scholarly journals Case study of child, parent and teacher perceptions of a school-based health clinic in the model schools paediatric health clinic in the model schools paediatric health initiative of the Toronto District School Board

2021 ◽  
Author(s):  
Jacqueline H. Chan
Keyword(s):  
Health Care ◽  
Teacher Perceptions ◽  
Health Clinic ◽  
Theory Approach ◽  
Model Schools ◽  
Health Initiative ◽  
School Based ◽  
Paediatric Health ◽  
Over Time

The purpose of this study is to investigate child, parent, and teacher perspectives of the role of a Toronto school-based health clinic (SBHC) in health care provision, as well as their experiences of accessibility, and comfort in use. This qualitative case study of a SBHC in the Toronto District School Board’s Model Schools Paediatric Health Initiative (MSPHI) uses thematic secondary data analyses informed by a grounded theory approach. The results of this study provide evidence that the SBHC plays a key role in the provision of physical health care for children; reduces health-related school absences; addresses OHIP-related barriers; and enhances the coordination of health care services. Children’s experiences of comfort over time remained stable; however, children’s perceptions of accessibility improved over time which aligned with their increased SBHC utilization. Key terms: children, health services, school-based health clinic, Model Schools Paediatric Health Initiative

scholarly journals Case study of child, parent and teacher perceptions of a school-based health clinic in the model schools paediatric health clinic in the model schools paediatric health initiative of the Toronto District School Board

2021 ◽  
Author(s):  
Jacqueline H. Chan
Keyword(s):  
Health Care ◽  
Teacher Perceptions ◽  
Health Clinic ◽  
Theory Approach ◽  
Model Schools ◽  
Health Initiative ◽  
School Based ◽  
Paediatric Health ◽  
Over Time

The purpose of this study is to investigate child, parent, and teacher perspectives of the role of a Toronto school-based health clinic (SBHC) in health care provision, as well as their experiences of accessibility, and comfort in use. This qualitative case study of a SBHC in the Toronto District School Board’s Model Schools Paediatric Health Initiative (MSPHI) uses thematic secondary data analyses informed by a grounded theory approach. The results of this study provide evidence that the SBHC plays a key role in the provision of physical health care for children; reduces health-related school absences; addresses OHIP-related barriers; and enhances the coordination of health care services. Children’s experiences of comfort over time remained stable; however, children’s perceptions of accessibility improved over time which aligned with their increased SBHC utilization. Key terms: children, health services, school-based health clinic, Model Schools Paediatric Health Initiative

scholarly journals Contraception and post abortion services: qualitative analysis of users’ perspectives and experiences following Zika epidemic in Honduras

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Maria Belizan ◽  
Edna Maradiaga ◽  
Javier Roberti ◽  
Maricela Casco-Aguilar ◽  
Alison F. Ortez ◽  
...  
Keyword(s):  
Health Care ◽  
World Health ◽  
Theory Approach ◽  
Reproductive Health Services ◽  
Zikv Infection ◽  
Barriers To Access ◽  
Study Results ◽  
Contraceptive Services ◽  
Post Abortion ◽  
Over Time

Abstract Background Zika virus (ZIKV) infection during pregnancy has severe consequences on the new-born. The World Health Organization declared the Zika outbreak to be a Public Health Emergency of International Concern (PHEIC) in 2016. Health facilities in the regions most affected by Zika lacked the capacity to respond to the increased demand for contraception. The objectives were to explore healthcare users’ perceptions regarding contraception, Zika prevention during pregnancy and post-abortion care (PAC) services in the context of a Zika outbreak in Tegucigalpa, Honduras, and to follow these services over time. Methods This study was part of a broader implementation research study. We used qualitative research consistent with grounded theory approach. Semi-structured interviews and focus groups were performed with women and their partners who used contraceptive services or received PAC services. Data were collected in two stages from December 2017 to July 2018. Themes explored included contraception, Zika and PAC services. Results Participants had positive attitude towards the use of contraceptive methods and demanded more information on safety, efficacy and on side effects. Health care services were inconsistent in the provision of information on Zika and contraception services. ZIKV vector transmission was known but fewer participants were aware of risk of sexual transmission of Zika. Barriers to access healthcare services included contraceptive and PAC services included distance to healthcare facilities, disorganized admission process, long waiting times and out-of-pocket expenditure to purchase medicines. Furthermore, poor quality, mistreatment and abuse of women seeking PAC was prevalent. Some positive changes were noted over time, such as improvements in infrastructure including improved privacy and cleanliness, removal of fees, requisite to bring clean water to hospital. Conclusions Our results highlight the challenges and areas for improvement in policy and practice related to contraceptive services and PAC in the context of ZIKV infection. Public policies to prevent epidemics should focus more on providing proper sanitation; removing barriers to access and use of effective contraception as human rights priority. Zika epidemic has highlighted weaknesses in health systems that obstruct access to and use of sexual and reproductive health services. The study results call for increased efforts to improve access, especially for women of low socio-economic status and intervene at different levels to eradicate discrimination and improve equity in the provision of health care. Qualitative methods can capture the community perspectives and can provide useful information to develop interventions to improve services.

