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1.
J Nurs Adm ; 50(2): 59-60, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977941

RESUMEN

The evolving healthcare environment has put a new emphasis on population health. Healthcare organizations, and the nurses who work in them, are in a unique position to reach beyond hospital walls to address unmet needs and improve the health and lives of the community they serve. This month's Magnet Perspectives column examines nurses' growing impact on population health through the lens of the 2019 Magnet Prize winner, OSF HealthCare Saint Francis Medical Center. Learn how OSF Saint Francis nurses developed an innovative program to address food insecurity among their community's most vulnerable residents and improve health outcomes. The column also explores how American Nurses Credentialing Center Magnet-recognized organizations promote strong external partnerships that extend nurses' influence from the traditional one-patient-at-a-time approach to broader, population-based outreach.


Asunto(s)
Enfermería en Salud Comunitaria/organización & administración , Rol de la Enfermera , Enfermeras de Salud Comunitaria , Salud Poblacional , Mejoramiento de la Calidad/organización & administración , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios de Casos Organizacionales , Estados Unidos
2.
J Nurs Adm ; 49(12): 624-627, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31725521

RESUMEN

Magnet designation requires that nurses be actively involved in activities that lead to obtaining evidence through conducting research. Unfortunately, several barriers limit nurses' ability to engage in research activities, including insufficient resources. This article explains how a community-based hospital implemented a fellowship model to circumvent some of these barriers. Two fellowship positions are described, 1 in research and 1 in library sciences. The method, outcomes, and cost of the fellowship model are discussed.


Asunto(s)
Educación de Postgrado en Enfermería/organización & administración , Becas/organización & administración , Hospitales Comunitarios/organización & administración , Rol de la Enfermera , Investigación en Enfermería/organización & administración , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios de Casos Organizacionales , Sudeste de Estados Unidos
3.
Int J Equity Health ; 18(1): 160, 2019 10 22.
Artículo en Inglés | MEDLINE | ID: mdl-31640674

RESUMEN

BACKGROUND: The motivation of health workers is a key concern of policy makers, practitioners and researchers. Public Service Motivation (PSM), defined as the altruistic desire to serve the common interest, to serve others and to help patients and their families regardless of financial or external rewards, has been shown to be key to the performance of public servants. Yet, limited attention has been paid to this kind of motivation in health care settings in low- and middle-income countries. Little is known about PSM and its contextual specificity in the Moroccan health system. We set out to qualitatively explore the meaning of PSM and its expression among health workers in four public hospitals. METHODS: We adopted a multiple embedded case study design to explore PSM in two well-performing and two poor-performing hospitals. We carried out 68 individual interviews, eight focus group discussions and 11 group discussions with different cadres (doctors, administrators and nurses). We carried out thematic analysis using NVivo 10. RESULTS: Our analysis shows that public service motivation is a notion that seems natural to the health workers we interviewed. Daily interactions with patients catalysed health providers' affective motives (compassion and self- sacrifice), a central element of PSM. It also provided them with job satisfaction aligned with their intrinsic motivation. Managers and administrative personnel express other PSM components: attraction to public policy making and commitment to public values. A striking result is that health workers expressed strong religious beliefs about expected rewards from God when properly serving patients. CONCLUSION: This study highlights the presence of PSM as a driver of motivation among health workers in four Moroccon hospitals, and the prominence of intrinsic motivation and compassion in the motivation of frontline health workers. Religious beliefs were found to shape the expression of PSM in Morocco.


Asunto(s)
Actitud del Personal de Salud , Hospitales Públicos/organización & administración , Motivación , Personal de Hospital/psicología , Adulto , Femenino , Grupos Focales , Humanos , Satisfacción en el Trabajo , Masculino , Persona de Mediana Edad , Marruecos , Estudios de Casos Organizacionales , Personal de Hospital/estadística & datos numéricos , Investigación Cualitativa , Adulto Joven
4.
BMC Health Serv Res ; 19(1): 752, 2019 Oct 25.
Artículo en Inglés | MEDLINE | ID: mdl-31653231

