sherry Hutchinson ◽  
Ellen Weiss
Keyword(s):  
Operations Research ◽  
Emotional Support ◽  
Psychosocial Support ◽  
Well Being ◽  
Social Needs ◽  
Vulnerable Children ◽  
Human Relationships ◽  
Orphans And Vulnerable Children ◽  
Social And Emotional ◽  
The Face

Masiye Camp in Matopos National Park, and Kids’ Clubs in downtown Bulawayo, Zimbabwe, are examples of a growing number of programs in Africa and elsewhere that focus on the psychological and social needs of AIDS-affected children. Given the traumatic effects of grief, loss, and other hardships faced by these children, there is increasing recognition of the importance of programs to help them strengthen their social and emotional support systems. This Horizons Report describes findings from operations research in Zimbabwe and Rwanda that examines the psychosocial well-being of orphans and vulnerable children and ways to increase their ability to adapt and cope in the face of adversity. In these studies, a person’s psychosocial well-being refers to his/her emotional and mental state and his/her network of human relationships and connections. A total of 1,258 youth were interviewed. All were deemed vulnerable by their communities because they had been affected by HIV/AIDS and/or other factors such as severe poverty.

THE CHALLENGES AND COPING RESOURCES OF YOUTH HEADING HOUSEHOLDS IN SOUTH AFRICA

2016 ◽  
Vol 12 (2) ◽  
pp. 35-48
Author(s):  
Petro Botha
Keyword(s):  
South Africa ◽  
Qualitative Approach ◽  
Coping Resources ◽  
Separate Group ◽  
Children And Youth ◽  
Vulnerable Children ◽  
Contextual Design ◽  
Aids Pandemic ◽  
Personal Experiences ◽  
And Coping

There is a large number of youth-headed households in South Africa. This is linked to the HIV/AIDS pandemic in the country. Various studies have been undertaken on child-headed households, but there is a lack of research on the personal experiences of youth heading households. The assumption has been made that youth are older and able to cope with their situation. Youth heading households have not been defined as a separate group, but have been included in Orphans, Vulnerable Children and Youth (OVCY). The aim of this study is to gain an in-depth understanding of the challenges and coping resources of youth heading households. A qualitative approach and a descriptive and contextual design were used. It is important that governments and NGOs clearly define a youthheaded household and include youth heading households in research evaluating current services to OVCY, and that they plan services focusing specifically on the needs of this group.

Exploring Association between Perceived Usability of Dosimetry Quality Assurance Checklist and Perceived Cognitive Workload of Dosimetrists in Clinical Settings

2021 ◽  
Vol 65 (1) ◽  
pp. 771-775
Author(s):  
Karthik Adapa ◽  
Prithima Mosaly ◽  
Fei Yu ◽  
Carlton Moore ◽  
Shiva Das ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Medical Errors ◽  
Healthcare Professionals ◽  
Medical Center ◽  
Academic Medical Center ◽  
Healthcare Delivery ◽  
Clinical Settings ◽  
Cognitive Workload ◽  
Contributing Factors ◽  
Perceived Usability

Usability and cognitive workload (CWL) are multidimensional constructs that describe user experience, predict performance, and inform system design. The relationship between the subjective measures of these constructs has not been adequately explored, especially in healthcare delivery settings where suboptimal usability of electronic health records and CWL of healthcare professionals are among the major contributing factors to medical errors. This study quantifies the perceived usability of a dosimetry quality assurance (QA) checklist and the perceived CWL of dosimetrists in radiation oncology clinical settings of an academic medical center and investigates the association between perceived usability and perceived CWL. Findings suggest that our institutional dosimetry QA checklist has suboptimal usability, but the associated CWL is acceptable. Further, the correlation analysis reveals that perceived usability and perceived CWL are non-overlapping constructs and may be jointly employed to reduce the risk of healthcare professionals committing medical errors.

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