How Can we Improve Nongovernmental Responses?

2017 ◽  
Author(s):  
Adam M. Messinger
Keyword(s):  
Support Groups ◽  
Healthcare Providers ◽  
Provider Training ◽  
Policy Practice ◽  
Help Giving ◽  
Potential Damage ◽  
Future Policy ◽  
Medical Healthcare ◽  
Successes And Challenges ◽  
Service Advertising

Chapters 5 and 6 shine a spotlight on the help-giving resources (HGRs) used by LGBTQ IPV victims, which can provide much-needed assistance in coping with and escaping abuse. This chapter focuses in particular on those HGRs that are not exclusively employees of or departments within governments: friends, family, neighbors, religious organizations, support groups, mental and medical healthcare providers, and IPV victim organizations (such as telephone hotlines, shelters, and multiservice IPV agencies). This chapter examines which of these HGR types are most likely to be sought out for help by LGBTQ IPV victims, as well as how helpful they are perceived to be. From there, the chapter delves into detailed research on each nongovernmental HGR type, highlighting both successes and challenges resulting from serving LGBTQ IPV victims. Recurring themes include the potential damage inflicted on victims by HGRs that do not show respect for victimization experiences and LGBTQ identities, as well as the consequences of asking LGBTQ victims to utilize resources originally designed for HC IPV victims (with service advertising, victim screening, service content, provider training, and victim referrals at times erroneously treating IPV as a one-size-fits-all phenomenon). The chapter concludes with implications for future policy, practice, and research.

How Can we Improve Government Responses?

2017 ◽  
Author(s):  
Adam M. Messinger
Keyword(s):  
Law Enforcement ◽  
Prevention And Intervention ◽  
Policy Practice ◽  
Help Giving ◽  
Future Policy ◽  
The Right ◽  
The Impact

This chapter explores government-based responses to LGBTQ IPV. The chapter begins by discussing the impact of laws on the abilities of LGBTQ IPV victims to seek help, such as laws governing the right to be LGBTQ, the right to marry, and the right to adopt children. With this as context, the chapter turns to two key government-based help-giving resources (HGRs)—law enforcement and courts—detailing specific strengths and shortcomings in how each of them addresses LGBTQ IPV. The chapter then looks at prevention and intervention efforts regarding LGBTQ IPV, with a particular eye toward challenges in applying resources designed for heterosexual-cisgender people to LGBTQ populations. The chapter concludes with implications for future policy, practice, and research.

scholarly journals Understanding Global Deprescribing Policy: Opportunities and Challenges

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 833-834
Author(s):  
Catherine Kim ◽  
Allison Thompson ◽  
Grace Kim ◽  
Zachary Marcum ◽  
Michelle Keller ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Medication Management ◽  
Healthcare Providers ◽  
Cost Effective ◽  
Community Dwelling ◽  
Policy Initiatives ◽  
Key Informant ◽  
The World ◽  
Future Policy ◽  
Successes And Challenges

Abstract The landscape of deprescribing, the planned process of dose reduction or stoppage for medications which are no longer of benefit, has been rapidly expanding with global efforts and the formation of regional and national deprescribing networks. The purpose of this qualitative study is to describe successes and challenges about deprescribing from thought-leaders across the world to inform future policy initiatives. We aim to conduct at least 15 key informant (KI) interviews; we have completed 13 to date. Codes were constructed to identify themes that depict the perspectives regarding deprescribing policy across the globe. The KIs primarily represent the fields of pharmacy and medicine from four global regions with years of deprescribing experience ranging from 5 to > 20. We identified two emerging overarching themes through our qualitative analysis: Regional Organization Support and Evidence & Knowledge gaps. Within these overarching themes, we further identified sub-themes and their representative quotes: Network Structure: “idea of the network was threefold: 1) To try and figure out what we need to activate healthcare providers to deprescribe; 2) To do work with community-dwelling seniors to motivate them and give them opportunities to deprescribe; 3) ...getting pharmacists to provide the education to the patients.” Cost-effectiveness: “If we can show that it is cost-effective to deprescribe, that there is actually a return here, not just in health terms but in monetary terms, I think that would really push it along.” This research will help to advance global efforts to optimize medication management.

