scholarly journals An international study on innovations in the management of children’s pain

2013 ◽  
Vol 3 (2) ◽  
pp. 1-18
Author(s):  
Joan Simons ◽  
Keyword(s):  
Pain Management ◽  
Appreciative Inquiry ◽  
Best Practice ◽  
Management Practice ◽  
Good Practice ◽  
International Study ◽  
Dissemination And Implementation ◽  
Travel Scholarship ◽  
The Uk ◽  
Children's Pain

Background: Children have a right to effective pain management and up to date guidelines are available to promote this. Despite this, many reports state that children’s pain in hospital settings is not managed well, and many children are left to suffer unnecessarily. Nearly a quarter of children surveyed said they were in pain all or most of the time they were in hospital (Picker, 2005). However, this is not the whole picture; many areas deliver effective and innovative pain management for children. Aim: The aim of this travel scholarship was to undertake a study to identify innovations and learn from examples of good practice in the management of children’s pain by visiting three areas of excellence in the UK, Sweden and Australia. Methods: The study took an Appreciative Inquiry approach, focusing on learning from good practice, and follows four stages: Discovery (the best of what is): this involved visits to the three study areas and meeting practitioners, educators and researchers to explore innovations in their pain management practice Dream (what might be): this involved meeting with the host at the end of each study week to present to them identified examples of good practice for confirmation Design (what should be): this involved writing up the findings of the three visits, exploring what innovations could be introduced to improve pain management practice across the UK Destiny: this is dissemination and implementation of the best practice examples identified Conclusions: In each area visited, confident practitioners identified innovations in their pain management practice that have improved children’s pain experience in hospital. Innovations ranged from environmental adjustments to reduce anxiety related to pain, to standardising children’s observation charts to promote the regular assessment of pain. Effective leadership was apparent at each study site. Implications for practice: Appreciative Inquiry is about identifying what works so that it can be repeated Confidence and self-belief underpin the practice of effective pain management teams An effective leader with a vision is needed to drive continuous improvement in the management of children’s pain

scholarly journals Developing a Framework to Support the Delivery of Effective Pain Management for Children: An Exploratory Qualitative Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Joan Simons ◽  
Bernie Carter ◽  
Jennie Craske
Keyword(s):  
Pain Management ◽  
Nurse Practitioners ◽  
Management Practice ◽  
Online Course ◽  
Advisory Group ◽  
Semistructured Interviews ◽  
Pain Prevalence ◽  
Education Tool ◽  
The Uk ◽  
Children's Pain

Two million children are admitted to hospital every year in the UK and between 59% and 94% will experience pain, with 27–40% of them experiencing moderate to severe pain. Currently, there are a number of well-researched guidelines on children’s pain available, yet pain prevalence is high. Despite the guidelines, there is a lack of an overall framework that includes the necessary components to deliver effective pain management. This study was built on previous work about key elements that support children’s pain management, by exploring their relevance and practical application with 43 healthcare practitioners. We carried out focus groups with band 5 nurses (n = 6) and advanced nurse practitioners (n = 11) and semistructured interviews with pain nurses (n = 16) and consultants (n = 10). We also presented and discussed our findings with an advisory group. Findings demonstrated that the following elements were considered to be important: delivering pain management with confidence, supporting colleagues with protocols and guidance, empowering parents to be involved in pain management, and adopting an individual approach to a child and family. These elements formed the basis of a framework for children’s pain management. Some practitioners indicated that pain management required education and more resources, and that the culture of an area could influence pain management practice. The framework brings together elements that have the potential to improve the management of children’s pain through its use as an education tool. Each interrelated element of the framework plays an important part in the overall management of children’s pain. The need now is to make the dissemination of the findings accessible to health care practitioners, parents, and educators. Next steps include the development of infographic posters, an animation, and a free online course, which will incorporate the use of Bloom’s taxonomy.

scholarly journals British Thoracic Society Quality Standards for outpatient management of pulmonary embolism

2020 ◽  
Vol 7 (1) ◽  
pp. e000636
Author(s):  
Robin Condliffe ◽  
Paul Albert ◽  
Raza Alikhan ◽  
Emma Gee ◽  
Daniel Horner ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Service Providers ◽  
Good Practice ◽  
Quality Standards ◽  
Quality Standard ◽  
Standards Of Care ◽  
British Thoracic Society ◽  
Dissemination And Implementation ◽  
Outpatient Management ◽  
The Uk

