Statement on the proposed National Health Service Hospital Advisory Service.
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Hospital Administration↗
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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.
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'Carer and gatekeeper' - conflicting demands in nurses' experiences of telephone advisory services.
'Carer and gatekeeper' - conflicting demands in nurses' experiences of telephone advisory services Millions of calls are made to the telephone advisory services in primary health care in Sweden. The patients seem happy with the advice and counselling they receive, but little has been written about nurses' experiences of performing telephone advisory services. Yet, the nurses are expected to be patient, sensitive and have a broad knowledge of medicine, nursing and pedagogy. The aim of this study was to describe how nurses experience the patient encounter when performing telephone advisory services. A strategic sample of five nurses were interviewed and asked to describe how they experienced the central aspects of the patient encounter by telephone. The transcribed interviews were analysed by the Empirical Phenomenological Psychological method. The nurses' experience of the patient encounter when performing telephone advisory services can be characterized in terms of the conflicting demands of being both carer and gatekeeper. The constituents of these conflicting demands were: reading between the lines while pressed for time; educating patients for self-care while fearful of misinterpreting the situation; encountering patients' satisfaction and dissatisfaction. The conflicting demands of being both professional carer and gatekeeper caused stress among the nurses. The organization of the telephone advisory services seems to hinder high-quality care.
Attitude of Health Personnel↗
The Employment Medical Advisory Service.
The historical development of the Employment Medical Advisory Service is described, and the Service's present organization is related to its range of activities, including its role as a source of information and advice on occupational health. The Employment Medical Advisory Service's influence on the development of occupational health practice, the collection of new knowledge and its adaptability in changing social and employment conditions is described, and examples of its work are given.
Persons with Disabilities↗
Health standards for work in the food industry, food retailing and in establishments involved in catering. Guidelines for physicians and nurses prepared by a working group of food industry medical officers, assisted by the Department of Health and Social Security, Public Health Laboratory Service and the Employment Medical Advisory Service of the Health and Safety Executive.
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Communicable Disease Control↗
Guidance given by the Student Advisory Service at the Medical University of Southern Africa.
Over the past 20 years services for student guidance and advice at tertiary level have become common at most South African universities. The founders of the Medical University of Southern Africa (MEDUNSA) recognized the importance of such a service and a Student Advisory Service was instituted at the inception of the University in 1977. This service has played a significant role in assisting students to overcome financial, academic and social problems by performing a facilitative, preventative and remedial function. In addition, research projects concerning acute problems are carried out and the results are used to prevent and solve short-term problems and for long-term planning.
Counseling↗
Second report from an anaesthetic reactions advisory service.
The continued work of the advisory service is reported; this now amounts to at least 300 enquiries about clinically severe adverse reactions each year. Thiopentone is still the most commonly associated intravenous induction agent with adverse reactions (76%), particularly when it is used with suxamethonium. Local anaesthetics account for between 5 and 10% reports.
Anaphylaxis↗
MetLife employee advisory services (E.A.S.).
The MetLife Human Resources Department established an Employee Counseling Unit in 1961 to administer personal advisory services and pre-retirement counseling. In 1963 the unit was renamed Employee Advisory Services (E.A.S.) with the staff providing help for a number of employees with personal problems. The E.A.S. was revitalized in 1989 by adding in-house mental health professional staff, and 1990 witnessed increased numbers of employees using its services. During the year, 662 new cases were opened, 93 percent of which were closed by year's end. Almost half of the cases were self-referred with supervisors/managers referring another 25 percent. Psychological/emotional problems accounted for 23 percent of primary problems assessed; alcohol and/or drug abuse, combined, accounted for 15 percent. On the average, consultations required two sessions, each lasting 50 minutes, with per capita costs around $7 per eligible employee. Follow-up evaluation responses were positive, as was the client follow-through with E.A.S. advice.
Counseling↗
Childhood immunisation advisory service for general practitioners.
A study of 270 general practitioners associated with the University of Sydney, Division of Family Medicine, was conducted to examine the need for a childhood immunisation advisory service. Forty-three per cent of respondents had deferred immunisation or altered the schedule of immunisation of children attending them over the previous month. The majority stated that an immunisation advisory service would be beneficial. The preferred option was a telephone service operating from 9 am to 5 pm.
Clinical Protocols↗
Establishment and evaluation of a statewide drug and alcohol specialist advisory service.
The New South Wales Drug and Alcohol Specialist Advisory Service aims to provide prompt, relevant and reliable advice on the clinical management of drug- and alcohol-related problems to health professionals throughout New South Wales. We gauged the performance of the Service against present indicators by interviewing 120 callers who had contacted the Service during its first two years. Accessibility and the quality of information provided were rated highly. Of the 120 respondents, 105 (90 per cent) rated the speed of response to their calls as very good or excellent, and 109 (91 per cent) considered the advice given to be very relevant to their needs. Nearly all (97 per cent) indicated their intention to reuse the Service, and 78 (65 per cent) nominated it as their preferred source of clinical advice on drug and alcohol problems. The Service has established itself as an accessible and reliable source of advice on the management of drug and alcohol problems, especially for rural health professionals. This model of a telephone-based consultancy could have application in other medical specialities.
Alcoholism↗
Parental responses to their developmentally delayed children and the South Glamorgan Home Advisory Service.