scholarly journals Attitude and Practice of Contraception among Gynecologists at a Tertiary Care Hospital

2013 ◽  
Vol 5 (3) ◽  
pp. 129-131 ◽  
Author(s):  
Sunita Hemani ◽  
Premlata Mital
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Care Hospital ◽  
Barrier Method ◽  
Unintended Pregnancies ◽  
Attitude And Practice ◽  
Complete Knowledge ◽  
The Mean ◽  
Medical Healthcare

ABSTRACT Medical healthcare providers are an important link with the general public to impart knowledge regarding contraception. However, their own attitude and practice of contraception is often lacking. Objective This study was conducted to assess the attitude and practice of contraception over the last 5 years of the gynecologists themselves in a tertiary care hospital in Jaipur. Materials and methods The study was conducted on 125 female gynecologists in a tertiary care hospital in Jaipur. All were given a questionnaire which was duly filled by them and data obtained was analyzed. Results All the doctors used some form of contraception. The mean age was 29.32 years. The commonest was the barrier method (38.4%) followed by OC pills (27.2%). Twenty-one percent of the barrier users used them occasionally. Emergency contraception was used by either those using natural methods of contraception or who were occasional users of OC pills or condoms. Fifty percent of the couples relying on natural methods conceived. Conclusion Gynecologists have complete knowledge regarding contraception, yet fail to use it regularly. Proper attitude and practice is essential to prevent unintended pregnancies. How to cite this article Hemani S, Hooja N, Mital P. Attitude and Practice of Contraception among Gynecologists at a Tertiary Care Hospital. J South Asian Feder Obst Gynae 2013;5(3): 129-131.

scholarly journals Water Theft Maleficence in Australia

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Alexander Baird ◽  
Reece Walters ◽  
Rob White
Keyword(s):  
Human Rights ◽  
Water Security ◽  
Federal State ◽  
Policy Practice ◽  
Criminological Perspective ◽  
Court Proceedings ◽  
Human Conflict ◽  
State And Local ◽  
Future Policy ◽  
Critical Overview

The United Nations has repeatedly identified that freshwater security is one of the greatest challenges facing humanity, and that water theft is a global problem exacerbating human conflict, denying human rights and accelerating environmental despoliation (UN 2019; UN Water 2020). Australia is the world’s driest inhabited continent where water security is seriously threatened and constantly monitored by federal, state and local authorities. The devastating 2019-2020 bushfires across Australia serve as a stark reminder of the nation’s vulnerabilities to drought and the imperatives of water security and sustainability. Whilst some threats are undoubtedly climate induced, it is widely reported the ‘theft’ of water is playing an increasingly significant role in compromising Australia’s water security. This article provides a critical overview of the contemporary significance of water theft and its governance. It interrogates official documents of government inquiries, examines court proceedings, and provides a green criminological perspective on future policy, practice and prevention.

Introduction

2017 ◽  
Author(s):  
Adam M. Messinger
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
English Language ◽  
Intimate Partner ◽  
Evidence Based ◽  
Policy Practice ◽  
Language Research ◽  
The World ◽  
Future Policy

This chapter invites readers into the hidden world of intimate partner violence (IPV) in the lives of lesbian, gay, bisexual, trans*, and queer (LGBTQ) people. It begins by debunking common myths of LGBTQ IPV, myths that have been shaped in part by homophobia, transphobia, and a historic emphasis on heterosexual-cisgender (HC) relationships in the global IPV-prevention movement. Unfortunately, even today, these myths contribute to systemic failings in how LGBTQ IPV is addressed throughout the world. Collectively, these myths and the lack of concrete support for LGBTQ victims have rendered LGBTQ IPV largely invisible. This chapter—and, indeed, the book—contends that many answers to this problem actually already exist in research, if only they could be extracted. With this in mind, the goal of this book is to comprehensively review the past forty years of LGBTQ IPV English-language research from throughout the world—the first book to do so. Just as significantly, the book mines this literature for evidence-based tips regarding future policy, practice, and research, tips that are shared at the close of each chapter. This introductory chapter concludes with a brief guide to the upcoming chapters and the terminology used throughout the book.

