Developing allied health leaders to enhance person-centred healthcare

© 2018, Emerald Publishing Limited. Purpose: The purpose of this paper is to present findings from a mixed methods study investigating leadership development of allied health practitioners within a large public healthcare organization in Australia. Design/methodology/approach: The South Eastern Sydney Local Health District Allied Health Leadership Development Program was undertaken with an allied health cohort (n=16) between May 2014 and March 2015 and comprised all-day workshops, action learning sets and individual coaching. Using experiential learning, the program tested whether practice development methods and action learning approaches developed the leadership skills of participants compared with a control group (n=17). Descriptive statistics were collected to evaluate participant and program outcomes. Leadership, workplace culture and engagement measures were analyzed as part of the study. Findings: The Allied Health Leadership Development Program received high ratings by participants. They reported enhanced skills in leading self and others through mechanisms such as critical reflection and facilitation, and greater confidence managing change and with engaging staff, colleagues and patients in decision making, affecting the quality and safety of healthcare. Statistically significant differences were found with transformational leadership elements, leadership outcomes, and measures of workplace culture and engagement after program completion for intervention group participants, compared with the control group. Research limitations/implications: Results provide new empirical evidence about the effectiveness of using practice development for allied health leadership development. Practical implications: This low-cost leadership program can be replicated by other organizations. Originality/value: Outcomes from an Allied Health Leadership Development Program have not been previously reported in the literature

Allied health leadership in New South Wales: A study of perceptions and priorities of allied health leaders

© AHHA 2018. Objective. The aim of the present study was to investigate the opinions and perceptions of senior allied health (AH) leaders in relation to AH leadership, governance and organisation from an Australian public health perspective. The target group was the New South Wales (NSW) Health AH directors or advisors, the most senior public AH professionals in NSW. Methods. The study was conducted over a 6-month period in 2014-15 and comprised two parts: (1) data collection through a 46-question online survey that sought the views of AH leaders about the field of AH in NSW; and (2) two confirmatory focus groups with members of the NSW Health Allied Health Directors Committee. Results. The online questionnaire generated novel information about the field of AH in the public sector of NSW, including the current organisation, governance and culture of AH. Focus group participants explored key findings in greater depth, including the effects of AH on and value of AH to the health system as a whole, as well as the attributes and competencies required by AH leaders. Participants identified the need to build and grow their influence, to more clearly demonstrate AH's contribution and to realign efforts towards more strategic issues influencing governance, performance, professional standards and advocacy. This entailed broadening the vision and scope of AH Directors as well as across discipline leaders. Conclusion. The results provide new information about Australian AH leadership, governance, culture and organisation, and highlight potential priorities for future leadership activities

A spatial dashboard for Alzheimer's disease in New South Wales

© 2017 The authors and IOS Press. This paper illustrates a proof of concept scenario for the application of comprehensive data visualisation methods in the rapidly changing aged care sector. The scenario we explored is population ageing and the dementias with an emphasis on the spatial effects of change over time at the Statistical Area 2 (SA2) level for the state of New South Wales. We did this using a combination of methods, culminating in the use of the Tableau software environment to explore the intersections of demography, epidemiology and their formal cost of care implications. In addition, we briefly illustrate how key infrastructure data can be included in the same data management context by showing how service providers can be integrated and mapped in conjunction with other analyses. This is an innovative and practical approach to some of the complex issues already faced in the health and aged care sectors which can only become more pronounced as population ageing progresses

A virtual earth model of the dementias in China

© 2017 International Medical Informatics Association (IMIA) and IOS Press. This developmental project was undertaken to explore how applying spatial science analysis and visualisation methods might inform societies undergoing significant structural and demographic change. China is rapidly transitioning to an aged society. It already exceeds all other countries in its population aged 65 years and over. Dementia is closely correlated with ageing and intersects with a variety of physical and cognitive disabilities. Information dashboards are a growing part of health and social policy data environments. These visual data applications increasingly include mapping capabilities. In this paper, we explore the utility of a geographic modelling approach to exploring the complex nature of population ageing and the dementias in China

Adsorption of NGF and BDNF derived peptides on gold surfaces

This study tackles the interaction between gold surfaces and two peptide fragments named NGF(1-14) and BDNF(1-12), able to mimic the proliferative activity of nerve growth factor (NGF) and brain derived neurotrophic factor (BDNF), respectively. The physical adsorption processes at the solid surface from both single and binary peptide solutions, at physiological and acid pH, were investigated by QCM-D and CD experiments, as well as by molecular dynamics calculations. The relevant physicochemical properties at the hybrid bio-interface, including peptide-surface interaction, conformational changes, hydrodynamic thickness, viscoelastic parameters, competitive vs. synergic behaviour of the two peptide fragments towards the surface were scrutinized. Biological assays with neuronal cells pointed to the maintenance in the biological activity of NGF(1-14) and BDNF(1-12) peptide molecules within the adlayers on the gold surface

From Industrial Food Waste to Bioactive Ingredients: A Review on the Sustainable Management and Transformation of Plant-Derived Food Waste

