scholarly journals Developing Targeted Health Service Interventions Using the PRECEDE-PROCEED Model: Two Australian Case Studies

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Jane L. Phillips ◽  
John X. Rolley ◽  
Patricia M. Davidson
Keyword(s):  
Health Care ◽  
Planning Process ◽  
Local Level ◽  
Target Population ◽  
Care Practice ◽  
Health Improvement ◽  
Care Needs ◽  
Study Approach ◽  
Effective Interventions ◽  
Care Improvement

Aims and Objectives. This paper provides an overview of the applicability of the PRECEDE-PROCEED Model to the development of targeted nursing led chronic illness interventions.Background. Changing health care practice is a complex and dynamic process that requires consideration of social, political, economic, and organisational factors. An understanding of the characteristics of the target population, health professionals, and organizations plus identification of the determinants for change are also required. Synthesizing this data to guide the development of an effective intervention is a challenging process. The PRECEDE-PROCEED Model has been used in global health care settings to guide the identification, planning, implementation, and evaluation of various health improvement initiatives.Design. Using a reflective case study approach, this paper examines the applicability of the PRECEDE-PROCEED Model to the development of targeted chronic care improvement interventions for two distinct Australian populations: a rapidly expanding and aging rural population with unmet palliative care needs and a disadvantaged urban community at higher risk of cardiovascular disease.Results. The PRECEDE-PROCEED Model approach demonstrated utility across diverse health settings in a systematic planning process. In environments characterized by increasing health care needs, limited resources, and growing community expectations, adopting planning tools such as PRECEDE-PROCEED Model at a local level can facilitate the development of the most effective interventions.Relevance to Clinical Practice. The PRECEDE-PROCEED Model is a strong theoretical model that guides the development of realistic nursing led interventions with the best chance of being successful in existing health care environments.

Evaluating a Model of Service Integration for Older People with Complex Health Needs

2005 ◽  
Vol 4 (1-2) ◽  
pp. 34-41 ◽  
Author(s):  
Steve Bird ◽  
William Kurowski ◽  
Gillian Dickman
Keyword(s):  
Health Care ◽  
Older People ◽  
Service Integration ◽  
Evaluation Process ◽  
Target Population ◽  
Multiple Chronic Conditions ◽  
Health Care Needs ◽  
Care Needs ◽  
Community Based ◽  
Quantitative And Qualitative Methods

Background Older people with multiple chronic conditions and complex health care needs require a comprehensive, accessible and well-coordinated system of services. To address this growing problem, a consortium of acute and community-based health care organisations implemented a ‘Patients First’ model of service integration for the target population. The project evaluation utilised a combination of quantitative and qualitative methods in an action research framework. Findings The evaluation process not only demonstrated the benefits of the project to patients and the health care system, but also contributed to the identification of pivotal components in the model, aspects requiring attention and consequently their refinement. It was also a vehicle for the development of a sense of ownership amongst staff and has evolved into an integral part of the model.

scholarly journals Conceptual framework for the formulation of strategies to support registered nurses in their utilisation of the nursing process when executing their roles and functions in local-level Primary health care (PHC) practicein Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 17
Author(s):  
Hermine Iita ◽  
Scholastika Iipinge ◽  
Agnes Van Dyk
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Conceptual Framework ◽  
Registered Nurses ◽  
Local Level ◽  
Phase 1 ◽  
Care Practice ◽  
Nursing Process ◽  
Health Care Practice ◽  
Primary Health

<p>This paper describes the conceptual framework upon which the development of strategies to support use of the nursing process by registered nurses in local-level Primary health care practice in Namibia was based. The conceptual framework was developed based on the findings of phase 1 of this study, which was a situational analysis to explore and describe the use of the Nursing Process by registered nurses in local level primary health care practice in Namibia and to identify constraints that registered nurses in local level Primary health care practice face as they implement the nursing process in their daily practice. The study was conducted in four phases namely as follow: Phase1: Needs assessment quantitative survey; Phase 2: Conceptualisation of findings from phase 1; Phase 3: Development of strategies to support the roles and functions of the registered nurse in local level PHC and Phase 4: Validation of these strategies. This article focusses on Phase 2: Conceptualisation of findings from phase 1 and it describes objectives 4 of the study namely, to develop a conceptual framework on which to base the formulation of relevant strategies.</p><p>From phase 1 which focused on needs assessment, findings indicate that registered nurses in local level Primary health care practice in Namibia fulfill most of their expected role functions. However, five main problem areas were identified. The challenges identified were categorised according to the five elements of PHC and management, namely, water and sanitation and related environmental health issues; nutrition and food supply; health education and communication; community diagnosis and care; and management support or administration, including research.</p><p>It was concluded that strategies needed to be developed to support registered nurses in their daily local Primary health care practice.</p><p>The development of the conceptual framework, which guided the development of strategies to support registered nurses use the nursing process in local level Primary health care practice, makes this study an original contribution to the body on knowledge.</p>

scholarly journals Constraints that registered nurses in Namibia are faced with when utilising the nursing process in local-level Primary health care practice

