scholarly journals Are we there yet?

2018 ◽  
Vol 24 (4) ◽  
pp. 235-236 ◽  
Author(s):  
Gráinne Fadden
Keyword(s):  
Clinical Practice ◽  
Peer Support ◽  
Family Members ◽  
Family Work ◽  
Implementation Challenges ◽  
And Training ◽  
Support Model

SUMMARYBurbach describes the content of a phased approach to delivering family work in psychosis. Clinicians would find it helpful to have guidance on how to address the challenges they face in clinical practice, such as engaging all family members in the process and how to deal with confidentiality conflicts. Implementation challenges are also likely to affect their ability to deliver this intervention. It may also be useful to consider the role that family members can play in co-production and training, and in delivering support to other families through a carer peer support model.DECLARATION OF INTERESTNone.

scholarly journals Employing Peer Support Workers in the Emergency Department to Help Care for Patients that Present After An Opioid-Related Overdose: Implementation Challenges and Recommendations From Key Stakeholders

2021 ◽  
Author(s):  
Annette S. Crisanti ◽  
Jennifer Earheart
Keyword(s):  
Peer Support ◽  
Hospital Staff ◽  
Opioid Use Disorder ◽  
System Level ◽  
Opioid Use ◽  
Job Descriptions ◽  
Implementation Challenges ◽  
Individual Level ◽  
The Right ◽  
Support Model

Abstract Background: The peer support model has been adapted in emergency departments (ED) throughout the country, specifically in response to increases in admissions resulting from opioid use disorder (OUD). The purpose of this study was to use community-engaged principles to identify implementation challenges and recommendations related to employing peer support workers (PSWs) in the ED to help care for patients that present after an opioid-related overdose. Methods: A qualitative study was conducted to identify challenges to and recommendations for implementing the peer support model in the ED to help care for patients that present after an opioid-related overdose. Nineteen stakeholders were interviewed, including directors/managers, nurses and PSWs. An inductive qualitative approach was used for the identification of themes from the interviews.Results: Three themes surfaced among the implementation challenges, including system level challenges, hospital level challenges, and challenges specific to PSWs (referred to as individual level challenges). Recommendations to address the challenges are presented for successful integration of PSWs in ED settings to help care for patients that present after an opioid-related overdose. Recommendations include, for example, clearly defined job descriptions and increasing understanding of what PSWs do among all hospital staff. Conclusions: PSWs can play a role in the care for patients that present to the ED after an opioid-related overdose and in doing so help address the opioid crisis. Through the identification of challenges, awareness of strategies to address these challenges, and proper planning, hospitals can implement PSWs into the ED successfully. Planning should include thoughtful conversations between leadership, ED staff and, PSWs, as well as a commitment from leadership and hospital staff to recovery-oriented care. For the successful employment and integration of PSWs into ED settings to help care for patients that present after an opioid-related overdose, planning should focus on four key areas, including (1) hiring the right PSWs for the position, (2) education ED and hospital staff, (3) establishing protocols, and (4) training and supervision.

scholarly journals Improving our model of cascade testing for hereditary cancer risk by leveraging patient peer support: a concept report

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Suzanne C. O’Neill ◽  
Jada G. Hamilton ◽  
Claire C. Conley ◽  
Beth N. Peshkin ◽  
Rosalba Sacca ◽  
...  
Keyword(s):  
Cancer Risk ◽  
Peer Support ◽  
Family Communication ◽  
Genetic Risk ◽  
Family Members ◽  
Risk Information ◽  
Cancer Genetic ◽  
Genetic Risk Information ◽  
Cascade Testing ◽  
Support Model

AbstractConsensus and evidence suggest that cascade testing is critical to achieve the promise of cancer genetic testing. However, barriers to cascade testing include effective family communication of genetic risk information and family members’ ability to cope with genetic risk. These barriers are further complicated by the developmental needs of unaffected family members during critical windows for family communication and adaptation. Peer support could address these barriers. We provide two illustrative examples of ongoing BRCA1/2-related clinical trials that apply a peer support model to improve family communication and functioning. Peer support can augment currently available genetic services to facilitate adjustment to and effective use of cancer genetic risk information. Importantly, this scalable approach can address the presence of cancer risk within families across multiple developmental stages. This applies a family-centered perspective that accommodates all potentially at-risk relatives. This peer support model can be further applied to emerging topics in clinical genetics to expand reach and impact.

Experiences of Volunteers Supporting Parents Following a Fatal Fetal Anomaly Diagnosis

2021 ◽  
pp. 104973232098783
Author(s):  
Stacey Power ◽  
Keelin O’Donoghue ◽  
Sarah Meaney
Keyword(s):  
Health Care ◽  
Peer Support ◽  
Thematic Analysis ◽  
Health Care Professionals ◽  
Fetal Anomaly ◽  
Voluntary Organizations ◽  
Face To Face ◽  
Bereaved Parents ◽  
Collaborative Working ◽  
And Training

Ireland has had a reliance on voluntary groups to provide peer-to-peer bereavement support. The aim of this study was to explore volunteers’, within these voluntary groups, experiences of supporting parents following a fatal fetal anomaly diagnosis. Purposive sampling was used to recruit volunteers ( n = 17) and face-to-face interviews undertaken. NVivo12 was utilized to assist in the thematic analysis of the data. Five themes; “motivation for altruistic acts,” “being challenged,” “value of education and training,” “supporting volunteers to support others,” and “it is not a sprint, it is a marathon” were identified. Volunteers felt comfortable in their peer-support role but found the lack of knowledge regarding newly implemented termination of pregnancy (TOP) services challenging. The importance of education/training was identified, emphasizing the need for collaboration with health care professionals and other voluntary organizations for support. The findings illustrate the need for collaborative working between health care professionals and volunteers to assist them in supporting bereaved parents.

