Patient and Staff Voices in Primary Care

Patient and Staff Voices in Primary Care
Author: Kenneth E Collins
Publisher: CRC Press
Total Pages: 180
Release: 2023-04-12
Genre: Medical
ISBN: 1000852334

This unique work represents the recording and analysis of oral history interviews conducted by the pioneering general practitioner Dr Hetty Ockrim with over seventy patients, as well as office staff and members of the nursing team, between 1989 and 1992 in her former practice in the Ibrox/Govan areas of Glasgow, places of significant socio-economic deprivation. Her focus in undertaking this study was on personal and social, rather than just clinical, issues. The interviews are accompanied by background and commentary for the study, reflecting the full breadth of general practice. Many of the interviewees had memories stretching back before the NHS, providing a unique historical perspective of service development, as well as invaluable directions for improving current and future general practice. Key Features Provides a historical context for the developments in health over several decades prior to the study Shows how oral history methods have increasingly been used in medical history research and explores the benefits of this approach Covers many of the themes of the oral history which enabled and encouraged patients to comment on what was important to them in their encounters with health care Follows the increasing acceptance of women in medicine, demonstrating how women doctors were viewed by patients within the practice compared to changes in wider society Presents a ‘history from below’, using voices that are not normally heard in the medical discourse, illustrating the importance of the doctor–patient interface Supporting a wider understanding of what patient narratives can tell us about the delivery of health care from the perspective of the patients, the front-line users of health services, the book show how oral history can provide an understanding of health care more broadly, key at a time when social inequality is once again widening in many regions.

Handbook of Research on Employee Voice

Handbook of Research on Employee Voice
Author: Adrian Wilkinson
Publisher: Edward Elgar Publishing
Total Pages: 625
Release: 2020-06-26
Genre: Business & Economics
ISBN: 1788971183

This thoroughly revised second edition presents up-to-date analysis from various academic streams and disciplines that illuminate our understanding of employee voice from a range of different perspectives. Exploring the previously under-represented paradigm of the organizational behaviour approach, new chapters take account of a broader conceptualization of employee voice. Written by expert contributors, this Handbook explores the meaning and impact of employee voice for various stakeholders and considers the ways in which these actors engage with voice processes such as collective bargaining, individual processes, mutual gains, task-based voice and grievance procedures

Implementing High-Quality Primary Care

Implementing High-Quality Primary Care
Author: National Academies of Sciences, Engineering, and Medicine
Publisher:
Total Pages: 448
Release: 2021-06-30
Genre:
ISBN: 9780309685108

High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels. Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs.

Clinical Management of Swallowing Disorders, Fifth Edition

Clinical Management of Swallowing Disorders, Fifth Edition
Author: Thomas Murry
Publisher: Plural Publishing
Total Pages: 371
Release: 2020-12-16
Genre: Medical
ISBN: 1635502551

Clinical Management of Swallowing Disorders, Fifth Edition is a textbook for speech-language pathology programs that examines the diagnosis and treatment of swallowing disorders in children and adults. Thoroughly updated, this popular text emphasizes evidence-based practice, multidisciplinary team management, swallowing safety, nutrition, behavioral treatments, and management following surgical options. Authored by two speech-language pathologists and an otolaryngologist for a multidisciplinary approach, the Fifth Edition continues to be easy-to-understand text for students and also serves as an up-to-date reference for practicing clinicians who treat swallowing disorders in hospitals, rehabilitation centers, nursing homes, and private outpatient clinics. New to the Fifth Edition *New chapter on the aging population *The Anatomy and Physiology chapter has been thoroughly updated and 15 beautiful, new full color illustrations have been added *More images and enhanced figures, including additional FEES and fluoroscopy video studies of swallowing disorders in head and neck cancer and stroke patients *Many new references, easy-to-read tables, and “treatment hints” *Information on pediatric feeding and swallowing has been updated and expanded *Evidence-based practice methods have been updated *Content has been edited to be more concise, applicable, and reader friendly The text features numerous pedagogical aids to reinforce student understanding *Case study inserts in many chapters and 9 extended case studies in the final chapter *32 videos *Discussion questions and answers for each chapter *Bolded and boxed key terms throughout with an end-of-book glossary *Clinical tips, clinician’s roles, areas of emphasis, and key learning points highlighted in boxes throughout the chapters *8 appendices featuring helpful tests and tools for clinicians *NEW full clinical swallowing examination record form included in appendix Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.

