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2.
Nurs Adm Q ; 46(3): 224-233, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35639530

RESUMO

The dual enrollment model in which universities collaborate with community colleges to provide the prelicensure Bachelor of Science in Nursing (BSN) education has been identified by the National Academy of Medicine as one of 5 viable academic progression models for transforming nursing education. The New Mexico Nursing Education Consortium (NMNEC) is a successful example of the dual enrollment model, which began in 2015 with one partnership. By 2018, 3 universities and 5 community colleges had partnered to offer the BSN jointly with the community college locations. In this retrospective, descriptive study, the 2 program types were compared to assess for differences in demographic and academic characteristics as well as program outcomes for the BSN graduates (n = 1018) from 2015 to 2018. The results of the analysis show that NMNEC has been successful in increasing the total number and diversity of BSN graduates for New Mexico. Importantly, NMNEC serves as an exemplar academic-practice partnership model because the success of the consortium would not have been possible without the involvement of practice partners. The outcomes from this study support academic-practice partnerships as instrumental in developing a better educated and more diverse nursing workforce that will improve patient outcomes and strive for health equity.


Assuntos
Bacharelado em Enfermagem , Relações Interinstitucionais , Modelos Educacionais , Universidades , Bacharelado em Enfermagem/organização & administração , Humanos , Pesquisa em Educação de Enfermagem , Estudos Retrospectivos
3.
Drug Discov Today ; 27(8): 2333-2341, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35550437

RESUMO

University-industry collaborative research and development (UIC R&D) is generally seen as a driver of the pharmaceutical innovation process. Here, we perform a bibliometric review of UIC R&D practices over the past 30 years (1991-2020) by analyzing 800+ publications. At the strategic level of organizational cooperation patterns, the analysis shows that pharmaceutical UIC R&D mainly aims at strategic alliance formation, which gears toward universities and companies collaboratively exploring and commercializing technological breakthroughs. At the structural level of universities and companies investing in cooperation and aligning their activities, analytical results indicate that universities and companies organize themselves as interdependent entities in an open innovation ecosystem. At the cultural level of generally accepted collaboration norms and habits, analytical results show that university-company partnerships are becoming a rule rather than an exception. This study delves into a 30-year history of UIC R&D practices that support the pharmaceutical innovation process. It provides academics and practitioners with an insight into possible strategies for UIC R&D in the future and presents avenues for science, business and innovation research.


Assuntos
Indústria Farmacêutica , Universidades , Bibliometria , Pesquisa Biomédica , Comportamento Cooperativo , Humanos , Relações Interinstitucionais , Preparações Farmacêuticas
4.
Prehosp Disaster Med ; 37(2): 179-184, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35322775

RESUMO

INTRODUCTION: Mass gatherings (MGs) often bring together professionals and organizations that collaborate irregularly or have never engaged in joint working. They involve interaction and communication among multiple and diverse services, which can often prove challenging. Planning such an event is of paramount importance for its success, and interorganizational communication ranks among its most important aspects. Nonetheless, there is limited empirical evidence to support interagency communication in MGs. OBJECTIVE: This study used the 2017 Athens Marathon (Athens, Greece) as the empirical setting to examine how interorganizational communication was perceived among the multiple public health and safety professionals during the planning and implementation phase of the event. METHODS: Data comprised 15 semi-structured in-depth interviews with key informants, direct observations of meetings and the event itself, and documentary analysis. Open coding and thematic analysis were used to analyze the data. RESULTS: Findings indicated three key components of interorganizational communication in such an event: (1) shared situational awareness; (2) interorganizational understanding; and (3) implementing liaison officers. CONCLUSION: This study outlined the factors that influenced interorganizational communication before and during a MG. Practical implications arising from this study may inform the way organizers of marathons and other mass sporting events can engage in effective interorganizational communication.


