scholarly journals The evolution of the international emergency care workforce: a thematic analysis

2021 ◽  
Vol 3 (1) ◽  
pp. 79-79
Author(s):  
Anahita Sharma
Keyword(s):  
Thematic Analysis ◽  
Emergency Care

scholarly journals The evolution of the international emergency care workforce: a thematic analysis

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Anahita Sharma
Keyword(s):  
Human Resource ◽  
Acute Care ◽  
Thematic Analysis ◽  
Emergency Care ◽  
Low Income ◽  
Case Reports ◽  
World Health ◽  
Medical Systems ◽  
African Region ◽  
Cross Sectional

Acute care has historically been a relatively peripheral area on the global health agenda. Emergency care was first identified as a global priority at the WHO’s 60th World Health Assembly in 2007.  The WHO first mandated international coordination over the global shortage of human resources in health (HRH) in 2006. Little research has focused on the intersection of these problems, regarding the international workforce working in acute care.MethodsA systematic search was conducted to retrieve articles evaluating components of secondary-level local, local, regional or national acute services published in academic journals from 2000 onwards. A thematic analysis of selected articles was completed with a focus on human resource capacities, utilising a framework-based synthesis approach. Results73 articles based in 44 countries were retrieved, of which 43 were cross-sectional studies and 22 were qualitative case reports. Articles largely reported inadequate competencies, training opportunities and insufficient physical resource within local emergency medical systems. Emergency departments worldwide are widely staffed by unspecialised personnel.  Task-shifting within the acute care sector is frequently employed across the Subsaharan African region. Workforce issues were not restricted to low-income settings. However, a rigorous and stratified global dataset of workers in this category is not available and would be useful.ConclusionEmergency medical systems are undergoing a period of development worldwide. Inadequacies regarding supervision, infrastructure, and support services are not frequently addressed and should not be neglected in human resource policy. Identifying the successes and failures of systems on a global scale to date can prove useful for health systems planning and policy.

A comparison of handover communication in NHS and military emergency care

2020 ◽  
Vol 12 (4) ◽  
pp. 151-156
Author(s):  
Rowena Slope ◽  
Catherine Pope ◽  
Robert Crouch ◽  
Elizabeth MM Bernthal
Keyword(s):  
Air Force ◽  
Emergency Response ◽  
Thematic Analysis ◽  
Emergency Care ◽  
Transition Theory ◽  
Medical Emergency ◽  
Structured Interviews ◽  
Royal Air Force ◽  
Response Team ◽  
The Military

Background: There is a gap in the literature comparing communication during handover between military and NHS emergency care settings. Objectives: This study aimed to explore differences in handover communication in the NHS and the military, and to understand how paramedics manage the transition between settings. Design: This was a qualitative study for which 13 paramedics were interviewed. It focused on handover communication in NHS emergency care settings and Camp Bastion Hospital, Afghanistan. Methods: Interviews were conducted with regular and reservist paramedics serving in the Royal Air Force who had undertaken a deployment with the Medical Emergency Response Team. Semi-structured interviews were recorded, transcribed, coded and subjected to a thematic analysis. Results: Three principal themes were identified: differences between handover communication; standardisation; and the challenge of transition. Conclusion: Participants were most concerned about standardisation. Transition theory and resilience may account for the difficulties encountered when transitioning between different care settings.

The Perspective of Older Men With Depression on Suicide and Its Prevention in Primary Care

Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 397-405 ◽  
Author(s):  
Steven Vannoy ◽  
Mijung Park ◽  
Meredith R. Maroney ◽  
Jürgen Unützer ◽  
Ester Carolina Apesoa-Varano ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Socioeconomic Status ◽  
Thematic Analysis ◽  
Older Men ◽  
Primary Care Providers ◽  
Depression Treatment ◽  
Care Providers ◽  
Low Socioeconomic ◽  
Self Image ◽  
The Impact

