scholarly journals A SERVICE IMPROVEMENT OPPORTUNITY FOR PHARMACIST INDEPENDENT PRESCRIBERS? A LITERATURE REVIEW EXAMINING THE RELATIONSHIP BETWEEN POOR DIABETES CONTROL AND THE CO-EXISTENCE OF MENTAL HEALTH ISSUES

Author(s):  
NASREEM BIBI ◽  
HANA MORRISSEY ◽  
PATRICK BALL

Diabetes and mental illness are clinically managed by diverse pathways. However, an association between the two has been observed and evidence is growing that when poorly addressed, therapy adherence is low and outcomes are poor. To date, no intervention has been shown to provide sustained improvements in adherence, outcome, quality of life or provider cost savings. This literature review was undertaken as a foundation to a research project to examine whether there is an opportunity for current independent prescriber pharmacists, with or without further training, could as part of a primary care team, contribute their expertise to achieving better and sustainable outcomes for these conditions, where current treatment models are heavily medication-dependent. It reinforces the idea that these conditions are interlinked but by poorly understood mechanisms and suggests that a new approach is required in order to improve outcomes for this complex patient group.

2014 ◽  
Vol 21 (3) ◽  
pp. 368-384 ◽  
Author(s):  
Lidija Breznik ◽  
Robert D. Hisrich

Purpose – The purpose of this paper is to provide insights into the relationship between dynamic capabilities and innovation capabilities. It links dynamic capability with innovation capability and indicates the ways they can be related. Design/methodology/approach – The relationships between dynamic and innovation capability were investigated through a systematic literature review. Findings – The review indicates that common characteristics exist between of the both fields, which demonstrate six relationships. Additionally, findings show some inconsistencies and even contradictions. Originality/value – In this paper, the authors have compared dynamic capabilities, a relatively new approach in the field of strategic management, with innovation capabilities, a widely recognised crucial domain for sustained competitiveness. Since both areas address issues that are essential to today's environment, future research should seek to clarify both concepts, by undertaking some new research and developing comprehensive and unambiguous framework.


2018 ◽  
Vol 12 (3) ◽  
pp. 220-232 ◽  
Author(s):  
Elizabeth Karol ◽  
Dianne Smith

Aim:The objective of this article is to identify and analyze what is known about characteristics in and around the home that support well-being for those with cognitive impairment. This could provide direction for designers of homes in general, but specifically for designers trying to meet the needs of people with cognitive impairment.Background:It has been established that there is a relationship between psychological well-being and a person’s environment. Research also shows that particular design aspects can reduce the impact of cognitive impairment. However, there is limited design expertise in the Australian housing market to create supportive spaces which will help to reduce the impact of the disability for those with cognitive impairment.Method:A literature review was carried out to determine the extent and details of what is known about the relationship of home design and its impact on emotional, psychological, or social well-being for people with cognitive impairment.Conclusions:The study indicates that researchers in various disciplines understand that pragmatic design inputs such as thermal comfort and adequate lighting are important for people with cognitive impairment. In addition, some researchers have shown or surmise that there are other “intangible” designer-controlled elements that have beneficial impacts on people with cognitive impairment. Details of these intangible elements are sparse, and how much they might improve the quality of life for a person with cognitive impairment is not well understood. Further research is required to meet a growing need.


2020 ◽  
Author(s):  
Francesco Cataldo ◽  
Shanton Chang ◽  
Antonette Mendoza ◽  
George Buchanan

BACKGROUND During the COVID-19 pandemic, people are being encouraged to maintain social distance. Technology is helping people to reschedule meetings from “face-to-face” interactions to remote videoconferencing. Psychologists are in high demand, due to an increase in stress as a result of COVID. Many seek to both keep treating their current patients, and welcome new ones, given the current high demand for their services. Videoconferencing provides an opportunity to do this. However, shifting treatment from face-to-face to the videoconferencing is not simple as both the psychologist and the patient miss the in-person information and cues, such as body language provides. OBJECTIVE A new theoretical framework is proposed to guide the design of future studies on the impact of the computer as a mediator of psychologist-patient relationships, and the influence of videoconferencing on the whole relationship process. METHODS A literature review has been conducted, screening studies focusing on communication, and the key concepts of therapeutic relationship and therapeutic alliance. RESULTS Studies report that patients are generally satisfied with videoconference therapy in terms of the relationship with their therapists and the establishment of the “therapeutic alliance”. However, psychologists report difficulties in establishing same quality of therapeutic relationship and therapeutic alliance. The analysed studies lead us to interpret data under a different perspective. A new model of relationship is proposed, along with further hypotheses. CONCLUSIONS It is important to consider the computer as having an active role in psychologists and patients’ relationships. CLINICALTRIAL


