scholarly journals Decision-making processes when paramedics refer patients away from hospital: a scoping review.

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Kelly Sheffield ◽  
Peter O'Meara ◽  
Glenda Verrinder
Keyword(s):  
Decision Making ◽  
Scoping Review ◽  
Service Providers ◽  
Service Demand ◽  
Care Services ◽  
Search Terms ◽  
Ambulance Transport ◽  
Decision Making Processes ◽  
Experience Education ◽  
Hospital Emergency Departments

<p><strong>ABSTRACT</strong></p><p><strong>Title:</strong> Decision-making processes when paramedics refer patients away from hospital: a scoping review.</p><p><strong>Background: </strong>Paramedic practice faces increasing service demand with decision-making and referral pathways needing to change.  Patients with low acuity clinical presentations do not necessarily require ambulance transport to an emergency department, and previous studies show alternative referral pathways can be effective, safe and efficient. Decision-making processes within the context of referring patients needs to be examined. </p><p><strong>Objectives: </strong>To examine the literature related to paramedic decision-making when referring patients to alternative care services, instead of transporting to hospital.</p><p><strong>Methods:</strong> In this scoping review, the literature between 2005 and 2015 of service providers was examined.  Key search terms were developed to search five databases and Internet search engines.</p><p><strong>Results:</strong> Four studies were specifically related to decision-making.   Research into the broader topic of paramedics referring patients to alternative medical services other than hospital emergency departments were located, and thirteen relevant studies were included in this review.</p><p><strong>Conclusions:</strong>  Key factors including clinical experience, education, protocol use, referral processes, and holistic healthcare approaches all influence decision-making of paramedics when referring patients away from hospital.  Further research into these factors is required to better understand how they influence and interact with each other.</p>

scholarly journals The Role of Information and Communication Technology (ICT) for Older Adults’ Decision-Making Related to Health, and Health and Social Care Services in Daily Life—A Scoping Review

2021 ◽  
Vol 19 (1) ◽  
pp. 151
Author(s):  
Susanna Nordin ◽  
Jodi Sturge ◽  
Maria Ayoub ◽  
Allyson Jones ◽  
Kevin McKee ◽  
...  
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Scoping Review ◽  
Social Care ◽  
Care Services ◽  
Health And Social Care ◽  
Information And Communication

Information and communication technology (ICT) can potentially support older adults in making decisions and increase their involvement in decision-making processes. Although the range of technical products has expanded in various areas of society, knowledge is lacking on the influence that ICT has on older adults’ decision-making in everyday situations. Based on the literature, we aimed to provide an overview of the role of ICT in home-dwelling older adults’ decision-making in relation to health, and health and social care services. A scoping review of articles published between 2010 and 2020 was undertaken by searching five electronic databases. Finally, 12 articles using qualitative, quantitative, and mixed-method designs were included. The articles were published in journals representing biology and medicine, nursing, informatics, and computer science. A majority of the articles were published in the last five years, and most articles came from European countries. The results are presented in three categories: (i) form and function of ICT for decision-making, (ii) perceived value and effect of ICT for decision-making, and (iii) factors influencing ICT use for decision-making. According to our findings, ICT for decision-making in relation to health, and health and social care services was more implicitly described than explicitly described, and we conclude that more research on this topic is needed. Future research should engage older adults and health professionals in developing technology based on their needs. Further, factors that influence older adults’ use of ICT should be evaluated to ensure that it is successfully integrated into their daily lives.

Participatory Budgeting

2015 ◽  
Vol 2 (2) ◽  
pp. 33-53 ◽  
Author(s):  
Henriette I. Weber ◽  
Sebastian Vogt ◽  
Lisa-Marie Eberz-Weber ◽  
Holger Steinmetz ◽  
Sascha A. Wagner ◽  
...  
Keyword(s):  
Decision Making ◽  
Best Practice ◽  
Service Providers ◽  
Democratic Legitimacy ◽  
Participatory Budgeting ◽  
Political Decision ◽  
Key Factor ◽  
Decision Making Processes ◽  
Participation Process ◽  
Political Decision Making