“A Writer More Than . . . a Child”: A Longitudinal Study Examining Adolescent Writer Identity

2017 ◽  
Vol 35 (1) ◽  
pp. 89-114 ◽  
Author(s):  
Jayne C. Lammers ◽  
Valerie L. Marsh
Keyword(s):  
Risk Taking ◽  
Qualitative Data ◽  
Theory Approach ◽  
Longitudinal Case Study ◽  
Writer Identity ◽  
English Classrooms ◽  
Core Identity ◽  
Grounded Theory Approach ◽  
Over Time

This article reconsiders theoretical claims of identity fluidity, stability, and agency through a longitudinal case study investigating one adolescent’s writing over time and across spaces. Qualitative data spanning her four years of high school were collected and analyzed using a grounded theory approach with literacy-and-identity theory providing sensitizing concepts. Findings uncovered how she laminated identity positions of perfectionism, expertise, risk taking, and learning as she enacted her passionate writer identity in personal creative writing, English classrooms, an online fanfiction community, and theater contexts. Using “identity cube” as a theoretical construct, the authors examine enduring elements of a writer’s identity and the contextual positioning that occurs when youth write for different audiences and purposes. Findings suggest that adolescents approach writing with a durable core identity while flexibly laminating multiple sides of their identity cube, a reframing of identity that has implications for literacy-and-identity research.

Developing a Comprehensive Trauma- and Resiliency- Focused Program After Superstorm Sandy in New York City

2018 ◽  
Vol 13 (03) ◽  
pp. 613-617 ◽  
Author(s):  
Maria Scigliano ◽  
Virginia Roncaglione ◽  
Paula A. Madrid
Keyword(s):  
Mental Health ◽  
Health Care ◽  
New York ◽  
New York City ◽  
Mental Health Care ◽  
York City ◽  
Health Clinic ◽  
Mobile Clinic ◽  
Superstorm Sandy

ABSTRACTTo contribute to the ongoing discourse about successful programming supporting intermediate behavioral and mental health needs of vulnerable communities affected by disaster, this article presents the Children’s Health Fund (CHF) Sandy Recovery and Resiliency Program as a descriptive case study for a multifaceted, community-based approach to building resiliency, coping, and socioemotional skills in an underserved community in New York City that was affected by Superstorm Sandy. The case study involves retrospective review and analysis of qualitative and quantitative data that were collected as part of routine care and program implementation. From the analysis emerged a program consisting of 3 components: (1) delivery of workshops and community events to decrease stigma and build community-wide resilience, (2) delivery of workshops for students and educators in the local school to increase coping skills as well as referrals to clinical mental health care, and (3) provision of mental health care via a mobile mental health clinic. As a result, we found that following periods of excessive trauma, children and families require a broad-based approach to mental health support. Additionally, the use of the mobile clinic abated most common access barriers and served as a proxy of the concern of the organization for the community. (Disaster Med Public Health Preparedness. 2018;page 1 of 5)

scholarly journals Health-Care Reform and School-Based Health Care

2008 ◽  
Vol 123 (6) ◽  
pp. 704-708 ◽  
Author(s):  
Julia Graham Lear ◽  
Elizabeth A. Barnwell ◽  
Donna Behrens
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health System ◽  
Health Care Reform ◽  
School Health ◽  
School Based ◽  
Obesity Interventions ◽  
The U.S

There is growing recognition that health and health care at school can significantly impact children's health. From childhood obesity interventions to new immunization mandates, schools are at the forefront of child health discussions. The 2008 presidential campaign and the renewed focus on health-care reform raise the possibility that in 2009 school health will play a larger role in health policy conversations than previously. This article explores the proposition that both school health and national health policy will benefit from closer attention to the role of school health within the U.S. health system. It offers a Maryland case study to suggest both the opportunities and operational challenges of linking school health to the larger community health system.

scholarly journals How Physician Perspectives on E-Prescribing Evolve over Time

2016 ◽  
Vol 07 (04) ◽  
pp. 994-1006 ◽  
Author(s):  
Vaishali Patel ◽  
Elizabeth Pfoh ◽  
Rainu Kaushal ◽  
Erika Abramson
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Electronic Prescribing ◽  
Theory Approach ◽  
Care Clinic ◽  
Training Requirements ◽  
Ongoing Training ◽  
Physician Perspectives ◽  
Over Time

SummaryBackground Physicians are expending tremendous resources transitioning to new electronic health records (EHRs), with electronic prescribing as a key functionality of most systems. Physician dissatisfaction post-transition can be quite marked, especially initially. However, little is known about how physicians’ experiences using new EHRs for e-prescribing evolve over time. We previously published a qualitative case study about the early physician experience transitioning from an older to a newer, more robust EHR, in the outpatient setting, focusing on their perceptions of the electronic prescribing functionality.Objective Our current objective was to examine how perceptions about using the new HER evolved over time, again with a focus on electronic prescribing.Methods We interviewed thirteen internists at an academic medical center-affiliated ambulatory care clinic who transitioned to the new EHR two years prior. We used a grounded theory approach to analyze semi-structured interviews and generate key themes.Results We identified five themes: efficiency and usability, effects on safety, ongoing training requirements, customization, and competing priorities for the EHR. We found that for even experienced e-prescribers, achieving prior levels of perceived prescribing efficiency took nearly two years. Despite the fact that speed in performing prescribing-related tasks was highly important, most were still not utilizing system short cuts or customization features designed to maximize efficiency. Alert fatigue remained common. However, direct transmission of prescriptions to pharmacies was highly valued and its benefits generally outweighed the other features considered poorly designed for physician workflow.Conclusions Ensuring that physicians are able to do key prescribing tasks efficiently is critical to the perceived value of e-prescribing applications. However, successful transitions may take longer than expected and e-prescribing system features that do not support workflow or require constant upgrades may further prolong the process. Additionally, as system features continually evolve, physicians may need ongoing training and support to maintain efficiency.Citation: Abramson EL, Patel V, Pfoh RE, Kaushal R. How physician perspectives on E-prescribing evolve over time: A case study following the transition between EHRs in an outpatient clinic.

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