IntroductionThe purpose of the quality standards document is to provide healthcare professionals, commissioners, service providers and patients with a guide to standards of care that should be met for outpatient management of pulmonary embolism in the UK, together with measurable markers of good practice. Quality statements are based on the British Thoracic Society (BTS) Guideline for the Initial Outpatient Management of Pulmonary Embolism.MethodsDevelopment of BTS Quality Standards follows the BTS process of quality standard production based on the National Institute for Health and Care Excellence process manual for the development of quality standards.ResultsSix quality statements have been developed, each describing a standard of care for the outpatient management of pulmonary embolism in the UK, together with measurable markers of good practice.DiscussionBTS Quality Standards for Outpatient Management of Pulmonary Embolism form a key part of the range of supporting materials that the society produces to assist in the dissemination and implementation of a guideline’s recommendations.

scholarly journals Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253086
Author(s):  
Shegaw Zeleke ◽  
Amare Kassaw ◽  
Yeshambaw Eshetie
Keyword(s):  
Pain Management ◽  
Management Practices ◽  
Management Practice ◽  
Emotional Experience ◽  
Low Cost ◽  
Good Practice ◽  
Multivariable Analysis ◽  
Specialized Hospital ◽  
Debre Tabor ◽  
Insufficient Number

Background Pain is an unpleasant sensory and emotional experience associated with or resembling that actual or potential tissue damage. Different study findings show that about 55% to 78.6% of inpatients experience moderate-to-severe pain. Nurses are one of the health professional who may hear of pain suffered by the patients and who can manage patient suffering by themselves. Therefore, their correct skill is very important in non- pharmacology and pharmacology pain management methods. Objective To assess non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia. Methods Data were collected using structured observational check list with interviewer administered questionnaires that measure nurses’ practice on non-pharmacological pain management. Data were entered using Epi Data version 3.1 and analyzed using SPSS (Stastical Package for Social Sciences) version 23. Bivariable and multivariable analysis were conducted to examine the association between independent and outcome variables. Results A total of 169 nurses participated in the study, with a response rate of 100%. Among the study participants 94 (55.6%) were females, and the mean age of nurses were 34.9(SD = 5.7) years. Only 44(26%) of nurses had good practice on non- pharmacology pain management methods. About 130(77.55%), 125(74.0%), and 123(72.8%) of nurses reported that inadequate cooperation of physicians, multiple responsibilities of nurses and insufficient number of nurses per patient ratio as barriers for practice of non -pharmacology pain management respectively. Conclusion Majority of nurses didn’t apply non-pharmacological pain management practices for their patients in pain and the overall practice level of nurses was very poor. The major identified obstacle factors for the poor practice of non–pharmacological pain management methods were nurses’ fatigue, inadequate cooperation of physicians, heavy workload, multiple responsibilities of nurses, and insufficient number of nurses per patient ratio and unfavorable attitude of nurse on non-pharmacology pain management. Even if nurses experiences different challenges, they shall use non‐pharmacological pain management methods complementary to pharmacological treatment of pain as they are low cost and safe. And also boosting nurse’s attitude towards the effect of non–pharmacological pain management methods is crucial.

scholarly journals British Thoracic Society quality standards for the investigation and management of pulmonary nodules

2018 ◽  
Vol 5 (1) ◽  
pp. e000273 ◽  
Author(s):  
David Baldwin ◽  
Matthew Callister ◽  
Ahsan Akram ◽  
Paul Cane ◽  
Jeanette Draffan ◽  
...  
Keyword(s):  
Service Providers ◽  
Good Practice ◽  
Pulmonary Nodules ◽  
Cost Effective ◽  
Quality Standards ◽  
Quality Standard ◽  
Standards Of Care ◽  
British Thoracic Society ◽  
Dissemination And Implementation ◽  
The Uk

IntroductionThe purpose of the quality standards document is to provide healthcare professionals, commissioners, service providers and patients with a guide to standards of care that should be met for the investigation and management of pulmonary nodules in the UK, together with measurable markers of good practice.MethodsDevelopment of British Thoracic Society (BTS) Quality Standards follows the BTS process of quality standard production based on the National Institute for Health and Care Excellence process manual for the development of quality standards.Results7 quality statements have been developed, each describing a key marker of high-quality, cost-effective care for the investigation and management of pulmonary nodules, and each statement is supported by quality measures that aim to improve the structure, process and outcomes of healthcare.DiscussionBTS Quality Standards for the investigation and management of pulmonary nodules form a key part of the range of supporting materials that the Society produces to assist in the dissemination and implementation of guideline recommendations.

