scholarly journals Social processes in academic-community partnership in health care. A grounded theory study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Susanna Pusa ◽  
Susanne Lind ◽  
Marie Häggström
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Nursing Homes ◽  
Social Processes ◽  
Academic Community ◽  
Community Partnership ◽  
The Core ◽  
Core Category ◽  
The Social ◽  
Collaboration Project

Abstract Background International and national guidelines state that palliative care should be offered to everyone who needs it. To promote the implementation of palliative care in nursing homes, a partnership collaboration was initiated with the goal of implementing high quality palliative care. The partnership consisted of three partner groups: a project group from a non-profit organisation providing health care, managers at the nursing homes and an academic partner. The aim was to explore the social processes within academic-community partnership in a collaboration project. Methods Digital focus group discussions were conducted with 16 participants, representing all three partner groups. One individual digital interview was also carried out. A constructivist perspective of a grounded theory approach was used for data analysis. Results The core category, partnership positioning, covers the social processes of the academic-community partnership in a collaboration project to implement and evaluate health-promoting interventions in clinical health care. The core category was found to have four categories: Pre-positioning, Co-positioning, Re-positioning and GoOn-positioning. The process of partnership positioning is conceptualised in a model. Conclusions Our findings indicate that a new partnership in an implementation project needs holistic, systemic thinking. To enhance implementation in a collaborative project involving different professionals and actors a plan is required to facilitate positioning activities. The process, the roles and the components need to be clearly defined and documented, and the management of a system requires knowledge of the interrelationships between all the components within the system. The development of a conceptual model of Partnership Positioning contributes to knowledge concerning the social dynamic processes which can be applied to support future academic-community collaboration and/or implementation projects. Trial registration Not applicable. The present study has not been considered as a clinical trial.

Provisional Educational Needs of Health Care Providers in Palliative Care in Three Nursing Homes in Ontario

1997 ◽  
Vol 13 (3) ◽  
pp. 13-17 ◽  
Author(s):  
Chris Patterson ◽  
William Molloy ◽  
Rosalie Jubelius ◽  
G.H. Guyatt ◽  
M. Bédard
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Nursing Homes ◽  
Health Care Providers ◽  
Educational Needs ◽  
Physical Symptoms ◽  
Spiritual Needs ◽  
Care Providers ◽  
Pharmacological Management ◽  
Traditional Lectures

Health care providers in three nursing homes in Ontario were surveyed to determine educational needs, barriers to meeting these needs, and the preferred format for education. Of the 415 health care providers asked to participate, 225 completed the questionnaire. Need was expressed for the majority of the 35 educational topics identified, including the role of the palliative care team, management of physical symptoms, pharmacological and non-pharmacological management of pain, stress management, spiritual needs, culture and death, and counseling. Group discussions and seminars were favored over traditional lectures. The primary factors influencing attendance at a palliative care workshop were loss of pay and time and location of the workshop.

scholarly journals Development and Implementation of an Academic-Community Partnership to Enhance Care among Homeless Persons

2011 ◽  
Vol 2 (1) ◽  
Author(s):  
Sharon B.S. Gatewood ◽  
Leticia R. Moczygemba ◽  
Akash J. Alexander ◽  
Robert D. Osborn ◽  
Dianne L. Reynolds-Cane ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Homeless Persons ◽  
Academic Community ◽  
Community Partnership ◽  
Substance Abuse Services ◽  
Implementation Outcomes ◽  
Collaborative Education ◽  
Research Initiatives ◽  
Pharmacist Services

An academic-community partnership between a Health Care for the Homeless (HCH) clinic and a school of pharmacy was created in 2005 to provide medication education and identify medication related problems. The urban community based HCH clinic in the Richmond, VA area provides primary health care to the homeless, uninsured and underinsured. The center also offers eye care, dental care, mental health and psychiatric care, substance abuse services, case management, laundry and shower facilities, and mail services at no charge to those in need. Pharmacist services are provided in the mental health and medical clinics. A satisfaction survey showed that the providers and staff (n = 13) in the clinic were very satisfied with the integration of pharmacist services. The quality and safety of medication use has improved as a result of the academic-community collaborative. Education and research initiatives have also resulted from the collaborative. This manuscript describes the implementation, outcomes and benefits of the partnership for both the HCH clinic and the school of pharmacy. Type: Clinical Experience

scholarly journals Palliative care in primary health care: scoping review

2020 ◽  
Vol 28 ◽  
Author(s):  
Eveline Treméa Justino ◽  
Maristel Kasper ◽  
Karen da Silva Santos ◽  
Rita de Cassia Quaglio ◽  
Cinira Magali Fortuna
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Primary Health Care ◽  
Continuity Of Care ◽  
Scoping Review ◽  
Multidisciplinary Team ◽  
Terminal Care ◽  
Terminal State ◽  
Primary Health ◽  
The Social