2016 ◽  
Vol 4 (1) ◽  
pp. 32
Author(s):  
Hermine Iita ◽  
Scholastika Iipinge ◽  
Agnes Van Dyk
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Registered Nurses ◽  
Care Delivery ◽  
Local Level ◽  
Care Practice ◽  
Nursing Process ◽  
Primary Health ◽  
And Function ◽  
Role And Function

<p>The purpose of this study was twofold. Firstly to explore and describe the utilization of the Nursing Process by registered nurses in local level Primary health care practice in Namibia with regard to Primary health care delivery during their daily practices and secondly, to develop strategies that would support registered nurses in executing their role and function in this regard. These were prompted by the implementation of a Primary health care approach to health care delivery in the country. The objectives of the study were:</p><ul><li>To Explore and describe the way in which registered nurses in clinics, health care centres and outreach posts in the health districts use the nursing process as regards PHC delivery;</li><li> To determine how supervisors perceive the utilisation of the nursing process by registered nurses with regard to PHC;</li><li>To identify the constraints that registered nurses are faced with when utilising the nursing process with regard to the delivery of PHC;</li><li>To develop a conceptual framework on which to base the formulation of relevant strategies,</li><li>To incorporate the findings of this study into the development of strategies to support registered nurses in their utilisation of the nursing process with regard to the delivery of PHC;</li><li>To validate the appropriateness of these strategies.</li></ul><p>A multi- phase, quantitative, exploratory, descriptive and contextual design was selected to provide a picture of how registered nurses fulfill their role and function concerning Primary health care (PHC) during their daily practices.</p><p>The population consisted of two groups. The first group consisted of 239 registered nurses working in Clinics, health Centres and in Outreach Programmes. The second group consisted of 39 registered nurses supervisors, who supervised the registered nurses in these facilities. A survey was used to gather the data through self-report (questionnaire). Two questionnaires were developed, one for registered nurses and the other for immediate supervisors. Quantitative, descriptive analysis was used to summarize and organize data using tables and figures as well as t-test and analysis of variance (ANOVA), where applicable. Five main areas where registered nurses needed support in execution of their roles and functions were revealed from the results. The areas were: Water and sanitation and other environmental health issues; health education and communication including outreach activities; Nutrition and food supply; Community diagnosis and care and Management support or administrative functions in Primary health Care, including research and education of health workers including fellow registered nurses.</p><p>This paper discusses the constraints that registered nurses in Namibia face when they use the nursing process in local Primary health care facilities.</p>

scholarly journals Innovation in nursing health care practice: expansion of access in primary health care

2017 ◽  
Vol 70 (5) ◽  
pp. 898-903 ◽  
Author(s):  
Ingrid Margareth Voth Lowen ◽  
Aida Maris Peres ◽  
Carla da Ros ◽  
Paulo Poli Neto ◽  
Nilza Teresinha Faoro
Keyword(s):  
Health Care ◽  
Care Practice ◽  
Care Needs ◽  
Health Care Practice ◽  
Innovative Strategy ◽  
Innovative Strategies ◽  
Qualitative And Quantitative ◽  
Qualitative And Quantitative Study ◽  
Nursing Health ◽  
Descriptive Statistical Analysis

ABSTRACT Objective: analyze the reorganization of the health care practice of nurses as an innovative strategy for expansion of access in primary care. Method: qualitative and quantitative study, which interviewed 32 management and care nurses and collected documentary data from public reports of production of nursing consultations from 2010 to 2014, in a municipality in southern Brazil. Data processing for textual analysis was performed by IRAMUTEQ software; for simple descriptive statistical analysis, the program Excel 2013 was used. Results: in the innovative care practice class, associated with awareness of change, related to implementation of the FHS, its challenges and advantages, the following subclasses were identified: reorganization of schedules, nursing consultation, physical restructuring of BHUs, and shared consultation. Final considerations: the need to expand access to and valorization of care practice encourages the development of innovative strategies. The protagonism of care needs to be discussed in the various spaces so that each professional carry out the respective role with competence and efficacy.