College of Occupational Therapists: Code of Ethics and Professional Conduct

2005 ◽  
Vol 68 (11) ◽  
pp. 527-532 ◽  
Keyword(s):  
Occupational Therapy ◽  
Best Practice ◽  
Code Of Ethics ◽  
Good Practice ◽  
Occupational Therapists ◽  
Health Professions ◽  
Professional Conduct ◽  
Policies And Procedures ◽  
Standards Of Conduct ◽  
The Uk

The College of Occupational Therapists' Code of Ethics and Professional Conduct (hereinafter referred to as ‘the Code’) is produced by the College of Occupational Therapists (hereinafter referred to as ‘the College’) for and on behalf of the British Association of Occupational Therapists, the central organisation for occupational therapists throughout the United Kingdom (UK). The College of Occupational Therapists is the subsidiary organisation with delegated responsibility for the promotion of good practice and the prevention of malpractice. The title ‘occupational therapist’ is protected by law and can only be used by persons who have successfully completed an approved course leading to a diploma or degree in occupational therapy and who are eligible for registration with the Health Professions Council (HPC). All occupational therapists practising in the UK shall be registered with the Health Professions Council. This Code shall be used in conjunction with the HPC's current Standards of Conduct, Performance and Ethics and the College's latest standards for professional practice in occupational therapy. Occupational therapy personnel* shall also comply with current laws and legislation, best practice standards as well as employers' reasonable policies and procedures.

Mid-career as a process of discovery

2016 ◽  
Vol 21 (1) ◽  
pp. 45-59 ◽  
Author(s):  
Kay Maddox-Daines
Keyword(s):  
Higher Education ◽  
Management Practice ◽  
Good Practice ◽  
Education Institution ◽  
Education Sector ◽  
Higher Education Institution ◽  
Content Type ◽  
Female Managers ◽  
The Uk

Purpose – The purpose of this paper is to explore the mid-career experience of female managers within a small higher education institution in the UK. It considers how managers manage “self” within this phase of career. Design/methodology/approach – This study takes an ethnographic approach to the exploration of experiences in mid-career. Using a relational approach it was possible to draw together new insights deriving from the data. A narrative approach provided the framework from which deeper insights were captured through detailed participant stories told in situ. Findings – This study offers a deep analysis of the constructs of management experience as these are negotiated within mid-career. The priority of female managers in this study is directed towards the balance of home and work. There is less evidence of a desire for upward progression, instead the focus now shifts to the achievement of authenticity and balance. Research limitations/implications – This study was conducted in the higher education sector in the UK which is noted for its increasing commercialisation agenda and low staff turnover. Undertaking comparable research in other sectors will provide further insights into the generalisability of findings. Managers in this study were wholly white, middle class and most are still working in the region in which they were born. A more diverse cohort may be studied to ascertain the importance attributable to balance of work and life across different groups. Practical implications – This study presents some important areas of consideration for those involved in the support and advancement of female managers. Indeed, for those engaged in cognitive and developmental work this study provides rich and in-depth qualitative data that may prove helpful when formulating policy. It is of significance to senior managers within organisations and encourages attention towards executive development and organisational culture, both of which support the retention of talent within the organisation. Social implications – This paper provides insights into middle and senior management practice that may be of use by policy makers in the wider higher education sector context, as well as in general management good practice discussions more widely. This study may also be of interest to aspiring female managers and those relatively new to their roles as they seek to position themselves to achieve a sense of authenticity within their organisations. Originality/value – This study provides an empirical contribution to the study of female managers working within a small higher education institution in the UK. It provides deep insights into management practice at mid-career within the workplace and the way in which this is conceived in situ.

scholarly journals Privacy as Public Good – A Comparative Assessment of the Challenge for CoronApps in Latin America

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Kim Barker ◽  
Enrique Uribe-Jongbloed ◽  
Tobias Scholz
Keyword(s):  
Public Health ◽  
Latin America ◽  
Public Good ◽  
Best Practice ◽  
Good Practice ◽  
Core Analysis ◽  
Privacy Concerns ◽  
Digital Rights ◽  
The Core ◽  
The Uk

<p> </p><p>Much of the reporting of the tracing apps, tracking programmes, and privacy concerns during the developmental processes and the initial stages of the Covid-19 pandemic have focussed on pitting digital rights and privacy against public health interests. Undoubtedly, there is best practice in establishing a tracing app to respond to Covid-19 while the work of civil society and NGOs in scrutinising the apps in various nations is vitally important and provides the core analysis of the scope of the data to be collated and retained. The holding to account of tracing systems and governments in utilising technology that is by its very nature invasive is vital in protecting digital rights. In times of crisis in particular, accountability is incredibly important to ensure that digital rights are not pushed aside in light of other concerns.</p><p>To balance digital rights and privacy, and public health, accountability and transparency are essential – the scrutiny of the track and trace systems in Germany, the UK, and Colombia is therefore undertaken in this paper, which questions from interdisciplinary perspectives the scrutiny, accountability, and privacy concerns in each nation’s app before offering some conclusions and recommendations for the improvement and development of privacy and digital rights in Latin America. The conclusions offered here highlight good practice and outline the need for a holistic consideration of tracing systems, rather than advocating for a ‘one size fits all approach’ by positioning privacy as a public good, rather than an opponent of technological tracing systems.</p>

