Search results for "HEALTH POLICY & SERVICES"
showing 10 items of 208 documents
Practice-based learning and innovation in nursing homes
2020
Purpose This paper aims to investigate the conditions under which learning and innovation occur within nursing homes by focusing on how the dynamics of the distribution and transformation of ideas and knowledge may be viewed as a prerequisite for innovation in both formal, planned learning situations and informal, everyday practices. Design/methodology/approach Data was produced via fieldwork, which included participant observations, conversations and research interviews with staff and managers at a Norwegian nursing home. The paper is inspired by situated learning theories and communities of practice, as the social context emerges as the site where learning and innovation are cultivated. …
The evaluation of dual-task conditions on static postural control in the older adults: a systematic review and meta-analysis protocol
2019
Abstract Background In postural stability evaluation, the dual-task concept is often adopted in order to create a more challenging situation. The dual-task consists of performing simultaneously two tasks, a primary static or dynamic motor task and an additional secondary cognitive task. Usually, a multitask condition leads to a reduction in the postural control performance, especially in older adults. Considering the wide spectrum of secondary task conditions existing in scientific literature, the present manuscript aims to write a peer-reviewed protocol that will be used in a systematic review and meta-analysis performed to identify the effects of different secondary tasks conditions in a …
A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward
2021
AbstractBackgroundPatient safety in hospitals is being jeopardized, since too many patients experience adverse events. Most of these adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of this study was to evaluate the professional and organizational outcomes of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. Systems Engineering Initiative…
‘I think I will need help’: A systematic review of who facilitates the recovery from gender‐based violence and how they do so
2020
Context A key to advancing the eradication of gender-based violence (GBV) is knowing how to recover from it. Objective To identify the changes that are indicators of having overcome GBV and determine the role of various support networks. Search strategy We systematically searched Web of Science. Inclusion criteria Publications whose abstracts contained a minimum of two of the following words: (a) support or network or solidarity, (b) violence and (c) recovery or healing. Data extraction and synthesis Of the 273 documents retrieved, 52 were used using a narrative synthesis approach. Main results For recovery, women must reconnect with themselves, with their environment and with the world in …
Prescribing behaviour of practitioners in public and private hospitals in Pakistan evaluated using the World Health Organization (WHO) indicators: A …
2017
Summary Introduction The non-rational use of medicines by medical practitioner in their prescribing practices might lead to therapeutic failure. The aim of this research was to evaluate medical prescriptions and to highlight differences in behaviour between prescribers of public and private hospitals in Karachi (Pakistan). Materials and methods This is a retrospective study conducted between November 2015 to October 2016 in 4 public hospitals and 4 private hospitals in Karachi. A total of 120,096 (n) prescriptions were collected from both public and private hospitals. The data were evaluated with WHO indicators for rational use of medicines. Results The average number of drugs per prescript…
Estrategias ante el uso de Internet por población usuaria en Atención Primaria: una clasificación sociológica
2021
Resumen: Objetivo: Analizar y clasificar las estrategias comunicativas que desarrollan los/las profesionales de atención primaria de salud de la Comunitat Valenciana ante el uso de Internet como fuente de información de salud por parte de la población usuaria, a través de las categorías analíticas de poder y control que, según Basil Bernstein, caracterizan los procesos de comunicación de los encuentros terapéuticos. Método: Estudio cualitativo mediante entrevistas en profundidad a profesionales de atención primaria de salud de la Comunitat Valenciana (n = 18). Para el análisis de los discursos se ha aplicado el lenguaje de descripción de la teoría de Bernstein con el objetivo de clasificar …
Análisis de la primera colaboración público-privada en asistencia maternal en atención primaria y especializada en España: una aplicación del análisi…
2021
El Hospital Universitario de La Ribera (Alzira, Valencia) fue la primera experiencia de colaboración público-privada en el Sistema Nacional de Salud español. Además de la necesidad de coordinar dos niveles de atención sanitaria (primaria/especializada) hubo que coordinar dos modelos de gestión de recursos humanos (público/privado). Para ejemplificar esta complejidad, se toma el colectivo de matronas del área de salud, analizando sus pautas relacionales mediante la aproximación metodológica del Análisis de Redes Sociales. En cuanto a resultados, de una población de 31 matronas, las del modelo público ocupan posiciones periféricas y cooperan poco, tanto interna como externamente. Las del mode…
Certification as support for resilience? Behind the curtains of a certification body — a qualitative study
2020
AbstractBackgroundCertification in healthcare often involves independent private sector bodies performing legally required or voluntary external assurance activities. These certification practices are embedded in international standards founded in traditional beliefs about rational and predictable processes for quality and safety improvement. Certification can affect organizational and cultural changes, support collaboration and encourage improvement that may be conducive to resilient performance. This study explores whether ISO 9001 quality management system certification can support resilience in healthcare, by looking at characteristics in the objectives, methods, and practice of certifi…
Process-oriented knowledge system for health professionals as a tool for transition to hospital process orientation
2016
AbstractHospitals face increasing pressure to reduce costs, improve efficiency, and guarantee a quality of services. This is perhaps the main reason why hospital process orientation (HPO) – a view on a hospital being a group of processes organized around patients with similar needs is a growing field of interest among hospital managers and researchers. The theoretical research of the content of hospital activities was performed in order to determine the main distinct characteristics in hospital organization that determine the specifics for a process-oriented knowledge system. A conceptual proposal of a technological tool was elaborated taking into account the limited control of hospital man…
A Comparative Analysis of Hospital Readmissions in France and the US
2015
International audience; Policymakers in the US and France are struggling to improve coordination among hospitals and other health care providers. A comparison of hospital readmission rates, and the factors that may explain them, can provide important insights about the French and US health care systems. In addition, it illustrates a methodological approach to comparative research: how an empirical inquiry along a single indicator can reveal broader issues about system-wide differences across health care systems and policy. Using data from three French regions, the article extends a previous national-level comparison indicating that rates of hospital readmission for the population aged 65+ a…