Objective: to map the available evidence on the main topics investigated in palliative care in primary health care. Method: scoping review type study carried out in five databases, including original articles, based on the descriptors palliative care, palliative care at the end of life, terminal care, terminal state, primary health care and their respective acronyms and synonyms, totaling 18 publications. The extraction of data from primary studies was performed using an instrument produced by the authors and which allowed the construction of the categories presented. Results: 18 publications were included in this review. Among the most studied themes are the difficulties of the teams regarding the continuity of care in the health network; the importance of in-service education by the multidisciplinary team; professional unpreparedness; bioethics; the validation and application of scales for prognosis and care for some pathologies such as cancer and diabetes; among others. Conclusion: it became evident that palliative care in primary health care has been gradually developed, but it is necessary to consider the organization of primary health care and the social policies that support or weaken it, being considered a complex challenge.

scholarly journals Impacting the Social Determinants of Health through a Regional Academic-Community Partnership: The Experience of the Mid-South Transdisciplinary Collaborative Center for Health Disparities Research

2017 ◽  
Vol 27 (Suppl 1) ◽  
pp. 277 ◽  
Author(s):  
Mona N. Fouad ◽  
Theresa A. Wynn ◽  
Richard Scribner ◽  
Yu-Mei M. Schoenberger ◽  
Donna Antoine-Lavigne ◽  
...  
Keyword(s):  
Health Disparities ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Academic Community ◽  
Chronic Illnesses ◽  
Regional Level ◽  
Determinants Of Health ◽  
Community Partnership ◽  
The Social ◽  
Over Time

<p class="Pa7">O<strong>bjective: </strong>The purpose of this article is to describe the background and experience of the Academic-Community Engagement (ACE) Core of the Mid-South Transdisci­plinary Collaborative Center for Health Disparities Research (Mid-South TCC) in impacting the social determinants of health through the establishment and implemen­tation of a regional academic-community partnership.</p><p class="Pa7"><strong>Conceptual Framework: </strong>The Mid-South TCC is informed by three strands of re­search: the social determinants of health, the socioecological model, and commu­nity-based participatory research (CBPR). Combined, these elements represent a science of engagement that has allowed us to use CBPR principles at a regional level to address the social determinants of health disparities.</p><p class="Pa7"><strong>Results: </strong>The ACE Core established state coalitions in each of our founding states— Alabama, Louisiana, and Mississippi—and an Expansion Coalition in Arkansas, Tennes­see, and Kentucky. The ACE Core funded and supported a diversity of 15 community engaged projects at each level of the socio­ecological model in our six partner states through our community coalitions.</p><p><strong>Conclusion: </strong>Through our cross-discipline, cross-regional infrastructure developed strategically over time, and led by the ACE Core, the Mid-South TCC has established an extensive infrastructure for accomplishing our overarching goal of investigating the so­cial, economic, cultural, and environmental factors driving and sustaining health dispari­ties in obesity and chronic illnesses, and developing and implementing interventions to ameliorate such disparities. <em></em></p><p><em>Ethn Dis. </em>2017;27(Suppl 1):277-286; doi:10.18865/ed.27.S1.277.</p>

scholarly journals UNGKAPAN LISAN MELAYU KEPULAUAN RIAU: KAJIAN TRANSITIVITAS

SUAR BETANG ◽  
2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Medri Osno
Keyword(s):  
Oral Tradition ◽  
Social Processes ◽  
Analysis Method ◽  
Relational Processes ◽  
The Core ◽  
The Social ◽  
Combination Of Methods ◽  
Participant Role ◽  
Living Objects ◽  
Social Level

Abstrak: Penelitian ini bertujuan menemukan kearifan lokal dalam ungkapan lisan Melayu Kepulauan Riau yang ditafsirkan  transitivitas melalui proses dan partisipan. Jenis penelitian ini adalah kualitatif dengan statistik deskriptif. Pengumpulan data menggunakan metode simak dengan teknik bebas libat cakap dan teknik catat. Metode analisis transitivitas menggunakan kombinasi metode agih yang merujuk pada model analisis LFS Halliday.              Temuan penelitian ini adalah UMKR melalui sistem transitivitas memiliki proses sosial yang beragam. Keberagaman ini menentukan dan ditentukan oleh bahasa yang terstruktur menurut kebutuhan partisipan. Partisipan yang muncul berupa benda hidup dan benda mati, sedangkan peran partisipan sesuai dengan tipe proses yang mengikatnya. Proses merupakan inti aktivitas dalam klausa yang direalisasikan oleh verba.Persentase kemunculan proses didominasi proses relasional 17.3%, material 15.2%, verbal 2.1%, tingkah laku 2.8%, mental 3.5%, dan wujud 6.2%. Dominasi proses relasional dan material  mengindikasikan bahwa watak orang Melayu Kepulauan Riau dalam kehidupan pada tataran sosial kemasyarakatannya selalu berhubungan dengan pola (cara) yang telah mereka sepakati dalam lingkungannya. Hubungan ini bersifat intensif antarsesamanya. Secara semantik, aktivitas ini direalisasikan dalam bentuk aksi nyata atau konkret. Kata kunci: ungkapan lisan, kearifan lokal, transitivitas, dan Melayu Kepulauan Riau Abstract: This study aims at finding local wisdom in the oral tradition of Kepulauan Riau Malay which is interpreted as transitivity through processes, participants, and circumstance. This is a qualitative research with descriptive statistics. Data collection applies the method of observation attentively, referring to Uninvolved Conversation Observation technique and Note Taking techniques. The transitivity analysis method uses a combination of methods that refer to the Halliday LFS analysis model.The findings of this study are that UMKR through the transitivity system has diverse social processes. This diversity determines and is determined by language structured based on the needs of participants. The participants that appear in the form of living objects and inanimate objects, while the participant role in accordance with the type of process that binds it. Process is the core of activity in clauses realized by verbs.The percentage of process appearance is dominated by relational processes 17.3%, material 15.2%, verbal 2.1%, behavior 2.8%, mental 3.5%, and form 6.2%. The dominance of the relational and material processes indicates that the character of Kepulauan Riau Malay in life at the social level always relates to the patterns (ways) that they have agreed on in their environment. This relationship is intensive between them. In semantics, this activity is realized in the form of concrete actions. Keywords: oral tradition, local wisdom, transitivity, and Kepulauan Riau Malay

