scholarly journals Factors Impacting Prescription Practice in Primary Healthcare Setting in India: A Case Study in Rajasthan

2021 ◽  
Keyword(s):  
Primary Healthcare ◽  
Healthcare Setting ◽  
Prescription Practice

scholarly journals Theory-Based Advanced Nursing Practice: A Practice Update on the Application of Orem's Self-Care Deficit Nursing Theory

2021 ◽  
Vol 7 ◽  
pp. 237796082110119
Author(s):  
Jeffrey Yuk Chiu Yip
Keyword(s):  
Case Management ◽  
Primary Healthcare ◽  
Living Arrangements ◽  
Nursing Practice ◽  
Self Care ◽  
Healthcare Setting ◽  
Healthcare Services ◽  
Nursing Theory ◽  
Care Deficit

Introduction Many researchers have commended the self-care deficit nursing theory (SCDNT) developed by Orem as a means of improving patients' health outcomes through nurses' contributions. However, experimental research has investigated specific aspects of SCDNT, such as self-care agency and self-care requisites, rather than how the construct is practiced and understood as a whole. The current research presents a case study in which an advanced practice nurse (APN) used SCDNT-led practice within a primary healthcare setting that illustrates how the theory is applied to case management. Methods A case study was conducted by observing an APN during her work in the asthma clinic of a public hospital in Hong Kong. A comparison was made between the case management of the APN under observation with the nursing processes stipulated by the SCDNT across four key operations: diagnostic, prescriptive, treatment or regulatory, and case management. Conclusion During the observed consultation, the APN applied the four key operations. In SCDNT, the role of the APN is to apply practical nursing knowledge by determining how a patient can best undertake self-care within the circumstances of their living arrangements and support facilities. The case study also demonstrated that SCDNT-based nursing practice has strengths and limitations in a primary healthcare setting. The study concluded that Orem's SCDNT serves as an appropriate theoretical framework for nursing practice within primary healthcare settings. One practical consequence of using SCDNT is that it enables APNs to use nurse-sensitive indicators when evaluating their clinical practice. This study offers a practice update to increase the accountability of nursing practice for nurse-led healthcare services.

scholarly journals Management of Diabetes Mellitus in Refugee and Migrant Patients in a Primary Healthcare Setting in Greece: A Pilot Intervention

Epidemiologia ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 14-26
Author(s):  
Anastasia I Kolomvotsou ◽  
Elena Riza
Keyword(s):  
Primary Healthcare ◽  
Communicable Disease ◽  
Diabetes Education ◽  
Healthcare Setting ◽  
The Past ◽  
Large Numbers ◽  
Nutritional Needs ◽  
Pilot Intervention ◽  
Global Health Problem ◽  
Non Communicable Disease

Over the past years there is a substantial wave of migrants and refugees all over the world. Europe accepts approximately one-third of the international migrant population with Greece, in particular, having received large numbers of refugees and migrants by land and sea since the beginning of the civil war in Syria. Diabetes, a non-communicable disease, is a global health problem, affecting people in developing countries, refugees and migrants, and its basic treatment tool includes self-management and education. In this pilot study, we organized educational, interactive group sessions for diabetic refugees, based on culture, health, and nutritional needs according to a questionnaire developed for the study. The sessions were weekly, for two months, in the context of primary healthcare, organized by a dietitian. Nine individuals completed the sessions, five of nine were diagnosed in Greece and seven of nine needed diabetes education. Their waist circumference was above normal and they were all cooking at home. Their nutritional habits improved by attending the sessions and the interaction helped their social integration. They all found the sessions useful, and felt more self-confident regarding diabetes control and healthier.

scholarly journals The Computer-Assisted Web Interview Method as Used in the National Study of ICT Use in Primary Healthcare in Poland – Reflections on a Case Study

2015 ◽  
Vol 43 (1) ◽  
pp. 137-146 ◽  
Author(s):  
Paweł Sowa ◽  
Bartosz Pędziński ◽  
Michalina Krzyżak ◽  
Dominik Maślach ◽  
Sylwia Wójcik ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
National Study ◽  
Computer Assisted ◽  
Web Surveys ◽  
Technical Aspects ◽  
Interview Method ◽  
Advantages And Disadvantages ◽  
Ict Use ◽  
Aforementioned Study

Abstract The development and widespread use of ICT in society are reflected by the way research is designed and conducted. The Computer Assisted Web Interview method is becoming more attractive and is a frequently used method in health sciences. The National Study of ICT Use in Primary Healthcare in Poland was conducted using this method. The aim of this paper is to present the major advantages and disadvantages of web surveys. Technical aspects of methodology and important stages of the aforementioned study, as well as key elements for its procedure, are mentioned. The authors also provide reflections based on their analysis of this national study, conducted between January and April 2014.

scholarly journals Patient perceptions and preferences of physicians’ attire in Saudi primary healthcare setting

2018 ◽  
Vol 8 (6) ◽  
pp. 326-330 ◽  
Author(s):  
Khaled Mohammed Al Amry ◽  
Maha Al Farrah ◽  
Saeed Ur Rahman ◽  
Imad Abdulmajeed
Keyword(s):  
Primary Healthcare ◽  
Healthcare Setting ◽  
Patient Perceptions

scholarly journals Perceptions of registered nurses regarding factors influencing service delivery in expanding programmes in a primary healthcare setting