Employment Change Among Married Parents of Children With Special Health Care Needs

2016 ◽  
Vol 38 (5) ◽  
pp. 579-606 ◽  
Author(s):  
LeaAnne DeRigne ◽  
Shirley L. Porterfield
Keyword(s):  
Health Care ◽  
Medical Expenditure Panel Survey ◽  
Special Health Care Needs ◽  
Medical Expenditure ◽  
Care Practice ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Trade Offs ◽  
Special Health

Over one in five households with children has at least one child with a special health care need (CSHCN). Child health caregiving can bleed into paid work time. This research analyzes what factors influence work decisions (who reduces work and by how much) in married-couple families with CSHCN. This article uses data from the Medical Expenditure Panel Survey to examine the specifics of changes in parental work status and a comparison of family/work trade-offs made by parents in families with and without a CSHCN. Results indicate that mothers are more likely to experience negative work changes than fathers. Both mothers and fathers with CSHCN are more likely to report missing work than parents of children without special health care needs. Overall, when children receive treatment in a primary care practice that serves as a medical home, parents are less likely to experience negative employment changes.

scholarly journals Development of an ADL-practice guideline: The next step towards guidance in essential nursing care activities

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 942-942
Author(s):  
Svenja Cremer ◽  
Michel Bleijlevens ◽  
Silke Metzelthin ◽  
Janneke de Man-van Ginkel ◽  
Sandra Zwakhalen
Keyword(s):  
Nursing Care ◽  
Practice Guideline ◽  
Literature Search ◽  
Healthcare Setting ◽  
Target Population ◽  
Care Providers ◽  
Care Needs ◽  
Effective Interventions ◽  
Multidisciplinary Working ◽  
Nursing Professionals

Abstract Supporting and respecting care receivers in Activities of Daily Living (ADL) lies at the essence of nursing care, irrespective of diagnosis or healthcare setting. ADL-care is an intimate form of caring, and therefore close and personal to the care receiver, aiming to enhance their independence and comfort. Even though ADL-care is indispensable and highly valued by care receivers, the scientific foundation of ADL-care is weak. This leaves nursing professionals with insufficient guidance as to what constitutes quality ADL-care and what activities are necessary and effective. Therefore, we developed an ADL practice guideline according to the framework of the Dutch Institute for Health (AQUA-guideline) and AGREE II. The guideline was developed over three stages: (1) Determination of the target population and scope, (2) Analysis of problems leading to guiding questions and answering these based on literature search and consensus, (3) Testing and validation. A multidisciplinary working group determined the purpose, target group, and five clinical questions. We used literature search and consensus procedures to answer these questions in close collaboration with care receivers and professional care providers. This guideline provides guidance for nursing professionals to choose appropriate ADL-care options in five modules covering recommendations: (1) Involving care receivers in ADL-related care choices, (2) Identifying ADL-care needs, (3) Choosing effective interventions to enhance ADL-independence and comfort, (4) Supporting informal caregivers in ADL-care, and (5) Using ADL-care for early detection of health problems. These modules are considered leading for future developments in essential nursing care and will be evaluated in a pilot implementation.

The Health System’s Role in Community Health Improvement: The Work of Three Insurance Providers

2019 ◽  
pp. 283-290
Author(s):  
Brian C. Castrucci ◽  
Elizabeth Corcoran ◽  
Loel S. Solomon ◽  
Caraline Coats ◽  
Alyse B. Sabina ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Improvement ◽  
Care Needs ◽  
Kaiser Permanente ◽  
Wide Range ◽  
American Health Care ◽  
Effective Community ◽  
The Individual ◽  
Community Health Improvement

This chapter argues that to improve the health of populations and reduce health care costs, American health care needs to transform beyond a focus on the individual patient and recognize that the health of the patient and the health of the community are indelibly linked. This change will not come easily, the chapter states. It will take leadership like that demonstrated by the three insurers highlighted in this chapter: Kaiser Permanente, Humana Inc., and the Aetna Foundation. Each is engaging in interventions targeted in the communities they serve, beyond their specific members. These healthcare leaders are moving beyond the clinic to tap into a wide range of skills, relationships, resources, and even policy, which results in more robust and effective community health improvement.

scholarly journals Experts’ point of view on migrants’ health and Bulgarian health system performance

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Kamburova ◽  
S Georgieva ◽  
D Tsanova ◽  
E Mineva
Keyword(s):  
Health Care ◽  
Health System ◽  
System Performance ◽  
Access To Health Care ◽  
Local Level ◽  
Health Problems ◽  
Host Population ◽  
Point Of View ◽  
Health System Performance ◽  
Care Needs

