Development Of Health Care Practice Research Articles

The new approaches to legal regulation of application of medical technologies in The Russian Federation at present-day period

The article presents analysis of legal regulation of medical technologies in Russia. The proper development of medicine and health care is impossible without permanent improvement and implementation of new medical technologies. The upcoming decades will be an era of development of bio-technologies, cellular and gene technologies included. The proposed analysis is focused on conceptual set, analysis of actual normative legal base regulating mentioned relationships and identification of perspectives of development of medical technologies. The adequate and competent legal regulation creates enabling environment developing new technological capabilities. The legislation should avoid inhibiting retributive mode and apply particularly permitting and regulating approach determining framework not to be violated. Undoubtedly, these activities should be carried out in conjunction with professional medical community to develop legislation ensuring the highest possible level of development of health care practice.

Measuring patients’ health and suffering – the first stages of instrument development

Patients have reported unanticipated and transformative health changes in existential character after integrative healthcare rehabilitation. Although there are several instruments measuring patients' experiences of health, identified instruments do not sufficiently capture patients' experiences of health and suffering after integrative health care. From a caring science perspective, health and suffering are understood as an integral part of human life. The objective of this study was to develop a first version of an instrument to measure patients' experiences of health and suffering, focusing on existential signs. This Swedish study used a methodological design with three iterative phases for instrument development. Firstly, an item pool was developed based on qualitative patient interviews (n = 64). Subsequently, the relevance of the items was explored in two rounds of cognitive patient interviews (n = 5 and n = 3). Finally, expert consultations (n = 5) were used to further refine the instrument. The construct of the instrument, its dimensions and domains emerged through the iterative development process. The first phase development of the instrument resulted in two inter-related overarching dimensions: existential signs of 'Health' and 'Suffering', characterised by five domains: 'Life passion and energy', 'Personal freedom', 'Relationships', 'Presence in life' and 'Meaning'. Instrument items were formulated using contemporary language and word pairs to reflect a movement and relation between health and suffering. The cognitive interviews and expert opinions helped refine items and domains. The dimensions, domains and items of the instrument 'Existential signs of health and suffering' are well represented in caring science theories. Further clinical implementation and evaluation of the instrument, including psychometric properties, will allow for greater diversity in terms of context generalisability and patient characteristics. The instrument is anticipated to be of value for evaluations in research, development of healthcare practice and theory development in caring science.

OC-057 In. Out. “next Please!” Can Person-centred Care Be Delivered In Endoscopy?

IntroductionIn. Out. “Next please!” Is this the image of endoscopy nursing? It can often be difficult to personalise care or care delivery with such a rapid turnover of patients. As...

The Individual Practice Development Theory: an individually focused practice development theory that helps target practice development resources

Research indicates that multifaceted practice development (PD) interventions are more effective than single strategies. However, models of education in health care need to consider cost-effectiveness. This paper presents a research-based, PD theory called the Individual Practice Development Theory. It argues that programmes that use the Individual Practice Development Theory to tailor PD support to the learning needs of practitioners will result in more engagement in PD and will target PD resources efficiently. The in-depth qualitative, multi-method realistic evaluation was of a multifaceted, organization-wide PD programme in one National Health Service Mental Health and Learning Disabilities Trust. Semi-structured interviews, practice observation and documentation audit were used to gather data from occupational therapists. Results indicated that environmental contexts, particularly the support of the immediate team, and the participant's personal circumstances affected PD behaviour change. Six mechanisms acted as catalysts. These were: Building Confidence, Finding Flow, Accumulating Reward, Conferring with Others, Constructing Knowledge Know-how and Channelling Time. Four stages of PD characterized as: 'In the Hangar', 'On the Runway', 'Take-off' and 'In the Air' were identified. The research also illustrated the interconnectivity between outcome levels, contextual circumstances and activating mechanisms. The findings suggested that PD interventions need to be more individually tailored to achieve optimum learning outcomes. The identification of four discernable stages permits rapid understanding of PD support needs in order to focus PD support. With a systematic and individualized approach to PD in health care, more target PD supports can be put in place.

Migration und Gesundheit - von Defizitanalysen zum Diversity-Ansatz?

In times of globalization the subjects migration and health are gaining more and more in importance. At the same time, one can observe a discrepancy between published opinions, politically intended messages and scientifically proved evidence. With approximately 15.4 million people with a migration background (this is equivalent to approximately 19% of the German population), migrants perform as an important "customer group" for health care and social security. In 2005, the category migrant background was introduced for the first time by the Federal Statistical Office. This category suggests homogeneity, which in fact is not given. Persons with migration background (including active immigrants, their children and grandchildren, repatriates, foreigners), have to be examined in a differentiated way concerning the consequences that the migration process has on health. Apart from potentially pathogenic influences associated with migration (e. g., ethnicity, national origin, cultural/religious characteristics, migration-related stressors), for example, education, social status, life-style and participation in work and society have to be taken into consideration as important "confounders". In this, a recent sociological approach (sinus migrant milieu) could be useful for socio-medical research and practice. Health-relevant information on migrants results on the one hand from scientific studies primarily designed for this purpose and, on the other hand, from routine data from official health reports. In the interpretation of secondary data, the problem arises that the definition of the target group (migrants) is different in the diverse data sources (for example, Germans, non-Germans, foreigners, migration background) and that important confounders (for example, from socio-cultural milieu) are not included. This may result in, among other things, an under- or overestimation of health risks or even incorrect conclusions. In consideration of these limitations, by means of data sets from official statistics (among others, Federal Statistical Office, social insurance agencies) and recent scientific research the present article analyses chosen aspects of migrant health (for example, health behaviour, morbidity, sickness absence, early retirement, health-care system, rehabilitation and mortality). Finally, possible implications for a more intensive discussion and further development of health care practice are pointed out.

