Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Partnership Practice”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,405 records · Page 78Linked to original sources
PubMed1993

Partnership in education: working toward the baccalaureate degree as entry to nursing practice in Canada.

In the early 1980s Canadian professional nursing associations officially adopted the goal of baccalaureate entry to practice by the year 2000. In the ensuing years, nursing educators have explored a variety of means to work toward achieving this goal. This paper describes a collaborative model of baccalaureate programme delivery developed between a university school and a hospital-based diploma school in Vancouver, British Columbia. The paper documents the history of the collaboration and the organization of human and physical resources for implementation. The issues and challenges encountered in the transition, the strategies used to facilitate the process, and the benefits gained by each partner are discussed.

Communication↗
PubMed1999

Nursing and medical student teaming for service learning in partnership with the community: an emerging holistic model for interdisciplinary education and practice.

To meet the health needs of communities today, health professionals need to be trained in working with persons from various cultural backgrounds, practicing disease prevention and health promotion in community-based settings, and working in teams with other professionals. The article focuses on interdisciplinary teaming for education and practice. In this model, medical and nursing students partner with communities to plan and deliver health promotion education programs and activities. Four service learning projects providing collaborative teaming opportunities as part of the Health Professions Schools in Service to the Nation Program are described. Interdisciplinary service learning has benefits for the community, students, and faculty and will prepare nurses and physicians to have a positive impact on care through future interdisciplinary collaboration in community-based settings.

Community Health Nursing↗
PubMed2003

Simulation in surgical training: educational issues and practical implications.

BACKGROUND: Surgical skills are required by a wide range of health care professionals. Tasks range from simple wound closure to highly complex diagnostic and therapeutic procedures. Technical expertise, although essential, is only one component of a complex picture. By emphasising the importance of knowledge and attitudes, this article aims to locate the acquisition of surgical skills within a wider educational framework. SIMULATORS: Simulators can provide safe, realistic learning environments for repeated practice, underpinned by feedback and objective metrics of performance. Using a simple classification of simulators into model-based, computer-based or hybrid, this paper summarises the current state of the art and describes recent technological developments. Advances in computing have led to the establishment of precision placement and simple manipulation simulators within health care education, while complex manipulation and integrated procedure simulators are still in the development phase. EVALUATION: Tension often exists between the design and evaluation of surgical simulations. A lack of high quality published data is compounded by the difficulties of conducting longitudinal studies in such a fast-moving field. The implications of this tension are discussed. THE WIDER CONTEXT: The emphasis is now shifting from the technology of simulation towards partnership with education and clinical practice. This highlights the need for an integrated learning framework, where knowledge can be acquired alongside technical skills and not in isolation from them. Recent work on situated learning underlines the potential for simulation to feed into and enrich everyday clinical practice.

Clinical Competence↗
PubMed2005

Enhancing quality of practice through theory of change-based evaluation: science or practice?

This paper describes the evaluation component of Partnerships for Success (PfS), a comprehensive community effort designed to address youth development issues. The evaluation component is referred to as "theory of change-based evaluation." The author considers the implications of applying community practice tools such as theory of change-based evaluation to the current conceptualization of community science. More specifically, the author argues that the current conceptualization of community science pays scant attention to community practice. This paper concludes by suggesting that the current conceptualization of community science be modified to recognize the importance of community practice as an equal aspiration for community psychologists.

Adolescent↗
PubMed1993

Equity buy-in structures of emergency medical group practice.

The authors polled emergency medicine groups in an attempt to identify whether equity was offered and the time, costs, and methods of achieving equity. Several characteristics of equity and nonequity groups were compared. A survey was distributed to 514 groups from a list identified by the American College of Emergency Physicians. Nonresponders received a second mailing. Valid responses were received from 127 groups representing 3,405 physicians. Of the respondent groups, 69 allowed full equity participation. The mean time to full partnership was 2.2 years for new physicians. Single hospital groups tended to have shorter (1.6 years) buy-in periods compared with multihospital groups (3-4 years). The most common method of buy-in was a differential in the "bonus" structure between new physicians and partners. The actual cost to attain full equity varied greatly with a range of from $0 to $500,000. Groups not owning their accounts receivable had a total mean buy-in cost of approximately $40,000 as compared with those that did own their accounts receivable, where the average buy-in cost was approximately $106,000. The proportion of equity groups that had two thirds or more physicians board-certified in emergency medicine was significantly greater than those groups without equity. The detailed structure for attaining equity varied greatly between groups. The authors conclude that many emergency physician groups allow full equity participation. The average time to full partnership is generally less than 3 years. There are many diverse schemes of entering into partnership. The cost of acquiring full equity varies greatly.

Certification↗
PubMed2001

The meanings of 'culture' in health and social care: a case study of the combined Trust in Somerset.