Psychiatric-Mental Health Nursing

Psychiatric-Mental Health Nursing
Author: Jeffrey S. Jones, DNP, RN, PMHCNS-BC, CST, LNC
Publisher: Springer Publishing Company
Total Pages: 696
Release: 2016-03-22
Genre: Medical
ISBN: 0826131298

Thoroughly updated to correlate with DSM-5 diagnostic descriptions and QSEN guidelines, the second edition of this highly acclaimed undergraduate psychiatric nursing text features concrete strategies for establishing interpersonal relationships as the basis not only for working with the psychiatric patient population, but as a timeless foundation for all nursing practice. The text guides students through the essential phases of self-discovery necessary to integrate interpersonal nursing theory into practice. Modules designed to foster growth in therapeutic use of self, including the importance of boundary management, are integrated with psychodynamic and current neurobiological theories to provide sturdy theoretical underpinnings for practice. A wealth of descriptive psychiatric diagnoses of DSM-5, QSEN criteria, and NANDA-based care plans, case scenarios, evidence-based practice, patient and family education tips, drug summary lists, and complementary and alternative therapy approaches populate the text. The main body of the book focuses on common mental illnesses and weaves both the psychodynamic and neurobiological concepts into evidence-based strategies for nursing interventions. Additional features, such as examples of therapeutic dialogue and a Consumer Perspective featuring an actual consumer voice relating personal experience about living with a specific illness, provide further guidance in understanding and adopting a relationship-based approach to nursing. Web links facilitate quick access to additional information and NCLEX-style review questions prepare students for passing the NCLEX exam. New to the Second Edition: Revisions correlate to DSM-5 descriptions, QSEN criteria, and NANDA nursing diagnoses Provides new information on psychopharmacology, compassion fatigue and a recovery model, use of informed consent, and cognitive behavioral therapy Presents updates on complementary and alternative interventions Includes expanded content on cultural and life span considerations related to mental health care worldwide Key Features: Focuses on interpersonal relationships and boundary navigation as the foundation for practice Promotes psychodynamic and neurobiological perspectives within ISPN curricular guidelines Written by national and international experts in nursing education and psychiatric-mental heath practice Includes a digital student companion with key chapter concepts and critical thinking questions for practice situations Provides digital faculty resources including PowerPoint slides, an expanded test bank, case studies, and critical thinking exercises

Integrating Care for Older People

Integrating Care for Older People
Author: Christopher Foote
Publisher: Jessica Kingsley Publishers
Total Pages: 386
Release: 2002-05-23
Genre: Family & Relationships
ISBN: 1846421969

Highly Commended in the Public Health category of the 2003 BMA Medical Book Competition. 'The book is also helpfully laid out. `Signposts' in right hand margins link issues discussed in different parts of the book. Each chapter has a short summary of contents at the start, an overview at the end and `headline points'- short bullet points designed to reinforce key messages in the reader's mind. The end of each chapter also includes references and further suggested reading... This book will repay study by anyone involved in planning or delivering services for older people- particularly those working to try to implement `joined up' services. From this perspective, the book is genuinely inspirational. It shows how much can be achieved by working in this way and -more importantly- how it was done.' - Journal of Interprofessional Care 'This is an important book... It needs to be read and understood by everyone involved in caring, but especially by those with the power to influence change- which is increasingly purchasers and senior managers. It also provides a valuable guide to a large literature and has useful examples of questionnaires, data collection forms and clinical vignettes.' - International Journal of Geriatric Psychiatry 'This book is unique and brilliant at the same time. It shows the limits of what any given healthcare professional can accomplish and the amazing, seemingly impossible feats that an effective team caring for older persons can accomplish. The commentary on leadership in healthcare and the ways in which healthcare teams evolve and work is excellent. It is not in the least dry, but rather invigorating as one sees the concepts, values, and visions manifest in clever solutions to problems... It weaves in the history of geriatrics seamlessly. The enthusiastic anticipation in the excellent foreword is amply justified. The concepts here are universal... Every medical library should possess this remarkable book.' - Doody's Reviews The authors of this book share their practical experience of implementing a multi-agency approach to the support of older people. They show how systems thinking can help with the complexity of developing a model of care that co-ordinates medical, social and community services. They offer insight into the effective use of on-going assessment, evaluation, costing and information technology, with examples. They demonstrate how they achieved a `one-stop' rapid response to emergencies and a multi-level approach to risk management. They also show how enabling the older person to become an equal partner in decision-making, both as an individual user and as a citizen, reduces dependency, and can prevent current problems such as overlap and duplication of service and inappropriate admission to hospital and residential care. They offer models of consultation and guidance on running participative groups. This resource meets the growing need for material on multi-agency practice and is an invaluable tool for all those working across organisational and professional boundaries to deliver an integrated care system for older people.

