Exploring the role of lay and professional patient navigators in Canada

2020 ◽  
Vol 25 (4) ◽  
pp. 229-237
Author(s):  
Amy E Reid ◽  
Shelley Doucet ◽  
Alison Luke
Keyword(s):  
Thematic Analysis ◽  
Patient Navigation ◽  
Research Policy ◽  
Future Research ◽  
Patient Navigators ◽  
Work Related ◽  
Canadian Context ◽  
Qualitative Descriptive ◽  
Canadian Provinces

Objectives To explore the roles of patient navigators in different settings and situations for various patient populations and to understand the rationale for implementing lay and professional models of patient navigation in a Canadian context. Methods A qualitative descriptive design was applied, using interviews with 10 patient navigators from eight Canadian provinces, and Braun and Clarke’s six phases of thematic analysis to guide the analysis of interview transcripts. Results Findings indicate that a patient navigator’s personality and experience (personal and work-related) may be more important than their specific designation (i.e. lay or professional). Conclusions Lay and professional navigators in Canada appear to be well suited to provide navigational services across populations. This study has the potential to inform future research, policy, and the delivery of navigation programmes in Canada.

scholarly journals Describing the recovery experiences of not criminally responsible clients living in the community

2021 ◽  
Author(s):  
Irene Boldt
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Critical Role ◽  
Future Research ◽  
Forensic Mental Health ◽  
Process Of Change ◽  
Recovery Experiences ◽  
Not Criminally Responsible ◽  
Qualitative Descriptive

This study describes the recovery experiences of persons who have been found not criminally responsible on account of a mental disorder (NCRMD). A qualitative descriptive methodology was used to elicit the recovery experiences of five participants. The overarching theme that arose from the data was ‘Experiencing and understanding recovery in the forensic mental health system (FMHS) as a dynamic process of change,’ and the major themes that emerged out of the overarching theme are: ‘Recovering in the FMHS,’ ‘the Critical Role of Medication,’ ‘the Significance of Relationships,’ ‘the Importance of Helping Yourself,’ and ‘Navigating Challenges.’ The results of this inquiry reveal that the participants’ experiences of recovery are greatly influenced by their involvement in the FMHS. This study offers a preliminary understanding of how recovery is experienced by NCRMD clients who reside in the community and suggests implications for clinical practice and education, as well as future research and theory.

scholarly journals The Role of Patient Navigators in Ambulatory Care: Overview of Systematic Reviews

2021 ◽  
Author(s):  
Hannah Budde ◽  
Gemma Williams ◽  
Juliane Winkelmann ◽  
Laura Pfirter ◽  
Claudia Bettina Maier
Keyword(s):  
Health Services ◽  
Health System ◽  
Ambulatory Care ◽  
Systematic Reviews ◽  
Patient Navigation ◽  
Transitional Care ◽  
Emergency Department Visits ◽  
Patient Navigators

Abstract Background: Patient navigators have been introduced across various countries to enable timely access to healthcare services and ensure completion of diagnosis and follow-up of care. There is an increasing amount of evidence on the positive effect of patient navigation for patients. The aim of this study was to analyse the evidence on patient navigation interventions in ambulatory care and to evaluate their effects on individuals and health system outcomes.Methods: An overview of reviews was conducted, based on a prespecified protocol. All patients in ambulatory care or transitional care setting were included in this review as long as it was related to the role of patient navigators. The study analysed all roles of patient navigators covering a wide range of health professionals such as physicians, nurses, pharmacists, social workers as well as lay health workers or community-based workers with no or very limited training. Studies including patient-related measures and health system-related outcomes were eligible for inclusion. A rigorous data collection was performed in multiple data bases. After reaching an inter-rater agreement, title and abstract screening was independently performed. Of an initial 8362 search results a total of 673 articles were eligible for full-text screening. An extraction form was used to analyse the nine included review.Results: Nine systematic reviews were included covering various patient navigation roles in cancer care, disease screening and transitional care. Seven systematic reviews primarily tailored services to ethnic minorities or other disadvantaged groups. Patient navigators performed tasks such as providing education and counselling, translations, home visits, outreach, scheduling of appointments and follow-up. Six reviews identified positive outcomes in expanding access to care, in particular for vulnerable patient groups. Two reviews on patient navigation in transitional care reported improved patient outcomes and hospital readmission rates and mixed evidence on quality of life and emergency department visits.Conclusions: Patient navigators have shown to expand access to screenings and health services for vulnerable patients or population groups who tend to underuse health services.