This study was undertaken to investigate how parents who have a child with some degree of handicap describe their child's behaviour and their own feelings and adjustment to having such a child. Their response was compared with that of parents of age-matched children without any known development difficulties. The parents and children were grouped according to the manifested handicap of the child (Down's syndrome, developmental quotient (DQ) greater than 65, DQ less tha 65 with/without limb dysfunction and normal controls). The children's ages ranged from 4 to 126 months and they all had received the South Glamorgan Home Advisory Service (HAS) at some time. Sixty-one families completed attitude and behaviour rating scales and parents were asked to express their preferences for prescribed services. The attitude and rating scales were also completed by twenty-five control families with normal children. A consistent trend was revealed towards increasingly favourable attitudes and feelings from past to future, and the DQ less than 65, with/without limb dysfunction, group was found to require further investigation in terms of provision of appropriate services. A distinct preference was shown for the South Glamorgan Home Advisory Service.
Attitude↗
Special advisory service for immunisation.
Among steps to improve immunisation rates in Clwyd an advisory service was introduced for children with immunisation problems. We report on setting up the service and the first two years of running it; during this time 191 children attended. Influencing parental and professional attitudes through education, counselling, and the demonstration of good practice is emphasised.
Adolescent↗
Development of Continence Advisory Services in the United Kingdom.
This article provides an overview of the development of Continence Advisory Services throughout the United Kingdom. A brief history of their development is described along with a current description of the different types of service available. Studies which have investigated the prevalence of regular urinary incontinence and successful management are also presented, from which a strategy based upon preliminary assessment of incontinence may be recommended.
Adolescent↗
A home advisory service for pre-school children with developmental delays.
This paper describes the development of a home advisory service for families of children with developmental difficulties. It demonstrates the transition from a research phase to routine service provision, and indicates that the expansion in numbers of families receiving the service has been achieved whilst maintaining or improving the actual quality of the service. Information is provided on the placement of children who have left the service, and on the plans for future research within the service.
Child Development↗
The Drug Advisory Service of England and Wales--the first 2 years.
An historical account is presented of the introduction and subsequent work of the Drug Advisory Service (DAS) of England and Wales since 1986. Data are presented from an analysis of the recommendations contained within the first 11 reports. The structural and operational strengths and weaknesses of the present approach are considered, and alternative approaches which might constitute constructive modifications or supplements to the present system are discussed.
Community Mental Health Services↗
[Prospects of creation of a computerized advisory service for resuscitation physicians concerned with acute chemical poisoning in humans].
The paper describes the basic functions of the first in Russia Toxicological Information and Advisory Center of the Ministry of Health and Medical Industry of the Russian Federation. Analysis of over six thousand calls to the Center in 1993-1994 showed that the principal users of the information are ambulance unit physicians (43.61%), emergency units (12.9%), and population (11.7%). The main toxic agents are drugs (58%), industrial and household chemicals, alcohol, and surrogates. The authors formulate a concept of advisory service technology for resuscitation physicians in cases with acute chemical poisonings.
Acute Disease↗
[Institutional Consultation/and advisory service from the aspect of group analysis (author's transl)].
First of all, the author underlines that the article is concerned with a specific of institutional advisory service, namely, the subconscious/part played by the mutual co-operation of the members with each other and with the clients of an institution. He classifies his statements into three sectors: first of all, in comments on group analysis; secondly, in comments on the "induced phenomenon of spontaneity in the group"; and, "thirdly, in a description of the intrapsychic, interpersonal and institutionalized forms of defence. One of his theses is: In the same manner as the individual is made up of many and partly contradictory aspects in his life and is nevertheless experienced as a unit, an institution can likewise be considered as a unit. This would also show clearly the great importance which must be attached to the participation of each individual member of an institution in one or several well-functioning working teams in order to fully mobilize the resources available in every institution. This leads us to consider the actions of the members of the institution as reflecting the behavior of the clients. Consequently, all opinions voiced by members of the institution must be taken seriously, even if they are not in line with conventional opinions, as reflections of the overall institutional body. We must conclude therefrom that our aim "to help the mentally diseased patient" can be achieved more successfully, with less frictionally conditioned loss of energy, the more we succeed in taking these various aspects seriously and in not suppressing them below the threshold of consciousness, and rather in understanding them as far as possible via a frank discussion of opposing viewpoints.
Hospitals, Psychiatric↗
[The medical advisory services of social health insurance].
A social health insurance needs opinions on diagnostic and therapeutic procedures - for the single question regarding the individual patient and as general assessments (health technology assessments) as well. The Medical advisory services of social health insurance (their federal branches and their central board) have to do more than 9 Mio individual expert opinions and more than 100 general assessments or HTA-reports a year. Several examples are to be shown.
Consultants↗
Developmental progress of preschool Down's syndrome children receiving a home-advisory service: an interim report.
Studies have shown that the progressive slowing of the intellectual development of Down's syndrome children can be minimised by the provision of very early educational input. Such provision has been available from a Home Advisory Service for families with a preschool handicapped child in Clwyd, North Wales, since 1975. The development of these children has been carefully monitored over this time and the findings to date give an encouraging picture in respect of the effectiveness of such a service. They also suggest that the intellectual prognosis for children with this syndrome may be less gloomy than considered hitherto.
Age Factors↗