Women Living with Fibromyalgia: “Do No Harm”

2008 ◽  
Vol 12 (4) ◽  
pp. 21-25 ◽  
Author(s):  
Nancey E.M. France, ◽  
Kathleen Farrell, ◽  
Barbara Kearney, ◽  
Sharon Myatt,
Keyword(s):  
Quality Of Life ◽  
Focus Groups ◽  
Support Groups ◽  
Policy Making ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Clinical Nurse ◽  
Clinical Nurse Specialists ◽  
Do No Harm

The phenomenon of interest of this study was the woman’s perspective on what it was like to live with fibromyalgia (FMS). Aphenomenological study was conducted utilizing participant interviews, focus groups, and observations of FMS support groups. The participants portrayed the unending struggle of living with FMS with progressive disability further complicated by lack of trust and not feeling safe with the healthcare provider and system. Clinical Nurse Specialists (CNS) are crucial in educating healthcare providers on FMS, individualizing care to slow disability and promote quality of life, and influencing policy-making bodies to improve healthcare services.

Identifying Instructional Targets for Early Childhood via Authentic Assessment

2011 ◽  
Vol 33 (4) ◽  
pp. 243-253 ◽  
Author(s):  
Stephen J. Bagnato ◽  
Mary McLean ◽  
Marisa Macy ◽  
John T. Neisworth
Keyword(s):  
Early Childhood ◽  
Professional Practice ◽  
Authentic Assessment ◽  
Early Childhood Intervention ◽  
Natural Environments ◽  
Policy Practice ◽  
Critical Issues ◽  
Childhood Intervention ◽  
Future Policy ◽  
Innovative Capacity

Now at middle age, the field of Early Childhood Intervention (ECI) and its professionals have demonstrated a unique capacity to develop their own practice-based evidence (PBE) and professional standards to forge solutions to challenging professional practice dilemmas. This innovative capacity is no more evident than in designing and implementing individualized linkages among assessment/instruction/progress evaluation for all children, particularly those with delays and disabilities. In this article, the authors advocate for the overarching purpose of assessment in ECI—to identify instructional targets and to plan beneficial programs for young children with special needs in inclusive, natural environments. The authors highlight major developments that have changed their professional practices since the passage of PL 99-457; PBE that supports and promotes these practices and the linkage among assessment, instruction, and progress evaluation; and critical issues for future policy, practice, and research.

scholarly journals Ovulation, A Sign of Health

2017 ◽  
Vol 84 (4) ◽  
pp. 343-355 ◽  
Author(s):  
Pilar Vigil ◽  
Carolina Lyon ◽  
Betsi Flores ◽  
Hernán Rioseco ◽  
Felipe Serrano
Keyword(s):  
Health Status ◽  
Healthcare Providers ◽  
Diagnosis And Treatment ◽  
Medical Professionals ◽  
Endocrine Disorders ◽  
Neoplastic Diseases ◽  
Intrauterine Life ◽  
Medical Healthcare ◽  
Hormonal Levels

The concept of the ovarian continuum can be understood as a process that occurs during a woman's lifetime and begins during intrauterine life with fertilization. Women start their reproductive years with approximately five hundred thousand follicles containing oocytes, of which only around five hundred will be released during ovulation. Ovulation has been recognized as an event linked with reproduction; however, recent evidence supports the role of ovulation as a sign of health. The use of biomarkers that help women recognize ovulation enables them to identify their health status. This knowledge helps medical healthcare providers in the prevention, diagnosis, and treatment of different pathologies related with endocrine disorders, gynecological abnormalities, autoimmune, genetic, and neoplastic diseases, as well as pregnancy-related issues. The knowledge of the ovarian continuum and the use of biomarkers to recognize ovulation should be considered a powerful tool for women and medical professionals. Summary The ovarian continuum is a process that occurs during a woman's lifetime. It begins during intrauterine life with fertilization and ends with menopause. This process can be greatly affected by different conditions such as changes in hormonal levels and illnesses. Therefore, understanding and promoting the knowledge and use of biomarkers of ovulation in women is a key aspect to consider when evaluating their health status. The knowledge and education about the ovarian continuum should be taken into account as a powerful tool for women and medical professionals.

