scholarly journals Health Care Professionals’ and Patients’ Management of the Interactional Practices in Telemedicine Videoconferencing: A Conversation Analytic and Discursive Systematic Review

2020 ◽  
pp. 104973232094234
Author(s):  
David Dalley ◽  
Rachel Rahman ◽  
Antonia Ivaldi
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Professionals ◽  
Quality Care ◽  
Effective Communication ◽  
Related Services ◽  
Multimodal Interactions ◽  
Health Related ◽  
Provide Quality Care ◽  
Videoconferencing Technology

Telemedicine has developed as a tool for increasing access to health-related services. However, clinicians are required to achieve effective communication and provide quality care despite the remoteness of patients. The aim of this review was to focus on the interactional components of telemedicine consultations, identifying the social and embodied practices that health care professionals and patients draw on when managing the complexities of videoconferencing technology. A systematic review of telemedicine research using conversation analysis and discursive psychology was conducted, resulting in six articles eligible for inclusion. Interactional practices were synthesized into three categories: positioning utterances, visual and audiological clarification, and directional feedback. These categories demonstrate complex but ordered multimodal interactions that position the technology and health care professional as key to ensuring effective communication. Their interactional relevance highlights a gap in telemedicine research, where the need to focus more on the communicative and clinical richness of these unique consultations is reinforced.

scholarly journals In What Ways Does Health Related Stigma Affect Sustainable Employment and Well-Being at Work? A Systematic Review

2021 ◽  
Author(s):  
I. E. van Beukering ◽  
S. J. C. Smits ◽  
K. M. E. Janssens ◽  
R. I. Bogaers ◽  
M. C. W. Joosen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Professionals ◽  
People With Disabilities ◽  
Well Being ◽  
Screening Process ◽  
Related Stigma ◽  
Health Related ◽  
Sustainable Employment ◽  
Anticipated Stigma

Abstract Purpose Studies are increasingly showing that health related stigma is a barrier to employment, but it is not known how. The aim of this systematic review is to identify, appraise and analyse studies that have directly or indirectly addressed ways in which stigma affects sustainable employment and well-being at work of people with disabilities. Methods Using a multiphase screening process, this review is based on a comprehensive literature search (2000–2019) carried out in six electronic databases: Embase, Web of Science, Medline Ovid, Cochrane CENTRAL, PsycINFO and Google Scholar. Results 7.263 publications were identified; 96 studies were found eligible to be included in the review. 72% of the studies were conducted in North America or Europe. Few studies directly assessed how stigma affects the employment of people with disabilities. Most studies highlighted that attitudes and behaviour of employers formed a barrier to employment, as well as anticipated stigma and self-stigma in people with health problems. However, the findings also showed that the attitudes and behaviour of co-workers, health care professionals, reintegration professionals, customers, and family and friends could act as a barrier to employment although these influences are under-researched. Although many similarities were seen in the relevant findings of studies about both physical and mental disabilities, several nuances were found. Conclusion Stigma hampers sustainable employment and well-being in multiple ways. Whereas the number of publications on this topic is rapidly increasing, the roles of health care professionals, reintegration professionals, co-workers, customers, and family and friends particularly warrant more attention.

scholarly journals A systematic review of providers’ experiences of facilitating group antenatal care

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jalana Lazar ◽  
Laura Boned-Rico ◽  
Ellinor K. Olander ◽  
Christine McCourt
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Antenatal Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Structural Changes ◽  
Care Delivery ◽  
Quality Care ◽  
Care Providers ◽  
Screening Guidelines

