Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 22.858
Filtrar
1.
Policy Polit Nurs Pract ; 22(1): 51-62, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33081574

RESUMO

The state of American kidney health is currently under the microscope. In the United States, approximately 20,000 persons advance to end-stage renal disease annually. Trends indicate accelerating increases in cost of care and a high mortality rate among patients with end-stage renal disease, with only 57% of patients surviving after 3 years. An executive order by the White House has placed the transformation of kidney care at the forefront of the country's health care agenda. The order focuses on key issues including improving outcomes, reducing treatment-related expenditures and increasing kidney donations. Mobilization of health care resources directed toward policymaking, workforce growth and development, and research will be critical to effectively achieve this executive order. Nursing's response, as the health care profession with the most members, will be crucial to achieving response implementation and success of the order. This article describes immediate and future actions including policy, leadership, clinical, educational, and research initiatives that the nursing profession should take to advance kidney health. It calls for specific actions by nursing and focuses on nursing organizations, nursing research, quality improvement initiatives, nursing innovation, advanced practice nursing, and the nephrology and transplant nursing workforce in order to improve kidney health nationally. The impact of the SARS-CoV-2 pandemic on kidney health and the implications for the profession of nursing are outlined. Although there are still many unknowns about the pandemic, nursing's voice is necessary to ensure the ongoing delivery of high-quality care.


Assuntos
Política de Saúde/legislação & jurisprudência , Falência Renal Crônica/enfermagem , Legislação de Enfermagem , Papel do Profissional de Enfermagem , Cuidados de Enfermagem/organização & administração , Qualidade da Assistência à Saúde/legislação & jurisprudência , Qualidade da Assistência à Saúde/organização & administração , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Objetivos Organizacionais , Estados Unidos
2.
Br J Community Nurs ; 25(12): 2-7, 2020 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-33275510

RESUMO

The global desire to produce and deploy a safe and effective vaccine to protect against SARS-CoV-2 infection and the morbidity and mortality subsequent to COVID-19 is unprecedented. The unparalleled speed of research development and access to funding is perhaps equally unique in the history of therapeutic achievement. This article, the third in a series of dedicated to exploring the origins and developments of SARS-CoV-2 within the context of the strategies of infection prevention and control, investigates the theatre behind the extraordinary efforts underpinning the research for therapeutic interventions to halt the COVID-19 pandemic. The Chair of the UK Vaccine Taskforce has stated that the exit strategy depends on a vaccine that is effective in reducing mortality, improving population health by reducing serious disease and protecting the NHS and social care system. This article introduces the major COVID-19 vaccine contenders and considers the challenges and opportunities of an effective global vaccination strategy.


Assuntos
Pesquisa Biomédica/organização & administração , /prevenção & controle , Desenvolvimento de Medicamentos/organização & administração , Objetivos Organizacionais , Pandemias/prevenção & controle , Vacinação/métodos , Humanos , Reino Unido
5.
Glob Health Action ; 13(1): 1846903, 2020 12 31.
Artigo em Inglês | MEDLINE | ID: mdl-33250013

RESUMO

Background: Monitoring Sustainable Development Goal indicators (SDGs) and their targets plays an important role in understanding and advocating for improved health outcomes for all countries. We present the United Nations (UN) Inter-agency groups' efforts to support countries to report on SDG health indicators, project progress towards 2030 targets and build country accountability for action. Objective: We highlight common principles and practices of each Inter-agency group and the progress made towards SDG 3 targets using seven health indicators as examples. The indicators used provide examples of best practice for modelling estimates and projections using standard methods, transparent data collection and country consultations. Methods: Practices common to the UN agencies include multi-UN agency participation, expert groups to advise on estimation methods, transparent publication of methods and data inputs, use of UN-derived population estimates, country consultations, and a common reporting platform to present results. Our seven examples illustrate how estimates, using mostly Bayesian models, make use of country data to track progress towards SDG targets for 2030. Results: Progress has been made over the past decade. However, none of the seven indicators are on track to achieve their respective SDG targets by 2030. Accelerated efforts are needed, especially in low- and middle-income countries, to reduce the burden of maternal, child, communicable and noncommunicable disease mortality, and to provide access to modern methods of family planning to all women. Conclusion: Our analysis shows the benefit of UN interagency monitoring which prioritizes transparent country data sources, UN population estimates and life tables, and rigorous but replicable modelling methods. Countries are supported to build capacity for data collection, analysis and reporting. Through these monitoring efforts we support countries to tackle even the most intransient health issues, including the pandemic caused by SARS-CoV-2 that is reversing the hard-earned gains of all countries.