Consultative participation of citizens in political decision-making processes has been increasing in order to facilitate democratic legitimacy and responsiveness. Consequently, participatory budgets have been established as a 'best practice' for consultative participation of citizens in political decision-making processes. The authors compare participatory budgets of 31 German municipalities. An analysis of differences between successfully and unsuccessfully rated participatory budgeting processes provides informative insights and allows for in-depth comparison on a municipal level. The authors show that external service providers and electronic participation channels significantly increase the number of participatory citizens and are positively connected with pursued objectives of dialog processes and public responsiveness as well as efficient and effective decisions. Furthermore, the acceptance of all participants proved to be a key factor for a successful public participation process. The authors' analysis opens up new starting points for further research.

scholarly journals Apparatus Professionalism and Public Service Ethics

2020 ◽  
Vol 1 (1) ◽  
pp. 25-28
Author(s):  
Nurul Insani
Keyword(s):  
Decision Making ◽  
Organizational Culture ◽  
Organizational Structure ◽  
Public Service ◽  
Service Providers ◽  
Organizational Structures ◽  
Incentive Systems ◽  
Organizational Goals ◽  
Decision Making Processes ◽  
Ethical Norms

To make changes in the organization and increase the professionalism of the apparatus it is important to redefine what the organization wants to achieve, build a payroll system that promotes the value of fairness and build organizational structures that allow for rapid decision-making processes. many factors can affect the professionalism of the apparatus, including the organizational culture that arises and crystallizes in bureaucratic traffic, organizational goals, organizational structure, work procedures in bureaucracy, incentive systems. Public service providers must study ethical norms that are universal because they can be used as guidelines for their behavior in providing services to the community.

scholarly journals Understanding factors influencing care seeking for sick children in Ebonyi and Kogi states, Nigeria

2019 ◽  
Author(s):  
Leanne Dougherty ◽  
Kate Gilroy ◽  
Abimbola Olayemi ◽  
Omitayo Ogesanmola ◽  
Felix Ogaga ◽  
...  
Keyword(s):  
Decision Making ◽  
Child Care ◽  
Sick Child ◽  
Service Providers ◽  
Care Seeking ◽  
Household Decision ◽  
Under Five ◽  
Under Five Children ◽  
Household Decision Making ◽  
Decision Making Processes

Abstract Background Nigeria has one of the highest child mortality rates in the world, with an estimated 750,000 deaths annually among children under age five. The majority of these deaths are due to pneumonia, malaria, or diarrhea. Many parents do not seek sick-child care from trained, biomedical providers, contributing to this high rate of mortality. Methods This qualitative study explores factors enabling or preventing parents from seeking care for sick under-five children in Nigeria’s Kogi and Ebonyi states, including gender-related roles and social norms. Interviews were conducted with parents of sick under-five children and service providers, and focus group discussions were held with community leaders to assess how care-seeking behavior was influenced by four modes from the Colvin et al conceptual framework for household decision-making and pathways to care. These include (1) caregivers’ recognition and response to illness, (2) seeking advice and negotiating access within the family, (3) making use of community-based treatment options, and (4) accessing biomedical services. Results Parents were found to have a general understanding of illness symptoms but did not always attribute illness to biomedical causes. Intra-household decision-making processes were shaped by gender dynamics between men and women, and were found to have great effects on decisions to seek care. Use of traditional medicine and self-treatment were found to be common first steps in treatment before turning to the biomedical care system. Once the decision to seek biomedical care was taken, the route of seeking care varied between seeking care at chemists and then continuing to health facilities or starting with a health facility and then accessing prescriptions from a chemist. Conclusion We conclude that care-seeking decisions do not follow a linear process; that intra-household decision-making processes particularly among parents should not be underestimated in addressing sick-child care seeking; and that, given the role of mothers as primary caregivers, their knowledge in illness recognition and agency in care-seeking decision-making, and seeking biomedical care, is deserving of future study.

Fostering Together–The Why and How of Involving and Supporting Biological Children of Foster Carers

2015 ◽  
Vol 41 (1) ◽  
pp. 29-38 ◽  
Author(s):  
Anna Targowska ◽  
Tara Cavazzi ◽  
Stephan Lund
Keyword(s):  
Decision Making ◽  
Focus Groups ◽  
Western Australia ◽  
Service Providers ◽  
Family Services ◽  
Relative Lack ◽  
Potential Value ◽  
Biological Children ◽  
Decision Making Processes ◽  
Interactive Resources

This article discusses the outcomes of a research project undertaken in 2011/2013 by a team of researchers from Edith Cowan University (ECU) in collaboration with Wanslea Family Services. The project aimed to address the relative lack of voice of biological children in the fostering task, despite the increasing acknowledgement of children's rights and their capability to be involved in decision-making processes. Data was collected through the use of focus groups and interviews with a small number of biological children, foster carers and service providers in Western Australia (WA). The data indicated the necessity to reconsider the rights of biological children in the fostering task and the need for specific strategies to address these rights. The findings of the study informed the development of a set of interactive resources for supporting biological children of foster carers during all stages of the fostering process in Australia. The resources also have potential value for use in overseas jurisdictions.