Assuntos
Comunicação , Relações Interinstitucionais , Corrida de Maratona , Organizações , Conscientização , Grécia , Humanos , Relações Interprofissionais , Organizações/organização & administração , Percepção , Técnicas de Planejamento , Saúde Pública , Gestão de Riscos/organização & administração , Segurança
6.
Health Serv Manage Res ; 35(3): 146-153, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-34232827

RESUMO

Many communities are developing innovative forms of collaborative organizations such as multi-sector health care alliances (MHCAs) to address problems of misaligned incentives among providers, payers, and community stakeholders and improve health and health care. Member engagement is essential to the success of these organizations due to their dependence on volunteer members to develop and implement strategy and provide material and in-kind support for alliance efforts, yet relatively little research has examined how alliances can foster engagement. This study examined behavioral indicators of member engagement (e.g., recruitment and retention of organizational and individual members) and how they are related to two foundational dimensions of alliance functioning - alliance leadership and community centrality. Using three rounds of an internet-based survey of alliance members from 14 alliances, the study found that organizational recruitment and retention increased over time, from 26.6% to 41.5% and 56.0% to 65.2%, respectively. Recruitment of individuals increased over the study period (38.3% to 47.2%, while retention of individual members declined over the study period (61.0% to 53.2%). Alliance leadership was associated with lower levels of recruitment (both organizational and individual members) but higher levels of organizational retention (both organizational and individual members). Collectively, our findings suggest that behavioral aspects of alliances are more effective at retaining members than relatively stable characteristics such as size and positioning in the community. Contrasting relationships between recruitment and retention, however, suggest that different forms of leadership may be required to simultaneously attract new members while retaining existing ones.


Assuntos
Coalizão em Cuidados de Saúde , Relações Interinstitucionais , Atenção à Saúde , Humanos , Liderança , Inquéritos e Questionários
7.
MMWR Morb Mortal Wkly Rep ; 70(49): 1706-1711, 2021 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-34882655

RESUMO

Immediately following the March 13, 2020 declaration of COVID-19 as a national emergency (1), the U.S. government began implementing national testing programs for epidemiologic surveillance, monitoring of frontline workers and populations at higher risk for acquiring COVID-19, and identifying and allocating limited testing resources. Effective testing supports identification of COVID-19 cases; facilitates isolation, quarantine, and timely treatment measures that limit the spread of SARS-CoV-2 (the virus that causes COVID-19); and guides public health officials about the incidence of COVID-19 in a community. A White House Joint Task Force, co-led by the Department of Health and Human Services (HHS) and the Federal Emergency Management Agency (FEMA), created the Community-Based Testing Sites (CBTS) program working with state and local partners (2). This report describes the timeline, services delivered, and scope of the CBTS program. During March 19, 2020-April 11, 2021, the CBTS program conducted 11,661,923 SARS-CoV-2 tests at 8,319 locations across the United States and its territories, including 402,223 (3.5%) administered through Drive-Through Testing, 10,129,142 (86.9%) through Pharmacies+ Testing, and 1,130,558 (9.7%) through Surge Testing programs. Tests administered through the CBTS program yielded 1,176,959 (10.1%) positive results for SARS-CoV-2. Among tested persons with available race data,* positive test results were highest among American Indian or Alaska Native (14.1%) and Black persons (10.4%) and lowest among White persons (9.9%), Asian persons (7.3%), and Native Hawaiian or Other Pacific Islanders (6.4%). Among persons with reported ethnicity, 25.3% were Hispanic, 15.9% of whom received a positive test result. Overall, 82.0% of test results were returned within 2 days, but the percentage of test results returned within 2 days was as low as 40.7% in July 2020 and 59.3% in December 2020 during peak testing periods. Strong partnerships enabled a rapid coordinated response to establish the federally supported CBTS program to improve access to no-charge diagnostic testing, including for frontline workers, symptomatic persons and close contacts, and persons living in high-prevalence areas. In April 2021, the CBTS Pharmacies+ Testing and Surge Testing programs were expanded into the Increasing Community Access to Testing (ICATT) program. As of November 12, 2021, the CBTS and ICATT programs conducted approximately 26.6 million tests with approximately 10,000 active testing sites. Although the CBTS program represented a relatively small portion of overall U.S. SARS-CoV-2 testing, with its successful partnerships and adaptability, the CBTS program serves as a model to guide current community-based screening, surveillance, and disease control programs, and responses to future public health emergencies.


