scholarly journals Nurses’ competencies in health promotion for homebound older people

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 311-318 ◽  
Author(s):  
Telma Alteniza Leandro ◽  
Allana Mirella Alves ◽  
Ana Karina Bezerra Pinheiro ◽  
Thelma Leite de Araujo ◽  
Glauberto da Silva Quirino ◽  
...  

ABSTRACT Objective: to identify competencies related to health promotion targeting homebound older people, as they appear in the literature. Method: systematic review using the LILACS, Scopus, CINAHL, PubMed and Cochrane Library databases. The search was performed in November 2017. Selected articles were analyzed according to nine competency domains: enable change; advocate for health; mediate through partnership; communication; leadership; assessment; planning; implementation, and evaluation and research. Results: nine clinical trials were included. All health promotion competency domains were identified in the reviewed research interventions, performed with homebound older people. Conclusion: studies showed that the employed treatments were beneficial for the homebound older population. Interventions based on health promotion competencies were positively identified, and are linked to an effective and high-quality health care practice.

Author(s):  
Patrick Brown ◽  
Rubén Flores

Seeking to illustrate the usefulness of Eliasian approaches for debates on health care professional regulation, this chapter examines how long-term social processes have transformed the character of health care professional-patient interactions in the United Kingdom in recent decades, rendering them more informal and less asymmetric. The chapter goes on to consider three key implications and challenges of such transformations for regulatory design and practice, first exploring how performances of compassion and care have become more central to understandings of ‘quality’ health care practice. Secondly, these less asymmetric and structured interactions are also less stable, posing problems for quality assurance and regulation. Finally, informalisation processes are bound up with moves away from a more blanket profession-based trust towards a more critical, interaction-won trust. The chapter concludes by considering the implications of new trust dynamics for regulating quality care amid the processes of informalisation, and how heightened demands for reflexivity may open new possibilities for cultivating (professional) virtue through a dialogue between social research and health care practice.


2009 ◽  
Vol 27 (4) ◽  
pp. 411-416 ◽  
Author(s):  
Matthew R. Cooperberg ◽  
John D. Birkmeyer ◽  
Mark S. Litwin

2016 ◽  
Vol 23 (3) ◽  
pp. 627 ◽  
Author(s):  
Tom Chan ◽  
Concetta Tania Di Iorio ◽  
Simon De Lusignan ◽  
Daniel Lo Russo ◽  
Craig Kuziemsky ◽  
...  

Sharing health and social care data is essential to the delivery of high quality health care as well as disease surveillance, public health, and for conducting research. However, these societal benefits may be constrained by privacy and data protection principles. Hence, societies are striving to find a balance between the two competing public interests. Whilst the spread of IT advancements in recent decades has increased the demand for an increased privacy and data protection in many ways health is a special case.UK, are adopting guidelines, codes of conduct and regulatory instruments aimed to implement privacy principles into practical settings and enhance public trust. Accordingly, in 2015, the UK National Data Guardian (NDG) requested to conduct a further review of data protection, referred to as Caldicott 3.  The scope of this review is to strengthen data security standards and confidentiality. It also proposes a consent system based on an “opt-out” model rather than on “opt-in.Across Europe as well as internationally the privacy-health data sharing balance is not fixed.  In Europe enactment of the new EU Data Protection Regulation in 2016 constitute a major breakthrough, which is likely to have a profound effect on European countries and beyond.  In Australia and across North America different ways are being sought to balance out these twin requirements of a modern society - to preserve privacy alongside affording high quality health care for an ageing population.  Whilst in the UK privacy legal framework remains complex and fragmented into different layers of legislation, which may negatively impact on both the rights to privacy and health the UK is at the forefront in the uptake of international and EU privacy and data protection principles. And, if the privacy regime were reorganised in a more comprehensive manner, it could be used as a sound implementation model for other countries.


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