2020 ◽  
Vol 30 (Supplement_2) ◽  
Author(s):  
A C Martins ◽  
P Francisco

Abstract Introduction Recognizing that AT service characteristics, including knowledge and reasoning of providers, play a potential role in the appropriated selection and training, with impact on the psychosocial domains of QoL. In Portugal, AT services are detected to be ineffective concerning evaluation, recommendation, advocacy, training and outcome measuring, what could be a reason for these findings. Objectives To investigate the relationship between AT services characteristics and psychosocial impact of the wheelchairs on users QoL to get insights to new approach models in physiotherapy. Methodology Procedures included answering to self-administered questionnaires at their own. The dependent variable was the psychosocial impact of assistive devices (PIADS) and the independent variables were satisfaction with AT (QUEST) and AT service characteristics. Results Participants were 184 wheelchair users for more than one year with diverse diagnosis; age M = 37.3 years, recruited at physiotherapy/rehabilitation settings in Portugal. Wheelchair users are more satisfied with devices than with AT services. Correlations between psychosocial impact of wheelchair are moderate regarding the satisfaction of device dimension, measured by QUEST. No corrections were found to satisfaction with service dimension Manual wheelchair users scored lower psychosocial impact than motorized wheelchair users and that difference was statistically significant. Conclusion PT should be aware of the newest high technology devices introduced on the market, payment sources and state AT programs as well as destigmatize dependence associated to AT. We got significant insights to AT field and to the development of PT curriculum; PT students need more than the basic level of knowledge and training they achieved at school to feel prepared to provide AT services. After graduation, PTs need continuing education on AT. Strategies are discussed on this report.


Author(s):  
Bruno Spandonide

Both the domestic and international academic literature’s analysis of links between transport and wellbeing focuses mainly on urban settings and vulnerable population groups including older people, people with health issues, socio-economically disadvantaged people, or people undergoing more frequent extreme climatic events. While the relationship between remote Australians wellbeing and travelling activities is evident, its complexity still remains an under-researched topic. This is paradoxical when considering that extreme distances, high supply chain costs, limited access to services and to economic participation are well recognised obstacles for sustaining vibrant remote Australian communities. The latest accessibility-driven technological innovations in both the digital and the sharing economies are highly topical in transport projects in urban agglomerations but still a distant reality for remote Australia. There is a need for researching an appropriateness framework of such technologies because of the strong relevance of the multiple outcomes in terms of wellbeing that some of these innovations provide. Furthermore what defines a good quality of life can sometimes be very similar and other times greatly differ between remote and urban contexts. In the light of some recent transport and mobility research this paper analyses the potential connections between more appropriate transport innovations and increasingly resilient remote communities.


Author(s):  
Mónica Rebeca Franco Pombo ◽  
María del Mar Fernández Martínez ◽  
Antonio Luque de la Rosa ◽  
Rafaela Gutiérrez Cáceres

The public policy of Ecuador has placed the improvement of educational quality as one of the main objectives of government management. The climate-school constructs, organizational climate, work climate, and institutional climate, are used in different environments to accentuate the importance of the relationship established between a management environment ­ factor and the quality of results in organizations. Throughout this study, the objective has been to analyze the variations in the relationship among the actors, and the levels of trust between the actors of the school organizational climate, according to the socioeconomic level, the role played in the educational community, or the type of socio-educational center.  The study follows a new approach of an experimental, descriptive-comparative investigation, using techniques such as the survey, the interview, and the discussion group, adjusting to the mixed methodology according to the objectives and sense of the research proposed. In consideration of the results, we will appreciate that the relationships between the actors and the confidence levels of the actors show mostly positive indicators based on the responses of the participants in the study. However, the percentage of negative perceptions (24.34%) is a factor to consider, since it might suggest that these perceptions underlie indicators of distrust that should be taken into account for any future interventions. In conclusion, the schools participating in this study have built a mostly positive school organizational climate, which generates favorable spaces for innovation and change processes.