On the 1st of April 1999 Somerset Health Authority and Somerset County Council established a Joint Commissioning Board (JCB) to commission mental health services. Simultaneously, the Somerset Partnerships Health and Social Care NHS Trust was set-up as a combined health and social care services provider; for the first time in England, the majority of social services mental health staff transferred their employment to this Trust. The JCB commissioned an evaluation of the impact of these innovations on users and carers, staff and senior officers and members in the organisations concerned. In the course of the research, one concept frequently recurred as a source of both optimism and concern: 'culture'. However, the meanings attributed to this term varied significantly between stakeholders. After summarising the methodology and the results to date of the evaluation, this paper briefly reviews the conceptions of culture in the literature on organisations, and introduces a taxonomy for discussing culture. That taxonomy is then deployed to explore the ways in which the notion of 'culture' is being applied to and within the combined Trust in Somerset, and the implications of those applications for local practice and national policy around partnership.

Consumer Behavior↗
PubMed1997

Building healthier communities in a managed care environment: opportunities for advanced practice nurses.

Two paradigm shifts are occurring in health care: managed care and community partnerships. The distinct principles and trends of each paradigm are certain to determine the future practice of advanced practice nurses (APNs). The impact of managed care and community partnerships will affect the resource management, clinical decision making, and time management of APNs. Concomitantly, APNs will have opportunities to influence practice guidelines, individual and community decision making, cultural competence, and the cost-effectiveness of care in communities. Capitalizing on these opportunities will enhance the value of APNs to their managed care plan employer and their community.

Community Health Nursing↗
PubMed2006

An evaluation of the Health Promoting Health Service Framework: the implementation of a settings based approach within the NHS in Scotland.

In 1996 the Health Education Board for Scotland (now NHS Health Scotland) began a process of developing a 'settings'-based framework that would inform health promotion work across Scottish health services--the Health Promoting Health Service Framework (HPHS). It took the form of a flexible guidance document, attending to the foundations of integrated and sustainable health promotion practice via specific areas like partnership work, policy development and staff health. The project has subsequently been progressed over an extended period, comprising three phases: an initial development of the resource; piloting of the framework; and a wider assessment of implementation and initial impact. This paper reports on the latter phase. Within the context of various issues pertaining to the evaluation of a 'settings' approach and based on the use of case study methodology in nine HPHS pilot sites, this paper reports on the latter 2 year phase. This involved ongoing concern for understanding intervention processes and a growing interest in intervention outcomes and the paper reports on findings in each of these domains. In relation to outcomes, some positive gains in various indicators were detected though significant problems were experienced in this aspect. More significantly, the work was able to gain insights into what we call 'necessary conditions' of implementation. We theorize a range of 'contextual' factors (e.g. responsiveness to health improvement policy agendas) and project specific 'mechanisms' (e.g. providing skilled support) and present these as a nexus of conditions required for effective implementation of health promotion practice within explanatory models. Most significantly, we stress the relative frailty of any settings implementation strategy based simply on the uncoordinated dissemination of a tool or resource.

Community Networks↗
PubMed1999

Partnerships in healthcare: a Commonwealth perspective.

This article briefly outlines the nature and characteristics of partnership, and points to the need to build partnerships through deliberate efforts, since they do not occur by simply bringing people and/or resources together. It identifies some of the reasons why partnerships in health are invaluable in meeting the priority health needs of populations, and the importance which the Commonwealth places on partnerships given the unique characteristics which are common to its member countries. The article then uses practical examples to illustrate the value of partnerships in health at the national, regional and international level. For the benefit of front-line healthcare providers, some suggestions are given of how partnerships could be used to enhance the services which they give to the communities they serve.

Communication↗
PubMed1996

Power in partnership.

This paper focuses on the meaning and process of collaboration, particularly in the area of research and clinical practice. Much has been written about the existing gaps between research and the practice of nursing; however, action research is one mechanism that allows these elements to be drawn together. Research developed through collaborative participation has the potential to harness the energy, enthusiasm and talents of nurses at different levels and practice into a cohesive group motivated to achieve professional development and quality practice goals. Action research that is built on the philosophy of a quality within the process and significance of the group can lead to effective practice in nursing. Power can be found in partnership.

Cooperative Behavior↗
PubMed1995

Choice, continuity and control: changing midwifery, towards a sociological perspective.

In this paper sociological theories of the professions and the organisation of work are drawn on to explain current developments in the organisation of maternity care. Utilising the literature on the sociology of the professions and general trends in health policy and labour markets, possible reasons for the current renaissance in midwifery and some implications for midwives are discussed. Thus, whilst some women and midwives may be building a paradigm of 'woman-centered' practice based on an equal partnership, for other midwives, the result may be a divided workforce consisting of an elite core and casualised periphery based on the ability to give a full-time flexible commitment to work. The implications of excluding those midwives who are unable to combine full-time work with their own domestic commitments are discussed.

