scholarly journals Lessons Learned

2015 ◽  
Vol 2 ◽  
pp. 2333794X1557408
Author(s):  
Amanda Phelan ◽  
Michaela Davis
Keyword(s):  
Public Health ◽  
Child Protection ◽  
Lessons Learned ◽  
Public Health Nurses ◽  
Contributing Factors ◽  
The Public ◽  
The Past ◽  
Comprehensive Service ◽  
The Republic ◽  
Interactional Processes

The public health nurses’ scope of practice explicitly includes child protection within their role, which places them in a prime position to identify child protection concerns. This role compliments that of other professions and voluntary agenices who work with children. Public health nurses are in a privileged position as they form a relationship with the child’s parent(s)/guardian(s) and are able to see the child in its own environment, which many professionals cannot. Child protection in Ireland, while influenced by other countries, has progressed through a distinct pathway that streamlined protocols and procedures. However, despite the above serious failures have occurred in the Irish system, and inquiries over the past 20 years persistently present similar contributing factors, namely, the lack of standardized and comprehensive service responses. Moreover, poor practice is compounded by the lack of recognition of the various interactional processes taking place within and between the different agencies of child protection, leading to psychological barriers in communication. This article will explore the lessons learned for public health nurses practice in safeguarding children in the Republic of Ireland.

scholarly journals It's Best to Be Prepared: Lessons Learned from the Past Prepared Georgia for Hurricane Michael

2020 ◽  
Vol 36 (2s) ◽  
pp. 49-55
Author(s):  
Thuy-Vi Nguyen ◽  
Rosmarie Kelly ◽  
Byron Lobsinger ◽  
R. Christopher Rustin
Keyword(s):  
Public Health ◽  
Environmental Health ◽  
Larval Habitat ◽  
Lessons Learned ◽  
Public Health Response ◽  
Team Members ◽  
The Public ◽  
The Past ◽  
Health Response ◽  
Hurricane Irma

ABSTRACT Onsite assessments for mosquito larval habitat sites are critical after a hurricane makes landfall. Due to lack of forward assessment activities and the uncertain path of Hurricane Irma, it was difficult to determine what areas would be most affected, making it challenging to determine the availability of Department of Public Health Environmental Health Strike Team members from unaffected areas. However, lessons learned from assessing the public health response to Hurricane Irma (2017) helped improve the response to Hurricane Michael (2018).

Cornerstone Documents, Milestones, and Policies: Shaping the Direction of Public Health Nursing 1890-1950

2015 ◽  
Vol 20 (2) ◽  
Author(s):  
Joan Kub ◽  
Pamela Kulbok ◽  
Doris Glick
Keyword(s):  
Public Health ◽  
20Th Century ◽  
Historical Perspective ◽  
Nursing Leadership ◽  
Lessons Learned ◽  
Public Health Nursing ◽  
Public Health Nurses ◽  
Early 20Th Century ◽  
The Past ◽  
Health Nursing

The interplay of policy, milestone events, and cornerstone documents was critical in the evolution of the specialty of public health nursing (PHN) from 1890-1950. Using our contemporary lens, this article examines PHN development from an historical perspective, including events and milestones driving growth in the early 20th century. Some of the challenges faced by our founding public health nursing leadership are not unlike challenges we face today. In 1950, Ruth Hubbard, a former leader in the National Organization of Public Health Nurses and Director of the Visiting Nurse Society of Philadelphia, spoke of the value of examining the past to forge a new future. This article calls for contemporary public health nurses to act upon the lessons learned from the past, to strengthen the renewed focus on prevention, to develop policies that impact population health, and to foster a vision that will guide us into the future.

scholarly journals Trends in breastfeeding practices and mothers’ experience in the French NutriNet-Santé cohort

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Frédéric Courtois ◽  
Sandrine Péneau ◽  
Benoît Salanave ◽  
Valentina A. Andreeva ◽  
Marie Françoise Roland-Cachera ◽  
...  
Keyword(s):  
Public Health ◽  
Census Data ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Breastfeeding Support ◽  
The Public ◽  
The Past ◽  
Breastfeeding Practices ◽  
Breastfeeding Education ◽  
Breastfeeding Cessation

