Promoting inclusion oral-health:social interventions to reduce oral health inequities

The aim of this collection of papers is to provide the reader with a cogent understanding of the role of evidence in the development of social or community-based interventions to promote inclusion oral-health and reduce oral health, health, and psychosocial inequities. In addition, this material will include various methods used for their implementation and evaluation. At the outset, the reader will be offered a working definition of inclusion oral-health, which will be modelled on the work of Luchenski et al. [1]. The interventions described are theoretically underpinned by a pluralistic definition of evidence-based practice [2] and the radical discourse of health promotion as postulated by Laverack and Labonte [3] and others [4,5]. This Special Issue will consist of eight papers, including an introduction. The first three papers will examine the various sources of evidence used to transform top-down into bottom-up community-based interventions for people experiencing homelessness; people in custody and for families residing in areas of high social deprivation. The final four papers will report on the implementation and evaluation of social or community-based interventions. This collection of research papers will highlight the importance of focusing on prevention and the adoption of a common risk factor agenda to tackle oral health, health and psychosocial inequities felt by those most excluded in our societies

Humanisation and soft qualities in emergency rooms

Scenario. Currently, there are few evaluation methods that analyse social aspects in healthcare issues, especially humanisation and well-being, as perceived by users in emergency departments which are places in which patients’ psycho-physical well-being is decisive. For this reason, research was conducted to create a tool to improve the quality of these areas. Methodology. In order to conduct the research, the work was structured in three phases: the first, based on the analysis of State-of-the-Art and the current studies on the interactions established between the physical and emotional conditions of the structure and the users; the second, through the definition of a questionnaire which explores humanisation and comfort aspects; the third, through the application of the instrument. Results. The paper presents and analyses data collected from the application on a case study in Milan, analysing the responses and proposing design suggestions for increasing the quality of emergency environments. Conclusions. In anticipation of future works, the application of such a tool can provide the opportunity to improve and enhance quality and staff efficiency in emergency department spaces

Lean management in healthcare sector

Purpose – The purpose of this study is to describe an understanding of Lean in healthcare try to identify barriers in successful implementation of lean in healthcare, as it has achieved in mass manufacturing. Methodology – Systematic literature review approach is adopted for this paper and literatures are classified into categories, based on the quality aims of healthcare proposed by IOM in 2001. Findings – A total of 52 literatures in lean healthcare are reviewed, classified and analyzed. Several barriers are found in literatures including lost in translation of lean lingos, difficulty to define customers in healthcare settings, narrow application of Lean instead of broad pictures, the lack of pursuit in continuous perfection of lean and readiness of Lean before implementation. Value – The finding of this study indicates what should be paid attention to for a successful implementation of lean in healthcare.Objetivo - O objetivo deste estudo é descrever uma compreensão do Lean na área de saúde, tentando identificar barreiras na implementação bem-sucedida do Lean na área da saúde, como foi alcançado na fabricação em massa. Metodologia - Adota-se a abordagem de revisão sistemática da literatura para este trabalho e as literaturas são classificadas em categorias, com base nos objetivos de qualidade da saúde propostos pela OIM em 2001. Resultados - Um total de 52 literaturas em saúde lean são revisados, classificados e analisados. Várias barreiras são encontradas nas literaturas, incluindo a perda na tradução de jargões enxutos, a dificuldade de definir clientes em ambientes de saúde, a aplicação restrita do Lean ao invés de imagens amplas, a falta de busca na perfeição contínua do lean e prontidão do Lean antes da implementação. Valor - A constatação deste estudo indica o que deve ser prestado atenção para uma implementação bem sucedida de Lean na área da saúde

Jockey Club Age-Friendly City Project : Baseline assessment report : Tuen Mun

The objectives of this baseline assessment was to evaluate the current state of age-friendliness and make a list of recommendations for the future development of Tuen Mun District (the District) through a bottom up and district-based study. The baseline assessment provided opportunities for the elderly to voice their opinions and served as an appropriate strategy to meet their needs. Additionally, stakeholders from diverse groups can work together to build and maintain an age-friendly community

Upper limb-rehabilitation service system for chinese mild-stroke patients at home