RESUMEN

BACKGROUND: People living with and beyond cancer (PLC) receive various forms of specialty care at different locations and many interventions concurrently or over time. They are affected by the operation of professional and organizational silos. This results in undue delays in access, unmet needs, sub-optimal care experiences and clinical outcomes, and human and financial costs for PLCs and healthcare systems. National cancer control programs advocate organizing in a network to coordinate actions, solve fragmentation problems, and thus improve clinical outcomes and care experiences for every dollar invested. The variable outcomes of such networks and factors explaining them have been documented. Governance is the "missing link" for understanding outcomes. Governance refers to the coordination of collective action by a body in a position of authority in pursuit of a common goal. The Quebec Cancer Network (QCN) offers the opportunity to study in a natural environment how, why, by whom, for whom, and under what conditions collaborative governance contributes to practices that produce value-added outcomes for PLCs, healthcare providers, and the healthcare system. METHODS/DESIGN: The study design consists of a longitudinal case study, with multiple nested cases (4 local networks nested in the QCN), mobilizing qualitative and quantitative data and mixed data from various sources and collected using different methods, using the realist evaluation approach. Qualitative data will be used for a thematic analysis of collaborative governance. Quantitative data from validated questionnaires will be analyzed to measure relational coordination and teamwork, care experience, clinical outcomes, and health-related health-related quality of life, as well as a cost analysis of service utilization. Associations between context, governance mechanisms, and outcomes will be sought. Robust data will be produced to support decision-makers to guide network governance towards optimized clinical outcomes and the reduction of the economic toxicity of cancer for PLCs and health systems.


Asunto(s)
Redes Comunitarias/organización & administración , Neoplasias/terapia , Redes Comunitarias/economía , Costos de la Atención en Salud , Investigación sobre Servicios de Salud , Humanos , Institucionalización , Estudios Longitudinales , Estudios de Casos Organizacionales , Quebec , Proyectos de Investigación
5.
Artículo en Inglés | MEDLINE | ID: mdl-31454977

RESUMEN

To promote sustainable development, the Chinese government launched a new municipal solid waste (MSW) classification strategy in 2017. Shanghai was selected as one of the first pilot cities for MSW classification. The Shanghai municipal government first established the new MSW classification policy in 2017. The Shanghai Municipal Solid Waste Management Regulation was published in 2019 and came into effect on 1 July 2019. This short communication reports on Shanghai's new MSW classification policy and its implementation. The main content and measures adopted by Shanghai's government to ensure the effective implementation of the new MSW classification policy are introduced. Besides, a SWOT (i.e., strengths, weaknesses, opportunities, and threats) analysis on the present policy and measures is conducted, and based on the results, some discussions and suggestions regarding the implementation of MSW classification in Shanghai and the whole of China are presented.


Asunto(s)
Política Ambiental , Eliminación de Residuos/legislación & jurisprudencia , Residuos Sólidos/clasificación , Administración de Residuos/legislación & jurisprudencia , China , Ciudades , Gobierno Local , Estudios de Casos Organizacionales , Proyectos Piloto
6.
Med Ref Serv Q ; 38(3): 252-259, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31379281

RESUMEN

Librarians gather data on multiple aspects of their work. Much of the data collection revolves around the library's resources, but what may be passed over during this data collection is information on how librarians are expending their time and effort. A group of librarians from a community hospital system designed a Microsoft Access database to collect such data and has been recording librarians' efforts for more than three years. The librarians use the data in annual reports and can track trends to evaluate service priorities and maximize effective use of the librarians' time.


Asunto(s)
Recolección de Datos/métodos , Eficiencia Organizacional/estadística & datos numéricos , Bibliotecólogos/estadística & datos numéricos , Bibliotecas de Hospitales/organización & administración , Bibliotecas Médicas/organización & administración , Rol Profesional , Humanos , Indiana , Estudios de Casos Organizacionales
7.
Med Ref Serv Q ; 38(3): 211-217, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31379289

RESUMEN

This case study describes how librarians at Rudolph Matas Library of the Health Sciences at Tulane University have partnered and worked with several departments that fall under the Vice President of Research. Examples include detailed literature searches, cooperative purchasing, and clinical trial registration. Some upcoming activities and opportunities for collaboration will also be discussed. Finally, the authors will share some valuable lessons learned through the process of collaboration with the research infrastructure of the university.


Asunto(s)
Investigación Biomédica/organización & administración , Conducta Cooperativa , Relaciones Interinstitucionales , Bibliotecas Médicas/organización & administración , Servicios de Biblioteca/organización & administración , Humanos , Nueva Orleans , Estudios de Casos Organizacionales , Universidades
8.
Med Ref Serv Q ; 38(3): 218-227, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31379290

RESUMEN

When Preston Medical Library moved inside the Medical Center in September 2014, the new patient library, called the Health Information Center (HIC), was added. This addition is a patient focused, consumer health library that, among other things, offers health information and books. After the initial marketing plan was implemented, a task force was created to focus specifically on marketing the consumer health library and its resources. This article discusses how the task force revamped the marketing strategy to include outreach into the medical center's waiting rooms and other opportunities for collaboration.