Participating in an international project on readers’ response to Lord of the Flies: insights into undergraduate students’ responses

2020 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Ghazal Kazim Syed ◽  
Manzoor-ul-Mustafa Panhwar
Keyword(s):  
Undergraduate Students ◽  
International Study ◽  
Literature Circles ◽  
Collaborative Teaching ◽  
International Project ◽  
Teaching Techniques ◽  
Innovative Methods ◽  
Lord Of The Flies ◽  
The Uk ◽  
Teaching Pedagogies

<p>This paper presents the findings of a study based on students’ response to participating in an international project. This international project was a collaboration between Pakistan, the UK and Norway. Collaborative teaching techniques of using literature circles within each class and google circles across the three contexts (online) were used. Twelve participating students from Pakistan were interviewed to explore their reactions to the international study. Students felt that they learnt new things from the use of these innovative methods, were able to learn from foreigners and felt a sense of connectivity to their groups. It is recommended that students from Pakistan be given such exposure to overcome their hesitation. It is recommended that further research be carried out in other contexts as well to determine if the use of such teaching pedagogies can benefit other teachers of literature.</p>

Best practice for chronic oedema in community settings: what can we learn?

2020 ◽  
Vol 25 (12) ◽  
pp. 610-614
Author(s):  
Garry Cooper-Stanton
Keyword(s):  
Service Provision ◽  
Best Practice ◽  
Evidence Base ◽  
Community Services ◽  
Guidance Document ◽  
Community Settings ◽  
Tissue Viability ◽  
Delivery Of Care ◽  
Specialist Nurses ◽  
The Uk

There are various opportunities and challenges in the delivery of care to those diagnosed with chronic oedema/lymphoedema. Service provision is not consistent within the UK, and non-specialist nurses and other health professionals may be called on to fill the gaps in this area. The latest best practice guidance on chronic oedema is directed at community services that care for people within their own homes in primary care. This guide was developed in order to increase awareness, knowledge and access to an evidence base. Those involved in its creation cross specialist fields (lymphoedema and tissue viability), resulting in the document covering a number of areas, including an explanation of chronic oedema, its assessment and management and the association between chronic oedema and wet legs. The document complements existing frameworks on the condition and its management and also increases the available tools within chronic oedema management in the community. The present article provides an overview of the guidance document and discusses its salient features.

scholarly journals A Delphi Study Investigating Clinicians’ Views on Access to, Delivery of, and Adaptations of MBCT in the UK Clinical Settings

Mindfulness ◽  
2021 ◽  
Author(s):  
Kate Williams ◽  
Samantha Hartley ◽  
Peter Taylor
Keyword(s):  
Delphi Study ◽  
Good Practice ◽  
Evidence Base ◽  
Clinical Settings ◽  
Training Support ◽  
Decision Making Processes ◽  
Complex Decision Making ◽  
Complex Decision ◽  
The Uk ◽  
Clinical Populations

Abstract Objectives Mindfulness-based cognitive therapy (MBCT) is a well-evidenced relapse-prevention intervention for depression with a growing evidence-base for use in other clinical populations. The UK initiatives have outlined plans for increasing access to MBCT in clinical settings, although evidence suggests that access remains limited. Given the increased popularity and access to MBCT, there may be deviations from the evidence-base and potential risks of harm. We aimed to understand what clinicians believe should be best clinical practice regarding access to, delivery of, and adaptations to MBCT. Methods We employed a two-stage Delphi methodology. First, to develop statements around best practices, we consulted five mindfulness-based experts and reviewed the literature. Second, a total of 59 statements were taken forward into three survey rating rounds. Results Twenty-nine clinicians completed round one, with 25 subsequently completing both rounds two and three. Forty-four statements reached consensus; 15 statements did not. Clinicians agreed with statements regarding sufficient preparation for accessing MBCT, adherence to the evidence-base and good practice guidelines, consideration of risks, sufficient access to training, support, and resources within services, and carefully considered adaptations. The consensus was not reached on statements which reflected a lack of evidence-base for specific clinical populations or the complex decision-making processes involved in delivering and making adaptations to MBCT. Conclusions Our findings highlight the delicate balance of maintaining a client-centred and transparent approach whilst adhering to the evidence-base in clinical decisions around access to, delivery of, and adaptations in MBCT and have important wide-reaching implications.

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