Assuntos
Saúde Global , Objetivos Organizacionais , Nações Unidas/organização & administração , Teorema de Bayes , Saúde da Criança/normas , Doenças Transmissíveis/epidemiologia , Humanos , Saúde Materna/normas , Doenças não Transmissíveis/epidemiologia , Pandemias , Nações Unidas/normas
6.
Rev Esp Med Nucl Imagen Mol ; 39(6): 375-379, 2020.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-33222840

RESUMO

This publication presents criteria and bases for the work organization in the safe practice of Hospital Radiopharmacy, in order to minimize the risk of viral transmission during the COVID-19 pandemic, in a reference facility of the National Energy Commission Atomic of Argentina, while continuing to perform essential services for the health system. For this purpose, documents from the National Energy Commission Atomic, IAEA, WHO and other scientific publications were consulted as reference. These recommendations are under constant review and are permanently updated. Within this framework, the present model of work organization for this essential activity is proposed, including general and specific recommendations and its epidemiological and immunological basis.


Assuntos
/epidemiologia , Medicina Nuclear/organização & administração , Pandemias , Serviço de Farmácia Hospitalar/organização & administração , Argentina/epidemiologia , /imunologia , /métodos , Humanos , Higiene/normas , Medicina Nuclear/normas , Objetivos Organizacionais , Admissão e Escalonamento de Pessoal/organização & administração , Serviço de Farmácia Hospitalar/normas , Compostos Radiofarmacêuticos/normas , Local de Trabalho/organização & administração , Local de Trabalho/normas
7.
Am J Nurs ; 120(12): 24-33, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33181527

RESUMO

OVERVIEW: In 2012, the Institute of Medicine Roundtable on Health Literacy established 10 attributes of a health literate health care organization that, if instated, would improve health information and empower patients to make more informed health decisions. Few studies have assessed how well organizations meet these attributes. PURPOSE: This study sought to describe the extent to which health care systems in North Texas were adopting policies and practices that address the 10 attributes of a health literate health care organization. More specifically, we sought to describe key organizational leaders' and clinicians' perceptions in this regard. STUDY DESIGN AND METHODS: This was a mixed-methods study, conducted with a convenience sample of 74 key informants from 13 hospitals across five health care systems. Informants provided demographic data, and their perceptions of the extent to which their hospital met the 10 attributes were measured via the Health Literate Health Care Organization 10-item questionnaire (HLHO-10) and semistructured interviews. RESULTS: Mean scores for HLHO-10 items ranged from 3.74 to 5.39, with 7 as a maximum score. Qualitative data provided richer content, elaborating on the survey results. Workforce training in health literacy, patient inclusion in health information development and evaluation, and communication about health care costs were rated the lowest and were described as issues of concern. CONCLUSION: Study findings indicated limited leadership and little systemic promotion of efforts to ensure health literate health care organizations, although individual health literacy champions sometimes stepped up with creative initiatives.