2012 ◽  
Vol 17 (1) ◽  
Author(s):  
Nnoi. A. Xaba ◽  
Mmapheko D. Peu ◽  
Salaminah S. Phiri
Keyword(s):  
Service Delivery ◽  
Registered Nurses ◽  
Primary Healthcare ◽  
Healthcare Setting ◽  
Qualitative Approach ◽  
Focus Group Interviews ◽  
Enabling Factors ◽  
Related Factors ◽  
Factors Influencing ◽  
Group Interviews

The aim of this study was to explore and describe the perceptions of registered nurses regarding factors influencing service delivery regarding expansion programmes in a primary healthcare setting, using a qualitative approach. The registered nurses, who have been working in the clinics for more than two years and have been exposed to the expansion programmes there, were purposively sampled. Two focus group interviews were conducted in a neutral place and the data collected by the researcher Nnoi A. Xaba (N.A.X.). Data were analysed by the researcher and an independent co-coder using the Tesch method. Categories, subcategories and themes were identified; those that formed the basis of discussion were disabling factors, enabling factors, client-related factors, service-related factors and solutions to problems. It is recommended that integration of programmes and coordination be done at a provincial level and planned together with the training centres in order to alleviate problems in service delivery. Training on expansion programmes in the form of in-service education should be carried out continually in the region.Die doel van die studie was om die persepsie van geregistreerde verpleegkundiges met betrekking tot die  faktore wat dienslewering van die uitbreidingsprogramme in ‘n primêre gesondheid opset beinvloed; te eksploreer en te beskryf. ‘n Kwalitatiewe benadering is gevolg in die iutvoering van die studie. ‘n Doelgerigte steekproef is uitgevoer vanuit geregistreerde verpleegkundiges wat vir langer as twee jaar in die klinieke werksaam was en blootgestel is aan die uitbreiding programme. Twee fokus groep onderhoude is deur die navorser Nnoi A. Xaba (N.A.X.) in ‘n neutrale opset uitgevoer. Data is deur die navorser en ʼn onafhanklike kodeerder ontleed volgens Tesch se metode van analise. Kategorieë, sub-kategorieë en temas was geidentifiseer. Die kategorieë fundamenteel tot die bespreking behels: remmende faktore, bydraende faktore, kliënt-verwante faktore, diens-verwante faktore, en oplossing van probleme. Daar word aanbeveel dat die integrasie en koordinasie van programme op provisiale vlak beplan word in samewerking met opleidings instansies om die dienslewerings probleem te verlig. In die streek behoort opleiding met betrekking tot die uitbreidingsprogramme deurlopend deur middel van indiensopleiding gedoen word.

scholarly journals Efficacy of a strategy for implementing a guideline for the control of cardiovascular risk in a primary healthcare setting: the SIRVA2 study a controlled, blinded community intervention trial randomised by clusters

2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Francisco Rodríguez-Salvanés ◽  
Blanca Novella ◽  
María Jesús Fernández Luque ◽  
Luis María Sánchez-Gómez ◽  
Lourdes Ruiz-Díaz ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Primary Healthcare ◽  
Community Intervention ◽  
Healthcare Setting ◽  
Intervention Trial

Impact of pharmacist-involved collaborative care on diabetes management in a primary healthcare setting using real-world data

2021 ◽  
Author(s):  
Sara Abdulrhim ◽  
Ahmed Awaisu ◽  
Mohamed Izham Mohamed Ibrahim ◽  
Mohammad Issam Diab ◽  
Mohamed Abdelazim Mohamed Hussain ◽  
...  
Keyword(s):  
Real World ◽  
Primary Healthcare ◽  
Collaborative Care ◽  
Diabetes Management ◽  
Healthcare Setting ◽  
Real World Data ◽  
World Data

scholarly journals Partnering for change

2019 ◽  
Vol 34 (3) ◽  
pp. 255-272 ◽  
Author(s):  
Martha L.P. MacLeod ◽  
Neil Hanlon ◽  
Trish Reay ◽  
David Snadden ◽  
Cathy Ulrich
Keyword(s):  
Primary Healthcare ◽  
Health Authority ◽  
Service Provision ◽  
Service Providers ◽  
Processes Of Change ◽  
Content Type ◽  
The Status ◽  
Managing Risk ◽  
Healthcare Transformation

Purpose Despite many calls to strengthen connections between health systems and communities as a way to improve primary healthcare, little is known about how new collaborations can effectively alter service provision. The purpose of this paper is to explore how a health authority, municipal leaders and physicians worked together in the process of transforming primary healthcare. Design/methodology/approach A longitudinal qualitative case study was conducted to explore the processes of change at the regional level and within seven communities across Northern British Columbia (BC), Canada. Over three years, 239 interviews were conducted with physicians, municipal leaders, health authority clinicians and leaders and other health and social service providers. Interviews and contextual documents were analyzed and interpreted to articulate how ongoing transformation has occurred. Findings Four overall strategies with nine approaches were apparent. The strategies were partnering for innovation, keeping the focus on people in communities, taking advantage of opportunities for change and encouraging experimentation while managing risk. The strategies have bumped the existing system out of the status quo and are achieving transformation. Key components have been a commitment to a clear end-in-view, a focus on patients, families, and communities, and acting together over time. Originality/value This study illuminates how partnering for primary healthcare transformation is messy and complicated but can create a foundation for whole system change.

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