SHOULDER MUSCULOSKELETAL DISORDERS IN INDUSTRIAL AND OFFICE WORK

2003 ◽  
Vol 07 (01) ◽  
pp. 1-14 ◽  
Author(s):  
Mircea Fagarasanu ◽  
Shrawan Kumar
Keyword(s):  
Musculoskeletal Disorders ◽  
Future Research ◽  
Actual State ◽  
Office Work ◽  
Work Related ◽  
Musculoskeletal Problems ◽  
Shoulder Disorders ◽  
Ergonomic Interventions ◽  
The Relationship

Although several studies addressed the work-related shoulder pathology, there is still a lack of knowledge regarding the causal relationship between different factors in industrial/office activities and shoulder musculoskeletal disorders. The goal of this review is to evaluate in a realistic manner the role of the factors implicated in the shoulder disorders development in high-risk activities. This article reviews the actual state of information regarding the etiological relationship between physical and psychosocial stress and occupational musculoskeletal problems in shoulder area, emphasizing the relationship between ergonomic interventions on musculoskeletal system. Secondly, a comprehensive presentation of the pathophysiology and etiology of shoulder muscle problems is provided. Critical factors such as arm elevation, lack of rest, overloading of several muscles and mental stress during performed tasks are discussed in relation to shoulder musculoskeletal disorders development. Finally, using the available data, the authors present a thorough recommendation of mandatory redesign interventions with suggestions for future research in this area.

Key Considerations for Advancing Women in Coaching

2019 ◽  
Vol 27 (2) ◽  
pp. 128-135 ◽  
Author(s):  
Jenessa Banwell ◽  
Gretchen Kerr ◽  
Ashley Stirling
Keyword(s):  
Gender Equity ◽  
Thematic Analysis ◽  
Mentoring Relationships ◽  
Future Research ◽  
Full Time ◽  
Structured Interviews ◽  
Part Time ◽  
Business Engineering ◽  
Female Coaches

Women remain underrepresented in the coaching domain across various levels of sport both in Canada and internationally. Despite the use of mentorship as a key strategy to support female coaches, little progress has been seen in achieving parity. At the same time, greater advances in gender equity have occurred in other non-sport sectors such as business, engineering, and medicine. The purpose of this study, therefore, was to learn from non-sport domains that have seen advances in gender equity to inform mentorship for women in coaching. A mixed-methods methodology was employed and consisted of distributing mentorship surveys to female coaches (n = 310) at various competitive levels, representing current (88%), former (12%), full-time (26%), part-time (74%), paid (54%), and unpaid (46%) coaching status. In addition, eight in-depth semi-structured interviews were also conducted with women in senior-level positions across various non-sport domains, including business (n = 1), media (n = 1), engineering (n = 2), higher education (n = 1), law (n = 1), and medicine (n = 2), regarding the role of mentorship in advancing women in their field. A descriptive and thematic analysis of the survey and interview data were conducted and findings are interpreted to suggest considerable variation in the characteristics of female coaches’ mentoring relationships, as well as the need to move beyond mentorship to sponsorship for advancing women in coaching. Recommendations for future research and advancing women in coaching are provided.

Colombia: innovation, trust and emotions during the COVID-19 pandemic

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Alexander Varón Sandoval ◽  
Mónica Bibiana González Calixto ◽  
María del Pilar Ramírez Salazar
Keyword(s):  
Positive Emotions ◽  
Future Research ◽  
Content Type ◽  
The Public ◽  
The Awakening ◽  
Role Of The State ◽  
Collaborative Innovation ◽  
Qualitative Descriptive ◽  
The Impact

Purpose The purpose of this study is to reflect on some actions carried out in Colombia, both at the governmental and organizational levels, that can be considered collaborative innovations and that have emerged within this pandemic context seeking to generate an increase in trust and the awakening of others’ emotions, as well as manifestations or expressions of trust and emotions by the population. Design/methodology/approach Through a qualitative descriptive study, innovation strategies applied by different sectors to address the current situation of preventive isolation are identified, with the subsequent identification of manifestations resulting from the execution of the strategies and analyzes of the implications in terms of emotions and confidence as research constructs. Findings Actions taken by the public administration, instead of generating trust and instilling positive emotions, have generated the opposite and there is evidence of greater acceptance of actions when they come from the general population through strategies that can be assimilated into the application of open collaborative innovation. Originality/value This study raises future research challenges, in addition to the practical implications that it may have in terms of the vision of the role of the state and citizens and the impact of administrative decisions regarding the generation of trust and the presence of positive emotions in a crisis context.