scholarly journals Accessing Web-Based Health Related Information by College Students

2006 ◽  
Vol 4 (1) ◽  
pp. 64-74 ◽  
Author(s):  
Nsele Mengi Nsuangani ◽  
Miguel A. Pérez
Keyword(s):  
College Students ◽  
Health Information ◽  
Support Groups ◽  
Web Sites ◽  
Medical Information ◽  
Personal Information ◽  
Healthcare Providers ◽  
Pharmaceutical Products ◽  
Privacy And Security ◽  
The Web

This study explored college students’ online activities at health Web sites, their perceptions of the quality and accuracy of Internet medical information, and their concerns about Internet privacy and security. The research took place at a medium sized university in central California during the Fall 2002 semester with a sample of 136 students. The study found that 67% of the sampled students had sought health information on the Internet; 12% had used Internet medical consultations services; 7% had bought pharmaceutical products online; 2% had joined Internet health support groups; 7% had used e-mail to communicate with healthcare providers; 18% had sought second opinions online; 35% expressed serious concern about the accuracy of health information posted on the Web; and 53% were concerned about the privacy and security of personal information posted on the Web. Gender and age were identified as influential in some of the issues raised in the research.

scholarly journals 852. Bridging the Gap in PrEP Provider Training: An Implementation Science Study

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S516-S516
Author(s):  
Aditi Ramakrishnan ◽  
Jessica Sales ◽  
Micah McCumber ◽  
Matthew Psioda ◽  
Leah Powell ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Mixed Model ◽  
Healthcare Providers ◽  
Provider Training ◽  
Southern States ◽  
Significant Difference ◽  
Initiation Step ◽  
Prep Implementation ◽  
Exposure Prophylaxis

Abstract Background Training healthcare providers in a variety of clinical settings to deliver pre-exposure prophylaxis (PrEP) is a key component of the Ending the HIV Epidemic (EHE) initiative. Self-efficacy, the individual’s belief in their ability to carry out the steps of PrEP delivery, is a core part of provider training and necessary for successful PrEP implementation. We characterized self-efficacy among providers from family planning (FP) clinics that do not provide PrEP to inform provider training strategies. Methods We surveyed providers (any clinical staff who could screen, counsel, or prescribe PrEP) from FP clinics in 18 Southern states (Feb-June 2018, N=325 respondents from 224 clinics not providing PrEP) using contraception- and PrEP-specific self-efficacy questions (overall and grouped into PrEP delivery steps: screening, initiation, and follow-up). We compared self-efficacy scores (5-point Likert scale) by prescriber status, between PrEP delivery steps, and used linear mixed models to analyze provider-, clinic-, and county-level covariates associated with overall PrEP self-efficacy. Results Among 325 FP providers, self-efficacy scores were lowest in the PrEP initiation step, higher in follow-up, and highest in screening (p < 0.0001, Table). Mean overall PrEP self-efficacy scores were significantly higher among prescribers compared to non-prescribers (p < 0.0001). However, providers reported lowest self-efficacy regarding insurance navigation for PrEP with no significant difference by prescriber status. The mixed model demonstrated overall PrEP self-efficacy was positively associated with favorable PrEP attitudes among non-prescribers, PrEP knowledge among prescribers, and contraception self-efficacy in both groups, but was not associated with availability of insurance navigation on-site or other covariates (Figure). Provider Self-Efficacy along the PrEP Delivery Model stratified by prescriber status Conclusion FP providers reported low confidence in their ability to perform the steps that comprise PrEP initiation. Provider training focused on elements of PrEP initiation are critical to improve PrEP implementation and EHE initiatives. Alternatively, programs employing referral or telehealth models to support the PrEP initiation step can successfully bridge this gap. Disclosures All Authors: No reported disclosures

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