Asunto(s)
Centros de Información/organización & administración , Bibliotecas Médicas/organización & administración , Mercadeo/organización & administración , Humanos , Estudios de Casos Organizacionales , Tennessee
9.
J Health Organ Manag ; 33(4): 511-528, 2019 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-31282814

RESUMEN

PURPOSE: Multisector health care alliances (alliances) are increasingly viewed as playing an important role in improving the health and health care of local populations, in part by disseminating innovative practices, yet alliances face a number of challenges to disseminating these practices beyond a limited set of initial participants. The purpose of this paper is to examine how alliances attempt to disseminate innovative practices and the facilitating and inhibiting factors that alliances confront when trying to do so. DESIGN/METHODOLOGY/APPROACH: The authors adopted multiple holistic case study design of eight alliances with a maximum variation case selection strategy to reflect a range of structural and geographic characteristics. Semi-structured interviews with staff, leaders and board members were used. FINDINGS: The findings show that dissemination is a multidirectional process that is closely if not inextricably intertwined with capacity- and context-related factors (of the alliance, partnering organizations and target organizations). Thus, standardized approaches to dissemination are likely the exception and not the rule, and highlight the value of existing frameworks as a starting point for conceptualizing the important aspects of dissemination, but they are incomplete in their description of the "on-the-ground" dissemination processes that occur in the context of collaborative organizational forms such as alliances. ORIGINALITY/VALUE: Despite a rapidly expanding evidence base to guide clinical and managerial decision making, this knowledge often fails to make its way into routine practice. Consequently, the search for effective strategies to reduce this gap has accelerated in the past decade. This study sheds light on those strategies and the challenges to implementing them.


Asunto(s)
Difusión de Innovaciones , Innovación Organizacional , Mejoramiento de la Calidad/organización & administración , Prestación de Atención de Salud/organización & administración , Humanos , Relaciones Interinstitucionales , Entrevistas como Asunto , Estudios de Casos Organizacionales
10.
Health Care Manag (Frederick) ; 38(3): 282-288, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31261193

RESUMEN

The present study was conducted to explore the relationship between transformational leadership style and employee creativity in Shahid Sadoughi University of Medical Sciences in 2014. This was a descriptive cross-sectional study with a sample of 365 workers from Shahid Sadoughi University of Medical Sciences conducted in 2014. Three questionnaires (including transformational leadership style, creative atmosphere, and employee creativity) were used to collect data. Correlation coefficient tests, along with coefficient of determination, scatter diagrams, and regression analysis, were applied to respond the research questions. Findings revealed a significant correlation between transformational leadership style and its components with creative atmosphere and also between creative atmosphere and its components with employee creativity. A direct statistically significant relation between transformational leadership style and its components with employee creativity was also confirmed (P < .05). This study highlights the critical role of transformational leadership in employee creativity and recommends managers to regularly allocate their time in implementation and expansion of such a leadership style to create a creative atmosphere in accordance with organization's goals and subsequently increase personnel creativity.


Asunto(s)
Creatividad , Difusión de Innovaciones , Liderazgo , Grupo de Atención al Paciente/organización & administración , Adulto , Estudios Transversales , Femenino , Humanos , Irán , Masculino , Estudios de Casos Organizacionales , Encuestas y Cuestionarios , Universidades
11.
J Glob Health ; 9(1): 010807, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31263552

