Effectiveness of nurse‐led clinics on healthcare delivery: An umbrella review

2021 ◽  
Author(s):  
Carmel Connolly ◽  
Patrick Cotter
Keyword(s):  
Healthcare Delivery ◽  
Umbrella Review

scholarly journals What do we really assess with organisational culture tools in healthcare? An interpretive systematic umbrella review of tools in healthcare

2020 ◽  
Vol 9 (1) ◽  
pp. e000826
Author(s):  
Romana Fattimah Malik ◽  
Martina Buljac-Samardžić ◽  
Nesibe Akdemir ◽  
Carina Hilders ◽  
Fedde Scheele
Keyword(s):  
Patient Safety ◽  
Improve Patient Safety ◽  
Healthcare Delivery ◽  
Patient Safety Culture ◽  
Organisational Culture ◽  
Umbrella Review ◽  
Job Attributes ◽  
Organisational Climate ◽  
Key Dimensions ◽  
Qualitative Data Analysis Software

IntroductionA toxic organisational culture (OC) is a major contributing factor to serious failings in healthcare delivery. Poor OC with its consequences of unprofessional behaviour, unsafe attitudes of professionals and its impact on patient care still need to be addressed. Although various tools have been developed to determine OC and improve patient safety, it remains a challenge to decide on the suitability of tools for uncovering the underlying factors which truly impact OC, such as behavioural norms, or the unwritten rules. A better understanding of the underlying dimensions that these tools do and do not unravel is required.ObjectivesThe aim of this study is to provide an overview of existing tools to assess OC and the tangible and intangible OC dimensions these tools address.MethodsAn interpretive umbrella review was conducted. Literature reviews were considered for inclusion if they described multiple tools and their dimensional characteristics in the context of OC, organisational climate, patient safety culture or climate. OC tools and the underlying dimensions were extracted from the reviews. A qualitative data analysis software program (MAX.QDA 2007) was used for coding the dimensions, which resulted in tangible and intangible themes.ResultsFifteen reviews met our inclusion criteria. A total of 127 tools were identified, which were mainly quantitative questionnaires covering tangible key dimensions. Qualitative analyses distinguished nine intangible themes (commitment, trust, psychological safety, power, support, communication openness, blame and shame, morals and valuing ethics, and cohesion) and seven tangible themes (leadership, communication system, teamwork, training and development, organisational structures and processes, employee and job attributes, and patient orientation).ConclusionThis umbrella review identifies the essential tangible and intangible themes of OC tools. OC tools in healthcare do not seem to be designed to determine deeper underlying dimensions of culture. We suggest approaching complex underlying OC problems by focusing on the intangible dimensions, rather than putting the tangible dimensions up front.

Audiology Service Models in a Family Physician Practice Setting

2010 ◽  
Vol 6 (1) ◽  
pp. 24-32 ◽  
Author(s):  
Sridhar Krishnamurti
Keyword(s):  
Pediatric Patients ◽  
Practice Patterns ◽  
Healthcare Delivery ◽  
Direct Consequence ◽  
Direct Access ◽  
Practice Setting ◽  
Pediatric Populations ◽  
Family Practice Physicians ◽  
Primary Focus ◽  
Balance Problems

This article illustrates the potential of placing audiology services in a family physician’s practice setting to increase referrals of geriatric and pediatric patients to audiologists. The primary focus of family practice physicians is the diagnosis/intervention of critical systemic disorders (e.g., cardiovascular disease, diabetes, cancer). Hence concurrent hearing/balance disorders are likely to be overshadowed in such patients. If audiologists get referrals from these physicians and have direct access to diagnose and manage concurrent hearing/balance problems in these patients, successful audiology practice patterns will emerge, and there will be increased visibility and profitability of audiological services. As a direct consequence, audiological services will move into the mainstream of healthcare delivery, and the profession of audiology will move further towards its goals of early detection and intervention for hearing and balance problems in geriatric and pediatric populations.

HEALTHCARE CHALLENGES IN GILGIT BALTISTAN: THE WAY FORWARD

1970 ◽  
Vol 7 (2) ◽  
pp. 113-116
Author(s):  
Amimah Fatima Asif
Keyword(s):  
Health Care ◽  
Healthcare Delivery ◽  
Medical Personnel ◽  
Political Regime ◽  
Quality Healthcare ◽  
Accident And Emergency ◽  
Long Time ◽  
The Common ◽  
Gilgit Baltistan ◽  
And Child Health

Quality healthcare delivery is the bedrock to exponentially accelerate the development of a country. Unfortunately, in Pakistan healthcare has been neglected since a long time, with the common man bearing the brunt of this acute situation. There are critical challenges in health care, with paucity of trained human resource and deficit of regulated infrastructure and service delivery being the predominant dilemmas. Primary and secondary healthcare are in an unseemly state, to say the least. Maternal and child health care, accident, and emergency departments and mental health are among the most undermined and forsaken areas of healthcare, primarily in the far flung Gilgit Baltistan region of Pakistan. The only way forward is if the political regime, administration and the medical personnel work in concurrence to revise the health infrastructure of the country.

Editorial: Team work and team talk as distributed and coordinated action in healthcare delivery

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Srikant Sarangi
Keyword(s):  
Healthcare Delivery ◽  
Team Work ◽  
Editorial Team ◽  
Special Issue ◽  
Coordinated Action

This special issue of Communication & Medicine is dedicated to the theme of teamwork and team talk in healthcare delivery.

Implementing Internet of Things in a Remote Patient Medical Monitoring System

2018 ◽  
Vol 6 (8) ◽  
pp. 159 ◽  
Author(s):  
Ifeoma V. Ngonadi
Keyword(s):  
Internet Of Things ◽  
Monitoring System ◽  
Medical Records ◽  
Research Work ◽  
Healthcare Delivery ◽  
Vital Signs ◽  
Personal Digital Assistant ◽  
Computer Applications ◽  
Medical Monitoring ◽  
Remote Patient

The Internet of Things (IoT) is a system of interrelated computing devices, mechanical and digital machines, objects, animals or people that are provided with unique identifiers and the ability to transfer data over a network without requiring human-to-human or human-to-computer interaction. Remote patient monitoring enables the monitoring of patients’ vital signs outside the conventional clinical settings which may increase access to care and decrease healthcare delivery costs. This paper focuses on implementing internet of things in a remote patient medical monitoring system. This was achieved by writing two computer applications in java in which one simulates a mobile phone called the Intelligent Personal Digital Assistant (IPDA) which uses a data structure that includes age, smoking habits and alcohol intake to simulate readings for blood pressure, pulse rate and mean arterial pressure continuously every twenty five which it sends to the server. The second java application protects the patients’ medical records as they travel through the networks by employing a symmetric key encryption algorithm which encrypts the patients’ medical records as they are generated and can only be decrypted in the server only by authorized personnel. The result of this research work is the implementation of internet of things in a remote patient medical monitoring system where patients’ vital signs are generated and transferred to the server continuously without human intervention.

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