scholarly journals Evaluation of A Fourth-Year Student Pharmacist Research Process in A Community Teaching Health System

2021 ◽  
pp. 8440
Author(s):  
Jennifer Kim ◽  
Savannah McPherson ◽  
Peter Koval ◽  
Megan Tran ◽  
Hannah Feinman
Keyword(s):  
Health System ◽  
Research Process ◽  
Community Teaching

Ethnographic Research and Programmatic Outcomes: Empowering Families of Individuals with Serious Mental Illness

1999 ◽  
Vol 21 (1) ◽  
pp. 13-17
Author(s):  
Kiran Cunningham ◽  
Michael Gieszer ◽  
Melissa Bullard ◽  
Cynthia Castlen ◽  
Dana Dumont ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Serious Mental Illness ◽  
Education Program ◽  
Mental Health System ◽  
Research Process ◽  
Ethnographic Research ◽  
Ongoing Effort ◽  
The Family

This paper stems from an ongoing effort to work toward a mental health system that truly empowers those it serves. Central to this effort is using anthropological methods to understand the experiences of people with serious mental illness (SMI), and of the individuals directly involved in their lives. The latter includes the family members, who struggle to meet society's expectations of them as parents and siblings while simultaneously dealing with the stigma that suggests that because a member of their family has an SMI, they must be doing something wrong. The research process itself, however, led to an exciting programmatic outcome in which the families, initially validated through the interview process, then came together and developed an education program run by families for families that has now been disseminated statewide.

Opening decision spaces: a case study on the opportunities and constraints in the public health sector of Mpumalanga Province, South Africa

2021 ◽  
Author(s):  
Sophie Witter ◽  
Maria van der Merwe ◽  
Rhian Twine ◽  
Denny Mabetha ◽  
Jennifer Hove ◽  
...  
Keyword(s):  
South Africa ◽  
Health System ◽  
Participant Observation ◽  
Health Sector ◽  
Research Process ◽  
Personal Factors ◽  
Decision Space ◽  
Mpumalanga Province ◽  
Local Leadership ◽  
Using Data

Abstract Background Decentralised and evidence-informed health systems rely on managers and practitioners at all levels having sufficient ‘decision space’ to make timely locally informed and locally relevant decisions. Our objectives were to: (a) understand decision spaces in terms of constraints and enablers (using a framework focused on authority, accountability and capacity and the interrelationships between these domains); and (b) outline opportunities through which to expand and enhance them in an understudied rural context in South Africa. Methods This study examined decision spaces within Mpumalanga Province, using data and insights generated through a participatory action research process with local communities and health system stakeholders since 2015, which was triangulated with published documents and research team participant observation to produce findings on the three core domains at three levels of the health system. Results There is significant capacity in the system, which is delivering on many of its goals, with areas of high achievement. While lines of authority are generally well-defined, personal networks take on an important dimension in how stakeholders can act. This is expressed through marked ingenuity and a range of informal coping strategies built on local relationships. There are constraints in terms of limited formal external accountability to communities and internal accountability which is weak in places for individuals and focused more on meeting performance targets set at higher levels and less on enabling effective local leadership. More generally, political and personal factors are clearly identified at higher levels of the system, whereas at sub-district and facility levels, the dominant theme was constrained capacity, affecting all health system components. Conclusions Decision space can be opened up through supporting leadership and organisational culture changes. In this scenario, the real resources in the system, which are human, technical and financial, can be empowered to realise potential more fully. The article adds to existing literature by applying a decision space lens at multiple levels of a decentralised health care system, focusing on a broad range of capacities, and providing future directions to support and expand existing capacity.

scholarly journals Use of Photovoice to engage stakeholders in planning for patient-centered outcomes research

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Jill D. Nault Connors ◽  
Marshall J. Conley ◽  
Laura S. Lorenz
Keyword(s):  
Emergency Department ◽  
Health System ◽  
Lived Experience ◽  
Outcomes Research ◽  
Research Process ◽  
Patient Centered ◽  
Emergency Department Care ◽  
System Leaders ◽  
Multi Stakeholder ◽  
The Impact

Abstract Background Research is needed to inform patient and provider decisions about how to best care for patients who go to the emergency department with complaints of chest pain when their symptoms are due to anxiety rather than a heart problem. However, this research may not be a high priority due, in part, to a lack of awareness for the severity of anxiety symptoms and the impact of anxiety on peoples’ daily lives. In this commentary article, we highlight the use of Photovoice as a unique method to share patients’ lived experience of anxiety with providers, researchers, and health system leaders. Main text A brief background on Photovoice methods, the process of patient partner involvement in Photovoice, and the project’s Photovoice results (posters, photos and captions) is presented. Conclusion Photovoice achieved its intended effects of increasing awareness of all stakeholders about the burden of anxiety in patients’ lives and the imperative of improving emergency department care for anxiety. This resulted in increased participation in a multi-stakeholder research partnership, critical health system support that included costs to the health system associated with implementing interventions to be tested, and submission of a patient-centered outcomes research proposal that is currently under review. In addition, Photovoice had positive benefits for participants including a therapeutic effect, may have increased group cohesion, and empowerment of patients as partners in the research process.

