Problems and Potential for Canadian Child Welfare

Canadian child welfare is not one single system, but more than 13 systems overseen by provincial and territorial governments and First Nations jurisdictions. However, there are many similarities among systems and general trends and directions common to them. One of these is a tendency for child welfare to become isolated from communities and related services because of its increasingly complex legislation and investigative mandates (Swift, 2001). Another is the challenge of serving peoples of diverse cultural and racial backgrounds, including First Nations peoples. Of course, each jurisdiction also responds to its particular social and political context in unique ways. In this paper we will present an overall picture of child welfare policies, services and trends across the country. We will also examine some unique and specific examples of ways child welfare organizations respond to local needs through the development of various kinds of partnerships. Highlighted in this paper will be some partnership developments with First Nations people and with diverse racial and cultural communities. Also highlighted are existing and potential partnerships with relevant service and advocacy organizations. We conclude with comments on implications of these partnerships for Canadian child welfare generally

A Patient-Centered Framework for Evaluating Digital Maturity of Health Services: A Systematic Review

© Kelsey Flott, Ryan Callahan, Ara Darzi, Erik Mayer.Background: Digital maturity is the extent to which digital technologies are used as enablers to deliver a high-quality health service. Extensive literature exists about how to assess the components of digital maturity, but it has not been used to design a comprehensive framework for evaluation. Consequently, the measurement systems that do exist are limited to evaluating digital programs within one service or care setting, meaning that digital maturity evaluation is not accounting for the needs of patients across their care pathways. Objective: The objective of our study was to identify the best methods and metrics for evaluating digital maturity and to create a novel, evidence-based tool for evaluating digital maturity across patient care pathways. Methods: We systematically reviewed the literature to find the best methods and metrics for evaluating digital maturity. We searched the PubMed database for all papers relevant to digital maturity evaluation. Papers were selected if they provided insight into how to appraise digital systems within the health service and if they indicated the factors that constitute or facilitate digital maturity. Papers were analyzed to identify methodology for evaluating digital maturity and indicators of digitally mature systems. We then used the resulting information about methodology to design an evaluation framework. Following that, the indicators of digital maturity were extracted and grouped into increasing levels of maturity and operationalized as metrics within the evaluation framework. Results: We identified 28 papers as relevant to evaluating digital maturity, from which we derived 5 themes. The first theme concerned general evaluation methodology for constructing the framework (7 papers). The following 4 themes were the increasing levels of digital maturity: resources and ability (6 papers), usage (7 papers), interoperability (3 papers), and impact (5 papers). The framework includes metrics for each of these levels at each stage of the typical patient care pathway. Conclusions: The framework uses a patient-centric model that departs from traditional service-specific measurements and allows for novel insights into how digital programs benefit patients across the health system

Professional Development Needs of Utah State University Extension Professionals

Many Utah State University (USU) Extension personnel are nearing retirement age. The purpose of this study was to identify professional development needs of Extension professionals and assess USU Extension by evaluating competencies essential to be a successful Extension professional. USU Extension can conduct more beneficial professional development training by using identified high priority competencies and improve the on boarding process for new Extension professionals. With improvements as suggested, the effectiveness of professional development could be enhanced and produce Extension professionals who work more efficiently and are committed to the success of USU Extension

Problems and Potential for Canadian Child Welfare

Canadian child welfare is not one single system, but more than 13 systems overseen by provincial and territorial governments and First Nations jurisdictions. However, there are many similarities among systems and general trends and directions common to them. One of these is a tendency for child welfare to become isolated from communities and related services because of its increasingly complex legislation and investigative mandates (Swift, 2001). Another is the challenge of serving peoples of diverse cultural and racial backgrounds, including First Nations peoples. Of course, each jurisdiction also responds to its particular social and political context in unique ways. In this paper we will present an overall picture of child welfare policies, services and trends across the country. We will also examine some unique and specific examples of ways child welfare organizations respond to local needs through the development of various kinds of partnerships. Highlighted in this paper will be some partnership developments with First Nations people and with diverse racial and cultural communities. Also highlighted are existing and potential partnerships with relevant service and advocacy organizations. We conclude with comments on implications of these partnerships for Canadian child welfare generally

An Online Educational Program Improves Pediatric Oncology Nurses’ Knowledge, Attitudes, and Spiritual Care Competence

This study evaluated the potential impact of an online spiritual care educational program on pediatric nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. It was hypothesized that the intervention would increase nurses’ positive attitudes toward and knowledge of spiritual care and increase nurses’ level of perceived spiritual care competence. A positive correlation was expected between change in nurses’ perceived attitudes toward and knowledge of spiritual care and change in nurses’ perceived spiritual care competence. A prospective, longitudinal design was employed, and analyses included one-way repeated-measures analysis of variance, linear regression, and partial correlation. Statistically significant differences were found in nurses’ attitudes toward and knowledge of spiritual care and nurses’ perceived spiritual care competence. There was a positive relationship between change scores in nurses’ attitudes toward and knowledge of spiritual care and nurses’ spiritual care competence. Online spiritual care educational programs may exert a lasting impact on nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. Additional studies are required to evaluate the direct effects of educational interventions patient outcomes

National Reporting and Learning System Research and Development

This report presents the findings of the NRLS Research and Development Programme conducted by the Patient Safety Translational Research Centre (PSTRC) and the Centre for Health Policy (CHP) at Imperial College London. It sets out the current state of affairs regarding patient safety incident reporting in the NHS, and specifies where the most pressing areas of concerns are, including thorough descriptions of the various incident reporting systems used in the NHS today. Furthermore it identifies areas for improvement in the overall landscape of incident reporting, and suggests how systems like the NRLS can capitalise on developments in technology. The main body of the report is then devoted to explaining the findings from the research programme. The research was divided into four domains, and the report details the new findings discovered about each of them: 1. Purpose of incident reporting in healthcare 2. User experience with reporting systems 3. Data quality and analysis 4. Effective feedback for learning Building on these findings, the report moves on to describe how they can be applied to the next generation of incident reporting. Specifically, it focuses on a prototype for a new incident reporting system that incorporates the improvement ideas generated by the research. Finally, the report concludes with a description of an evidence-based framework for evaluating incident reporting systems and an ‘Achievement Toolkit’ of ten recommendations for improvements to incident reporting systems

Tips to Safely Ferment Food at Home

Fermenting foods is perhaps the oldest food preservation method and has grown in popularity in recent years due to their touted “gut,” probiotic, and other additional health benefits. Fermenting at home is an inexpensive way to control what goes inside your food. Fermentation is the process of “good” microorganisms fermenting sugars and nutrients in food to produce byproducts (acids) that usually preserve the food in some manner. For example, milk is fermented to produce acids that create cheese, yogurt, and other products. In most cases, fermentation alone cannot produce a shelf-stable (room temperature) food product. Nearly all fermented foods require canning to preserve or refrigeration. Do-it-yourself blog posts have erupted all over the internet with varying methods that can lead to potential exposure to harmful pathogens due to a lack of proper pH, temperature, and time monitoring. In this fact sheet, the authors review fermentation requirements, identify some foods to ferment, and provide recipes to try the fermentation process safely