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2.
J Nurs Adm ; 50(4): 183-184, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32195909

RESUMO

A successful nursing strategic plan establishes a roadmap for the future. It gives nurses a direction to follow and can refresh and reenergize an organization. A robust strategic plan is a critical component to ensure excellent patient care and the best possible outcomes. In this month's Magnet Perspectives, we unpack the essential elements that make a strategic plan effective, how to create and implement a plan that will work for you, and how to engage nurses at all levels in the process. We explore how strategic planning is used to guide the work of Magnet-recognized organizations and support nurses with the tools and resources they need to contribute fully to the care team.


Assuntos
Metas , Enfermeiras Administradoras/organização & administração , Planejamento Estratégico , Humanos , Objetivos Organizacionais
4.
Acta Trop ; 201: 105219, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31614120

RESUMO

As the only specialized institution for research and control of parasitic diseases at the national level in China for almost 70 years, the National Institute of Parasitic Diseases (NIPD) at the Chinese Center for Disease Control and Prevention (China CDC) has been instrumental in supporting the remarkable progress from high prevalence to transmission interruption or low endemicity of several diseases, lymphatic filariasis, malaria and schistosomiasis in particular. This has taken place through technical guidance, emergency response and scientific research as well as providing technical service, education, training, health promotion and international cooperation. With China's increasing involvement in international cooperation and the increased risk for (re)emerging tropical diseases in mind, the Chinese Government designated in 2017 a new Chinese Center for Tropical Disease Research to NIPD. Responding to the expanded responsibilities, the institute is scaling up its activities in several ways: from parasitic diseases to the wider area of tropical diseases; from disease control to disease elimination; from biological research to policy evidences accumulation; and from public health to global health. Based on this new vision and China's previous accomplishments in the areas mentioned, the institute is in a position to move forward with respect to global health and equitable development according to the central principles of the United Nations' Sustainable Development Goals.


Assuntos
/organização & administração , Doenças Transmissíveis/epidemiologia , Saúde Global/normas , Cooperação Internacional , Doenças Parasitárias/epidemiologia , Saúde Pública/normas , Medicina Tropical/normas , Academias e Institutos , Animais , China/epidemiologia , Humanos , Objetivos Organizacionais , Estados Unidos
5.
BMC Public Health ; 19(1): 1698, 2019 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-31852470

RESUMO

BACKGROUND: Despite the existence of efficacious vaccines, the burden of vaccine-preventable diseases remains high and the potential health benefits of paediatric, adolescent and adult vaccination are not being achieved due to suboptimal vaccine coverage rates. Based on emerging evidence that pharmacy-based vaccine interventions are feasible and effective, the European Interdisciplinary Council for Ageing (EICA) brought together stakeholders from the medical and pharmacy professions, the pharmaceutical industry, patient/ageing organisations and health authorities to consider the potential for pharmacy-based interventions to increase vaccine uptake. We report here the proceedings of this 3-day meeting held in March 2018 in San Servolo island, Venice, Italy, focussing firstly on examples from countries that have introduced pharmacy-based vaccination programmes, and secondly, listing the barriers and solutions proposed by the discussion groups. CONCLUSIONS: A range of barriers to vaccine uptake have been identified, affecting all target groups, and in various countries and healthcare settings. Ease of accessibility is a potentially modifiable determinant in vaccine uptake, and thus, improving the diversity of settings where vaccines can be provided to adults, for example by enabling community pharmacists to vaccinate, may increase the number of available opportunities for vaccination.


Assuntos
Promoção da Saúde/métodos , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Assistência Farmacêutica/organização & administração , Farmacêuticos , Vacinação/psicologia , Vacinação/estatística & dados numéricos , Adulto , Congressos como Assunto , Europa (Continente) , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Objetivos Organizacionais , Papel Profissional
6.
Arch. argent. pediatr ; 117(6): S277-S309, dic. 2019. ilus
Artigo em Espanhol | LILACS, BINACIS | ID: biblio-1051694

RESUMO

La seguridad del paciente es una de las dimensiones de la atención. Los avances médicos han tornado los procesos de atención cada vez más complejos, y, usualmente, hay una conjunción de circunstancias que confluyen para que ocurran errores. Los eventos adversos constituyen un problema grave de salud pública al ocasionar daños de diversos grados al paciente y a su familia, lo cual, además, lleva a incrementar el costo del proceso de atención y la estancia hospitalaria.La mayoría de los eventos adversos se producen en los hospitales, ya que, por su complejidad, su población está sometida a un mayor riesgo asociado a la atención. Se presenta este consenso con el objetivo de ofrecer herramientas cuya implementación contribuya a brindar una atención más segura.