Assuntos
Comunicação , Assistência à Saúde/organização & administração , Letramento em Saúde/organização & administração , Pessoal de Saúde/psicologia , Hospitais , Objetivos Organizacionais , Humanos , National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division , Inquéritos e Questionários , Texas , Estados Unidos
8.
Isr J Health Policy Res ; 9(1): 65, 2020 11 24.
Artigo em Inglês | MEDLINE | ID: mdl-33234166

RESUMO

BACKGROUND: Health systems worldwide function in constantly changing local and global ecosystems. This is the result of economic, demographic, and technological changes, among others. In recent decades Israel has started implementing reforms in the public health services that have led to far-reaching changes in the health system, and consequently, increased competition within it. The impact of these changes has been exacerbated by pressure to reduce per capita public health costs, coupled with increased demand and greater health awareness. All these changes have created a turbulent environment for healthcare organizations in Israel. To cope with this dynamic environment, various parts of the system have had to adopt appropriate management behaviors and business styles. This study, carried out in six public hospitals in Israel, evaluates the nature and degree of adaptation, implementation, and inculcation of management strategies in public hospitals in Israel, using the Ginter model of strategic management of health organizations. METHODS: The study used semi-structured in-depth interviews of key figures in the health system and managers at various levels in the hospitals and HMOs included in the sample. The 55 interviews, conducted in two time periods, were analyzed in accordance with an established theory of qualitative methodological analysis. RESULTS: The main findings are that the health market and hospitals in Israel are increasingly adopting competitive business behaviors. But strategic managerial behavior has been adopted only in part, and there is a lack of collaboration between staff and management in defining goals and strategic activity. These are obstacles to change and inculcation of the strategy in hospitals. CONCLUSIONS: This study affords an important view over time and a better understanding of the behavior and adaptation of hospitals in Israel to their constantly changing surroundings. Adapting and inculcating appropriate managerial strategies in hospitals requires close collaboration between staff and management; its absence is an obstacle that contributes to partial, and possibly counter-productive, strategic behavior. The solution may lie in a combination of changes: providing hospital management with the necessary tools and broad professional support by the Ministry of Health; organizational changes in hospital management and departments; the creation of a clinical leadership role; and a self-supervised planning system . POLICY RECOMMENDATIONS: These recommendations regarding training and the direction and organization of the change, coupled with systemic oversight of them by the Ministry of Health, will enable the system to become more efficient. They are particularly relevant today because the Covid-19 pandemic has exacerbated and highlighted Israeli public hospitals' financial and organizational problems. Hospitals that already faced many challenges have had to cope with an unfamiliar medical crisis and a reduction of elective medical activity, causing them various types of damage, especially in term of economic stability. The hospitals' fragile situation must become a top government priority because it can no longer be ignored. To achieve a strong healthcare system with stable hospitals, able to respond both to everyday challenges and to crises like the current pandemic, policymakers must provide financial and organizational support alongside managerial training, while maintaining an overall systemic plan.


Assuntos
Ecossistema , Administração Financeira , Hospitais Públicos/organização & administração , Inovação Organizacional , Objetivos Organizacionais , Comércio , Teoria Fundamentada , Hospitais Públicos/economia , Humanos , Entrevistas como Assunto , Israel
9.
J World Fed Orthod ; 9(3S): S3-S14, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33023729

RESUMO

The idea of a global orthodontic organization, the World Federation of Orthodontists (WFO), made up of national and regional orthodontic organizations, was realized in 1995 in San Francisco at the 4th International Orthodontic Congress that was held in conjunction with the 95th annual American Association of Orthodontists meeting. This umbrella organization strives to promote quality orthodontic care, practiced and delivered by orthodontic specialists in all parts of the world. In addition, it supports its member organizations with governing principles that promote appropriate membership criteria, qualified individual leadership participation, and long-term stability of the organization over time. In response to the Coronavirus Disease 2019 pandemic, the WFO has responded proactively and plans to augment its digital resources even further in the near future. This article describes the formation of the organization, the idea that germinated through the first three international orthodontic congresses, its workflow and membership criteria, the accountability and commitment it has toward its affiliates and individual members, and its plans for future years to come.