According to the United Nations, approximately one-third of the food produced for human consumption is wasted. The actual linear "Take-Make-Dispose" model is nowadays obsolete and uneconomical for societies and the environment, while circular thinking in production systems and its effective adoption offers new opportunities and benefits. Following the "Waste Framework Directive" (2008/98/CE), the European Green Deal, and the actual Circular Economy Action Plan, when prevention is not possible, recovering an unavoidable food waste as a by-product represents a most promising pathway. Using last year's by-products, which are rich in nutrients and bioactive compounds, such as dietary fiber, polyphenols, and peptides, offer a wake-up call to the nutraceutical and cosmetic industry to invest and develop value-added products generated from food waste ingredients

Practice development and allied health – a review of the literature

Background: Practice development is defined as a facilitated process that aims to promote person-centred and evidence-based healthcare. Practice development seeks to engage individuals at all levels of an organisation in order to create positive change. It embraces approaches that are inclusive, participatory and collaborative, but there has been a reported lack of multidisciplinary involvement in its application in practice. Aim: While practice development has been widely adopted by nurses and midwives in New South Wales, Australia, there has been limited application of this approach by allied health professionals (AHPs). This literature review aims to identify published research about the application of practice development methods by AHPs across healthcare settings. Methods: A database review was undertaken using the SCOPUS, CINAHL and Medline databases. The International Practice Development Journal was also searched. A total of 1,672 articles were identified. These were scanned and 413 articles were retrieved, with 55 shortlisted for in-depth review. Results: After application of inclusion and exclusion criteria, 15 journal articles were included in the literature review. Review of the studies identified four areas of primary focus: enhanced multidisciplinary teamwork; practice development frameworks and principles; practice development education and learning programmes; and clinical quality improvement and service delivery outcomes. Conclusions: As the findings showed that there is a limited number of robust research studies on practice development involving AHPs, there are opportunities for the participation of AHPs in practice development and for the study of this involvement. Implications for practice development: There is an opportunity for AHPs to become more involved with practice development Strategies to foster interest and grow understanding of the principles and methods of practice development for allied health are require

General practitioners' perceptions of population based bowel screening and their influence on practice: a qualitative study

© 2017 The Author(s). Background: Although largely preventable, Australia has one of the highest rates of bowel cancer in the world. General Practitioners (GPs) have an important role to play in prevention and early detection of bowel cancer, however in Australia this is yet to be optimised and participation remains low. This study sought to understand how GPs' perceptions of bowel screening influence their attitudes to, and promotion of the faecal occult blood test (FOBT), to identify opportunities to enhance their role. Methods: Interviews were conducted with 31 GPs from metropolitan and regional New South Wales (NSW), Australia. Discussions canvassed GPs' perceptions of their role in bowel screening and the national screening program; perceptions of screening tests; practices regarding discussing screening with patients; and views on opportunities to enhance their role. Transcripts were coded using Nvivo and thematically analysed. Results: The study revealed GPs' perceptions of screening did not always align with broader public health definitions of 'population screening'. While many GPs reportedly understood the purpose of population screening, notions of the role of asymptomatic screening for bowel cancer prevention were more limited. Descriptions of screening centred on two major uses: the use of a screening 'process' to identify individual patients at higher risk; and the use of screening 'tools', including the FOBT, to aid diagnosis. While the FOBT was perceived as useful for identifying patients requiring follow up, GPs expressed concerns about its reliability. Colonoscopy by comparison, was considered by many as the gold standard for both screening and diagnosis. This perception reflects a conceptualisation of the screening process and associated tools as an individualised method for risk assessment and diagnosis, rather than a public health strategy for prevention of bowel cancer. Conclusion: The results show that GPs' perceptions of screening do not always align with broader public health definitions of 'population screening'. Furthermore, the way GPs understood screening was shown to impact their clinical practice, influencing their preferences for, and use of 'screening' tools such as FOBT. The findings suggest emphasising the preventative opportunity of FOBT screening would be beneficial, as would formally engaging GPs in the promotion of bowel screening

Buenas Prácticas de Manufactura

Fil: Travaglia, Claudia Noemi. Universidad Nacional de Río Cuarto. Facultad de Ciencias Exactas Fisicoquímicas y Naturales. Departamento de Ciencias Naturales. Área Morfología Vegetal; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Risso, Oscar Ariel. Instituto Nacional de Tecnologia Agropecuaria. Centro Regional la Pampa-san Luis. Estacion Experimental Agropecuaria San Luis. Agencia de Extension Rural Concaran.; ArgentinaFil: Walter, Silvana. Instituto Nacional de Tecnología Agropecuaria. Centro Regional La Pampa-San Luis; ArgentinaFil: Suárez, Daniel A.. Instituto Nacional de Tecnología Agropecuaria. Centro Regional La Pampa-San Luis; ArgentinaFil: Baronio, Alfredo Mario. Universidad Nacional de Rio Cuarto. Facultad de Ciencias Económicas; ArgentinaFil: Vianco, Ana Maria. Universidad Nacional de Rio Cuarto. Facultad de Ciencias Económicas; Argentin