Assuntos
Teste para COVID-19/estatística & dados numéricos , COVID-19/diagnóstico , Serviços de Saúde Comunitária/organização & administração , Adulto , Idoso , Idoso de 80 Anos ou mais , COVID-19/epidemiologia , Comportamento Cooperativo , Feminino , Acesso aos Serviços de Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Relações Interinstitucionais , Masculino , Área Carente de Assistência Médica , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Estados Unidos/epidemiologia , Adulto Jovem
8.
Am J Nurs ; 121(12): 39-44, 2021 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-34792503

RESUMO

ABSTRACT: During the COVID-19 pandemic, many health care facilities closed their doors to nursing students, depriving them of the experience of caring for patients, a foundation of nursing education. The purpose of this article is to report on how the National Council of State Boards of Nursing convened nurse leaders from around the country to explore this problem and develop possible solutions.Coming together virtually, these leaders recommended a national model, the practice-academic partnership, to provide nursing students with in-person clinical experiences during the pandemic. This model is unique in its recognition of the important role of nursing regulatory bodies in these partnerships. The practice-academic partnership model creates clinical education opportunities for students during a public health crisis, such as the COVID-19 pandemic. Further, the model could be applied to meet the chronic challenges nursing education programs have often faced in securing clinical sites, even in the absence of a global or national public health emergency. We provide the context in which the practice-academic partnership model was developed, along with keys to its successful implementation and suggestions for its evaluation. We also discuss the implications of using this model once the pandemic ends.


Assuntos
COVID-19/enfermagem , Educação em Enfermagem/organização & administração , Instalações de Saúde , Relações Interinstitucionais , Escolas de Enfermagem , Previsões , Humanos , Modelos Organizacionais , Estudantes de Enfermagem
11.
Int J Equity Health ; 20(1): 212, 2021 09 25.
Artigo em Inglês | MEDLINE | ID: mdl-34563171

RESUMO

BACKGROUND: The Australian Nurse Family Partnership Program (ANFPP) is an evidence-based, home visiting program that offers health education, guidance, social and emotional support to first-time mothers having Aboriginal and/or Torres Strait Islander (First Nations) babies. The community-controlled sector identified the need for specialised support for first time mothers due to the inequalities in birthing and early childhood outcomes between First Nations' and other babies in Australia. The program is based on the United States' Nurse Family Partnership program which has improved long-term health outcomes and life trajectories for mothers and children. International implementation of the Nurse Family Partnership program has identified interagency service integration as key to program recruitment, retention, and efficacy. How the ANFPP integrates with other services in an Australian urban setting and how to improve this is not yet known. Our research explores the barriers and enablers to interagency service integration for the Australian Nurse Family Partnership Program ANFPP in an urban setting. METHODS: A qualitative study using individual and group interviews. Purposive and snowball sampling was used to recruit clients, staff (internal and external to the program), Elders and family members. Interviews were conducted using a culturally appropriate 'yarning' method with clients, families and Elders and semi-structured interview guide for staff. Interviews were audio-recorded and transcribed prior to reflexive thematic analysis. RESULTS: Seventy-six participants were interviewed: 26 clients, 47 staff and 3 Elders/family members. Three themes were identified as barriers and three as enablers. Barriers: 1) confusion around program scope, 2) duplication of care, and 3) tensions over 'ownership' of clients. Enablers (existing and potential): 1) knowledge and promotion of the program; 2) cultural safety; and 3) case coordination, co-location and partnership forums. CONCLUSION: Effective service integration is essential to maximise access and acceptability of the ANFPP; we provide practical recommendations to improve service integration in this context.