Patient safety is one of the dimensions of care. Medical advances have made assistance processes more and more complex, and there isusually a combination of circumstances that converge for errors to occur. Adverse events constitute a serious public health problem, causing damages of varying degrees to the patient and his family, which also leads to an increase in the cost of the care process and hospital stay. Most of the adverse events occur in hospitals because their complexity is subject to a greater risk associated with care. That is why we present this consensus with the aim of offering tools whose implementation can contribute to provide a safer healthcare.


Assuntos
Humanos , Protocolos Clínicos , Internacionalidade , Segurança do Paciente/normas , Metas , Objetivos Organizacionais , Erros Médicos/prevenção & controle
7.
N Engl J Med ; 381(26): 2519-2528, 2019 12 26.
Artigo em Inglês | MEDLINE | ID: mdl-31881138

RESUMO

BACKGROUND: With the vision of "a world free of schistosomiasis," the World Health Organization (WHO) set ambitious goals of control of this debilitating disease and its elimination as a public health problem by 2020 and 2025, respectively. As these milestones become imminent, and if programs are to succeed, it is important to evaluate the WHO programmatic guidelines empirically. METHODS: We collated and analyzed multiyear cross-sectional data from nine national schistosomiasis control programs (in eight countries in sub-Saharan Africa and in Yemen). Data were analyzed according to schistosome species (Schistosoma mansoni or S. haematobium), number of treatment rounds, overall prevalence, and prevalence of heavy-intensity infection. Disease control was defined as a prevalence of heavy-intensity infection of less than 5% aggregated across sentinel sites, and the elimination target was defined as a prevalence of heavy-intensity infection of less than 1% in all sentinel sites. Heavy-intensity infection was defined as at least 400 eggs per gram of feces for S. mansoni infection or as more than 50 eggs per 10 ml of urine for S. haematobium infection. RESULTS: All but one country program (Niger) reached the disease-control target by two treatment rounds or less, which is earlier than projected by current WHO guidelines (5 to 10 years). Programs in areas with low endemicity levels at baseline were more likely to reach both the control and elimination targets than were programs in areas with moderate and high endemicity levels at baseline, although the elimination target was reached only for S. mansoni infection (in Burkina Faso, Burundi, and Rwanda within three treatment rounds). Intracountry variation was evident in the relationships between overall prevalence and heavy-intensity infection (stratified according to treatment rounds), a finding that highlights the challenges of using one metric to define control or elimination across all epidemiologic settings. CONCLUSIONS: These data suggest the need to reevaluate progress and treatment strategies in national schistosomiasis control programs more frequently, with local epidemiologic data taken into consideration, in order to determine the treatment effect and appropriate resource allocations and move closer to achieving the global goals. (Funded by the Children's Investment Fund Foundation and others.).


Assuntos
Controle de Doenças Transmissíveis , Esquistossomose Urinária/prevenção & controle , Esquistossomose mansoni/prevenção & controle , África ao Sul do Saara/epidemiologia , Animais , Anti-Helmínticos/uso terapêutico , Criança , Estudos Transversais , Doenças Endêmicas/prevenção & controle , Humanos , Objetivos Organizacionais , Prevalência , Schistosoma haematobium/isolamento & purificação , Schistosoma mansoni/isolamento & purificação , Esquistossomose Urinária/tratamento farmacológico , Esquistossomose Urinária/epidemiologia , Esquistossomose mansoni/tratamento farmacológico , Esquistossomose mansoni/epidemiologia , Organização Mundial da Saúde , Iêmen/epidemiologia
10.
Nurs Outlook ; 67(6): 658-663, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31653341

RESUMO

Nurses are positioned to advance the Social Development Goals (SDGs) of the United Nations, especially Goal Three: Good Health and Well-Being. However, to do this there must be micro- and macro-level support from the profession. When the individual will of nurses is coupled with collaborative efforts of professional nursing organizations, such as the Nursing Community Coalition, policies supporting the SDGs are able to move forward.


Assuntos
Saúde Global , Política de Saúde , Cuidados de Enfermagem/organização & administração , Objetivos Organizacionais , Sociedades de Enfermagem/organização & administração , Desenvolvimento Sustentável , Humanos , Nações Unidas , Estados Unidos
11.
J Nurs Adm ; 49(10): 457-459, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517752

RESUMO

During the 1st half of 2019 the AONL Foundation for Nursing Leadership Research and Education underwent an identity and brand change and adopted a new strategic plan, complete with a new mission and vision, to guide the foundation's work forward toward creating a sustainable research for nursing leadership research and education. This article describes the strategic planning activities and process the AONL Foundation recently undertook and highlights future goals.