Abstract Background Group antenatal care is a rapidly expanding alternative antenatal care delivery model. Research has shown it to be a safe and effective care model for women, but less is known about the perspectives of the providers leading this care. This systematic review examined published literature that considered health care professionals’ experiences of facilitating group antenatal care. Methods Systematic searches were conducted in seven databases (Cinahl, Medline, Psychinfo, Embase, Ovid Emcare, Global Health and MIDRS) in April 2020. Qualitative or mixed methods studies with a significant qualitative component were eligible for inclusion if they included a focus on the experiences of health care providers who had facilitated group antenatal care. Prisma screening guidelines were followed and study quality was critically appraised by three independent reviewers. The findings were synthesised thematically. Results Nineteen papers from nine countries were included. Three main themes emerged within provider experiences of group antenatal care. The first theme, ‘Giving women the care providers feel they want and need’, addresses richer use of time, more personal care, more support, and continuity of care. The second theme, ‘Building skills and relationships’, highlights autonomy, role development and hierarchy dissolution. The final theme, ‘Value proposition of group antenatal care’, discusses provider investment and workload. Conclusions Health care providers’ experience of delivering group antenatal care was positive overall. Opportunities to deliver high-quality care that benefits women and allows providers to develop their professional role were appreciated. Questions about the providers’ perspectives on workload, task shifting, and the structural changes needed to support the sustainability of group antenatal care warrant further exploration.

Breastfeeding Skills Training for Health Care Professionals: A Systematic Review

2021 ◽  
Author(s):  
Helen Mulcahy ◽  
Llyod F. Philpott ◽  
Michelle O’Driscoll ◽  
Róisín Bradley ◽  
Patricia Leahy-Warren
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Professionals ◽  
Skills Training

scholarly journals Case-management for nursing care of patient with stroke: a cross-cultural critical reflective analysis

2016 ◽  
Vol 2 (3) ◽  
pp. 178
Author(s):  
Dimitrios Theofanidis
Keyword(s):  
Health Care ◽  
Case Management ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
Financial Burden ◽  
Quality Care ◽  
Stroke Care ◽  
Discussion Paper ◽  
Health Care Reforms ◽  
The Usa

Introduction: Stroke remains a heavy financial burden on health care systems around the world. Yet, health care reforms have called for sophisticated management systems in order to provide high-quality care on equal terms for the entire population within a cost-conscious environment. Aim: The main aim of this discussion paper is to define and reflect cross-culturally on the merits of the Case-Management (CM) approach for contemporary stroke care delivery.Methods: Critical reflective analysis was used for this paper’s needs, whereby readers are gradually introduced to skills of critical and reflective thinking. This can then be applied into a clinical context which may assist nurses to achieve a better understanding of their professional role within the complexities of contemporary health care delivery.Discussion: An overview for stroke care differences between Greece and USA is provided using the following critical analysis components: Situation, Experience evaluated, Personal Reflections and Opportunities for Change.Conclusions: CM in the USA aims to meet the urgent challenges of stroke care. CMs are health care professionals whose role is to serve as client advocates and to coordinate services whilst assuring financial and gate keeping functions as required. As these services are currently unavailable in Greece, despite adverse financial circumstances, efforts should be made to introduce a culturally adopted CM initiative for stroke care.

scholarly journals Current Evidence for Continuous Vital Signs Monitoring by Wearable Wireless Devices in Hospitalized Adults: Systematic Review

10.2196/18636 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e18636 ◽  
Author(s):  
Jobbe P L Leenen ◽  
Crista Leerentveld ◽  
Joris D van Dijk ◽  
Henderik L van Westreenen ◽  
Lisette Schoonhoven ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Clinical Outcomes ◽  
Health Care Professionals ◽  
Continuous Monitoring ◽  
Vital Signs ◽  
Current Evidence ◽  
Cochrane Central Register ◽  
Wireless Devices

Background Continuous monitoring of vital signs by using wearable wireless devices may allow for timely detection of clinical deterioration in patients in general wards in comparison to detection by standard intermittent vital signs measurements. A large number of studies on many different wearable devices have been reported in recent years, but a systematic review is not yet available to date. Objective The aim of this study was to provide a systematic review for health care professionals regarding the current evidence about the validation, feasibility, clinical outcomes, and costs of wearable wireless devices for continuous monitoring of vital signs. Methods A systematic and comprehensive search was performed using PubMed/MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials from January 2009 to September 2019 for studies that evaluated wearable wireless devices for continuous monitoring of vital signs in adults. Outcomes were structured by validation, feasibility, clinical outcomes, and costs. Risk of bias was determined by using the Mixed Methods Appraisal Tool, quality assessment of diagnostic accuracy studies 2nd edition, or quality of health economic studies tool. Results In this review, 27 studies evaluating 13 different wearable wireless devices were included. These studies predominantly evaluated the validation or the feasibility outcomes of these devices. Only a few studies reported the clinical outcomes with these devices and they did not report a significantly better clinical outcome than the standard tools used for measuring vital signs. Cost outcomes were not reported in any study. The quality of the included studies was predominantly rated as low or moderate. Conclusions Wearable wireless continuous monitoring devices are mostly still in the clinical validation and feasibility testing phases. To date, there are no high quality large well-controlled studies of wearable wireless devices available that show a significant clinical benefit or cost-effectiveness. Such studies are needed to help health care professionals and administrators in their decision making regarding implementation of these devices on a large scale in clinical practice or in-home monitoring.