Specific Cognitive Abilities at Work

2014 ◽  
Vol 13 (3) ◽  
pp. 117-122 ◽  
Author(s):  
Stefan Krumm ◽  
Lothar Schmidt-Atzert ◽  
Anastasiya A. Lipnevich
Keyword(s):  
Boundary Conditions ◽  
Cognitive Abilities ◽  
Current Paper ◽  
Future Research ◽  
Mental Ability ◽  
General Mental Ability ◽  
Work Related ◽  
Specific Cognitive Abilities

Recent findings suggest that the role of specific cognitive abilities in predicting work-related criteria may be critical and may add to the widely demonstrated importance of general mental ability. To summarize and organize these findings, the current paper puts forward two perspectives on the role of specific cognitive abilities in predicting work-related outcomes. Similarities and discrepancies of these perspectives are outlined together with suggestions for boundary conditions of the dominance of general versus specific cognitive abilities. Finally, avenues for future research within and across the two perspectives are discussed.

De relatie tussen zelfcontrole en diverse werkuitkomsten

2015 ◽  
Vol 28 (4) ◽  
Author(s):  
Annelot van Moerkerk ◽  
Veerle Brenninkmeijer
Keyword(s):  
Alcohol Consumption ◽  
Sleep Quality ◽  
Vegetable Consumption ◽  
Self Control ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Work Related ◽  
Recovery Experiences ◽  
The Relationship

The relationship between self-control and work-related outcomes: What is the role of lifestyle? The relationship between self-control and work-related outcomes: What is the role of lifestyle? Having healthy employees is essential for employers. However, the lifestyles of Dutch employees are not all as healthy as they should. This study investigated the extent to which lifestyle mediates the relationship between self-control and work-related outcomes, including emotional exhaustion, sickness absence, work engagement, job satisfaction, and job performance. A total of 171 Dutch employees working in a variety of sectors participated in this cross-sectional survey. Self-control appeared to be positively associated with smoking, fruit, vegetable and snack consumption, alcohol consumption during the weekend, recovery experiences and sleep quality. We did not find associations with alcohol use during the week, candy consumption and physical exercise. Alcohol consumption during the weekend, recovery experiences and sleep quality mediated the relationships between self-control and a variety of work outcomes. Furthermore, smoking and vegetable consumption were associated with work-related outcomes. With these results, we hope to encourage future research and interventions regarding self-control, lifestyle and work-related outcomes.

scholarly journals The Influence Of Culture On The Process Of Recovery From A First Episode Schizophrenia

2021 ◽  
Author(s):  
Melanie A. Ramiro
Keyword(s):  
Cultural Identity ◽  
Sense Of Self ◽  
Illness Experience ◽  
First Episode ◽  
Future Research ◽  
Bridge To Recovery ◽  
Positive Sense ◽  
Qualitative Descriptive ◽  
First Episode Schizophrenia

The literature indicates that aspects of culture have the potential to influence recovery from first episode schizophrenia (FES). The purpose of this study was to describe the infl uence of culture on the process of recovery for individuals with first episode schizophrenia. This study employed a qualitative descriptive methodology and elicited the experience of five male participants, who self-identified that culture influenced their recovery from FES. The three categories that emerged from the data are: ‘Emerging Cultural Identity,’ ‘Cultural Identity and Describing the Illness Experience,’ and ‘Cultural Identity: A Bridge to Recovery.’ A distinctive feature of this study is that participants turned toward their cultural identity to facilitate their process of recovery from a FES and maintain a positive sense of self. This study offers a preliminary understanding of the role of culture in recovery from FES and suggests implications for clinical practice, future research and theory.

scholarly journals Understanding brokers, intermediaries, and boundary spanners: a multi-sectoral review of strategies, skills, and outcomes