Assuntos
Liderança , Cuidados de Enfermagem/organização & administração , Inovação Organizacional , Objetivos Organizacionais , Sociedades de Enfermagem/organização & administração , Humanos , Estados Unidos
13.
Bull Cancer ; 106(10): 847-859, 2019 Oct.
Artigo em Francês | MEDLINE | ID: mdl-31521255

RESUMO

INTRODUCTION: The Cancer Observatory, from the OMEDITs (Observatory for Medicines and Medical Devices and Treatment Innovations) of Bretagne and Pays de la Loire areas has conducted a survey aiming to know and map the current practices of management of patients by Oral Anti-cancer Drug (OAD) in inter-region. METHODS: Forty eight cancer centers received by e-mail in July and October 2016 a questionnaire concerning the management of OADs : from prescription by the specialist of oncology, to the intervention of the pharmacist (analysis and pharmaceutical consulting), to follow-up by nurse, as well as the financing of this activity and the feelings of the actors about this organizational set up. RESULTS: Fifty-seven professionals from 31 centers, including the most important ones, responded to the survey. As a result, half of the establishments carry out a pharmaceutical analysis for some or all of the OAD prescriptions and only 30% carry out a pharmaceutical consulting. The nurse consultation is, on the other hand, more largely implanted (74% of the centers) as well as the telephone follow-up (6%). More than 90% of professionals believe that the organizational set up could be improved and more secure by, at least, the stronger involvement of pharmacists, the development of tools for nurse (for monitoring, therapeutic education…) and by improving the city-hospital link. CONCLUSION: This survey shows the variability in the management of patients under OAD because of the lack of resources to ensure the fairness and sustainability of the organizational set up. The hospital/city link could still be optimized to secure patient care.


Assuntos
Antineoplásicos/administração & dosagem , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Neoplasias/tratamento farmacológico , Administração Oral , Institutos de Câncer/estatística & dados numéricos , Continuidade da Assistência ao Paciente/estatística & dados numéricos , Prescrições de Medicamentos , França , Humanos , Papel do Profissional de Enfermagem , Objetivos Organizacionais , Satisfação do Paciente , Farmacêuticos , Padrões de Prática em Enfermagem/estatística & dados numéricos , Telefone
15.
Health Res Policy Syst ; 17(1): 79, 2019 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-31399114

RESUMO

BACKGROUND: Interest in value-based healthcare, generally defined as providing better care at lower cost, has grown worldwide, and learning health systems (LHSs) have been proposed as a key strategy for improving value in healthcare. LHSs are emerging around the world and aim to leverage advancements in science, technology and practice to improve health system performance at lower cost. However, there remains much uncertainty around the implementation of LHSs and the distinctive features of these systems. This paper presents a conceptual framework that has been developed in Canada to support the implementation of value-creating LHSs. METHODS: The framework was developed by an interdisciplinary team at the Institut national d'excellence en santé et en services sociaux (INESSS). It was informed by a scoping review of the scientific and grey literature on LHSs, regular team discussions over a 14-month period, and consultations with Canadian and international experts. RESULTS: The framework describes four elements that characterise LHSs, namely (1) core values, (2) pillars and accelerators, (3) processes and (4) outcomes. LHSs embody certain core values, including an emphasis on participatory leadership, inclusiveness, scientific rigour and person-centredness. In addition, values such as equity and solidarity should also guide LHSs and are particularly relevant in countries like Canada. LHS pillars are the infrastructure and resources supporting the LHS, whereas accelerators are those specific structures that enable more rapid learning and improvement. For LHSs to create value, such infrastructures must not only exist within the ecosystem but also be connected and aligned with the LHSs' strategic goals. These pillars support the execution, routinisation and acceleration of learning cycles, which are the fundamental processes of LHSs. The main outcome sought by executing learning cycles is the creation of value, which we define as the striking of a more optimal balance of impacts on patient and provider experience, population health and health system costs. CONCLUSIONS: Our framework illustrates how the distinctive structures, processes and outcomes of LHSs tie together with the aim of optimising health system performance and delivering greater value in health systems.


