Exploring the nurse-patient relationship in caring for the health priorities of older adults: qualitative study

BMC Nursing, Год журнала: 2024, Номер 23(1)

Опубликована: Июль 15, 2024

Person-centered care (PCC) is critical in addressing the diverse health priorities of older adults. Nurses play a pivotal role implementing PCC, yet nuances nurse-patient relationship outpatient settings remain underexplored. This study aimed to gain insights into nurses' experiences, challenges, and strategies caring for adults through lens PCC.

Язык: Английский

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European general practitioners’ attitudes towards person-centred care and factors that influence its implementation in everyday practice: The protocol of the cross-sectional PACE GP/FP study in 24 European countries

European Journal of General Practice, Год журнала: 2025, Номер 31(1)

Опубликована: Фев. 26, 2025

Person-centred care (PCC) is a fundamental principle in general practice, emphasising practices tailored to individual patient preferences, needs, and values. Despite the importance of PCC, practitioners (GPs) face obstacles effectively implementing it, with associated factors remaining unclear. The PACE GP/FP study aims explore GPs' attitudes towards PCC facilitating or hindering its implementation daily practice across European countries. This paper outlines protocol. cross-sectional design data collection via an online survey distribution GPs 24 Study instruments include two validated questionnaires (Perceived Stress Scale (PSS) Patient Physician Orientation (PPOS)) additional items covering information about doctor their as well facilitators barriers PCC. These were specifically developed for study, translated using forward-backward method, evaluated through cognitive debriefing, integrated into REDCap platform create language country-specific links. STROBE checklist guides reporting manuscript. will provide comprehensive exploration shaping Europe. findings from evidence designing future strategies guide targeted interventions promote primary

Язык: Английский

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Contribution of health system governance in delivering primary health care services for universal health coverage: A scoping review

PLoS ONE, Год журнала: 2025, Номер 20(2), С. e0318244 - e0318244

Опубликована: Фев. 28, 2025

Background The implementation of the primary health care (PHC) approach requires essential system inputs, including structures, policies, programs, organization, and governance. Effective governance (HSG) is crucial in PHC systems services, as it can significantly influence service delivery. Therefore, understanding HSG context vital for designing implementing programs that contribute to universal coverage (UHC). This scoping review explores how contributes delivering services aimed at achieving UHC. Methods We conducted a published evidence on delivery toward Our search strategy focused three key concepts: governance, PHC, followed Arksey O’Malley’s framework adhered Preferred Reporting Items Systematic Reviews Meta-Analyses extension Scoping (PRISMA-ScR) checklist guide our methodology. used World Health Organization’s organize data present findings. Results Seventy-four studies were included final review. Various functions influenced including:1) formulating policies strategic plans (e.g., addressing epidemiological demographic shifts financial planning), 2) policy levers tools (such decentralization, regulation, workforce capacity, supply chain management), 3) generating intelligence (including priority setting, monitoring, benchmarking, evidence-informed decision-making), 4) ensuring accountability (through commitments transparency), 5) fostering coordination collaboration (via subnational coordination, civil society engagement, multisectoral partnerships). complex interplay these interventions operates through intricate mechanisms, has synergistic effects Conclusion closely linked functions, which include responsive evolving needs, utilizing digital tools, decentralizing resources, actions. robust evidence-based decision-making, continuous monitoring. Accountability within systems, alongside community engagement collaboration, realizing principles. Local institutions should collaborate with communities—end users systems—to implement formal rules ensure progresses Sociocultural contexts values inform decision-making aligning needs achieve access services.

Язык: Английский

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Reframing Nurse Education in Rural Australia: Implications for Advancing Longitudinal Integrated Placements

Australian Journal of Rural Health, Год журнала: 2025, Номер 33(2)

Опубликована: Апрель 1, 2025

ABSTRACT Objective To explore the experiences of final‐year pre‐registration nursing students undertaking a longitudinal integrated placement in rural Australia. Setting Rural primary health care settings far west NSW and northwest Victoria, Participants Thirteen final year comprised two pilot cohorts semester one ( n = 7) 6) 2022. Design A descriptive qualitative study design using semi‐structured individual interviews with transcripts analysed reflexive thematic analysis. Results Three themes were generated from data: Experiencing comprehensive care, Making connections Engaging complexity. The subtheme curriculum is described for each theme. Conclusion Findings highlight importance placements student nurse exposure to mitigating previous episodic fragmented associated short duration across multiple settings. Placement enabled establish their peers, teams, communities which undertaken. Student complexity‐informed practice extended capacity interpret respond broader inequities experienced complexity as it relates contexts. There an imperative reframe Australia's commitments national workforce policy, clinical education transform maximise full potential our workforce. These reforms must include consideration design, implementation, scalability rurally embedded placements, informed by curriculum, enable development competent future address critical shortages.

Язык: Английский

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Healthier together. How arts on prescription can promote psychosocial wellbeing: a qualitative study

BMC Primary Care, Год журнала: 2025, Номер 26(1)

Опубликована: Апрель 8, 2025

Abstract Background Mental health problems are an increasing challenge for primary healthcare. It puts strain on the healthcare professionals with limited time and resources. In several countries, can refer patients mental issues to structured arts programmes, namely Arts Prescription (AoP). This study explores qualitative findings from a 3-year Prescription. Methods Primary were recruited participated in 10-week group-based programme, twice week 2 h (22 sessions over 10 weeks, comprising mixture of cultural activities facilitated by professionals) referred 18 different centres. Twenty-eight participants volunteered be interviewed using semi-structured one-to-one approach. The transcribed interviews analysed thematic analysis. Results Three themes identified as Social community & Connectedness, Self-efficacy Routine Structure. Through positive effects psychosocial wellbeing is described reported connecting their experiences participating programme including finding common grounds, feeling healthier more human, inner resources, establishing new routines. Conclusions highlight potential programmes promote holistic wellbeing, facilitate personal growth through engagement salutogenic approaches.