Abstract Background France has one of the lowest rates in the world regarding breastfeeding initiation and duration. Few studies have explored breastfeeding practices in France since the middle of the twentieth century, or following from initiation to cessation. The purpose of our study was to determine trends in breastfeeding over the past decades regarding public health recommendations, and to examine mothers’ perceptions about factors known to have an impact on breastfeeding support and cessation. Methods From the NutriNet-Santé cohort, 29,953 parous women (launched in 2009 to study relation between nutrition and health), were included in the present study. Using web-questionnaires, they were asked retrospectively if they had breastfed their youngest child or not, and if so, the duration of exclusive and total breastfeeding. For those who had breastfed, we investigated their perceptions about support at initiation and during the entire breastfeeding period and reasons for breastfeeding cessation. We also asked those who did not breastfeed about their perceptions and reasons for infant formula feeding their youngest child. Analyses were weighted according to the French census data. Results In the NutriNet-Santé cohort, 67.3% of mothers breastfed their youngest child. The proportion of breastfed children increased over the past few decades, from 55.0% (95% CI 54.3, 55.6) in the 1970s to 82.9% (82.4, 83.4) in the 2010s. Total and exclusive breastfeeding duration went from 3.3 months and 2.4 months respectively in the 1970s to 5.9 months and 3.2 months respectively in the 2010s. Most mothers felt supported at initiation and during the breastfeeding period. A reported desire to have breastfed longer than two months was 59.5%. Mothers who did not breastfeed did it by choice (64.3%). They did not feel guilty (78.2%) and did not perceive a problem not to breastfeed (58.8%), but almost half of them would have liked to have breastfed (45.9%). Conclusion Breastfeeding duration has increased in the past decades but did not reach the public health recommendations threshold. Targets other than mothers have to be considered for breastfeeding education, like the partner and her environment, to increase breastfeeding practices. Trial registration The study was registered at ClinicalTrials.gov (NCT03335644).

A Model for Sustaining Evidence-Based Practices in a Statewide System

2017 ◽  
Vol 98 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Jason M. Lang ◽  
Kellie G. Randall ◽  
Michelle Delaney ◽  
Jeffrey J. Vanderploeg
Keyword(s):  
Public Health ◽  
Cognitive Behavioral Therapy ◽  
Quality Indicators ◽  
Behavioral Therapy ◽  
Health Impact ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
The Public ◽  
The Past ◽  
Large Systems

Over the past 20 years, efforts have been made to broadly disseminate evidence-based practices (EBPs). However, the public health impact of EBPs has yet to be realized and most EBPs are not sustained. Few structured models exist for disseminating and sustaining EBPs across large systems. This article describes the EBP Dissemination and Support Center (DSC) model and how it was used to sustain trauma-focused cognitive behavioral therapy (TF-CBT) across Connecticut. More than 600 clinicians at 35 agencies have been trained and nearly all agencies have sustained TF-CBT for up to 9 years. More than 6,200 children have received TF-CBT and have shown improvements in outcomes and quality indicators. Recommendations are made for using or adapting the DSC model.

scholarly journals Psychiatry in the ‘New South Africa’

1992 ◽  
Vol 16 (6) ◽  
pp. 343-345
Author(s):  
Sean Kaliski
Keyword(s):  
Public Health ◽  
South Africa ◽  
Academic Medicine ◽  
Postgraduate Training ◽  
Public Health Service ◽  
New South ◽  
Teaching Hospitals ◽  
Political Uncertainty ◽  
The Public ◽  
The Past

Academic medicine in South Africa was created largely by talented graduates who, having travelled overseas (especially to Britain) for postgraduate training, returned to teach in the newly established medical schools and teaching hospitals. However, over the past three decades fewer have decided to return. Consequently academic medicine generally is in decline. Hospital specialists are demoralised, and about 80% of those recently surveyed indicated that they intended leaving the public health service if the present imbalance between service commitments, research opportunities, and poor pay persists (Curtin, 1991). About 40% of graduating medical students emigrate, usually to avoid conscription. The continuing violence and political uncertainty within the country probably ensure that few will ever return.

scholarly journals Rethinking Foster Care: Why Our Current Approach to Child Welfare Has Failed

2020 ◽  
Vol 73 (1) ◽  
pp. 123-139
Author(s):  
Vivek Sankaran ◽  
Christopher Church
Keyword(s):  
Public Health ◽  
Child Abuse ◽  
Child Welfare ◽  
Return On Investment ◽  
Child Welfare System ◽  
Current Approach ◽  
Public And Private ◽  
The Public ◽  
The Past ◽  
Abuse And Neglect

Over the past decade, the child welfare system has expanded, with vast public and private resources being spent on the system. Despite this investment, there is scant evidence suggesting a meaningful return on investment. This Article argues that without a change in the values held by the system, increased funding will not address the public health problems of child abuse and neglect.

scholarly journals The Methodology of Assessing the Criminogenity of Administrative Territorial Units

2020 ◽  
Vol 14 (2) ◽  
pp. 351-366
Author(s):  
Ainagul Karipova ◽  
Kuanysh Baltabaev ◽  
Yerbol Omarov ◽  
Talgat Makhanov
Keyword(s):  
Preventive Measures ◽  
Objective Assessment ◽  
Statistical Information ◽  
Age Group ◽  
Mathematical Methods ◽  
The Public ◽  
The Past ◽  
Spectral Scale ◽  
The Republic ◽  
Legal Statistics

