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PubMed2002

Registered Nurses Association of Ontario's best practice guideline as a tool for creating partnerships.

The Best Practice Guidelines project has been instrumental in facilitating a partnership between an acute care community hospital and two long-term care facilities in northwestern Toronto. This article outlines the challenges experienced in the acute care community hospital in developing partnerships, not just with the two long-term care facilities, but also within the organization. This article also offers insight into the strategies used to overcome the challenges and to support the implementation of the guideline at point of care.

Benchmarking↗
PubMed1986

Adding a partner or associate to your professional practice.

Written partnership agreements, employment contracts and related documents may seem to complicate what appears to be a straightforward arrangement, and can make a close relationship somewhat more impersonal. The decision to add a partner, however, is fundamentally a professional and business consideration, and raises many economic and practical issues that either aren't initially apparent or which may only become relevant after the passage of time. In addition, the tax laws may cause two seemingly similar approaches to have significantly different results. It is worth the time and effort to think through your objectives and the price you are willing to pay to realize them, and to recognize that your new associate will have some legitimate concerns that need to be addressed. A well thought-out written arrangement will provide both of you with a degree of certainty and the comfort of knowing that you and your associate have the same understanding of your common venture.

Optometry↗
PubMed2003

Partnership effects in general practice: identification of clustering using intra-class correlation coefficients.

Although most United Kingdom general practitioners (GPs) work together in a shared professional arrangement termed 'partnership', little is known about the nature of such partnerships. We report the results of a survey of 61 general practice partners in 15 group practices and their attitudes to prescribing and managerial issues related to participation in a commissioning group. Intra-class correlation coefficients (ICCs) were used to explore how these individually held attitudes clustered within groups. The low ICCs found for attitudes relating to prescribing issues suggested that GPs acted individually in this respect, while, in contrast, responses to managerial questions clustered strongly in partnerships, implying that managerial attitudes were more likely to be shared within partnerships. The ICC statistic is a useful tool for exploring homogeneity and heterogeneity within general practice partnerships.

Analysis of Variance↗
PubMed2000

Toward a new paradigm for public health practice and academic partnerships.

Despite substantial progress in establishing academic and public health partnerships over the past 20 years, two questions require further examination: (1) How are the most effective partnerships achieved? and (2) How well are these partnerships suited to the current and future problems of public health? The authors propose the "new public health" perspective, which offers challenges to develop a dialogue and power relationships among partners based on symmetry rather than conventional asymmetry. New forms of discourse and benchmarking of progress in improving the health of the public may be achieved by adopting this paradigm.

Benchmarking↗
PubMed2001

Peach, practice, placements and partnership: an initiative to support clinical placements in nursing curricula.

This article reports on the formation of an innovative new unit, termed the Clinical Placement Support Unit (CPSU), within a Faculty of Health in a Midlands university. The CPSU is concerned with managing the clinical experiences of the Faculty's health care students and promoting a healthy dialogue between the staff in the Faculty and their clinical colleagues. Several approaches by which a relatively small group of people (the Faculty staff) keep informed a relatively large group of people (the clinical staff within the local NHS Trusts) are detailed. One of the approaches is an assessors newsletter and a second is a website for use by both health care students and the clinical assessors of those students. The main part of the website is an ambitious attempt to help better prepare students prior to their clinical placements and this section of the website is called the Placement Directory. The Placement Directory currently holds details on hundreds of placements where the health care students may be placed. Each web page gives details about a specific clinical placement and has a number of hyperlinks to relevant internet resources.

Career Choice↗
PubMed1976

Continuing education activities of physicians in solo and group practice: report on a pilot study.

Group practice has often been suggested as a form of medical care organization that facilitates professional pursuits, including continuing medical education. A survey was conducted among Iowa physicians in fee-for service multispecialty group practice and in other forms of fee-for-service medical practice, including solo practice and small partnerships to determine their levels of engagement in a number of different types of continuing medical education activities. While several differences between the two groups were found, the survey indicated that overall the levels of engagement for the two groups were similar.

Attitude of Health Personnel↗
PubMed2000

The governance and management of effective community health partnerships: a typology for research, policy, and practice.

Community health partnerships (CHPs) are voluntary collaborations of diverse community organizations that have joined forces in order to pursue a shared interest in improving community health. Although these cross-sectoral collaborations represent a way to address social determinants of health and disease in society, they suffer from governance and management problems associated with interorganizational relationships in general and health care challenges specifically. A typology of effective governance and management characteristics provides a systematic, theoretically based way of addressing dimensions of governance and management and serves as a guide in constructing, maintaining, and measuring successful partnerships. It offers a multidisciplinary perspective for classifying important organizational issues, identifying barriers to successful development and sustainability, and facilitating the attainment of goals.

Community Health Planning↗
PubMed2002

The security of urban women: practice, research, and partnerships.

All public bodies whose mandate includes responsibility for the quality of urban life cannot ignore the question of security. On a global level, it is agreed that action needs to be taken locally, with the input of everyone involved. Since women have more at stake where safety issues are concerned, it is logical that security plans be drawn up that prioritize them. The interaction of public bodies, community organizations, and individual women is in itself innovative, enriching everyone involved, despite the inherent drawbacks and demands. International information networks on women's security are expanding and can help the new partnerships refine their working methods, to the benefit of all, regardless of gender. Still, the transfer of knowledge between partners and among the population is fundamental and demanding. The same applies to the need to develop methods and criteria of evaluation that are adapted to the specific realities of the partnership for prevention of crime and violence towards women.

Community-Institutional Relations↗
PubMed1998

Partnerships for sound practice.

Our research into clinical supervision is continuing and project members are disseminating clinical supervision throughout the organisation. Evaluation clearly shows that at least 25% of registered nurses are already engaged in clinical supervision. There are no distinct clinical areas that have not supported staff members participating in the project, indicating its widespread acceptance. In addition, we have discovered that staff with the least prior experience of clinical supervision, such as school nurses and health visitors, are committed to its practice. Clinical supervision is no longer seen as the preserve of mental health nurses. The project is enhancing relationships at all levels between nurses. Service development and rigorous research have been closely linked, while, for individual nurses, continuing professional development is offering a pathway to academic qualification.

Community Mental Health Services↗
PubMed1994

The inevitable partnership between healthcare practice and healthcare buildings.

In this paper, the author points out the tightly-woven relationship between the healthcare provider and the facilities in which the care takes place. This relationship has evolved from the earliest days of organized medicine. Further, he asserts that in these days of reform and of heightened consumer expectations, the facilities controlled by the provider are among his most important assets. Examples cited cover intensive care settings, ambulatory care, and patient-focused care concepts. The author concludes by speculating on the form that the healthcare facilities of the future might take and on some strategies that the provider might follow.

Ambulatory Care↗