Язык: Английский

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Strengthening primary health care in Ethiopia: A scoping review of successes, challenges, and pathways towards universal health coverage using the WHO monitoring framework

PLOS Global Public Health, Год журнала: 2025, Номер 5(4), С. e0004470 - e0004470

Опубликована: Апрель 17, 2025

Introduction The ultimate goal of primary health care (PHC), as a whole-of-government and whole-of-society approach, is to achieve the highest level by bringing services closer users. This entails that PHC should be viewed all-inclusive strategy universal coverage (UHC) sustainable development goals (SDG). Ethiopia has been implementing since Alma-Ata Declaration. World Health Organization (WHO) recently released Monitoring Framework support monitoring progress in implementation. However, an evidence gap highlights need for studies investigating towards UHC using this framework. study aims evaluate Ethiopia’s system WHO framework identify successes challenges security. Method scoping review was conducted structured based on Arksey O’Malley’s methodological We searched five databases (PubMed, Scopus, Embase, Web Science, CINAHL) hand-searched relevant articles. used conceptual summarise findings qualitatively. reported our Preferred Reporting Items Systematic Reviews Meta-Analyses Extension Scoping (PRISMA-ScR) Results included total 110 papers – 56 cross-sectional/national surveys, 19 qualitative studies, 16 mixed-method fiscal/cost/formative or project model analyses, three ecological/ethnographic longitudinal/quasi-experimental two each implementation/participatory research, cohort case studies. Ethiopian achieved encouraging success improving healthcare access coverage, driven growing political leadership commitments through national extension package (HEP), service integration multisectoral approaches UHC. efforts have faced many challenges, including inadequate integration, lack resources budgets, uneven distribution workers infrastructure, gaps priority setting, innovation, stakeholder engagement funding research. These are affecting affordable hindering Conclusion significant expanding infrastructure remain, particularly underserved rural areas, with inequitable access, weak governance, limited essential services. Hence, resource allocation, addressing inequities, systemic infrastructural fostering stronger governance can further improve build system, making it more resilient better equipped meet needs its population.

Язык: Английский

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Person-centred care, a core concept of family medicine

European Journal of General Practice, Год журнала: 2024, Номер 30(1)

Опубликована: Авг. 27, 2024

Язык: Английский

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Digital therapeutics as an emerging new therapy for diabetes mellitus: potentials and concerns

Endocrine Connections, Год журнала: 2024, Номер 13(9)

Опубликована: Июль 4, 2024

The global burden of controlling and managing diabetes mellitus (DM) is a significant challenge. Despite the advancements in conventional DM therapy, there remain hurdles to overcome, such as enhancing medication adherence improving patient prognosis. Digital therapeutics (DTx), an innovative digital application, has been proposed augment traditional disease management workflow, particularly chronic diseases like DM. Several studies have explored DTx, yielding promising results. However, certain concerns about this innovation persist. In review, we aim encapsulate potential DTx its applications management, thereby providing comprehensive overview technique for public health policymakers.

Язык: Английский

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Implications of the shift from GP-centred to multidisciplinary models on postgraduate GP training in the UK

Postgraduate Medical Journal, Год журнала: 2024, Номер unknown

Опубликована: Июль 17, 2024

Journal Article Implications of the shift from GP-centred to multidisciplinary models on postgraduate GP training in UK Get access Waseem Jerjes Research and Development Unit, Harrmersmith Fulham Primary Care Network, Richford St, London, W6 7HY, United KingdomDepartment Public Health, Faculty Medicine, Imperial College 86 Wood Lane, White City Campus, W12 0BZ, Kingdom Corresponding author. Department Kingdom. E-mail: [email protected] Search for other works by this author on: Oxford Academic Google Scholar Postgraduate Medical Journal, qgae091, https://doi.org/10.1093/postmj/qgae091 Published: 17 July 2024 history Received: 16 June Accepted: 03

Язык: Английский

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Barriers and facilitators for strengthening primary health systems for person-centred multimorbid care in low-income and middle-income countries: a scoping review

BMJ Open, Год журнала: 2024, Номер 14(11), С. e087451 - e087451

Опубликована: Ноя. 1, 2024

Objective To understand barriers and facilitators for strengthening health systems person-centred care of people with multiple long-term conditions-multimorbidity (MLTC-M) at the primary healthcare (PHC) level in low-income middle-income countries (LMICs). Design A scoping review. Methods We adopted a systematic review approach to chart literature guided by Arksey O'Malley’s methodological framework. The focused on studies conducted LMICs’ PHC settings from January 2010 December 2023. Papers were extracted following databases: PubMed, EBSCOhost Google Scholar. Framework analysis was undertaken identify MLTC-M according five system pillars Lancet Global Health Commission High-Quality Systems Framework. Results search yielded 4322 citations, evaluated 202 identified 36 inclusion. Key within pillar included poverty, low education literacy; platform pillar, fragmented services lack multimorbid guidelines mentioned; workforce required skills insufficient workers; tools pillar: shortage essential medicines adverse polypharmacy effects prominent. political will absence relevant national policies under governance pillar. Facilitators enhancing self-management support; platforms, integration services; embracing emerging technologies information communication technology issues upscaling interventions respond needs through enhanced commitment financial support. Conclusions Potential solutions be more responsive include empowering service users self-manage, developing guidelines, incorporating community workers into efforts advocating integrated across sectors. need procedures LMICs meet highlighted.

Язык: Английский

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