Assuntos
/organização & administração , Canadá , Prática Clínica Baseada em Evidências/organização & administração , Gastos em Saúde , Humanos , Sistemas de Informação/organização & administração , Liderança , Objetivos Organizacionais , Satisfação do Paciente , Políticas
16.
Implement Sci ; 14(1): 77, 2019 08 06.
Artigo em Inglês | MEDLINE | ID: mdl-31387596

RESUMO

In the 13 years since the inception of Implementation Science, we have witnessed a continued rise in the number of submissions, reflecting the growing global interest in methods to enhance the uptake of research findings into healthcare practice and policy. We now receive over 800 submissions annually, and there is a large gap between what is submitted and what gets published. To better serve the needs of the research community, we announce our plans to introduce a new journal, Implementation Science Communications, which we believe will support publication of types of research reports currently not often published in Implementation Science. In this editorial, we state both journals' scope and current boundaries and set out our expectations for the scientific reporting, quality, and transparency of the manuscripts we receive.


Assuntos
Ciência da Implementação , Publicações Periódicas como Assunto , Políticas Editoriais , Humanos , Objetivos Organizacionais , Editoração
17.
Nurs Outlook ; 67(6): 642-648, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31376985

RESUMO

To meet the United Nations Sustainable Development Goals (SDGs) in the United States, research by nurses and midwives has a real opportunity to make a significant impact. This paper identifies opportunities to strengthen research capacity in the United States amongst nurses and midwives in ways that will help meet the SDGs and ensure its sustainability. Research capacity means that in a country, there are individuals and teams capable of defining problems, setting priorities, establishing objectives for the goals of the research study, and following rigorous scientific procedures. By strengthening U.S. research capacity by addressing critical weaknesses in content expertise, nursing and midwifery's voices in policy dialogues, and global research initiatives will be have greater assurance of being included.


Assuntos
Saúde Global , Tocologia/organização & administração , Cuidados de Enfermagem/organização & administração , Desenvolvimento Sustentável , Fortalecimento Institucional , Feminino , Humanos , Objetivos Organizacionais , Gravidez , Nações Unidas , Estados Unidos
19.
Glob Health Action ; 12(1): 1651017, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31431145

RESUMO

Background: The current approach to global health has significantly contributed to improving it, as evidenced by the progress made toward the Millennium Development Goals (MDGs). However, the health gains achieved are often highly unequitable, and the current approach is expected to be insufficient to meet the future health equity challenges. There is an urgent need to re-think and expand the scope of research and programmatic strategies. Objective: This paper aims to assess the ideological underpinnings of the currently dominant norms in global health, with the goal of highlighting the research and programmatic areas that are marginalized and warrant greater efforts in order to resolve persistent health inequity and achieve the UN Sustainable Development Goals (SDGs). Methods: We have conducted a critical review of the literature that traces the historical origins of global health to the period between the mid-19th century and the end of the 20th century. Results: Critical review of the historical origins of global health reveals a set of dominant norms in global health that are ideological in character, and profoundly shape the current practice. We identified key manifestations of the ideological underpinnings as 1) Democratic deficit, 2) Depoliticization of the discourse, 3) Marginalization of the scholarship that interrogates the relations of power. Conclusion: Examination of the dominant norms that shape the foundation of our knowledge and action in global health is required to solve persistent health inequity challenges and meet the SDGs. Inversion of the key manifestations of the dominant norms can serve as guiding principles to elaborate alternative frameworks that have the theoretical and programmatic potential for a fundamental rather than an incremental change in the practice of global health.


Assuntos
Saúde Global/história , Saúde Global/normas , Equidade em Saúde/organização & administração , Objetivos Organizacionais , História do Século XIX , História do Século XX , História do Século XXI , Humanos
20.
Nurs Outlook ; 67(6): 649-657, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31439322

RESUMO

BACKGROUND: Integrating the Sustainable Development Goals (SDGs) into the nursing curriculum is an ethical response and facilitator developing students into global citizens. Nurse educators can promote global citizenship through the concept of "glocal" experiences in local communities as students work in partnership with communities to address social determinants of health and begin to achieve SDG targets. PURPOSE: This paper explores the process of integrating the SDGs into the nursing curriculum emphasizing the strategic vision of international agencies and national nursing organizations. DISCUSSION: Distinct pedagogical and clinical approaches for implementing SDG content into the curriculum are provided including an exploration of global health competencies and their relationship to the SDGs. Finally, an academic-community partnership is described as a clinical exemplar to strengthen the health of communities and begin realizing the SDGs at a local level.


Assuntos
Currículo , Educação em Enfermagem/organização & administração , Saúde Global/educação , Cuidados de Enfermagem/organização & administração , Desenvolvimento Sustentável , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Objetivos Organizacionais , Nações Unidas
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