scholarly journals Development and Implementation of a Combined Master of Science and PGY1/PGY2 Health-System Pharmacy Administration Residency Program at a Large Community Teaching Hospital

2018 ◽  
Vol 53 (2) ◽  
pp. 96-100 ◽  
Author(s):  
Nicholas P. Gazda ◽  
Emily Griffin ◽  
Kasey Hamrick ◽  
Jordan Baskett ◽  
Meghan M. Mellon ◽  
...  
Keyword(s):  
Health System ◽  
Health Systems ◽  
Teaching Hospital ◽  
Medical Center ◽  
Degree Programs ◽  
Master Of Science ◽  
Pharmacy Administration ◽  
Large Community ◽  
High Level ◽  
Community Teaching

Purpose: The purpose of this article is to share experiences after the development of a health-system pharmacy administration residency with a MS degree and express the need for additional programs in nonacademic medical center health-system settings. Summary: Experiences with the development and implementation of a health-system pharmacy administration residency at a large community teaching hospital are described. Resident candidates benefit from collaborations with other health-systems through master’s degree programs and visibility to leaders at your health-system. Programs benefit from building a pipeline of future pharmacy administrators and by leveraging the skills of residents to contribute to projects and department-wide initiatives. Tools to assist in the implementation of a new pharmacy administration program are also described and include rotation and preceptor development, marketing and recruiting, financial evaluation, and steps to prepare for accreditation. Conclusion: Health-system pharmacy administration residents provide the opportunity to build a pipeline of high-quality leaders, provide high-level project involvement, and produce a positive return on investment (ROI) for health-systems. These programs should be explored in academic and nonacademic-based health-systems.

scholarly journals The University of Limerick Education and Research Network for General Practice (ULEARN-GP): practice characteristics and general practitioner perspectives

2019 ◽  
Author(s):  
Andrew O'Regan ◽  
Peter Hayes ◽  
Ray O'Connor ◽  
Monica Casey ◽  
Patrick O'Dwyer ◽  
...  
Keyword(s):  
General Practice ◽  
Health System ◽  
Research Process ◽  
Research Network ◽  
Research Engagement ◽  
Practice Characteristics ◽  
Current Trends ◽  
Practice Based Research ◽  
The University ◽  
National Profile

Abstract Background A well-functioning General Practice sector that has a strong research component is recognised as a key foundation of any modern health system. General practitioners (GPs) are more likely to collaborate in research if they are part of an established research network. The primary aims of this study are to describe Ireland’s newest general practice-based research network and to analyse the perspectives of the network’s members on research engagement. Method A survey was sent to all GPs participating in the network in order to document practice characteristics so that this research network’s profile could be compared to other national profiles of Irish general practice. In depth interviews were then conducted and analysed thematically to explore the experiences and views of a selection of these GPs on research engagement. Results All 134 GPs responded to the survey. Practices have similar characteristics to the national profile in terms of location, size, computerisation, type of premises and out of hours arrangements. Twenty-two GPs were interviewed and the resulting data was categorised into subthemes and four related overarching themes: GPs described catalysts for research in their practices, the need for coherence in how research is understood in this context, systems failures, whereby the current health system design is prohibitive of GP participation and aspirations for a better future. Conclusion This study has demonstrated that the research network under examination is representative of current trends in Irish general practice. It has elucidated a better understanding of factors that need to be addressed in order to encourage more GPs to engage in the research process.

Effectiveness and impact of a structured research approach for health-system pharmacy administration and leadership residents

2021 ◽  
Vol 78 (3) ◽  
pp. 229-234
Author(s):  
Tyler A Vest ◽  
Lindsey B Amerine ◽  
Scott W Savage ◽  
Kamakshi V Rao ◽  
Stephen F Eckel
Keyword(s):  
Health System ◽  
Research Program ◽  
Research Process ◽  
Publication Rate ◽  
Research Approach ◽  
Research Experiences ◽  
Pharmacy Administration ◽  
Body Of Knowledge ◽  
The Impact

