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 1,567 records · Page 87Linked to original sources
PubMed1999

Collaborative partnerships in evaluation and experimental rehabilitation research.

Changes in rehabilitation and clinical practice, the recognition of the role of clients in achieving rehabilitation goals, and client participation in decision-making and administration of service delivery have contributed to the development of new methodologies for research and evaluation. In this paper, the traditional relationship between researchers and subjects in traditional rehabilitation evaluation and research is contrasted with relationships between researchers and clients-consumers in newer methodologies. The limitations and challenges to these models are discussed. Collaborative research, characterized by shared power and non-hierarchical authority between client-consumers and researchers, is described as an alternative model for experimental and evaluative research. Collaborative relationships provide a structure for building upon the knowledge and expertise of each research partner. The authors draw upon their own experience of collaborative research partnerships and models of research partnerships are described. Research developed and conducted in a collaborative partnership can include quantitative and qualitative approaches, maintain traditional scientific perspectives of objectivity, reliability and replicability, and improve participation rates, continuity of involvement for longitudinal studies and utilization of researched methods into practice.

Cooperative Behavior↗
PubMed2007

Vaginal birth after caesarean section (VBAC): exploring women's perceptions.

AIMS AND OBJECTIVES: This study was designed to complement local audit data by examining the lived experience of women who elected to attempt a vaginal birth following a previous caesarean delivery. The study sought to determine whether or not women were able to exercise informed choice and to explore how they made decisions about the method of delivery and how they interpreted their experiences following the birth. BACKGROUND: The rising operative birth rate in the UK concerns both obstetricians and midwives. Although the popular press has characterized birth by caesarean section as the socialites' choice, in reality, maternal choice is only one factor in determining the method of birth. However, in considering the next delivery following a caesarean section, maternal choice may be a significant indicator. While accepted current UK practice favours vaginal birth after caesarean (VBAC) in line with the research evidence indicating reduced maternal morbidity, lower costs and satisfactory neonatal outcomes, Lavender et al. point out that partnership in choice has emerged as a key factor in the decision-making process over the past few decades. Chaung and Jenders explored the issue of choice in an earlier study and concluded that the best method of subsequent delivery, following a caesarean birth, is dependent on a woman's preference. DESIGN AND METHODOLOGY: Using a phenomenological approach enabled a holistic exploration of women's lived experiences of vaginal birth after the caesarean section. RESULTS: This was a qualitative study and, as such, the findings are not transferable to women in general. However, the results confirmed the importance of informed choice and raised some interesting issues meriting the further exploration. CONCLUSIONS: Informed choice is the key to effective women-centred care. Women must have access to non-biased evidence-based information in order to engage in a collaborative partnership of equals with midwives and obstetricians. RELEVANCE TO CLINICAL PRACTICE: This study is relevant to clinical practice as it highlights the importance of informed choice and reminds practitioners that, for women, psycho-social implications may supersede their physical concerns about birth.

Decision Making↗
PubMedDate not supplied

Enhancing prevention in the practice of health professionals.

The National Enhancing Prevention Steering Committee is a partnership of eleven national health professional associations and Health Canada. Their joint mission reflects the view that "to ensure the health of Canadians and to ensure an effective health care system, all health professionals have a key role in assisting individuals and communities to increase control over and improve their health." This paper describes the development of the National Strategy for Enhancing Prevention in the Practice of Health Professionals and the learning from that five-year process.

Canada↗
PubMed2005

[How pediatric residents involve children during medical decision-making?].

OBJECTIVE: To describe how pediatric residents involve children during medical decision-making and evaluate the relationship between practice patterns and residents characteristics. POPULATION AND METHODS: We conducted a prospective multicenter anonymous written survey. Self-reported involvement of children by 45 French pediatric residents in practice pattern was collected and analysed. RESULTS: Most residents reported they informed patients in more than 50% of the cases (82%). Only a minority of the residents asked for consent, respected children refusal or presented other choices to the treatment. The main reasons that explain the lack of partnership are children incompetence and the medical situation. No statistically significant relationship between practice patterns and residents characteristics was found. CONCLUSIONS: Partnership with children varies across residents and according to the level of involvement considered. No statistical differences were obtained to explain variations between residents' attitude toward involvement of children. Nevertheless medical education in ethics or decision-making could increase partnership with children.

Child↗
PubMed1997

Providing asthma education in primary care practice.

An educational dialog founded on open communication between clinician and patient is necessary for a successful partnership in asthma care. Educating patients in self-management of asthma has become a major challenge in primary care practice. The process should begin at the time of diagnosis and should be integrated into every step of medical care during office visits and any other clinician-patient interaction. Identifying patients' expectations and concerns about their disease at each office visit helps the clinician focus care. The educational effort should include a discussion of basic asthma facts, and the types and uses of medications, and a demonstration of the skills involved in the proper use of metered-dose inhalers, spacers and peak flow meters. A written asthma self-management plan developed jointly by the clinician and the patient includes recommended daily medications and the specific steps the patient should take to control asthma and achieve the goals of asthma care.