Assuntos
Enfermagem Familiar , Serviços de Saúde do Indígena , Relações Interinstitucionais , Austrália , Enfermagem Familiar/organização & administração , Feminino , Serviços de Saúde do Indígena/organização & administração , Humanos , Lactente , Avaliação de Programas e Projetos de Saúde , Pesquisa Qualitativa
12.
Am J Public Health ; 111(7): 1227-1230, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34370535

RESUMO

Cook County Health partnered with the Chicago Departments of Public Health and Family & Support Services and several dozen community-based organizations to rapidly establish a temporary medical respite shelter during the spring 2020 COVID-19 peak for individuals experiencing homelessness in Chicago and Cook County, Illinois. This program provided low-barrier isolation housing to medically complex adults until their safe return to congregate settings. We describe strategies used by the health care agency, which is not a Health Resource and Services Administration Health Care for the Homeless grantee, to provide medical services and care coordination.


Assuntos
COVID-19/reabilitação , Redes Comunitárias/organização & administração , Pessoas em Situação de Rua/estatística & dados numéricos , Relações Interinstitucionais , Serviço Social/organização & administração , COVID-19/epidemiologia , Chicago , Doenças Transmissíveis Emergentes/prevenção & controle , Humanos , Illinois , Comunicação Interdisciplinar , Habitação Popular/estatística & dados numéricos , Populações Vulneráveis/estatística & dados numéricos
14.
Can J Public Health ; 112(Suppl 2): 231-245, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34383267

RESUMO

SETTING: This article is based on the experience of the Public Health Agency of Canada Innovation Strategy (PHAC-IS) federal funding program in building Canadian population health partnerships. INTERVENTION: The PHAC-IS addressed complex public health issues by funding evidence-based population health interventions in communities across Canada. These interventions were multifaceted and required the development of diverse "vested" partners to sustain systemic impact. This article explores the key elements of a vested partnership that affect systems change, and how to monitor the effects and achievements of vested partnerships as greater than what individual partners can achieve on their own. OUTCOMES: Vested health partnerships have diverse partners that fit the system they are trying to change, a clear, public sectoral agenda, partner alignment, and pooling of both human and financial assets. A vested health partnership assumes strength in the diversity and governance of the partnership as well as in how it demonstrates collaborative systems change. It is important to monitor and measure both the partners and the synergy and collective impact of the partnership. IMPLICATIONS: Short-term reach may need to be compromised for the brokering required to establish broad vested partners. Alignment, vestedness, and outcome measurement seem linked since strong partners that grow and adapt together change the way each sees and monitors the solution. Sophisticated partnerships, like a murmuration of starlings, act in concert to push learning and change practices, policies and societal norms. Capturing the movement of the flock is as important as counting the birds.


RéSUMé: MISE EN SITUATION: Le présent article se fonde sur l'expérience du programme de financement fédéral de la Stratégie d'innovation de l'Agence de la santé publique du Canada (SI de l'ASPC) en matière d'établissement de partenariats canadiens en santé de la population. INTERVENTION: La SI de l'ASPC s'attaque à des problèmes de santé publique complexes en finançant des interventions en santé de la population fondées sur des données probantes qui sont mises en œuvre dans les collectivités canadiennes. Ces interventions à multiples facettes ont demandé l'établissement de divers partenariats « acquis ¼ pour assurer une incidence systémique. Le présent article aborde les éléments clés d'un partenariat acquis favorisant les changements systémiques et explique comment évaluer les effets et les réalisations des partenariats acquis, qui sont supérieurs à ce que peut réaliser de façon individuelle un partenaire. RéSULTATS: Les partenariats de santé acquis réunissent divers partenaires qui font partie du système qu'ils s'emploient à changer et demandent l'établissement d'un programme sectoriel public clair, l'harmonisation des partenaires et la mise en commun des ressources humaines et financières. Un partenariat de santé acquis tire profit de sa diversité et sa structure de gouvernance ainsi que de la façon dont il peut favoriser un changement systémique collaboratif. Il est important de surveiller et de mesurer autant les partenaires que la synergie et l'incidence générale du partenariat. INCIDENCE: Une portée immédiate peut devoir être compromise pour négocier l'établissement de vastes partenariats acquis. L'harmonisation l'engagement et la mesure des résultats semblent être liés puisque de solides partenaires qui grandissent et s'adaptent ensemble changent la façon dont chacun perçoit la solution et la surveille. Les partenariats sophistiqués, comme une nuée d'étourneaux en vol, font un mouvement commun favorisant l'apprentissage et la modification des pratiques, des politiques et des normes sociales. Comprendre le mouvement collectif est tout aussi important que le dénombrement des oiseaux.