Assuntos
Infecções por Coronavirus/epidemiologia , Ortodontia/história , Pneumonia Viral/epidemiologia , Sociedades Odontológicas/história , Betacoronavirus , Congressos como Assunto/história , História do Século XX , História do Século XXI , Humanos , Cooperação Internacional/história , Objetivos Organizacionais , Pandemias
16.
Palliat Support Care ; 18(4): 379-381, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32631459

RESUMO

As the COVID-19 pandemic continues, more patients will require palliative and end-of-life care. In order to ensure goal-concordant-care when possible, clinicians should initiate goals-of-care conversations among our most vulnerable patients and, ideally, among all patients. However, many non-palliative care clinicians face deep uncertainty in planning, conducting, and evaluating such interactions. We believe that specialists within palliative care are aptly positioned to address such uncertainties, and in this article offer a relevant update to a concise framework for clinicians to plan, conduct, and evaluate goals-of-care conversations: the GOOD framework. Once familiar with this framework, palliative care clinicians may use it to educate their non-palliative care colleagues about a timely and critical component of care, now and beyond the COVID-19 era.


Assuntos
Infecções por Coronavirus/terapia , Enfermagem de Cuidados Paliativos na Terminalidade da Vida/organização & administração , Objetivos Organizacionais , Cuidados Paliativos/organização & administração , Planejamento de Assistência ao Paciente/organização & administração , Pneumonia Viral/terapia , Assistência Terminal/organização & administração , Incerteza , Betacoronavirus , Humanos , Pandemias
18.
Pediatr Phys Ther ; 32(3): 211-217, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32604362

RESUMO

INTRODUCTION: Goal setting is an important component of school-based physical therapy; however, evidence suggests that therapists may not consistently write goals that are relevant, context specific, and measurable. The aims of this knowledge translation study were to evaluate implementation of a goal-setting method for school-based therapists. METHOD: This study was created to align with the Knowledge to Action framework and included 1-day training and follow-up mentorship. Goals were assessed pre- and posttraining, and questionnaires assessed barriers and facilitators. RESULTS: Twenty-two physical therapists participated. Nineteen participants (90%) strongly agreed/agreed that the training helped change their perspectives about goal setting in the school environment. There was a statistically significant difference in goal quality pre- and posttraining. Therapists identified barriers and facilitators to implementation of effective goal setting in practice. DISCUSSION: Results indicate that this method may be effective at improving goal writing that is relevant, context specific, and measurable in school settings.


Assuntos
Objetivos Organizacionais , Pediatria/normas , Fisioterapeutas/normas , Modalidades de Fisioterapia/normas , Guias de Prática Clínica como Assunto , Serviços de Saúde Escolar/normas , Instituições Acadêmicas/estatística & dados numéricos , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Pesquisa Médica Translacional , Estados Unidos
20.
Rev Bras Enferm ; 73 Suppl 2: e20200247, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32667577

RESUMO

OBJECTIVE: To discuss the political and structural conditions for establishing the Unified Health System (UHS - Sistema Único de Saúde, SUS) in coping with the SARS-CoV-2 pandemic. METHODS: Theoretical-reflection study. RESULTS: At the first moment named "The global and the local in facing the SARS-CoV-2 pandemic" is presented the health crisis that took place worldwide and the government actions to combat COVID-19. A second moment named "Between dismantling actions and resistance, the UHS is the best way to face the SARS-CoV-2 pandemic", reflects on the neoliberal attacks on the health system and how it resists, remaining the main pandemic response strategy. CONCLUSION: The strengthening of democracy and the defense of the UHS are the way out of the crisis. It is believed that this reflection generates - in everyone who deals with caretaking - the political action, the ethical attitude, the desire for valorization and the spirit of struggle in defense of the UHS and human life.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Objetivos Organizacionais , Pandemias/prevenção & controle , Pneumonia Viral/diagnóstico , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Sociedades Médicas/organização & administração , Brasil , Humanos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA