scholarly journals Research translation for military and veteran health: research, practice, policy

2020 ◽  
Author(s):  
Jeffrey P Haibach ◽  
Katherine D Hoerster ◽  
Lindsey Dorflinger ◽  
Lisa M McAndrew ◽  
Daniel G Cassidy ◽  
...  
Keyword(s):  
Health Care ◽  
Health Research ◽  
Military Service ◽  
Family Members ◽  
Research Translation ◽  
Veteran Health ◽  
Research Practice ◽  
Positive Health ◽  
Collaborative Relationships ◽  
The Usa

Abstract Military service presents unique challenges and opportunities for health care and public health. In the USA, there are over 2 million military servicemembers, 20 million veterans, and millions more military and veteran family members. Military servicemembers and eligible family members, many veterans, and retirees receive health care through the two largest learning health care systems in the USA, managed and delivered through the Departments of Defense (DoD), Veterans Affairs (VA), and contracted health care organizations. Through a network of collaborative relationships, DoD, VA, and partnering health care and research organizations (university, corporate, community, and government) accelerate research translation into best practices and policy across the USA and beyond. This article outlines military and veteran health research translation as summarized from a collaborative workshop led by experts across health care research, practice, and administration in DoD, VA, the National Institutes of Health, and affiliated universities. Key themes and recommendations for research translation are outlined in areas of: (a) stakeholder engagement and collaboration; (b) implementation science methods; and (c) funding along the translation continuum. Overall, the ability to rapidly translate research into clinical practice and policy for positive health outcomes requires collaborative relationships among many stakeholders. This includes servicemembers, veterans, and their families along with researchers, health care clinicians, and administrators, as well as policymakers and the broader population.

scholarly journals Integration of Chiropractic Services in Military and Veteran Health Care Facilities

2015 ◽  
Vol 21 (2) ◽  
pp. 115-130 ◽  
Author(s):  
Bart N. Green ◽  
Claire D. Johnson ◽  
Clinton J. Daniels ◽  
Jason G. Napuli ◽  
Jordan A. Gliedt ◽  
...  
Keyword(s):  
Health Care ◽  
Military Service ◽  
Health Care Facilities ◽  
Veteran Health ◽  
Inclusion Criteria ◽  
Severe Injuries ◽  
Health Care Settings ◽  
Military Service Members ◽  
Care Facilities ◽  
Veteran Health Care

This literature review examined studies that described practice, utilization, and policy of chiropractic services within military and veteran health care environments. A systematic search of Medline, CINAHL, and Index to Chiropractic Literature was performed from inception through April 2015. Thirty articles met inclusion criteria. Studies reporting utilization and policy show that chiropractic services are successfully implemented in various military and veteran health care settings and that integration varies by facility. Doctors of chiropractic that are integrated within military and veteran health care facilities manage common neurological, musculoskeletal, and other conditions; severe injuries obtained in combat; complex cases; and cases that include psychosocial factors. Chiropractors collaboratively manage patients with other providers and focus on reducing morbidity for veterans and rehabilitating military service members to full duty status. Patient satisfaction with chiropractic services is high. Preliminary findings show that chiropractic management of common conditions shows significant improvement.

A Multiple Goals Analysis of Families Attempting to Encourage U.S. Service Members to Seek Behavioral Health Care: Linking the GPA Model and Confirmation Theory

2015 ◽  
Vol 46 (4) ◽  
pp. 525-554 ◽  
Author(s):  
Steven R. Wilson ◽  
Elizabeth Dorrance Hall ◽  
Patricia E. Gettings ◽  
Rebekah G. Pastor
Keyword(s):  
Health Care ◽  
Behavioral Health ◽  
Military Service ◽  
Autonomy Support ◽  
Family Members ◽  
Behavioral Health Care ◽  
Service Members ◽  
Confirmation Theory ◽  
Care Family ◽  
Importance Ratings

Drawing on the goals-plans-action (GPA) model and confirmation theory, this study explores associations between family members’ primary and secondary goals, planning (i.e., subgoals related to accomplishing the primary goal), and messages encouraging military service members (SMs) to seek behavioral health care. Family members ( N = 244) of SMs who had been deployed to Iraq or Afghanistan described what they would say in a scenario where their SM was displaying mental health symptoms and provided importance ratings for primary and secondary goals as well as subgoals. Based on confirmation theory, messages were coded for levels of acceptance, challenge, and autonomy support. Primary goals predicted multiple dimensions of confirmation, both directly and indirectly through subgoals, but the direction of these effects often ran contrary to one another. Secondary goals also predicted confirmation after controlling for primary goal importance. Implications for the GPA model, confirmation theory, and programs that support military families are discussed.

Bringing the Bridge to Veterans in Home Health Care

2018 ◽  
Vol 31 (1) ◽  
pp. 70-72
Author(s):  
Jan Cook
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Military Service ◽  
Care Setting ◽  
Family Members ◽  
Home Health ◽  
Two Cultures ◽  
Bridge Model ◽  
The Two Cultures ◽  
The Military

This commentary familiarizes the reader with the Project NAGA Bridge Model as a way to honor veterans in the home health care setting. Family members can share the legacies of veterans in a partnership of the two cultures, civilian and military, and in so doing, enrich the communities where they live. The writing promotes the implementation of the military Form DD 214 as a comprehensive record of veterans’ military service and asks for the improvement of the situation of veterans needing health care.

Advancing Trans-Affirming Practice to Recognize, Account for, and Address the Unique Experiences and Needs of Transgender Sexual Assault Survivors

2021 ◽  
pp. 152483992110091
Author(s):  
Janice Du Mont ◽  
Joseph Friedman Burley ◽  
Robyn Hodgson ◽  
Sheila Macdonald
Keyword(s):  
Health Care ◽  
Sexual Assault ◽  
Social Services ◽  
Care Needs ◽  
Positive Health ◽  
Collaborative Relationships ◽  
Sexual Assault Survivors ◽  
Acute Health Care ◽  
Psychosocial Difficulties ◽  
Services And Supports

Transgender (trans) persons are sexually assaulted at high rates and often encounter barriers to equitable services and supports. The receipt of timely and appropriate postassault care, provided increasingly by specialized forensic nurses around the world, is critical in ameliorating the harms that accompany sexual assault. In order to adequately respond to the acute health care needs of trans clients and attend to longer term psychosocial difficulties that some experience, forensic nurses not only require specialized training but must also cultivate collaborative relationships with trans-positive health and social services in their communities. To meet this need, we describe our strategy to advance trans-affirming practice in the sexual assault context. We outline the design and evaluation of a trans-affirming care curriculum for forensic nurses. We also discuss the planning, formation, and maturation of an intersectoral network through which to disseminate our curriculum, foster collaboration, and promote trans-affirming practice across health care and social services in Ontario, Canada. Our approach to advancing trans-affirming practice holds the potential to address systemic barriers experienced by trans survivors and transform the response to sexual assault across other sectors and jurisdictions.

scholarly journals The Sixth Geneva Conference and Person-centered Health Research

2013 ◽  
Vol 3 (2) ◽  
pp. 99-105
Author(s):  
Juan E Mezzich ◽  
James Appleyard ◽  
Michel Botbol ◽  
Tesfa Ghebrehiwet ◽  
Joanna Groves ◽  
...  
Keyword(s):  
Health Care ◽  
Human Health ◽  
Health Research ◽  
Scientific Method ◽  
Positive Health ◽  
Scientific Approach ◽  
Contemporary Medicine ◽  
Geneva Conference

The articulation of science and humanism has been from the outset one of the keystones of our programmatic initiative on person centered medicine. This involves the notion that the scientific method is what gives science its foundations and at the same time represents one of the principal strategies and tools to understand, formulate and intervene in crucial and paramount human concerns and activities such as health. A scientific approach to health and health care, from the perspective of person centered medicine, involves not only attending to organs and diseases (preferential topics in much of contemporary medicine), but more broadly to the whole field of human health, including ill health and positive health, within which organs and diseases are inscribed.

scholarly journals Decolonizing Stigma and Diagnosis as Healing Work

2018 ◽  
Vol 5 ◽  
Author(s):  
Elelwani Ramugondo ◽  
Refiloe Lepere ◽  
Warren Nebe
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Research ◽  
Medical Diagnosis ◽  
Health Inequities ◽  
Well Being ◽  
Research Practice ◽  
Health And Well Being ◽  
Pedagogical Methods

In order to disrupt dominant understandings of health and well-being, and to confront systemic injustices that result in ongoing health inequities, stigma must be addressed from both within and beyond the realm of medical diagnosis. The individualistic nature of diagnosis, that is characteristic of Western medical approaches, often perpetuates stigma. The role of diagnosis in biomedicine, as well as the historicity of professions and disciplines in Westernized health-care, intersect with different hierarchies of power, identities, and knowledges through mechanisms that operate across local and global contexts. This paper argues that a decolonial approach to health research, practice and education offers an important lens through which to critically analyse these intersections of power, identities, and knowledges. Such an approach can help disrupt dominant understandings of health and well-being. To advance the argument, examples of decolonial thinking approaches and pedagogical methods from South Africa are provided.

Digital Home Health Care: Culture-Specific Observations in Saudi Arabia (Preprint)

2020 ◽  
Author(s):  
Abdulaziz A Alodhayani ◽  
Marwah Mazen Hassounah ◽  
Fatima R Qadri ◽  
Noura A Abouammoh ◽  
Zakiuddin Ahmed ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Home Health Care ◽  
Health Program ◽  
Digital Health ◽  
Local Population ◽  
Family Members ◽  
Cultural Factors ◽  
Home Health ◽  
Design And Implementation

BACKGROUND There is growing evidence of the need to consider cultural factors in the design and implementation of digital health interventions. However, there is still inadequate knowledge pertaining to what aspects of the Saudi Arabian culture need to be considered in the design and implementation of digital health programs, especially in the context of home health care services for chronically and terminally ill patients. OBJECTIVE This study aims to explore the specific cultural factors relating to patients and their caregivers from the perspective of physicians, nurses, and trainers that have influenced the pilot implementation of Remotely Accessible Healthcare At Home (RAHAH); a connected health program in the Home Health Care Department at King Saud University Medical City, Riyadh, Saudi Arabia. METHODS A qualitative study design was adopted to conduct a focus group discussion (FGD) in July 2019 using a semi-structured interview guide with 3 female and 4 male participants working as nurses, family physicians, and information technologists. Qualitative data obtained were analyzed using a thematic framework analysis. RESULTS Two categories emerged from the FGD that influenced the experiences of digital health program intervention: (1) culture-related factors including language and communication, cultural views on using cameras during consultation, non-adherence to online consultations, and family role and commitment (2) caregiver characteristics in telemedicine that includes their skills and education and electronic literacy. Participants of this study revealed that indirect contact with the patients and their family members may work as a barrier to proper communication through RAHAH. CONCLUSIONS We recommend exploring the use of interpreters in digital health, creating awareness among the local population regarding privacy in digital health, and actively involving the direct family members with the healthcare providers.

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