Asthma↗
PubMed1994

Action research: a strategy for theory generation and testing.

We define action research and relate it conceptually to other research strategies. The inadequacy of some action research methodologies for theory generation and testing is discussed. We describe the way we re-dressed this deficiency in our study of the journey from traditional nursing to patient-centered nursing. The differences and tensions between "research-thinking" and "practice-thinking" are explored and we show how our research partnership balances the two ways of thinking. We suggest that operating within the research criteria, presented here, may help action researchers to conduct rigorous research, as well as to improve practice.

Clinical Nursing Research↗
PubMedDate not supplied

Assuring quality and access in advanced practice nursing: a challenge to nurse educators.

In an environment characterized by a projected over-supply of primary care providers and a public seeking higher quality, cost-effective care, advanced practice nurses will be measured not only by their comparative value in delivering conventional primary care, but also by the uniqueness of their contributions to health outcomes. These value-added skills, distinctive to nursing practice at all levels, include health education, disease prevention, health promotion, community resource access, and partnerships with patients. Government, private payors, and national and state regulators all authorize increasingly independent practice by advanced practice nurses. When advanced practice nurses assume such fully accountable primary care roles, their title and certification should be distinctive to that level of practice. A Doctor of Nursing Practice (DNP) degree would signal to the public that nurses--at their highest practice competency--are at the same level as other health professionals holding doctorates (such as MD, DDS, or PharmD).

Clinical Competence↗
PubMedDate not supplied

Clinical facilitators: a new way of working.

AIM: To improve the quality and quantity of student clinical placements in an NHS trust. METHOD: When nurse training was under review, a 12-month pilot study was undertaken to introduce 12 clinical facilitators to acute and surgical wards at six trust sites on a supernumerary basis. As well as guiding the student, each facilitator liaised with a link tutor and ward staff, thereby maintaining continuity. The project team worked closely with the trust audit department and collected data using a variety of methods. The project leader developed an audit questionnaire for students, ward staff and college tutors. The initial answers were used as a baseline, then the same questionnaire was redistributed so the data could be analysed and compared. RESULTS: Most of the students felt more supported and confident to practise. The clinical facilitators were able to help ground the tutors' practice knowledge in reality, and the tutors built up the clinical facilitators' confidence in curricular issues and skills, such as presentation and teaching strategies. CONCLUSION: The clinical facilitator can strengthen partnerships between education and service and offer a model for practical facilitation.

Attitude of Health Personnel↗
PubMed2006

The Densford Clinical Scholars Program: improving patient care through research partnerships.

The Densford Clinical Scholars Program at the University of Minnesota School of Nursing partners advanced practice nurses and faculty members to design and conduct clinical studies for improving patient care. Benefits have included changes in nursing practice and, on occasion, the practice of other members of the healthcare team; enhanced research skills for clinicians; an enriched professional practice environment; access to clinical facilities for faculty; funding for research; and an expanded network for professional development. The authors describe this innovative partnership.

Faculty, Nursing↗
PubMed1995

Establishing partnerships with family caregivers. Local and cosmopolitan knowledge.

Families now provide most of the care received by older people in the United States. Proposed changes in the health care system will mean that families must take an even greater role in delivering health care. It is crucial that nurses practicing in a variety of settings be prepared to establish partnerships with family caregivers in order to attend to the long-term care needs of older people.

Aged↗
PubMedDate not supplied

Enhancing the family medicine curriculum in deliveries and emergency medicine as a way of developing a rural teaching site.

BACKGROUND: The urban family practice residencies of Memphis were not providing sufficient training or encouragement to young physicians for practice in rural communities. METHODS: In 1990, the Department of Family Medicine, in partnership with the State of Tennessee Health Access Act and the Baptist Health Care System, developed a teaching practice in a rural county of western Tennessee. The family practice curriculum included special skills in advanced women's health care and emergency medicine so that uniformly trained physicians could provide around-the-clock coverage in the hospital, including the delivery of babies and first-hour emergency care. RESULTS: After 7 years, the group now includes six full-time board-certified, OB-capable family physicians. In addition, faculty members from the department's urban program in Memphis are required to contribute a "mini locum tenens" of 2-3 days of rural coverage per month. Since 1992, the practice has provided care for more than 54,000 continuity office visits, 81,000 emergency department visits, more than 3,500 hospital admissions, and 621 obstetrical deliveries. Since 1994, residents have been assigned to the site full time, with growth to 12 (4-4-4) residents assigned to this location as of 1997. Several graduates from the initial group of residents have remained in the community after graduation, and three others have established practices in rural areas. Most recently, control of the practice is being transferred from the family medicine department to the university's corporate group practice. This may result in fundamental changes in the practice's operation. CONCLUSIONS: The approach described in this report may be useful for the expansion of urban departments of family medicine into rural and underserved communities.