Abstract Purpose Required competency areas, goals, and objectives for both postgraduate year 1 (PGY1) pharmacy residencies and postgraduate year 2 (PGY2) health-system pharmacy administration and leadership (HSPAL) residencies indicate the importance of research in the residency program by specifying it as a required part of the training process. Research is critical in the field of health-system pharmacy administration, which is built upon the principles of evaluation and assessment, ensuring that all activities implemented in an organization are evaluated through data collection and assessment to determine their impact. Additionally, the research structure provides residents the opportunity to share research broadly, and it also provides the platform for other institutions to implement successful ideas of interest to them. Summary This article describes the impact of having a structured, publication-focused research program in an HSPAL residency. The research process has provided follow-up projects (n = 7) and grant participation (n = 6). Additionally, the process has yielded a 66% publication rate, with 21 of 32 thesis substitutes published in various journals. The department of pharmacy at the residency site has noticed that the continued refinement, scoping, and robust methodologies of projects have been essential to their impact in the literature and in dissemination of the accumulated body of knowledge. Conclusion A structured residency research program has provided direction to HSPAL residents and ensured successful scoping and completion of their research. Intentionality in this aspect has provided HSPAL residents with opportunities for publications, grants, and strong research experiences. Overall, the department of pharmacy has been positively impacted through implementation of services that were evaluated through a structured HSPAL pharmacy residency research program.

scholarly journals Why didn’t you write this in your diary? Or how nurses (mis)used clinic diaries to (re)claim shared reflexive spaces in Senegal

2019 ◽  
Vol 39 (2) ◽  
pp. 205-221 ◽  
Author(s):  
Diane Duclos ◽  
Tidiane Ndoye ◽  
Sylvain L Faye ◽  
Mareme Diallo ◽  
Loveday Penn-Kekana
Keyword(s):  
Supply Chain ◽  
Family Planning ◽  
Health System ◽  
Health Systems ◽  
Lived Experiences ◽  
Research Process ◽  
Coordination Mechanisms ◽  
Data Reporting ◽  
Shared Experiences ◽  
Qualitative Component

Between 2015 and 2017, we implemented the clinic diaries project as part of the qualitative component of an evaluation of a supply chain intervention for family planning in Senegal. This project combined different tools including the diaries and participatory workshops with nurses. At the intersection between writings and silences, this paper explores the role played by the clinic diaries to mediate ethnographic encounters, and the iterative nature of ‘doing fieldwork’ to produce knowledge in hierarchical health systems. This paper also reflects on the processes through which the diaries created a space where accounts of lived experiences routinely unfolding in health facilities could be shared, in the context of a health system increasingly dominated by metrics, performances and vertical reporting mechanisms. The clinic diaries research process therefore sheds light on the limits of approaching bureaucratic norms and practices as coming from the top, an approach reinforced by data reporting and coordination mechanisms in the Senegalese pyramidal health system. In contrast, the diaries suggest a role for participative ethnography to identify collegial spaces to reflect on shared experiences in and of bureaucratic spaces.

scholarly journals The University of Limerick Education and Research Network for General Practice (ULEARN-GP): practice characteristics and general practitioner perspectives

2020 ◽  
Author(s):  
Andrew O'Regan ◽  
Peter Hayes ◽  
Ray O'Connor ◽  
Monica Casey ◽  
Patrick O'Dwyer ◽  
...  
Keyword(s):  
General Practice ◽  
Health System ◽  
Research Process ◽  
Research Network ◽  
Research Engagement ◽  
Practice Characteristics ◽  
Current Trends ◽  
Practice Based Research ◽  
The University ◽  
National Profile

Abstract Background A well-functioning general practice sector that has a strong research component is recognised as a key foundation of any modern health system. General practitioners (GPs) are more likely to collaborate in research if they are part of an established research network. The primary aims of this study are to describe Ireland’s newest general practice-based research network and to analyse the perspectives of the network’s members on research engagement. Method A survey was sent to all GPs participating in the network in order to document practice characteristics so that this research network’s profile could be compared to other national profiles of Irish general practice. In depth interviews were then conducted and analysed thematically to explore the experiences and views of a selection of these GPs on research engagement. Results All 134 GPs responded to the survey. Practices have similar characteristics to the national profile in terms of location, size, computerisation, type of premises and out of hours arrangements. Twenty-two GPs were interviewed and the resulting data was categorised into subthemes and four related overarching themes: GPs described catalysts for research in their practices, the need for coherence in how research is understood in this context, systems failures, whereby the current health system design is prohibitive of GP participation and aspirations for a better future. Conclusion This study has demonstrated that the research network under examination is representative of current trends in Irish general practice. It has elucidated a better understanding of factors that need to be addressed in order to encourage more GPs to engage in the research process.

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