The authors study the issues of applying mathematical methods to the assessment of the criminogenic levels in administrative-territorial units of the Republic of Kazakhstan. They have analyzed a considerable volume of statistical information for the past 20 years and, as a result, have identified the highest and the lowest number of registered crimes. Several indices were used to develop an index of criminogenity (ranging) of regions: crime level, graveness of crimes, size of population in a certain area. They recommend to define the public danger of crimes as a numerical value expressed in abstract units - points - based on the average sanctions, an average punishment imposed by a court and an average rating assigned by experts (researchers, practical specialists). The authors have studied modern Kazakh and foreign publications on the use of mathematical methods in criminology. The results of assessment according to three methods of ranging - legislative (legal), court, and expert - are presented in the tables. There is a correlation between legislative (legal) and court assessments. Calculations were used to determine the criminal status of some territorial units, which makes it possible to compare the number of crimes and the degree of their public danger for the population in the over-16 age group. In order to analyze the administrative-territorial units of the same type, the cities have been grouped according to the size of population. The presented methodology is reflected in the spectral scale on the «Map of Criminal Infringements» of the Committee for Legal Statistics and Special Records of the Prosecutor Generals Office for the Republic of Kazakhstan; it takes into account the distribution of cities into four groups which, in the end, will make it possible to obtain a maximally objective assessment of the criminal situation and to take preventive measures.

Epilogue

2016 ◽  
pp. 119-122
Author(s):  
Christian W. McMillen
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Lessons Learned ◽  
The Past ◽  
Public Health Infrastructure ◽  
Health Infrastructure ◽  
The World ◽  
The Future ◽  
The Face ◽  
New Challenges

There will be more pandemics. A pandemic might come from an old, familiar foe such as influenza or might emerge from a new source—a zoonosis that makes its way into humans, perhaps. The epilogue asks how the world will confront pandemics in the future. It is likely that patterns established long ago will re-emerge. But how will new challenges, like climate change, affect future pandemics and our ability to respond? Will lessons learned from the past help with plans for the future? One thing is clear: in the face of a serious pandemic much of the developing world’s public health infrastructure will be woefully overburdened. This must be addressed.

scholarly journals Lessons earned and lessons learned: What should be done next to counter the COVID-19 infodemic?

European View ◽  
2020 ◽  
Vol 19 (2) ◽  
pp. 154-163
Author(s):  
Nad’a Kovalčíková ◽  
Ariane Tabatabai
Keyword(s):  
Public Health ◽  
Lessons Learned ◽  
The Novel ◽  
Health Crisis ◽  
The Public ◽  
Public Health Crisis ◽  
Societal Challenges ◽  
The World ◽  
Information Manipulation ◽  
Novel Coronavirus

As governments and citizens around the world have struggled with the novel coronavirus, the information space has turned into a battleground. Authoritarian countries, including Russia, China and Iran, have spread disinformation on the causes of and responses to the pandemic. The over-abundance of information, also referred to as an ‘infodemic’, including manipulated information, has been both a cause and a result of the exacerbation of the public health crisis. It is further undermining trust in democratic institutions, the independent press, and facts and data, and exacerbating the rising tensions driven by economic, political and societal challenges. This article discusses the challenges democracies have faced and the measures they have adopted to counter information manipulation that impedes public health efforts. It draws seven lessons learned from the information war and offers a set of recommendations on tackling future infodemics related to public health.

scholarly journals Childhood detention during COVID-19 in Italy: building momentum for a comprehensive child protection agenda

2020 ◽  
Author(s):  
Silvia Logar ◽  
Maggie Leese
Keyword(s):  
Public Health ◽  
Child Protection ◽  
State Responsibility ◽  
Infectious Agents ◽  
Public Health Response ◽  
The Public ◽  
Health Response ◽  
The Government ◽  
Detention Facilities

Abstract Childhood detention represents an integral part of the public health response to the COVID-19 emergency. Prison conditions in Italy put detained minors at grave risk of contracting sudden acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. To date (29 April 2020), the Italian penitentiary system is housing 161 minors (147 males), most of them in pre-trial custody, as well as 50 children <3 y of age residing with their mothers in detention. Furthermore, the government reported 5265 unaccompanied minor migrants, mainly from Gambia and Egypt. The fundamental approach to be followed in childhood detention during COVID-19 is prevention of the introduction of infectious agents into detention facilities, limiting the spread within the prison and reducing the possibility of spread from the prison to the outside community. This appears challenging in countries like Italy with intense SARS-CoV-2 transmission. The current COVID-19 pandemic shows the need to provide a comprehensive childhood protection agenda, as the provision of healthcare for people in prisons and other places of detention is a state responsibility.

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