Continuity of Patient Care↗
PubMed2006

The importance of reciprocity in relationships between community-based midwives and mothers.

OBJECTIVE: to explore the emotion work experiences of community-based midwives, focusing on their relationships with clients. DESIGN: a qualitative study using an ethnographic approach. Data were collected via observation, interview and focus groups. SETTING: a National Health Service (NHS) Trust in South Wales, UK. PARTICIPANTS: a purposive sample of 19 NHS community-based midwives, working in different teams and with differing lengths of clinical experience. FINDINGS: relationships between midwives and women varied considerably, and could be the source of emotion work for midwives. A model of midwife-woman relationships is proposed, based on the concept of reciprocity. Four key situations are identified: balanced exchanges, rejected exchanges, reversed exchanges and unsustainable exchanges. Balanced exchanges occur when there is 'give and take' on both sides; these are emotionally rewarding for the midwife. The other exchanges are out of balance, and require emotion work by the midwife. KEY CONCLUSIONS: the concept of reciprocity is a useful analytical tool that enhances understanding of midwife-woman relationships and the emotion work that these may generate. Increased understanding of these issues is important, given the current national and international policy recommendations for health-care professionals to work in partnership with clients. IMPLICATIONS FOR PRACTICE: the midwife-woman relationship and the factors that affect it need to be explicitly addressed within educational settings, in order to further develop interpersonal and communication skills. In turn, this should enhance the emotional well-being of midwives and the quality of care that women receive. Additional research is needed to further develop and refine the model.

Adult↗
PubMed2004

Gender roles and HIV sexual risk vulnerability of Roma (Gypsies) men and women in Bulgaria and Hungary: an ethnographic study.

Roma, the largest ethnic minority group in Central and Eastern Europe, have cultures that are traditional, often closed, and autonomous of majority populations. Roma communities are characterized by pervasive social health problems, widespread poverty, limited educational opportunities, and discrimination. Although some evidence suggests high levels of HIV sexual risk behaviour among Roma, little is known about the cultural and social context in which risk behaviour occurs. In-depth interviews were used to elicit detailed information about types of sexual partnerships and sexual risk behaviour practices occurring in them, use and perception of protection, knowledge and beliefs about AIDS and STDs, and sexual communication patterns in a sample of 42 men and women aged 18-52 living in Roma community settlements in Bulgaria and Hungary. Analysis of the interview data revealed that men have great sexual freedom before and during marriage, engage in a wide range of unprotected practices with primary and multiple outside partners, and have much more relationship power and control. In contrast, women are expected to maintain virginity before marriage and then sexual exclusivity to their husbands. Condom use is not normative and is mainly perceived as a form of contraception. Although awareness of AIDS was common, it was generally not perceived as a personal threat. Misconceptions about how HIV is transmitted are widespread, and women - in particular - had very little knowledge about STDs, HIV transmission, and protective steps. There is an urgent need for the development of HIV prevention programs culturally sensitive to Roma populations in Eastern Europe, where HIV rates are rapidly rising.

Adolescent↗
PubMed2005

[Utilization of the Canadian Occupational Performance Measure (COPM) among children and their parents: a Swiss experience].

BACKGROUND: This descriptive and exploratory study examined the use of the Canadian Occupational Performance Measure (COPM) involving 33 children and their parents in French speaking Switzerland. The overall aim of the study was to determine the utility of the measure in order to objectivize the impact of the treatment. METHOD: The COPM was administered twice (initial assessment and reassessment) in order to measure the change in occupational performance and satisfaction over time. The interviews were conducted by 18 occupational therapists, either separately or with both the parents and children together. RESULTS: The analyses highlight the statistically significant changes that occured between the initial assessment and the reassessment, in both the occupational performance and satisfaction. It appears that occupational therapists plan to use the COPM more as a guide when interviewing the parents and the children, rather than as an evaluation tool. Only 17 % of the occupational therapists indicated that they intended to use the point rating scale, but the majority said that the COPM would be useful in establishing a better partnership between parents and professionals. PRACTICE IMPLICATIONS: The contribution of this study lies not only in the results of the research confirming the relevance of the COPM in measuring the impact of practice, but also in the influence of its use on occupational therapy practice, with a greater focus on the needs of the clients and on their independance in daily life.

Activities of Daily Living↗
PubMedDate not supplied

An organizational tool to enhance work motivation--Part I.

Increasingly, physicians, in both primary care and specialties, are gathering together into partnerships, single or multispecialty group practices, corporations, and HMOs. Many of physicians are becoming salaried employees of these organizations. As this trend increases, the physician, once pictured as an autonomous entrepreneur and decision-maker, is giving way to the salaried physician-employee, subject to the management and hierarchical structure of organizations. In the first of two articles, the author lays the background for the need for job satisfaction surveys of salaried physicians.

Attitude of Health Personnel↗