RESUMEN

Background: Malawi has a mature integrated community case management (iCCM) programme that is led by the Ministry of Health (MOH) but that still relies on donor support. From 2013 until 2017, under the Rapid Access Expansion (RAcE) programme, the World Health Organization supported the MOH to expand and strengthen iCCM services in four districts. This paper examines Malawi's iCCM programme performance and implementation strength in RAcE districts to further strengthen the broader programme. Methods: Baseline and endline household surveys were conducted in iCCM-eligible areas of RAcE districts. Primary caregivers of recently-sick children under five were interviewed to assess changes in care-seeking and treatment over the project period. Health surveillance assistants (HSAs) were surveyed at endline to assess iCCM implementation strength. Results: Care-seeking from HSAs and treatment of fever improved over the project period. At endline, however, less than half of sick children were brought to an HSA, many caregivers reported a preference for providers other than HSAs, and perceptions of HSAs as trusted providers of high-quality, convenient care had decreased. HSA supervision and mentorship were below MOH targets. Stockouts of malaria medicines were associated with decreased care-seeking from HSAs. Thirty percent of clusters had limited or no access to iCCM (no HSA or an HSA providing iCCM services less than 2 days per week); 50% had moderate access (an HSA providing iCCM services 2 to 4 days per week; and 20% had high access (a resident HSA providing iCCM services 5 or more days per week). Moderate access to iCCM was associated with increased care-seeking from HSAs, increased treatment by HSAs, and more positive perceptions of HSAs compared to areas with limited or no access. Areas with high access to iCCM did not show further improvements above areas with moderate access. Conclusions: Availability of well-equipped and supported HSAs is critical to the provision of iCCM services. Additional qualitative research is needed to examine challenges and to inform potential solutions. Malawi's mature iCCM programme has a strong foundation but can be improved to strengthen the continuity of care from communities to facilities and to ultimately improve child health outcomes.


Asunto(s)
Manejo de Caso/organización & administración , Servicios de Salud Comunitaria/organización & administración , Prestación Integrada de Atención de Salud/organización & administración , Preescolar , Encuestas de Atención de la Salud , Accesibilidad a los Servicios de Salud/organización & administración , Humanos , Lactante , Malaui , Estudios de Casos Organizacionales , Evaluación de Programas y Proyectos de Salud , Investigación Cualitativa
12.
Health Mark Q ; 36(3): 203-219, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31210584

RESUMEN

ABTRACT Despite the growing popularity of medical tourism (MT) in emerging markets (EMs), little is known about how healthcare providers operationalize. This article analyzes how healthcare providers meet different challenges to market MT in an EM setting. A qualitative method was used for data collection and conducting case studies on healthcare services in the Philippines. The results show that trust and network building are necessary for mitigating the unfavorable characteristics, instability and lack of legitimacy caused by institutional constraints in EM. Word-of-mouth is found to be important to attract new customers and disseminate information about MT services.


Asunto(s)
Mercadeo , Turismo Médico/economía , Red Social , Confianza , Prestación de Atención de Salud/normas , Humanos , Turismo Médico/normas , Estudios de Casos Organizacionales , Filipinas
13.
Int J Prison Health ; 15(2): 126-137, 2019 06 10.
Artículo en Inglés | MEDLINE | ID: mdl-31172854

RESUMEN

PURPOSE: Most women who serve time in prison will eventually be released and expected to reintegrate back into society. To maximize the chances of success, careful support is usually required. An example of this support work was the Healthy Relationships Program (HRP, 2016) offered to women inmates of the Adelaide Women's Prison (South Australia) pre-release. The content of the HRP was influenced by a gender-responsive framework and constructed as a social work program. The purpose of this paper is to report on a small qualitative study that used semi-structured interviews pre- and post-program to explore women participants' expectations, perceptions and experiences of the program. In this paper, the focus is on the women inmates' interview transcripts where a thematic analysis was conducted. Two main research questions drove this analysis. First: How did the women experience the HRP? Second: What does their reported experience reveal about the ongoing need for gender-responsive support? The key findings are that domestic violence and relationships with children are strong motivators for participation in programs; therefore, gender-responsive support is still required in prison programs. However, the paper also advocates that future iterations of gender-responsive support and social work interventions become more consciously intersectional feminist in orientation. DESIGN/METHODOLOGY/APPROACH: A qualitative design was used to explore what women thought the HRP taught them. Individual face-to-face interviews were used to explore women's perceptions, ideas and experiences of healthy relationships. Thematic analysis was used to draw out the themes across interviews. FINDINGS: The key arguments made are that gender-responsive support is still required but that future iterations of gender-responsive support become more consciously intersectional feminist in orientation. RESEARCH LIMITATIONS/IMPLICATIONS: The researchers experienced strict time restrictions to conduct interviews and therefore depth was somewhat compromised. To try and compensate for this restriction, the researchers visited potential participants as part of program recruitment and information sharing to help enable and build general rapport before the interviews. Time restrictions and prison security protocols did not allow for researchers to check transcripts with the women. PRACTICAL IMPLICATIONS: Reporting on this case study also showed that social work practice can influence relationships with institutions, such as prisons, that perpetrate marginalization and therefore enable a setting that facilitates safe participation in programs. SOCIAL IMPLICATIONS: Gender-responsive frameworks provide the much needed validation of gender differences, but also require a feminist intersectional lens to more consciously aid in the conceptualization and evaluation of future programs for women in prison. It is this intersectional lens that is more likely to bring multiple experiences of oppression into focus so that personal issues and problems can be analyzed in a richer wider social context, particularly intersections between gender, class and/ethnicity race. ORIGINALITY/VALUE: This paper has reported on women's expectations and experiences of a health relationships program and provides insight and learnings for future practitioners intending to run similar programs. Overall, the women participants were able to articulate their own personal learnings about interpersonal relationships and were able to acknowledge the impacts of abuse and violence in their lives in the program.