Assuntos
Relações Interinstitucionais , Administração em Saúde Pública , Canadá , Financiamento Governamental , Humanos , Administração em Saúde Pública/economia
15.
PLoS Biol ; 19(7): e3000956, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34264929

RESUMO

PhD-trained scientists are essential contributors to the workforce in diverse employment sectors that include academia, industry, government, and nonprofit organizations. Hence, best practices for training the future biomedical workforce are of national concern. Complementing coursework and laboratory research training, many institutions now offer professional training that enables career exploration and develops a broad set of skills critical to various career paths. The National Institutes of Health (NIH) funded academic institutions to design innovative programming to enable this professional development through a mechanism known as Broadening Experiences in Scientific Training (BEST). Programming at the NIH BEST awardee institutions included career panels, skill-building workshops, job search workshops, site visits, and internships. Because doctoral training is lengthy and requires focused attention on dissertation research, an initial concern was that students participating in additional complementary training activities might exhibit an increased time to degree or diminished research productivity. Metrics were analyzed from 10 NIH BEST awardee institutions to address this concern, using time to degree and publication records as measures of efficiency and productivity. Comparing doctoral students who participated to those who did not, results revealed that across these diverse academic institutions, there were no differences in time to degree or manuscript output. Our findings support the policy that doctoral students should participate in career and professional development opportunities that are intended to prepare them for a variety of diverse and important careers in the workforce.


Assuntos
Eficiência , Pesquisadores , Desenvolvimento de Pessoal/organização & administração , Interpretação Estatística de Dados , Humanos , Relações Interinstitucionais , National Institutes of Health (U.S.) , Editoração , Estados Unidos
16.
Anticancer Res ; 41(6): 3145-3152, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34083309

RESUMO

BACKGROUND/AIM: To present the variations in the target delineation and the planning results of intensity-modulated radiation therapy (IMRT) for breast cancers. PATIENTS AND METHODS: We requested the target volumes and organs at risk delineation for two cases of left breast cancers, and evaluated the IMRT plans including the supraclavicular and internal mammary node irradiation. RESULTS: Twenty-one institutions participated in this study. Differences in the planning target volume among institutions reached up to three-times for breast-conserving surgery (BCS) case and five-times for mastectomy case. Mean heart doses ranged from 3.3 to 24.1 Gy for BCS case and from 5.0 to 26.5 Gy for mastectomy case. Ipsilateral lung volumes receiving more than 20 Gy ranged from 4.7 to 57.4% for BCS case and from 16.4 to 55.5% for mastectomy case. CONCLUSION: There were large variations in the target delineation and planning results of IMRT for breast cancers among institutions. Considering the increased use of breast IMRT, more standardized protocols are needed.


