Community-based Health Data Cooperatives Towards Improving the Immigrant Community Health: A Scoping Review to Inform Policy and Practice.

BACKGROUND: In the case of immigrant health and wellness, data are the key limiting factor, where comprehensive national knowledge on immigrant health and health service utilisation is limited. New data and data silos are an inherent response to the increase in technology in the collection and storage of data. The Health Data Cooperative (HDC) model allows members to contribute, store, and manage their health-related information, and members are the rightful data owners and decision-makers to data sharing (e g. research communities, commercial entities, government bodies). OBJECTIVE: This review attempts to scope the literature on HDC and fulfill the following objectives: 1) identify and describe the type of literature that is available on the HDC model; 2) describe the key themes related to HDCs; and 3) describe the benefits and challenges related to the HDC model. METHODS: We conducted a scoping review using the five-stage framework outlined by Arskey and O'Malley to systematically map literature on HDCs using two search streams: 1) a database and grey literature search; and 2) an internet search. We included all English records that discussed health data cooperative and related key terms. We used a thematic analysis to collate information into comprehensive themes. RESULTS: Through a comprehensive screening process, we found 22 database and grey literature records, and 13 Internet search records. Three major themes that are important to stakeholders include data ownership, data security, and data flow and infrastructure. CONCLUSIONS: The results of this study are an informative first step to the study of the HDC model, or an establishment of a HDC in immigrant communities. KEY WORDS: community health, health data, cooperative, and citizen data empowermen.

[Thoughts on nursing, based on observations made in a Rome intensive care unit]. / Alcune considerazioni sul nursing, in base alle osservazioni fatte in un'unità di terapia intensiva di Roma.

Nursing in an intensive care unit is probably one of the most extreme and demanding forms of nursing. Here, the nurse is confronted by the highly dependent patients and the demanding technological forms of treatment associated with them. The most demanding challenge for the nurse doesn't arise from the technology but from her dealing with the weak and defenseless party: the patient. Many nurses argue that their major difficulties are the result of poor working conditions, with poor staff to patient ratios, and the need to carry out physicians orders promptly and efficiently. The following article, in focusing on concepts of shame and authority, reflects on the nurse-patient-doctor relationship and argues that the challenges that confront the nurse go beyond those of the poor staff to patient ratio etc. and are indeed tied strongly to the behaviour patterns, and subsequent patterns of care, as perpetuated by the institutions and often, by the nurses themselves.

[A standard type of nurse. An Italian experience]. / Un tipo di infermiera standard. Un'esperienza Italiana.

There is a great deal of rhetoric surrounding the notion of a standard type of nurse. With claims of the globalisation of the nursing profession along with many other professions in the late twentieth century we risk oversimplifying the possibility of an actualisation of the "standard nurse". The following article looks briefly at the conditions and issues that confront a group of nurses working in a Rome intensive care unit. It argues that many of the difficulties they face as nurses arise from the incompatibility of the notion of a standard type of global nurse with their workplace conditions, professional support mechanism and various cultural and management based notions chich strongly influence their held identity.

[Problem-based learning in nursing training: liberation or confinement?]. / Il problem based learning (P.B.L) nella formazione infermieristica: liberazione o confinamento?

In this article some considerations are introduced on the method of the Problem Based Learning (PBL) for Nursing education. The method is criticized in its application. From the idea that it can be an active method, not conservative and that can be useful to develop the critical thinking, if it is not correctly used, it can result instead in a method that confines the education, negatively standardizes it and limits the critical thought. Some reflection points are underlined to promote a debate on the topic.

Discipline and passion: meaning, masochism and mythology in popular medical romances.

This paper is an interpretive analysis of the discourses within popular romance literature, with a particular focus on the genre that includes constructions of the images of nurses and nursing. An historical contrast is made along with examinations of the uses and meanings encompassed within this body of literature, and its messages for women as nurses as it reflects/creates societal change. Deviations from the formulaic nature of these works are explored. Discipline and passion are the recurring themes evident throughout in juxtapositions of romance and power differentials in the hospital/medical scene. The soft-core, sado-masochistic images evident in many titles are explored in a way that raises questions about sexuality, romance, nursing mythology, and the future of this sub-genre of the popular romance.