scholarly journals Patient and family–centred care for pediatric patients in the emergency department

CJEM ◽  
2008 ◽  
Vol 10 (01) ◽  
pp. 38-43 ◽  
Author(s):  
Kathleen Brown ◽  
Sharon E. Mace ◽  
Ann M. Dietrich ◽  
Stephen Knazik ◽  
Neil E. Schamban
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Professionals ◽  
Pediatric Population ◽  
Quality Care ◽  
Medical Decision ◽  
Care Integration ◽  
The Family ◽  
Integral Role

ABSTRACT Patient and family–centred care (PFCC) is an approach to health care that recognizes the integral role of the family and encourages mutually beneficial collaboration between the patient, family and health care professionals. Specific to the pediatric population, the literature indicates that the majority of families wish to be present for all aspects of their child's care and be involved in medical decision-making. Families who are provided with PFCC are more satisfied with their care. Integration of these processes is an essential component of quality care. This article reviews the principles of PFCC and their applicability to the pediatric patient in the emergency department; and it discusses a model for integrating PFCC that is modifiable based on existing resources.

Lifetime Enhancement and Reliability in Wireless Body Area Network

2021 ◽  
pp. 88-101
Author(s):  
Saranya Vasanthamani ◽  
S. Shankar
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Service ◽  
Wireless Body Area Network ◽  
Body Area Network ◽  
Area Network ◽  
Body Area ◽  
Related Information ◽  
Critical Issues ◽  
Health Related

The wireless body area network (WBAN) consists of wearable or implantable sensor nodes, which is a technology that enables pervasive observing and delivery of health-related information and services. The network capability of body devices and integration with wireless infrastructure can result in pervasive environment deliver the information about the patients to health care service providers. WBAN has a major part in e-health observing system. Due to sensitivity and critical of the data carried and handled by WBAN, reliability becomes a critical issues. WBAN loads a high degree of reliability as it openly affects the quality of patient observing. A main requirement is that the health care professionals receive the monitored data correctly. Thus reliability can be measured to achieve reliable network are fault tolerance, QoS, and security. As WBAN is a special type of WSN. The objective is to achieve a reliable network with minimum delay and maximum throughput while considering power consumption by reducing unnecessary communication.

‘They are more careful’

2020 ◽  
pp. 493-515
Author(s):  
Elizabeth L Krause
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Quality Care ◽  
Fashion Industry ◽  
Parental Decision Making ◽  
Chinese Parents ◽  
Care Workers ◽  
Hospital Ethnography ◽  
Transnational Migrants ◽  
Migrant Parents

This chapter analyses a poorly understood health practice: transnational caring for infants and children. A reproductive paradox provides the point of departure. A majority of births were registered to foreign women in Prato, Italy, yet many parents sent their babies back to China. The chapter focuses on decisions among transnational migrants, particularly Chinese parents working in the Made in Italy fashion industry, that result in the formation of global households. The chapter draws on hospital ethnography in the intimate space of a paediatric exam room and interviews with migrant parents and health-care workers. Qualitative data analysis reveals parents’ privileging of quality care. Findings challenge health-care professionals’ critical gaze and shed light on how migrant parents cope with transnational lives as non-citizen entrepreneurs and workers. Finally, understanding parental decision making may improve how practitioners approach health problems, particularly in a context of intensified migration and mobility.

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