Assuntos
Neoplasias da Mama/radioterapia , Radioterapia de Intensidade Modulada/métodos , Neoplasias da Mama/diagnóstico por imagem , Feminino , Humanos , Relações Interinstitucionais , Pessoa de Meia-Idade , Órgãos em Risco , República da Coreia
18.
J Nurs Adm ; 51(6): 347-353, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-34006805

RESUMO

Academic-practice partnerships are formalized relationships encouraged by the American Association of Colleges of Nursing to meet healthcare and societal needs. While Academic-practice partnerships have existed for decades, the process for evaluating their outcomes often lacks a robust, standardized structure. The purpose of this article is to describe one organization's process for developing and implementing an evaluation blueprint for appraising an Academic-practice partnership.


Assuntos
Inovação Organizacional , Prática Associada/normas , Comportamento Cooperativo , Humanos , Relações Interinstitucionais , Participação dos Interessados , Estados Unidos
19.
Sci Rep ; 11(1): 10556, 2021 05 18.
Artigo em Inglês | MEDLINE | ID: mdl-34006956

RESUMO

The spread of multidrug resistant organisms (MDRO) is a global healthcare challenge. Nosocomial outbreaks caused by MDRO are an important contributor to this threat. Computer-based applications facilitating outbreak detection can be essential to address this issue. To allow application reusability across institutions, the various heterogeneous microbiology data representations needs to be transformed into standardised, unambiguous data models. In this work, we present a multi-centric standardisation approach by using openEHR as modelling standard. Data models have been consented in a multicentre and international approach. Participating sites integrated microbiology reports from primary source systems into an openEHR-based data platform. For evaluation, we implemented a prototypical application, compared the transformed data with original reports and conducted automated data quality checks. We were able to develop standardised and interoperable microbiology data models. The publicly available data models can be used across institutions to transform real-life microbiology reports into standardised representations. The implementation of a proof-of-principle and quality control application demonstrated that the new formats as well as the integration processes are feasible. Holistic transformation of microbiological data into standardised openEHR based formats is feasible in a real-life multicentre setting and lays the foundation for developing cross-institutional, automated outbreak detection systems.


Assuntos
Infecção Hospitalar/microbiologia , Resistência Microbiana a Medicamentos , Registros Eletrônicos de Saúde/normas , Simulação por Computador , Infecção Hospitalar/epidemiologia , Surtos de Doenças , Humanos , Relações Interinstitucionais , Estudo de Prova de Conceito , Padrões de Referência
20.
BMJ Glob Health ; 6(4)2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33888486

RESUMO

Much has been written about WHO. Relatively little is known, however, about the organisation's evolving relationship with health-related personal beliefs, 'faith-based organisations' (FBOs), religious leaders and religious communities ('religious actors'). This article presents findings from a 4-year research project on the 'spiritual dimension' of health and WHO conducted at the University of Zürich. Drawing on archival research in Geneva and interviews with current and former WHO staff, consultants and programme partners, we identify three stages in this relationship. Although since its founding individuals within WHO occasionally engaged with religious actors, it was not until the 1970s, when the primary healthcare strategy was developed in consultation with the Christian Medical Commission, that their concerns began to influence WHO policies. By the early 1990s, the failure to roll out primary healthcare globally was accompanied by a loss of interest in religion within WHO. With the spread of HIV/AIDS however, health-related religious beliefs were increasingly recognised in the development of a major quality of life instrument by the Division of Mental Health, and the work of a WHO expert committee on cancer pain relief and the subsequent establishment of palliative care. While the 1990s saw a cooling off of activities, in the years since, the HIV/AIDS, Ebola and COVID-19 crises have periodically brought religious actors to the attention of the organisation. This study focusses on what we suggest may be understood as a trend towards a closer association between the activities of WHO and religious actors, which has occurred in fits and starts and is marked by attempts at institutional translation and periods of forgetting and remembering.


Assuntos
Organizações Religiosas , Relações Interinstitucionais , Organização Mundial da Saúde , COVID-19/prevenção & controle , Organizações Religiosas/organização & administração , Saúde Global , Humanos , Organização Mundial da Saúde/organização & administração
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