2021 ◽  
Author(s):  
Jennifer Watling Neal ◽  
Stephen Posner ◽  
Brian Brutzman
Keyword(s):  
Environmental Health ◽  
International Development ◽  
Social Services ◽  
Research Policy ◽  
Knowledge Exchange ◽  
Future Research ◽  
Boundary Spanners ◽  
Or Practice ◽  
Expected Outcomes

Background: Brokers, intermediaries, and boundary spanners (BIBS) bridge research and policy or practice, and can elevate the role of evidence in decision making. However, there is limited integration of the literature across different sectors to understand the strategies that BIBS use, the skills needed to carry out these strategies, and the expected outcomes of these strategies.Aims and objectives: In this review, we characterise the strategies, skills, and outcomes of BIBS across the literature in education, environmental, health and other relevant sectors.Methods: We included 185 conceptual and review papers written in English that included descriptions or conceptualisations of BIBS in the context of knowledge transfer or research use in the education, environmental, health, or other relevant sectors (for example, social services, international development). For each included paper, we extracted and coded information on sector, BIBS strategies, skills, and outcomes.Findings: Our review revealed five strategies used by BIBS that were emphasised in the literature. Specifically, 79.5% of papers mentioned facilitating relationships, 75.7% mentioned disseminating evidence, 56.8% mentioned finding alignment, 48.6% mentioned capacity building, and 37.3% mentioned advising decisions as strategies used by BIBS. Additionally, papers described skills and expected outcomes that were common across these strategies as well as those that were unique to specific strategies.Discussion and conclusions: We discuss implications of these findings for understanding how BIBS interface with knowledge users and producers as well as directions for future research on BIBS and the professionalisation of BIBS roles.<br />Key messages<br /><ul><li>The literature describes five key strategies used by brokers, intermediaries, and boundary spanners.</li><br /><li>Facilitating relationships and disseminating evidence are the most common strategies described.</li><br /><li>Common skills include clear communication and expertise in research, policy, and change processes.</li><br /><li>Common outcomes include increased research uptake, awareness of user needs, and knowledge exchange.</li></ul>

scholarly journals The role of patient navigators in ambulatory care: overview of systematic reviews

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hannah Budde ◽  
Gemma A. Williams ◽  
Juliane Winkelmann ◽  
Laura Pfirter ◽  
Claudia B. Maier
Keyword(s):  
Ambulatory Care ◽  
Patient Outcomes ◽  
Systematic Reviews ◽  
Chronic Conditions ◽  
Patient Navigation ◽  
Transitional Care ◽  
Patient Navigators ◽  
Abstract Screening

Abstract Background Patient navigators have been introduced across various countries to enable timely access to healthcare services and to ensure completion of diagnosis and follow-up of care. There is an increasing evidence on the the role of patient navigation for patients and healthcare systems. The aim of this study was to analyse the evidence on patient navigation interventions in ambulatory care and to evaluate their effects on individuals and health system outcomes. Methods An overview of reviews was conducted, following a prespecified protocol. All patients in ambulatory care or transitional care setting were included in this review as long as it was related to the role of patient navigators. The study analysed patient navigators covering a wide range of health professionals such as physicians, nurses, pharmacists, social workers and lay health workers or community-based workers with no or very limited training. Studies including patient-related measures and health system-related outcomes were eligible for inclusion. A rigorous search was performed in multiple data bases. After reaching a high inter-rater agreement of 0.86, title and abstract screening was independently performed. Of an initial 14,248 search results and an additional 62 articles identified through the snowballing approach, a total of 7159 hits were eligible for title/abstract screening. 679  articles were included for full-text screening. Results Eleven systematic reviews were included covering various patient navigation intervention in cancer care, disease screening, transitional care and for various chronic conditions and multimorbidity. Nine systematic reviews primarily tailored services to ethnic minorities or other disadvantaged groups. Patient navigators performed tasks such as providing education and counselling, translations, home visits, outreach, scheduling of appointments and follow-up. Eight reviews identified positive outcomes in expanding access to care, in particular for vulnerable patient groups. Two reviews on patient navigation in transitional care reported improved patient outcomes, hospital readmission rates and mixed evidence on quality of life and emergency department visits. Two reviews demonstrated improved patient outcomes for persons with various chronic conditions and multimorbidity. Conclusions Patient navigators were shown to expand access to screenings and health services for vulnerable patients or population groups with chronic conditions who tend to underuse health services.

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