scholarly journals “We Can’t Provide a Quality Service on Shoestrings”: Irish Practitioners Perspectives on the ECCE Scheme (2010)

2019 ◽  
Author(s):  
Ayooluwa Oke ◽  
Judith Butler ◽  
Cian O'Neill
Keyword(s):  
European Commission ◽  
Best Practice ◽  
Quality Standards ◽  
Quality Service ◽  
Structured Interviews ◽  
Working Parents ◽  
Best Practice Guidelines ◽  
Early Childhood Care ◽  
Women's Participation ◽  
Childhood Care

There is a general disquiet in the Irish Early Childhood Care and Education (ECCE) sector about the sustainability of initiatives and best practice guidelines in the context of low status, pay and investment. The ECCE Scheme (2010; DCYA, 2018b) provided access to three hours of “free” ECCE for children aged 2.8 years who could continue to avail of the ECCE until they reached 5.6 years old (DCYA, 2018b). Ireland, under the Barcelona Summit (2002), was obliged to provide increased access to ECCE to (European Commission, 2008) to increase women’s participation in the labour market (European Commission, 2008). However, the introduction of the ECCE scheme (2010) contributed to already existing structural and financial challenges in the provision of quality ECCE. To explore parental and practitioners’ experiences of the scheme, semi-structured interviews were conducted with 18 practitioners and 15 parents. Findings reveal that the scheme seems to have been unsuccessful in supporting practitioners in meeting quality standards, the costs associated with the introduction of the scheme as well as in meeting the needs of working parents for accessible ECCE.

scholarly journals Midwives’ knowledge and practices regarding the screening for and management of chorioamnionitis: A qualitative study

2021 ◽  
Vol 26 ◽  
Author(s):  
Allison H. Du Plessis ◽  
Dalena Van Rooyen ◽  
Wilma Ten Ham-Baloyi
Keyword(s):  
South Africa ◽  
Best Practice ◽  
Public Healthcare ◽  
Main Theme ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Structured Interviews ◽  
Best Practice Guidelines ◽  
Review Study ◽  
And Training

Background: Screening for chorioamnionitis, or the risk thereof, by midwives is largely lacking during antenatal care and no best practice guidelines for chorioamnionitis in South Africa was noted.Aim: To explore and describe midwives’ knowledge and practices related to the screening and management of women who are at risk of or diagnosed with chorioamnionitis.Setting: Public healthcare institutions in a health district in the Eastern Cape province of South Africa.Methods: A qualitative, exploratory, descriptive and contextual research design was used. Ten midwives were purposively included in this study, and semi-structured interviews were conducted with them. The data were analysed using an adapted version of Tesch’s eight steps for data analysis.Results: The main theme revealed that midwives lack knowledge regarding chorioamnionitis, resulting in incorrect practices including a lack of screening, misdiagnosis and mismanagement of the infectious condition.Conclusions: Findings of this research showed that midwives lacked knowledge regarding the screening and management of women with chorioamnionitis resulting in incorrect practices in this regard. There is thus a need for midwives to update their knowledge regarding the screening and management of chorioamnionitis and training (e.g. through a short learning programme).Contribution: Findings of this study could be used by midwives to update their knowledge regarding screening and managing women with chorioamnionitis, which is expected to translate to better practices. Moreover, study findings were synthesised with the results of a literature review study to form the basis for the development of a best practice guideline for screening and managing women with chorioamnionitis.

scholarly journals The meaning and experience of well-being in dementia for psychiatrists involved in diagnostic disclosure: a qualitative study

2016 ◽  
Vol 29 (1) ◽  
pp. 93-104 ◽  
Author(s):  
A. Vince ◽  
C. Clarke ◽  
E. L. Wolverson
Keyword(s):  
Best Practice ◽  
Qualitative Methodology ◽  
Well Being ◽  
Perceived Threat ◽  
Subjective Experiences ◽  
Structured Interviews ◽  
Living Well ◽  
Best Practice Guidelines ◽  
Diagnostic Disclosure ◽  
Diagnosis Of Dementia