Community partnership model for health professions education

1993 ◽  
Vol 83 (6) ◽  
pp. 328-331 ◽  
Author(s):  
RC Henry
Keyword(s):  
Health Care ◽  
Care Center ◽  
Health Professions ◽  
Academic Community ◽  
Public Health Care ◽  
Community Partnership ◽  
Health Care Needs ◽  
Care Needs ◽  
Health Care Center ◽  
Partnership Model

Many health professions schools have neglected the US population's health by emphasizing acutely ill patients in hospitals, biomedical research of disease, and high technology. Because most students will eventually fill practitioner roles in primary and secondary care, it is logical that the health professions must shift their curricula's focus to prepare practitioners for the health care needs of the community. The Community Partnership Model is one approach that focuses on public health care needs by educating students in multiprofessional teams in a new organizational structure known as the academic, community-based, primary health care center. This partnership between academic institutions and communities is designed to shift the educational and socializing activities of health professions training outside hospitals to the community setting where research, teaching, and service take place in one structure.

End-of-life care in nursing home settings: Do race or age matter?

2008 ◽  
Vol 6 (1) ◽  
pp. 21-27 ◽  
Author(s):  
Kimberly S. Reynolds ◽  
Laura C. Hanson ◽  
Martha Henderson ◽  
Karen E. Steinhauser
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Pain Management ◽  
Nursing Homes ◽  
End Of Life ◽  
Advance Care Planning ◽  
End Of Life Care ◽  
Care Planning ◽  
Life Care ◽  
Advance Care

ABSTRACTObjective:One-quarter of all U.S. chronic-disease deaths occur in nursing homes, yet few studies examine palliative care quality in these settings. This study tests whether racial and/or age-based differences in end-of-life care exist in these institutional settings.Methods:We abstracted residents' charts (N = 1133) in 12 nursing homes. Researchers collected data on indicators of palliative care in two domains of care—advance care planning and pain management—and on residents' demographic and health status variables. Analyses tested for differences by race and age.Results:White residents were more likely than minorities to have DNR orders (69.5% vs. 37.3%), living wills (39% vs. 5%), and health care proxies (36.2% vs. 11.8%; p < .001 for each). Advance directives were highly and positively correlated with age. In-depth advance care planning discussions between residents, families, and health care providers were rare for all residents, irrespective of demographic characteristics. Nursing staff considered older residents to have milder and less frequent pain than younger residents. We found no disparities in pain management based on race.Significance of results:To the extent that advance care planning improves care at the end of life, racial minorities in nursing homes are disadvantaged compared to their white fellow residents. Focusing on in-depth discussions of values and goals of care can improve palliative care for all residents and may help to ameliorate racial disparities in end-of-life care. Staff should consider residents of all ages as appropriate recipients of advance care planning efforts and should be cognizant of the fact that individuals of all ages can experience pain. Nursing homes may do a better job than other health care institutions in eliminating racial disparities in pain management.

scholarly journals Restorative Classrooms: Critical Peace Education in a Juvenile Detention Home

2011 ◽  
Author(s):  
Cheryl Duckworth
Keyword(s):  
Critical Analysis ◽  
Peace Education ◽  
Community Analysis ◽  
Social Processes ◽  
Juvenile Detention ◽  
Reflective Writing ◽  
Political Systems ◽  
Peace Movements ◽  
The Core ◽  
The Social

This article describes several of the more successful critical peace education methodologies and perspectives that I was able to bring to my classroom in a juvenile detention home. For example, reflective writing and community analysis of nonviolent peace movements formed the core of my curriculum, as did critical analysis of the social processes of stereotyping and dehumanization. As a result, numerous students grew in their ability to write, express empathy with others, identify bias and articulate critical analysis of their schools, among other political systems. This analysis will contribute to the growing body of work on the practice of critical peace education.

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