A Paradigm for Making Difficult Choices in the Intensive Care Nursery

1993 ◽  
Vol 2 (3) ◽  
pp. 281-294 ◽  
Author(s):  
William E. Benitz
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Ethics Committees ◽  
Academic Disciplines ◽  
Care Services ◽  
Complex Process ◽  
Baby Doe ◽  
Decision Making Processes ◽  
Intensive Care Nursery

In the 10 years since the birth of “Baby Doe,” the decisions confronted daily by neonatologists and parents of sick or premature infants have been the focus of a great deal of attention. Issues raised by these decisions have been vigorously debated and discussed in the popular media in political and governmental forums, and in the professional literatures of a variety of academic disciplines. These discourses have illuminated a number of moral and ethical principles that may govern these decisions and have contributed to the development of regulatory and procedural constraints upon this process, including requirements for establishment of infant care review committees at all hospitals that provide neonatal intensive care services. However, the philosophical concepts espoused by theoreticians, although often helpful as abstractions, are rarely invoked at the bedside as decisions are sought for individual patients. No clear consensus has emerged on how these ideas should be incorporated into clinical practice or on the role of mandated ethics committees or discretionary ethics consultants. Consequently, there are wide disparities in decision-making processes both within and among institutions. Failures of these systems to protect neonatal patients or their families remain distressingly common and have attracted considerable attention in the lay press. Although there can be no universal decision tree that can dictate the course of this complex process in all cases, a clearly articulated operative paradigm that defines essential features of an effective and equitable decision-making process is essential to identify the causes of failures and conflicts that arise when the process is dysfunctional and to prevent such problems by providing a framework for training practitioners to deal with these issues.

scholarly journals Challenges to fair decision-making processes in the context of health care services: a qualitative assessment from Tanzania

2012 ◽  
Vol 11 (1) ◽  
pp. 30 ◽  
Author(s):  
Elizabeth H Shayo ◽  
Ole F Norheim ◽  
Leonard E G Mboera ◽  
Jens Byskov ◽  
Stephen Maluka ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Services ◽  
Qualitative Assessment ◽  
Care Services ◽  
Decision Making Processes

scholarly journals Adolescent Participation in Research, Policies and Guidelines for Chronic Disease Prevention: A Scoping Review Protocol

2020 ◽  
Vol 17 (21) ◽  
pp. 8257
Author(s):  
Mariam Mandoh ◽  
Seema Mihrshahi ◽  
Hoi Lun Cheng ◽  
Julie Redfern ◽  
Stephanie R. Partridge
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Scoping Review ◽  
Research Policy ◽  
Disease Risk ◽  
Chronic Disease Risk ◽  
Decision Making Processes ◽  
Adolescent Participation

Adolescents (10–24 years old) account for 23% of the global population. Physical inactivity, suboptimal dietary intake, overweight, and obesity during adolescence are risk factors associated with chronic disease development into adulthood. Research, policies, and guidelines that seek to prevent chronic disease risk factor development rarely engage adolescents in planning and decision-making processes. The aims of this review are to investigate (i) how adolescents currently participate in research, policy, and guidelines for reduction of chronic disease risk factors, and (ii) provide recommendations to optimize adolescent participation in future research, policy, and guideline decision making for chronic disease prevention. A systematic scoping review of the health peer-review research, policy, and guidelines, using Arksey and O’Malley’s six-stage framework, will be conducted. Participatory outcomes will be assessed based on the Lansdown-UNICEF conceptual framework for measuring adolescent participation. Classified as consultative, collaborative, or adolescent-led according to the degree of influence and power adolescents possess in the decision- making processes. Consultation with adolescents via digital surveys and focus groups will provide further information, perspective, and insight. Qualitative data will be analyzed by descriptive numerical summary and qualitative content analytical techniques. The title of this protocol is registered with Joanna Briggs Institute and Open Science Framework, doi:10.17605/OSF.IO/E3S64.

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