Commentary on eight years of Practice Development in Health Care

Practice Development in Health CareVolume 8, Issue 4 p. 216-222 Research Article Commentary on eight years of Practice Development in Health Care Margaret Volante, Margaret Volante Associate EditorSearch for more papers by this author Margaret Volante, Margaret Volante Associate EditorSearch for more papers by this author First published: 10 November 2009 https://doi.org/10.1002/pdh.291Citations: 3AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume8, Issue4December 2009Pages 216-222 RelatedInformation

Fragmentos da história da atenção à saúde para usuários de álcool e outras drogas no Brasil: da Justiça à Saúde Pública

The purpose of this article is to identify, factors that could be associated to the establishment of the country's health policy for users of alcohol and other drugs in 2003. It makes particular use of semi-structured interviews, as well as a study of the literature and documents. The article shows that the Brazilian State's approach to alcohol and drugs emerged in the early 20th century with the creation of a legal and institutional apparatus designed to control the sale and use of drugs, justified by the need to assure public security and public health. This apparatus permitted the development of healthcare practices for drug users based on the penalties it proposed. The article concludes that even though the rationales behind legal and public health measures do not always coincide, some of the practices that emerged in the legal sphere did help provide the conditions needed for the creation of a health policy for alcohol and drug users in Brazil in 2003.

New home for practice development in health care

New home for practice development in health care

Practice Development in NursingFirst Practice Development in Nursing Brendan McCormack et al Blackwell Publishing 350 £24.99 1405110384 1405110384

This new book has a defined nursing focus and is edited by three respected researchers and commentators on practice development in health care. Though geared towards nurses who are in practice development roles specifically, it is equally relevant for health professionals, including nurses, at every level. It provides a detailed, authoritative overview of the conceptual underpinnings of practice development facilitation and critically reviews elements such as critical companionship, transformative leadership, emancipatory change and patient-centred caring.

Practice development in health care – where are we now?

Practice development in health care – where are we now?

Improving communication between service users and professionals via the internet

AbstractA virtual forum—referring to an internet website that allows people with motor neurone disease (MND), their families and healthcare professionals to communicate—has been developed. We demonstrate ways in which communication was enhanced between those affected by MND and healthcare professionals, notably by debate and campaigning, asking questions and seeking advice, and contributing to the ongoing development of the website. Future development of the forum will involve: refocusing the website to include all neurological illnesses; professional re‐design of the website: improved site hosting; publicizing the website; and undertaking detailed research on its role and operation. The issues raised in the development of a virtual forum for people with MND have wider resonance for practice development in healthcare. Copyright © 2004 Whurr Publishers Ltd.

Practice development: a concept analysis

Aims This analysis sets out to explore the nature and scope of the concept of practice development. Background The last 10 years has seen a growing interest in the development of health care practice. However, the exact nature of practice development remains poorly articulated and nebulous. Literature from nursing, medical, accountancy, social work and counselling is used to identify the critical attributes of the concept. Data analysis The analysis uses the techniques developed by Walker & Avant (1995) to collect information on the use of the concept from the literature and to construct cases. Key issues Many of the attributes of practice development are shared by other related concepts such as innovation. However, four critical attributes of practice development were identified and illustrated through case construction. Conclusions An understanding of the nature and scope of practice development is essential if the role of the Practice Development Nurse is to be evaluated. The critical attributes and empirical referents identified in this analysis provide a framework for both role development and evaluation.

Making changes: a survey toidentify mediators in the development of health care practice

To identify and examine the factors which influence and sustain the development of health care practice. A questionnaire survey. Two hundred and nineteen practitioners in the North East of England whowere actively developing their practice, as identified through the Practice and Service Development Initiative of the NHS Centre for Reviews and Dissemination at York University. The reasons for developing health care practice emphasized an intimateknowledge of the local health needs of the patient population and the context of care delivery.

C.L. Clarke, S. Procter and B. Watson Clinical Effectiveness in Nursing (1998) 2, 30–36 Making changes: a survey to identify mediators in the development of health care practice

C.L. Clarke, S. Procter and B. Watson Clinical Effectiveness in Nursing (1998) 2, 30–36 Making changes: a survey to identify mediators in the development of health care practice

Developing nurse practitioners to develop practice: the experiences of nurses working on a nursing development unit.

To elicit nurses' accounts of their involvement with nursing research and their interpretations of the meaning of these projects for their practice. The links between research and practice development in health care are poorly understood and require further exploration in the light of the emerging research and development agenda within the National Health Service. Semi-structured interviews were conducted with 15 qualified nurses working on a Nursing Development Unit. The interviews were tape recorded, transcribed and analysed thematically. Data analysis identified two distinct groups--a core group of nurses actively engaged in the research projects and a peripheral group involved in data collection. The characteristics of the core group mirror the characteristics of those involved in nonresearch-based practice development activities. Engaging in research activities does not always result in the development of practice, however, there appears to be a link between practice development and critical thinking.