Curriculum↗
PubMedDate not supplied

A community partnership to prepare nursing students to respond to domestic violence.

TOPIC: Partnership building to prepare nursing students to respond to domestic violence through service learning. PURPOSE: To describe an innovative approach to preparing nursing students to respond to domestic violence. SOURCES: Clinical practice and experience, published literature, partner organizations. CONCLUSIONS: This community partnership has prepared nursing students to respond effectively and with compassion to individuals and families experiencing violence. This approach can be replicated through a service learning model to support coordinated community response to domestic violence.

Attitude of Health Personnel↗
PubMed1989

Competition within the firm: theory plus some evidence from medical group practice.

Recent work on the economics of the firm and other organizations has emphasized the importance of internal organization and incentives. The issue of competition within the firm has not arisen, however. In this article I construct a model of nonprice competition among members of a professional partnership and test the model with data on medical group practice. The empirical results are consistent with the hypothesis of nonprice competition among members of the firm.

Economic Competition↗
PubMed1995

Design and implementation of a health care technician program.

The article describes the design and implementation of a practice model for unlicensed assistive personnel. Key elements of the health care technician (HCT) program include the concept of registered nurse-HCT partnering and the nurse manager's role in facilitating the partnership. After 4 weeks of classroom activities and guided clinical practice, the HCT receives 2 additional weeks to work directly with the registered nurse for orientation to the new role. Cross-trained in a variety of activities, the HCT enhances the level of service provided to key customers.

Curriculum↗
PubMed1996

From research to practice: one organizational model for promoting research-based practice.

This paper describes a framework used by the National Institute for Nursing in Oxford to integrate research, development and practice. With the increasing attention given to the topic of how research findings are implemented into clinical practice, it was felt important to share the challenges that have arisen in attempting to combine traditional research activities with more practice-based development work. The emerging conceptual framework, structures and functions are described, highlighting the variety of partnerships to be established in order to achieve the goal of integrating research into practice. While the underpinning principles of the framework-generating knowledge, implementing research into practice and evaluating the effectiveness of programmes-are not new, it is the way they have been combined within an organizational structure that could be helpful to others considering such a strategy. Both the strengths and weaknesses of the framework are discussed, a number of conclusions drawn as to its robustness and consideration given to its replication.

Diffusion of Innovation↗
PubMedDate not supplied

From research to practice: one organisational model for promoting research based practice.

This paper describes a framework used by the National Institute for Nursing in Oxford to integrate research, development and practice. With the increasing attention given to the topic of how research findings are implemented into clinical practice, it was felt important to share the challenges that have arisen in attempting to combine traditional research activities with more practice based development work. The emerging conceptual framework, structures and functions are described highlighting the variety of partnerships to be established in order to achieve the goal of integrating research into practice. While the underpinning principles of the framework--generating knowledge, implementing research into practice and evaluating the effectiveness of programmes--are not new, it is the way they have been combined within an organisational structure that could be helpful to others considering such a strategy. Both the strengths and weaknesses of the model are discussed, a number of conclusions drawn as to its robustness and consideration given to its replication.

Diffusion of Innovation↗
PubMed1995

Solo or partnership.

Reassessment of the managed care environment and restructuring of our practice will be accomplished by transitional short-term actions while we institute our long-range plan. In the short term we must develop appropriate relationships with hospitals and medical groups that interrelate to our specialty, and develop a "love our enemy" philosophy. We must establish operating organizational units that will be competitive. Reassessment of our own practice, our unique skills, our inadequacies, our competition, and our performance through outcome studies is essential to retake positions weakened by loss of contract inclusion. Long-term strategy must develop insurance coverage in conjunction with our patients in such a way that the middleman is eliminated and the profit currently extracted by managed care is reinvested in patient care, research, and education. Whoever controls payment determines the quality of medicine and how it is delivered.

Clinical Competence↗
PubMed2003

Collaboration among nurse executives in complex environments: fostering administrative best practice.

In the past decade, many healthcare institutions have formed new partnerships, alliances, and networks. Collaboration among chief nursing officers and other leaders from affiliating institutions is essential to the success of these new organizational structures. The authors explore the nature of the collaboration among chief nursing officers and senior nurse leaders at 5 Harvard-affiliated teaching hospitals that provide cancer care. In particular, this article examines how collaborative relationships have been fostered and highlights the challenges, benefits, and outcomes of successful cross-institutional collaboration.

Benchmarking↗