ABSTRACTBackground:Literature indicates that people's experiences of receiving a diagnosis of dementia can have a lasting impact on well-being. Psychiatrists frequently lead in communicating a diagnosis but little is known about the factors that could contribute to potential disparities between actual and best practice with regard to diagnostic disclosure. A clearer understanding of psychiatrists’ subjective experiences of disclosure is therefore needed to improve adherence to best practice guidelines and ensure that diagnostic disclosure facilitates living well with dementia.Methods:This study utilized qualitative methodology. Semi-structured interviews conducted with 11 psychiatrists were analyzed using Interpretive Phenomenological Analysis (IPA).Results:Three superordinate and nine subordinate themes emerged from the data analysis. These included the following: (i) “The levels of well-being” (Continuing with life, Keeping a sense of who they are, Acceptance of the self), (ii) “Living well is a process” (Disclosure can set the scene for well-being, Positive but realistic messages, Whose role it is to support well-being?), and (iii) Ideal care versus real care (Supporting well-being is not prioritized, There isn't time, The fragmentation of care).Conclusions:Findings indicate that psychiatrists frame well-being in dementia as a multi-faceted biopsychosocial construct but that certain nihilistic attitudes may affect how well-being is integrated into diagnostic communication. Such attitudes were linked with the perceived threat of dementia and limitations of post-diagnostic care. Behaviors used to manage the negative affect associated with ethical and clinical tensions triggered by attempts to facilitate well-being at the point of diagnosis, and their impact on adherence to best practice disclosure, are discussed.

scholarly journals Early Violence Prevention in Sri Lankan Preschools: Perceived Preschool Teacher Practices

2017 ◽  
Vol 4 (4) ◽  
Author(s):  
Buddhiprabha D D Pathirana
Keyword(s):  
Sri Lanka ◽  
Violence Prevention ◽  
Teacher Practices ◽  
Wide Spectrum ◽  
Preschool Teacher ◽  
Sri Lankan ◽  
Religious Activities ◽  
Structured Interviews ◽  
Early Childhood Care ◽  
Childhood Care

Early Violence Prevention (EVP) programs are a concept alien to policy makers of the Early Childhood Care and Education in Sri Lanka, even though Sri Lanka as a has country experienced violence for almost fourt decades. This study explores the perceived preschool teacher practices pertaining to EVP (preventing/minimizing aggressive behaviors and promoting prosocial behaviors) within Sri Lankan preschool teachers using a survey (n = 275) and a semi structured interviews (n = 23). The results conveyed that Sri Lankan preschool teacher recognize such practices as a necessity and seemed to be practicing a wide spectrum of behaviors. These could be categorized on several dimensions: telling/teaching vs. doing activities, individual focused vs. group/social, authoritative/instructive vs. democratic, child initiated good practices vs. bad practices. Practices could also be categorized into religious activities, activities with emphasis on silence, praise, techniques to prevent discrimination, techniques to divert attention, socially focused, direct conflict management, instructional emphasis, empowering the children, moral and teacher initiated action. These activities were carried out using stories, puppets and role-plays. The study also provides recommendations to policy developers in the context of culture sensitive early violence prevention practices for Sri Lankan preschool children.

scholarly journals Parental views on informational counselling provided by audiologists for children with permanent childhood hearing loss

2021 ◽  
Vol 68 (1) ◽  
Author(s):  
Zandile M. Shezi ◽  
Lavanithum N. Joseph
Keyword(s):  
Hearing Loss ◽  
Hard Of Hearing ◽  
Best Practice ◽  
Survey Design ◽  
Structured Interviews ◽  
Aural Rehabilitation ◽  
Best Practice Guidelines ◽  
Parental Views ◽  
Communication Option ◽  
Hearing Children

Background: The absence of best practice guidelines on informational counselling, has caused lack of clarity regarding the information audiologists should provide to parents and caregivers following the diagnosis of a hearing loss. Research shows that informational counselling provided by audiologists is limited and often biased, with little evidence of how parents experience this service.Objectives: To explore the nature and practice of informational counselling by audiologists.Method: This study was descriptive in nature and adopted a survey design to obtain information on the current practices of informational counselling from the perspective of parents and primary caregivers. Ninety-seven face-to-face semi-structured interviews were conducted across KwaZulu-Natal province of South Africa. Descriptive statistics and thematic analysis using Nvivo software were conducted.Results: The majority of the parents reported receiving some form of informational counselling. However, the information provided by audiologists was considered to be biased as it included a favoured communication option, school and rehabilitative technology. There was a lack of information related to aural rehabilitation and family-centred intervention. The provision of all communication options, school options and rehabilitative technology were identified as gaps that contribute to an unfavourable decision-making process.Conclusion: There are inefficiencies experienced by families of deaf and hard of hearing children during informational counselling. However, this understanding, together with the identified gaps by parents, can help address the professional response to caring for families with deaf and hard of hearing children.