With the continuous growth in the popularity of stroke patients in China and the increasing demand for rehabilitation services, the existing traditional hospital rehabilitation model can no longer meet the patients’ needs. In recent years, the Chinese government has focused on promoting a new model of “Internet plus medical care” and home rehabilitation. Of all the symptoms of the stroke, upper limb motor dysfunction is the most common one that causes the decline of the patients’ self-care ability and quality of life. Therefore, continuous rehabilitation training plays a vital role in the recovery of limb motor function in stroke patients with hemiplegia and can also serve as a starting point for remote rehabilitation. This thesis first summarized the fundamental upper limb movements as well as theories, high technologies and assessment methods of upper limb rehabilitation. All the literature review assists designers in understanding the necessary medical knowledge of stroke and rehabilitation. Secondly, the existing products and services of upper limb rehabilitation in China and at abroad are compared and analyzed to explore more design opportunities. Furthermore, based on the observations and interviews, the author summarized the rehabilitation needs, information needs and emotional needs of stroke patients in Shanghai, investigated design pain points, and selected target users for remote rehabilitation. Finally, a support remote upper limb rehabilitation system concept was established by adopting service design approaches and tools. Furthermore, the concept of a home rehabilitation device and a digital platform, which were two main touchpoints in this system were designed in-depth and made into the prototype for user feedback. The home rehabilitation device integrated a variety of hand grasping exercises by modularization and integrated different upper limb movements through a point-to-line method to solve the problem of lacking multi-function and miniaturization in the home environment. The digital platform used visual interfaces to provide patients with clear instructions and incentive mechanisms which prevent them from giving up rehabilitation halfway. The findings of this thesis indicated the importance of service design approaches and tools on systemic thinking and creative ideas. The design results of this project can not only help stroke patients to perform active exercises at home and improve their upper limb motor function, but also provide new visions for the development of future remote rehabilitation service system in China

Proceeding: 3rd Java International Nursing Conference 2015 “Harmony of Caring and Healing Inquiry for Holistic Nursing Practice; Enhancing Quality of Care”, Semarang, 20-21 August 2015

This is the proceeding of the 3rd Java International Nursing Conference 2015 organized by School of Nursing, Faculty of Medicine, Diponegoro University, in collaboration with STIKES Kendal. The conference was held on 20-21 August 2015 in Semarang, Indonesia. The conference aims to enable educators, students, practitioners and researchers from nursing, medicine, midwifery and other health sciences to disseminate and discuss evidence of nursing education, research, and practices to improve the quality of care. This conference also provides participants opportunities to develop their professional networks, learn from other colleagues and meet leading personalities in nursing and health sciences. The 3rd JINC 2015 was comprised of keynote lectures and concurrent submitted oral presentations and poster sessions. The following themes have been chosen to be the focus of the conference: (a) Multicenter Science: Physiology, Biology, Chemistry, etc. in Holistic Nursing Practice, (b) Complementary Therapy in Nursing and Complementary, Alternative Medicine: Alternative Medicine (Herbal Medicine), Complementary Therapy (Cupping, Acupuncture, Yoga, Aromatherapy, Music Therapy, etc.), (c) Application of Inter-professional Collaboration and Education: Education Development in Holistic Nursing, Competencies of Holistic Nursing, Learning Methods and Assessments, and (d) Application of Holistic Nursing: Leadership & Management, Entrepreneurship in Holistic Nursing, Application of Holistic Nursing in Clinical and Community Settings

VISIONS Service Adventures: China; A Comprehensive Program Design

The proposed international education program design offers an innovative way for American high school students to participate in a community life and community service in the Chinese province of Guizhou. The proposed design entitled, Visions Service Adventures: China will not only provide a new location and expansion for this third party provider company, but will also give participants the experience of staying with a local family for a portion of the program. The homestay experience will allow Visions participants the chance to interact and experience Chinese culture and language. Susan M. Knight (2008) found in her study the effects a homestay have on students abroad positively enhanced the overall participant experience. This comprehensive program design will contain a number of essential components needed to provide a well-rounded experience for the Visions participants. Arrival preparation in country (including the screening of potential homestay families) and in-program orientation (health and safety, Chinese language and culture, community service project) will be a continuous effort of the hired guides and program director. Homestay orientation (student/family homestay preparation), as well as post-program assessment and closing activities will be a continued process through out the duration of the program. Many studies of successes of abroad programs directly relate to the ability of a student integrating into local culture. The homestay is a foundational distinction that will give Visions participants a unique advantage, not only for their age, but also as Americans living and learning in China. This homestay design will provide a new platform for short-term experiential education programs to use towards transforming and improving the already existing designs present in the field