Asunto(s)
Prisioneros/psicología , Prisiones/organización & administración , Servicio Social/organización & administración , Adulto , Femenino , Humanos , Relaciones Interpersonales , Entrevistas como Asunto , Persona de Mediana Edad , Estudios de Casos Organizacionales , Percepción , Investigación Cualitativa , Australia del Sur , Adulto Joven
14.
Med Ref Serv Q ; 38(2): 187-196, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31173566

RESUMEN

Due to staffing changes, clinical librarians in a large pediatric health care system needed to streamline how user requests were received and how best to handle the shared workflow. This article describes how REDCap and SAS were implemented to improve the management of requests, capture comprehensive user statistics, and convey the value of the library services through enhanced reporting.


Asunto(s)
Bibliotecólogos , Bibliotecas Médicas , Mejoramiento de la Calidad , Programas Informáticos , Eficiencia Organizacional/normas , Georgia , Hospitales Pediátricos , Almacenamiento y Recuperación de la Información/métodos , Estudios de Casos Organizacionales , Interfaz Usuario-Computador
15.
Med Ref Serv Q ; 38(2): 143-155, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31173571

RESUMEN

This article is a case study that discusses the development and implementation of an internal learning object repository (LOR) for a large national organization with a distributed working environment. It describes the organizational environment and why an internal LOR was needed. It describes technical considerations, including the various document management systems (DMS) available, and why an open source DMS was selected to use as an internal LOR. Lastly, this article weighs the benefits and challenges of implementing a LOR across a distributed working environment and reflects on challenges associated with implementation.


Asunto(s)
Almacenamiento y Recuperación de la Información , Aprendizaje , Enseñanza/organización & administración , Acceso a la Información , Maryland , Metadatos , National Library of Medicine (U.S.) , Estudios de Casos Organizacionales , Estados Unidos
16.
Med Ref Serv Q ; 38(2): 156-162, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31173573

RESUMEN

Changing patron demands, coupled with significant repurposing of library space, led the library to experience a marked decline in the usage of the print reference collection. Such a significant decrease challenged librarians to find new methods for promoting this still viable collection. It was decided to integrate the print reference books into the general library collection. After a year, circulation data demonstrated that by integrating collections, reference titles were now used more frequently.


Asunto(s)
Almacenamiento y Recuperación de la Información/métodos , Bibliotecas Médicas/organización & administración , Medios de Comunicación de Masas , Alabama , Estudios de Casos Organizacionales
17.
BMC Health Serv Res ; 19(1): 415, 2019 Jun 24.
Artículo en Inglés | MEDLINE | ID: mdl-31234853

RESUMEN

BACKGROUND: Globally, local and frontline HIV service delivery units have been deployed to halt the HIV epidemic. However, with the limited resources, there is a need to understand how these units can deliver their optimum outputs/outcomes efficiently given the inputs. This study aims to determine the efficiency of the social hygiene clinics (SHC) in the Philippines as well as to determine the association of the meta-predictor to the efficiencies. METHODS: In determining efficiency, we used the variables from two data sources namely the 2012 Philippine HIV Costing study and 2011 Integrated HIV Behavioral and Serologic Surveillance, as inputs and outputs, respectively. Various data management protocols and initial assumptions in data matching, imputation and variable selection, were used to create the final dataset with 9 SHCs. We used data envelopment analysis (DEA) to analyse the efficiency, while variations in efficiencies were analysed using Tobit regression with area-specific meta-predictors. RESULTS: There were potentially inefficient use of limited resources among sampled SHC in both aggregate and key populations. Tobit regression results indicated that income was positively associated with efficiency, while HIV prevalence was negatively associated with the efficiency variations among the SHCs. CONCLUSIONS: We were able to determine the inefficiently performing SHCs in the Philippines. Though currently inefficient, these SHCs may adjust their inputs and outputs to become efficient in the future. While there were indications of income and HIV prevalence to be associated with the efficiency variations, the results of this case study may only be limited in generalisability, thus further studies are warranted.