Integrating the Patient and Caregiver Voice into Serious Illness Care

Integrating the Patient and Caregiver Voice into Serious Illness Care
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 101
Release: 2017-10-17
Genre: Medical
ISBN: 030946031X

Millions of peopleâ€"infants, children, adults, and their familiesâ€"are currently coping with serious illness in the United States. Efforts are intensifying to improve overall care quality through the delivery of person-centered and family-oriented services, for patients of all ages and across disease stages, care settings, and specialties. While aging Baby Boomers are increasing the proportion of patients in the Medicare population over time, the sickest and most vulnerable patients needing health system support and other services to meet their complex needs can be found across the age spectrum and in a broad range of care settings, from perinatal care to geriatric care. Recognizing the need to thoughtfully consider and address the challenges and opportunities in efforts to improve care quality and value, the Roundtable on Quality Care for People with Serious Illness of the National Academies of Sciences, Engineering, and Medicine held the public workshop Integrating the Patient and Caregiver Voice into Serious Illness Care, on December 15, 2016, in Washington, DC. This workshop was the first in a series planned by the roundtable, and was designed specifically to bring together diverse personal perspectives and experiences about priorities and values that are important to patients and families coping with serious illness, and to consider solutions that support integration of these priorities and values in practice. This publication summarizes the presentations and discussions from the workshop.

What Patients Say, What Doctors Hear

What Patients Say, What Doctors Hear
Author: Danielle Ofri, MD
Publisher: Beacon Press
Total Pages: 250
Release: 2017-02-07
Genre: Medical
ISBN: 0807062642

Can refocusing conversations between doctors and their patients lead to better health? Despite modern medicine’s infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion’s share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to “make their case” to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements. Add in stereotypes, unconscious bias, conflicting agendas, and fear of lawsuits and the risk of misdiagnosis and medical errors multiplies dangerously. Though the gulf between what patients say and what doctors hear is often wide, Dr. Danielle Ofri proves that it doesn’t have to be. Through the powerfully resonant human stories that Dr. Ofri’s writing is renowned for, she explores the high-stakes world of doctor-patient communication that we all must navigate. Reporting on the latest research studies and interviewing scholars, doctors, and patients, Dr. Ofri reveals how better communication can lead to better health for all of us.

Trust, Voice, and Incentives

Trust, Voice, and Incentives
Author: Hana Brixi
Publisher: World Bank Publications
Total Pages: 342
Release: 2015-05-29
Genre: Political Science
ISBN: 1464804575

This report examines the role of incentives, trust, and engagement as critical determinants of service delivery performance in MENA countries. Focusing on education and health, the report illustrates how the weak external and internal accountability undermines policy implementation and service delivery performance and how such a cycle of poor performance can be counteracted. Case studies of local success reveal the importance of both formal and informal accountability relationships and the role of local leadership in inspiring and institutionalizing incentives toward better service delivery performance. Enhancing services for MENA citizens requires forging a stronger social contract among public servants, citizens, and service providers while empowering communities and local leaders to find 'best fit' solutions. Learning from the variations within countries, especially the outstanding local successes, can serve as a solid basis for new ideas and inspiration for improving service delivery. Such learning may help the World Bank Group and other donors as well as national and local leaders and civil society, in developing ways to enhance the trust, voice, and incentives for service delivery to meet citizens’ needs and expectations.