scholarly journals Nursing Fundamentals: Light between the Shadows of Covid-19 Pandemic

2021 ◽  
Vol 8 (1) ◽  
pp. 1-4
Author(s):  
Mercedes De Dios Aguado ◽  
Keyword(s):  
Primary Care ◽  
Nursing Staff ◽  
Primary Care Centre ◽  
Care Centre ◽  
Florence Nightingale

The main objective of this article is to share the experienceof nursing staff during the COVID 19 pandemic in a Primary Care Centre of the Toledo province the care and attention given to population follow the foundations of the nursing theories Florence Nightingale, Concepción Arenal and Hildegard Peplau.

scholarly journals 216 Integrated Day Hospital for Older Persons in a Primary Care Centre

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Fiona McGrath ◽  
Sarah Ronayne ◽  
Karen McHugh ◽  
Mary McDonnell ◽  
Elnsari Muataz ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Older Persons ◽  
Blood Pressure Monitoring ◽  
Rapid Assessment ◽  
Population Data ◽  
Shared Vision ◽  
Primary Care Centre ◽  
Day Hospital ◽  
Care Centre

Abstract Background To progress with integrated care, for older persons, it was proposed to establish a Day Hospital in a Primary Care Centre. Population data for Co Mayo shows the percentage of those over 65 years, (17.6%), to be significantly higher than the national average In 2018 there were 39,092 attendances to the Emergency Department and approximately 500, per month, were over 75 years. The aim was to develop a pathway from the Emergency Department to the Day Hospital for those 75 years and over who had experienced a fall. Additionally, this included an Early Supported Discharge for hip fracture patients. Methods The Day Hospital was operational 1 day per week with an allocation of funding for a Consultant, Occupational Therapist and assigned Project Manager. Holter and Blood pressure monitoring equipment was purchased. The Home First Team were reassigned to the front door of the hospital and worked with a cANP and a Medical Registrar. A weekly multi-disciplinary forum, inclusive of all stakeholders, developed working relationships, built a shared vision and standardised the approach for the patient cohort. Frailty training was provided specifically to Emergency Department staff. Results The Home First Team saw 541 patients (Jan-Apr 2019) and in collaboration with the Geriatrician streamed those suitable for management to primary care. The Integrated Day Hospital, 1 day per week (Jan-Apr 2019) delivered 55 new assessments plus follow-up appointments. Patient feedback is very positive and specifically highlights ease of access in primary care. Conclusion Establishing a Day Hospital in a Primary Care Centre is an innovative approach and shifts the focus of intervention from acute to primary care. The location is ideal due to a range of disciplines on site, PHN, Dietetics, Psychiatry This is the initial phase, with some pathways in place, and the overall aim is to provide GP access to rapid assessment in Primary Care and thus ensure hospital avoidance where possible.

scholarly journals Vitamin D levels in a pediatric population of a primary care centre: a public health problem?

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
J. M. Fernández Bustillo ◽  
A. Fernández Pombo ◽  
R. Gómez Bahamonde ◽  
E. Sanmartín López ◽  
O. Gualillo
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Vitamin D ◽  
Health Problem ◽  
Pediatric Population ◽  
Public Health Problem ◽  
Primary Care Centre ◽  
Care Centre ◽  
Vitamin D Levels

scholarly journals The impact of audit and feedback to support change behaviour in healthcare organisations - a cross-sectional qualitative study of primary care centre managers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna H. Glenngård ◽  
Anders Anell
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Audit And Feedback ◽  
Primary Care Centre ◽  
Research Approach ◽  
Care Centre ◽  
Bottom Up ◽  
Complex Change ◽  
Facilitators And Barriers ◽  
The Impact

Abstract Background This article addresses the role of audit and feedback (A&F) to support change behaviour and quality improvement work in healthcare organisations. It contributes to the sparse literature on primary care centre (PCC) managers´ views on A&F practices, taking into account the broad scope of primary care. The purpose was to explore if and how different types of A&F support change behaviour by influencing different forms of motivation and learning, and what contextual facilitators and barriers enable or obstruct change behaviour in primary care. Methods A qualitative research approach was used. We explored views about the impact of A&F across managers of 27 PCCs, in five Swedish regions, through semi-structured interviews. A purposeful sampling was used to identify both regions and PCC managers, in order to explore multiple perspectives. We used the COM-B framework, which describes how Capability, Opportunity and Motivation interact and generate change behaviour and how different factors might act as facilitators or barriers, when collecting and analysing data. Results Existing forms of A&F were perceived as coercive top-down interventions to secure adherence to contractual obligations, financial targets and clinical guidelines. Support to bottom-up approaches and more complex change at team and organisational levels was perceived as limited. We identified five contextual factors that matter for the impact of A&F on change behaviour and quality improvement work: performance of organisations, continuity in staff, size of organisations, flexibility in leadership and management, and flexibility offered by the external environment. Conclusions External A&F, perceived as coercive by recipients of feedback, can have an impact on change behaviour through ‘know-what’ and ‘know-why’ types of knowledge and ‘have-to’ commitment but provide limited support to complex change. ‘Want-to’ commitment and bottom-up driven processes are important for more complex change. Similar to previous research, identified facilitators and barriers of change consisted of factors that are difficult to influence by A&F activities. Future research is needed on how to ensure co-development of A&F models that are perceived as legitimate by health care professionals and useful to support more complex change.

scholarly journals The timing and quality of antenatal care received by women attending a primary care centre in Iquitos, Peru: A facility exit survey

PLoS ONE ◽  
2020 ◽  
Vol 15 (3) ◽  
pp. e0229852
Author(s):  
Sara Jabeen Wynne ◽  
Rui Duarte ◽  
Gilles de Wildt ◽  
Graciela Meza ◽  
Abi Merriel
Keyword(s):  
Primary Care ◽  
Antenatal Care ◽  
Primary Care Centre ◽  
Care Centre ◽  
Exit Survey
Sign in / Sign up

Export Citation Format

Share Document