227 research outputs found
Moving the Interprofessional Education Research Agenda Beyond the Limits of Evaluating Student Satisfaction
Background: Much of the research on the impact of interprofessional education (IPE) interventions is hampered by a lack of focus on whether they were successfully translated to effective interprofessional practice (IPP).Methods and Findings: This article reports the outcomes of a think tank of Australian IPE researchers who articulated these gaps and brainstormed types of research and research questions needed to help address these gaps. A social constructivist theoretical approach was proposed, including more ethnographic and longitudinal investigation.Conclusions: A greater focus on theory is needed to understand the underlying processes involved in IPE, IPP, and the transition between them. This will involve researchers employing more qualitative and mixed-method approaches in addition to the quantitative methods that appear to dominate this field, currently
Compliance, concordance, and patient-centered care
Sharon LawnFlinders Human Behaviour and Health Research Unit, Margaret Tobin Centre, Flinders University, Adelaide, South AustraliaSince the appearance of the WHO compliance–adherence report1,2 we have had confirmed what many patients and health professionals have known for a long time, that many patients simply do not follow health professionals’ advice – they vary that advice to suit their needs. Also, health professionals often do not follow evidence-based guidelines when providing treatment and care to patients. We have tended to cope with these phenomena by labeling patients as ‘noncompliant’, or, worse, and have denied them treatment access in some settings or imposed treatment against their will. Mental health settings provide a stark focused lens on this phenomenon, but it likely pervades many other areas of health care
A behavioural therapy approach to self-management: the Flinders Program
Chronic diseases, including diabetes, represent the most prevalent problem in healthcare today. They are the most common cause of disability and consume the largest part of health expenditures internationally. Most diabetes care is provided by people with diabetes and their family or supporters. Therefore, understanding how to enhance diabetes self-management is of primary importance in addressing this growing burden. The effective self-management of type 2 diabetes is closely linked to environmental factors and a person’s lifestyle. In this article, the authors describe the Flinders Chronic Condition Self-Management Program, which highlights the person’s perspective, and an example of its practical application in an Aboriginal population in South Australia is provided
The person's perspective of chronic condition self-management: Time to shift from rhetoric to reality
This article argues for greater understanding, acknowledgement and inclusion of the person’s perspective of
chronic condition self-management as part of the development of health services. This is based on the belief
that current debates and initiatives continue to be limited by knowledge that is largely vested within the health
professional realm
Habit or addiction: the critical tension in deciding who should enforce hospital smoke-free policies
Tobacco use is the single most preventable
cause of disease, disability and
death. Most recently, the US Surgeon
General has affirmed that there is no safe level
of exposure to environmental tobacco smoke.
The adverse affects of smoking and exposure to
tobacco smoke on health pervade multiple areas
of life. For these reasons, many countries have
introduced smoke-free policies in a variety of
community, workplace and service settings.
Hospitals, in particular, are a focus of smoke-free
policy because their primary goal is to promote
health by attending to acute health crises
or serious exacerbations of chronic conditions,
many of which have direct or indirect links to
smoking
'The needs of strangers': understanding social determinants of mental illness
This article explores the social determinants of mental illness in order to stimulate
debate and advocate for improved services, and greater understanding and acceptance
for people with serious mental illness in their community. Systemic and broader social
mechanisms that perpetuate stigma and inequity are briefly examined. Research
findings from a study of the culture of smoking for psychiatric populations are used to
demonstrate the complexity of these mechanisms and to show how they impact on the
social determinants of mental illness for people with serious mental illness. From this
discussion, broad system and policy options are offered
Integrating service user participation in mental health care: what will it take?
This work is licensed under a Creative Commons Attribution 3.0 Unported License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citedParticipation in mental health care poses many challenges for mental health service users and service providers. Consideration of these
issues for improving the integration of service user participation in mental health care can help to inform integrated care within health
care systems, broadly. This paper argues for practicing greater empathy and teaching it, stigma reduction, changing what we measure,
valuing the intrinsic aspects of care more, employing more people with lived experience within mental health services, raising the visibility
of service users as leaders and our teachers within services and redefining integrated care from the service user perspective
The person's experience of chronic condition self-management: a collection of case studies
This collection of case studies provides lessons at many levels
for students, health professionals, educators, people with
chronic conditions, their carers, managers and health
administrators. These case studies are written by
experienced health professionals and community workers
who as students of the self-management course, took the
time to record the life stories of people from a variety of
backgrounds including Aboriginal, the elderly, mentally ill,
adolescents, carers, and people from rural, remote and
urban environments. The students have taken a self-management
framework to look at a person beyond their
diagnosis taking into account their upbringing and life
experience to understand the person and how and why
they manage their conditions the way they do
The effect of motivational interviewing on the intradialytic exerciser: a pilot study
Chronic renal failure is a complex condition in which a plethora of psychological
and physiological complications may occur and for which haemodialysis is one
treatment option. Patients at Hampstead Dialysis Centre, South Australia, are
offered the option to exercise whilst undergoing dialysis (intradialytic exercise)
with the assistance of dedicated exercise physiologists, as it may ameliorate some
of the ubiquitous symptoms of their renal condition. The objectives of this
study were to determine whether the provision of motivational interviewing
(MI) would increase the uptake of intradialytic exercise in patients who did not
exercise at all or who exercise at minimal levels
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