Health Beliefs and Practices of African Immigrants in Canada

2016 ◽  
Vol 25 (6) ◽  
pp. 626-645 ◽  
Author(s):  
Angela Cooper Brathwaite ◽  
Manon Lemonde
Keyword(s):  
Health Beliefs ◽  
Latin American ◽  
Best Practice ◽  
Minority Groups ◽  
Cultural Practices ◽  
Food Preferences ◽  
Future Research ◽  
Structured Interviews ◽  
Best Practice Guidelines ◽  
Health Beliefs And Practices

A purposive sample of 14 immigrants living in Ontario, Canada, participated in two focus groups. The researchers used semi-structured interviews to collect data and five themes emerged from the data: beliefs about diabetes were centered on diverse factors, preserving culture through food preferences and preparation, cultural practices to stay healthy, cultural practices determined number of servings of fruit and vegetables per day, and engaging in physical activity to stay healthy. Findings indicated how health beliefs and cultural practices influenced behavior in preventing type 2 diabetes (T2D). Future research should focus on other high-risk minority groups (South Asian, Caribbean, and Latin American) to examine their health beliefs and cultural practices and use these finding to develop best practice guidelines, which should be incorporated into culturally tailored interventions.

Development of Quality Early Childhood Care and Education (QECCE) Scale: Factor Structural and Psychometric Properties

2019 ◽  
Vol 18 (11) ◽  
pp. 385-396
Author(s):  
Wong Kung-Teck ◽  
Jamilah Omar ◽  
Sopia Md Yassin ◽  
Mazlina Che Mustafa ◽  
Norazilawati Abdullah ◽  
...  
Keyword(s):  
Early Childhood ◽  
Psychometric Properties ◽  
Scale Factor ◽  
Early Childhood Care ◽  
Childhood Care

Opioid crisis in primary care? An audit of high-dose opioid prescribing at Bangholm GP Practice

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711581
Author(s):  
Charlotte Greene ◽  
Alice Pearson
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Base ◽  
High Dose ◽  
Opioid Prescription ◽  
Opioid Prescribing ◽  
Best Practice Guidelines

BackgroundOpioids are effective analgesics for acute and palliative pain, but there is no evidence base for long-term pain relief. They also carry considerable risks such as overdose and dependence. Despite this, they are increasingly prescribed for chronic pain. In the UK, opioid prescribing more than doubled between 1998 and 2018.AimAn audit at Bangholm GP Practice to understand the scale of high-strength opioid prescribing. The aim of the audit was to find out if indications, length of prescription, discussion, and documentation at initial consultation and review process were consistent with best-practice guidelines.MethodA search on Scottish Therapeutics Utility for patients prescribed an average daily dose of opioid equivalent ≥50 mg morphine between 1 July 2019 and 1 October 2019, excluding methadone, cancer pain, or palliative prescriptions. The Faculty of Pain Medicine’s best-practice guidelines were used.ResultsDemographics: 60 patients (37 females), average age 62, 28% registered with repeat opioid prescription, 38% comorbid depression. Length of prescription: average 6 years, 57% >5 years, 22% >10 years. Opioid: 52% tramadol, 23% on two opioids. Indications: back pain (42%), osteoarthritis (12%), fibromyalgia (10%). Initial consultation: 7% agreed outcomes, 35% follow-up documented. Review: 56% 4-week, 70% past year.ConclusionOpioid prescribing guidelines are not followed. The significant issues are: long-term prescriptions for chronic pain, especially back pain; new patients registering with repeat prescriptions; and no outcomes of treatment agreed, a crucial message is the goal is pain management rather than relief. Changes have been introduced at the practice: a patient information sheet, compulsory 1-month review for new patients on opioids, and in-surgery pain referrals.

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