Abstract Introduction Migrants often face serious inequities concerning their state of health and their access to good quality health services. The aim of the study is to analyze the experts' point of view on migrants' health and Bulgarian health system performance in this field. Methods Within the TRAIN4M&H project, founded by European Commission, work seminar was organized in Bulgaria in March 2019th. Focus group and facilitated discussion with experts intended to elicit information about significant migrants' health problems was performed. Quantitative and qualitative data were collected through an unstructured interview. Data processing was performed by SPSS v.24. Results All participants in the seminar: 22 frontline health professionals (5), law enforcement officers (13), social workers (2) and other professionals (2) were covered. According 60% of participants the health of migrants threatens the health of the host population. The leading health issues among migrants are: infectious and parasitic disorders as a result of bad hygiene (9), psychiatric problems and drug abuse (5), children and pregnant women health problems (3) etc. Most of the experts (77.3%) determine that there is no difference between health care needs of the migrants and Bulgarian population. None of the respondents said that migrants need hospital care mainly. On the opposite, according to experts' point of view they need emergency care (31.8%), primary health care (36.4%) and specialized care (22.7%). The Bulgarian health system provides adequate health care only in some specific cases, according to two thirds of the respondents. As positive results of the health system performance experts point “asylum seekers are fully health insured”, “the treatment of migrants in the centers is free of charge” etc. Conclusions In order to establish migrant friendly health system in Bulgaria and to improve the quality of services provided develop and enhance skills of professionals working at local level is crucial. Key messages Professionals working at local level with migrants have to be well qualified to face problems in relation to migrants’ health and their access to health care. According to the experts working at local level with migrants Bulgarian health system is not well prepared and provides adequate health care for migrants only in some specific cases.

scholarly journals The level at which registered nurses utilise the nursing process in local-level primary health care practice in Namibia

2016 ◽  
Vol 5 (1) ◽  
pp. 65 ◽  
Author(s):  
Hermine Iita ◽  
Scholastika Iipinge ◽  
Agnes Van Dyk
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Registered Nurses ◽  
Local Level ◽  
Self Report ◽  
Care Practice ◽  
Research Approach ◽  
Nursing Process ◽  
Health Care Practice ◽  
Primary Health

<p>The purpose of this study was to explore and describe the use of the Nursing Process by registered nurses in local level primary health care practice in Namibia. The findings were used to serve as a basis to develop strategies to support registered nurses in their daily local PHC practice. A quantitative research approach using a survey design with self-report questionnaire was used. The population consisted of two groups. The first group consisted of 239 registered nurses working in Clinics, health Centers and in Outreach Programs. The second group consisted of 39 registered nurses supervisors of the registered nurses in these facilities. Quantitative, descriptive analysis was used to summarize and organize data using tables and figures as well as t-test and analysis of variance (ANOVA), where applicable.</p><p>Five main problem areas were identified. It was concluded that strategies needed to be developed to support registered nurses in their daily local Primary health care practice. The development of strategies will be dealt with in a different paper.</p>

scholarly journals Improving Olympic Health Services: What are the Common Health Care Planning Issues?

2014 ◽  
Vol 29 (6) ◽  
pp. 623-628 ◽  
Author(s):  
Kostas Kononovas ◽  
Georgia Black ◽  
Jayne Taylor ◽  
Rosalind Raine
Keyword(s):  
Health Care ◽  
Health Services ◽  
Planning Process ◽  
Local Health ◽  
Care Planning ◽  
Health Care Planning ◽  
Care Needs ◽  
Publication Type ◽  
Good Communication ◽  
The Common

AbstractIntroductionDue to their scale, the Olympic and Paralympic Games have the potential to place significant strain on local health services. The Sydney 2000, Athens 2004, Beijing 2008, Vancouver 2010, and London 2012 Olympic host cities shared their experiences by publishing reports describing health care arrangements.HypothesisOlympic planning reports were compared to highlight best practices, to understand whether and which lessons are transferable, and to identify recurring health care planning issues for future hosts.MethodsA structured, critical, qualitative analysis of all available Olympic health care reports was conducted. Recommendations and issues with implications for future Olympic host cities were extracted from each report.ResultsThe six identified themes were: (1) the importance of early planning and relationship building: clarifying roles early to agree on responsibility and expectations, and engaging external and internal groups in the planning process from the start; (2) the development of appropriate medical provision: most health care needs are addressed inside Olympic venues rather than by hospitals which do not experience significant increases in attendance during the Games; (3) preparing for risks: gastrointestinal and food-borne illnesses are the most common communicable diseases experienced during the Games, but the incidence is still very low; (4) addressing the security risk: security arrangements are one of the most resource-demanding tasks; (5) managing administration and logistical issues: arranging staff permission to work at Games venues (“accreditation”) is the most complex administrative task that is likely to encounter delays and errors; and (6) planning and assessing health legacy programs: no previous Games were able to demonstrate that their health legacy initiatives were effective. Although each report identified similar health care planning issues, subsequent Olympic host cities did not appear to have drawn on the transferable experiences of previous host cities.ConclusionRepeated recommendations and lessons from host cities show that similar health care planning issues occur despite different health systems. To improve health care planning and delivery, host cities should pay heed to the specific planning issues that have been highlighted. It is also advisable to establish good communication with organizers from previous Games to learn first-hand about planning from previous hosts.KononovasK, BlackG, TaylorJ, RaineR. Improving Olympic health services: what are the common health care planning issues?Prehosp Disaster Med. 2014;29(6):1-6.

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