scholarly journals Parental perspective: The role of prostheses and prosthetics services in adjusting to a child’s upper limb difference

2020 ◽  
pp. 1-7
Author(s):  
Tara Sims
Keyword(s):  
Coping Strategies ◽  
Peer Support ◽  
Upper Limb ◽  
Family Members ◽  
Parental Adjustment ◽  
Prosthetic Devices ◽  
The Family ◽  
The Impact

BACKGROUND: The impact of paediatric upper limb difference may extend beyond the child themselves to their parents and other family members. Previous research has found that feelings of shock, numbness and loss are common amongst parents and that peer support can be a buffer against stress. OBJECTIVE: The current study aimed to explore the experiences of parents of children with limb difference, and the role of services and prosthetic devices in these experiences. METHODS: Nine parents of children with limb difference participated in either a group (n= 2) or individual (n= 7) interview. RESULTS: Analysis of the interview transcripts revealed four themes – ‘grief and guilt’, ‘prosthesis as a tool for parental adjustment’, ‘support’ and ‘fun and humour’. CONCLUSIONS: Parents may employ coping strategies to help them adjust to their child’s limb difference, including use of a prosthesis, accessing support from statutory services and peers, and use of fun and humour within the family.

scholarly journals Enablers and barriers to treatment adherence in heterozygous familial hypercholesterolaemia: a qualitative evidence synthesis

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e030290 ◽  
Author(s):  
Fiona J Kinnear ◽  
Elaine Wainwright ◽  
Rachel Perry ◽  
Fiona E Lithander ◽  
Graham Bayly ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Treatment Adherence ◽  
Familial Hypercholesterolaemia ◽  
Family Members ◽  
Personal Control ◽  
Qualitative Studies ◽  
Cochrane Library ◽  
Barriers To Treatment ◽  
Thematic Synthesis ◽  
Heterozygous Familial Hypercholesterolaemia

ObjectivesIndividuals with heterozygous familial hypercholesterolaemia (FH) are at high risk of developing cardiovascular disease (CVD). This risk can be substantially reduced with lifelong pharmacological and lifestyle treatment; however, research suggests adherence is poor. We synthesised the qualitative research to identify enablers and barriers to treatment adherence.DesignThis study conducted a thematic synthesis of qualitative studies.Data sourcesMEDLINE, Embase, PsycINFO via OVID, Cochrane library and CINAHL databases and grey literature sources were searched through September 2018.Eligibility criteriaWe included studies conducted in individuals with FH, and their family members, which reported primary qualitative data regarding their experiences of and beliefs about their condition and its treatment.Data extraction and synthesisQuality assessment was undertaken using the Critical Appraisal Skills Programme for qualitative studies. A thematic synthesis was conducted to uncover descriptive and generate analytical themes. These findings were then used to identify enablers and barriers to treatment adherence for application in clinical practice.Results24 papers reporting the findings of 15 population samples (264 individuals with FH and 13 of their family members) across 8 countries were included. Data captured within 20 descriptive themes were considered in relation to treatment adherence and 6 analytical themes were generated: risk assessment; perceived personal control of health; disease identity; family influence; informed decision-making; and incorporating treatment into daily life. These findings were used to identify seven enablers (eg, ‘commencement of treatment from a young age’) and six barriers (eg, ‘incorrect and/or inadequate knowledge of treatment advice’) to treatment adherence. There were insufficient data to explore if the findings differed between adults and children.ConclusionsThe findings reveal several enablers and barriers to treatment adherence in individuals with FH. These could be used in clinical practice to facilitate optimal adherence to lifelong treatment thereby minimising the risk of CVD in this vulnerable population.PROSPERO registration numberCRD42018085946.

Individual patient—doctor contact in a mental hospital

1978 ◽  
Vol 8 (4) ◽  
pp. 705-710 ◽  
Author(s):  
David Pitcher ◽  
Howard Sergeant
Keyword(s):  
Clinical Practice ◽  
Relative Efficiency ◽  
Mental Hospital ◽  
Professional Standards ◽  
Junior Doctors ◽  
Discharge Rates ◽  
Training Programmes ◽  
And Training

SynopsisPatients admitted to Friern Hospital in 1972 stayed on average for about 5 weeks and spent a total of less than 2 hours individually with senior and junior doctors. Long-stay patients (1 year or more) saw their doctors for an average of less than 1 hour a year. These findings, which in the case of junior doctors were corroborated in 1974, refer only to the time doctors spent with patients alone. The admission, and long-stay discharge rates were greater in the Islington than in the Camden division, and probably reflect differences in clinical practice. It is argued that more psychiatrists are needed – precisely how many will depend on studies of the relative efficiency of different services and training programmes, and on agreement among psychiatrists about minimum professional standards.

Impact of Covid-19 Outbreak on Clinical Practice and Training of Young Gastroenterologists: a European Survey

2021 ◽  
Author(s):  
G Marasco ◽  
OM Nardone ◽  
M Maida ◽  
I Boskoski ◽  
L Pastorelli ◽  
...  
Keyword(s):  
Clinical Practice ◽  
European Survey ◽  
And Training
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