2020 ◽  
Vol 10 (1) ◽  
pp. 36-47
Author(s):  
Mohammad Rashid ◽  
Debapratim Pandit

Abstract Management of wastewater and stormwater is required for achieving total sanitation and conservation of fresh water resources. The wastewater and stormwater management (WSM) infrastructure suitable to rural areas is usually determined based on technical, environmental, and economic considerations and local communities' perception of infrastructure is ignored. This study analyses the rural communities' choice and perception of WSM infrastructure and their willingness to pay (WTP) for their improvement and maintenance. The households' choice and perception of different aspects of rural WSM infrastructure are determined using the RIDIT (relative to an identified distribution and transformation) analysis, service quality gap analysis, through establishing the relationship between households' satisfaction with individual aspects and overall quality of WSM, and WTP for the service improvement and maintenance. The study finds that rural people like to dispose of wastewater offsite as a good network of drains is found in the villages. However, several aspects of WSM are perceived as poor and require the attention of the policymakers. The rural households want improvement in several attributes and are willing to pay for the maintenance of improved service. The service quality of individual attributes of WSM infrastructure and socioeconomic characteristics of the households are essential determinants of their WTP.


2020 ◽  
pp. 81-93
Author(s):  
D. V. Shalyapin ◽  
D. L. Bakirov ◽  
M. M. Fattakhov ◽  
A. D. Shalyapina ◽  
A. V. Melekhov ◽  
...  

The article is devoted to the quality of well casing at the Pyakyakhinskoye oil and gas condensate field. The issue of improving the quality of well casing is associated with many problems, for example, a large amount of work on finding the relationship between laboratory studies and actual data from the field; the difficulty of finding logically determined relationships between the parameters and the final quality of well casing. The text gives valuable information on a new approach to assessing the impact of various parameters, based on a mathematical apparatus that excludes subjective expert assessments, which in the future will allow applying this method to deposits with different rock and geological conditions. We propose using the principles of mathematical processing of large data sets applying neural networks trained to predict the characteristics of the quality of well casing (continuity of contact of cement with the rock and with the casing). Taking into account the previously identified factors, we developed solutions to improve the tightness of the well casing and the adhesion of cement to the limiting surfaces.


2021 ◽  
Vol 2 (2) ◽  
pp. 132
Author(s):  
Hulu Titusman ◽  
Nanang Prasetyo Budi ◽  
Rina Puspita Sari

Background : Hemodialysis is one of the therapies for Chronic Kidney Failure (CKD) patients. This process takes place on an ongoing basis which is closely related to the quality of life. Quality of life is strongly influenced by family support. One form of family support is emotional support which includes forms of affection, trust, attention, assistance during therapy. With this support, it affects patient compliance with therapy programs and medical treatment programs so that it will improve the patient's quality of life. Objective: To determine the relationship between family support and quality of life of hemodialysis patients. Based on journals that have been analyzed by researchers using a literature review research design or literature review study literature review Methods: search for this research article through four databases, namely Google Scholar, ProQuest, EBSCO, and PubMed using keywords and inclusion criteria, namely 21 journal using Indonesian and English, the type of article publication is full-text articles, original research articles, articles that have ISSN and DOI, the theme of the article is the relationship of family support with the quality of life of hemodialysis patients, in the 2016-2021 period with the literature review method. Results: The results of this study showed a significant relationship between family support and quality of life of hemodialysis patients with p-value=0,001 <a=0.05 with a positive correlation direction with low correlation strength. Conclusion: The higher the support from the family, the better the quality of life for chronic kidney failure patients undergoing hemodialysis.


2012 ◽  
Vol 20 (1) ◽  
pp. 201-210 ◽  
Author(s):  
Paula Pereira de Figueiredo ◽  
Wilson Danilo Lunardi Filho ◽  
Valéria Lerch Lunardi ◽  
Fernanda Demutti Pimpão

This review study aimed to verify how studies conducted in Brazil have related infant mortality to prenatal care and to present contributions of the clinic in the light of Canguilhem and Foucault for qualification of the care. An integrative literature review was conducted from searches in the databases SciELO, LILACS, MEDLINE and BDENF for the period 2000 to 2009. The relationship between infant mortality and prenatal care is related to the insufficient number of consultations or to the quality of the care provided. Even when the number of and routine consultations in the prenatal care were adequate, avoidable deaths were present. For the qualification of prenatal care, it is suggested that the clinical knowledge and other elements that comprise the process of human living are considered, in order that the clinical view is enlarged and articulated to the technologies available in the health system and, together, they are able to contribute to the reduction of infant mortality in Brazil.


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