Asunto(s)
Instituciones de Atención Ambulatoria/organización & administración , Eficiencia Organizacional , Infecciones por VIH/prevención & control , Higiene , Femenino , Homosexualidad Masculina , Humanos , Masculino , Estudios de Casos Organizacionales , Filipinas , Trabajadores Sexuales
18.
Int J Health Care Qual Assur ; 32(5): 788-804, 2019 Jun 10.
Artículo en Inglés | MEDLINE | ID: mdl-31195931

RESUMEN

PURPOSE: The purpose of this paper is to evaluate a collaborative effort between a health care organization and academic institution to strengthen organizational health literacy. DESIGN/METHODOLOGY/APPROACH: The intervention took place at a rural, federally qualified health clinic in Missouri between May 2009 and April 2011. Qualitative interviews of key informants were conducted before (n=35) and after (n=23) the intervention to examine program implementation and success in effecting organizational change. FINDINGS: Intervention activities helped establish a comprehensive understanding of health literacy. The project achieved moderate, fundamental and sustainable organizational change. The program successfully integrated health literacy practices into clinic systems and garnered leadership and organizational commitment, helped the workforce improve interpersonal communication and embedded practices making health education materials more accessible. ORIGINALITY/VALUE: The study points to programmatic, conceptual and methodological challenges that must be addressed for organizations to improve health literacy practices, and suggests change management strategies to advance organizational health literacy.


Asunto(s)
Alfabetización en Salud , Cultura Organizacional , Servicios de Salud Rural , Conducta Cooperativa , Prestación de Atención de Salud , Humanos , Entrevistas como Asunto , Missouri , Estudios de Casos Organizacionales , Investigación Cualitativa , Universidades
19.
Healthc Q ; 22(1): 36-41, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31244466

RESUMEN

Collaborative interprofessional primary care (PC) teams are widely seen as an essential attribute of high-performing PC systems (Aggarwal and Hutchinson 2012). Effective PC teams play a key role in the mobilization of healthcare resources and navigation of the health and social care system for their patients. In Ontario, the establishment of Family Health Teams has resulted in the implementation of unique programs that deliver services to palliative and elderly patients with a focus on keeping them at home and out of hospital. Case studies cited in this article highlight two innovative programs in Family Health Teams and provide perspectives on lessons for successful implementation.


Asunto(s)
Servicios de Atención de Salud a Domicilio/organización & administración , Cuidados Paliativos/organización & administración , Anciano , Anciano de 80 o más Años , Servicios de Salud Comunitaria/organización & administración , Servicios de Atención de Salud a Domicilio/estadística & datos numéricos , Humanos , Ontario , Estudios de Casos Organizacionales , Cuidados Paliativos/estadística & datos numéricos , Grupo de Atención al Paciente/organización & administración , Cuidado Terminal/organización & administración
20.
Health Hum Rights ; 21(1): 81-92, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31239616

RESUMEN

Gender-based violence (GBV) is a major public health problem that is exacerbated in armed conflict settings. While specialized guidelines exist for conducting research with GBV, guidance on disseminating findings from GBV research is scant. This paper describes ethical considerations of designing and disseminating research findings on GBV, armed conflict, and mental health (including alcohol misuse) in conflict-affected settings in Northeastern Uganda. Following completion of two research studies, we conducted a half-day dissemination meeting with local community professionals (n=21) aged 24 to 60. Attendees were divided into small groups and given a quiz-style questionnaire on research findings to prompt discussion. Two primary ethical tensions arose. One ethical consideration was how to disseminate research findings equitably at the participant level after having taken care to collect data using safe and unharmful methods. Another ethical issue concerned how to transparently share findings of widespread problems in a hopeful and contextualized way in order to facilitate community response. We recommend planning for dissemination a priori, engaging with partners at local levels, and grounding dissemination for action in evidence-based practices.


Asunto(s)
Conflictos Armados , Violencia de Género , Difusión de la Información/ética , Salud Mental , Investigación , Adulto , Femenino , Humanos , Masculino , Estudios de Casos Organizacionales , Uganda
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