Abstract. Background: Suicide rates in older men are higher than in the general population, yet their utilization of mental health services is lower. Aims: This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and (b) older men's attitudes toward discussing suicide with a PCP. Method: Thematic analysis of interviews focused on depression and suicide with 77 depressed, low-socioeconomic status, older men of Mexican origin, or US-born non-Hispanic whites recruited from primary care. Results: Several themes inhibiting suicide emerged: it is a problematic solution, due to religious prohibition, conflicts with self-image, the impact on others; and, lack of means/capacity. Three approaches to preventing suicide emerged: talking with them about depression, talking about the impact of their suicide on others, and encouraging them to be active. The vast majority, 98%, were open to such conversations. An unexpected theme spontaneously arose: "What prevents men from acting on suicidal thoughts?" Conclusion: Suicide is rarely discussed in primary care encounters in the context of depression treatment. Our study suggests that older men are likely to be open to discussing suicide with their PCP. We have identified several pragmatic approaches to assist clinicians in reducing older men's distress and preventing suicide.

Review of Emergency care handbook: How to deal with people in emergencies.

1979 ◽  
Vol 24 (8) ◽  
pp. 663-664
Author(s):  
ALVIN G. BURSTEIN
Keyword(s):  
Emergency Care

On-Call Emergency Care Issue Revives Debate

2005 ◽  
Vol 33 (5) ◽  
pp. 84
Author(s):  
JENNIFER SILVERMAN
Keyword(s):  
Emergency Care ◽  
Care Issue

Immigrant Arab Women in Chile during the Renaissance (Nahda), 1910s-1920s

1970 ◽  
pp. 47-55
Author(s):  
Sarah Limorté
Keyword(s):  
20Th Century ◽  
19Th Century ◽  
Thematic Analysis ◽  
New World ◽  
Arab Women ◽  
Arab Woman ◽  
The Subject ◽  
The 19Th Century

Levantine immigration to Chile started during the last quarter of the 19th century. This immigration, almost exclusively male at the outset, changed at the beginning of the 20th century when women started following their fathers, brothers, and husbands to the New World. Defining the role and status of the Arab woman within her community in Chile has never before been tackled in a detailed study. This article attempts to broach the subject by looking at Arabic newspapers published in Chile between 1912 and the end of the 1920s. A thematic analysis of articles dealing with the question of women or written by women, appearing in publications such as Al-Murshid, Asch-Schabibat, Al-Watan, and Oriente, will be discussed.

Development and Use of The Organizational Framework For Exploring Nutrition Narratives

2016 ◽  
Vol 3 (2) ◽  
pp. 32-42
Author(s):  
Catherine Morley
Keyword(s):  
Health Status ◽  
Thematic Analysis ◽  
Hermeneutic Phenomenology ◽  
Physical Appearance ◽  
Dietary Change ◽  
Role Identification ◽  
Dietetics Education ◽  
Physical Deterioration ◽  
Organizational Framework

A hermeneutic phenomenology was undertaken to explore eating and feeding experiences with 11 women living with changed health status and who had household feeding responsibilities. Thematic analysis yielded two distinct narratives; those in Life-the-Same (LS) group (n=3; participants whose lives were relatively the same after a period of adjustment), and the Life Altered (LA) group (n=8) (those whose lives were completely altered as a result of their condition). Participants in the LS group had adjusted to new dietary, exercise, and medication routines, achieved physiologic goals, and retained eating and feeding routines at and away from home. Participants in the LA group experienced profound changes in ingesting and digesting food, and eliminating waste, physical appearance, and in enjoyment of eating, and rarely left home. Anticipated physiologic effects of dietary change were not achieved due to physical deterioration. Family and friends took on feeding duties when the regular ‘feeder’ was acutely ill, however, participants resumed these roles as soon as they were able (even though they remained unwell) owing to the strength of role identification. The Organizational Framework for Exploring Nutrition Narratives (OFFENN) emerged from the analysis, and is comprised of four domains (Personal; Household; Beyond Household; and Unthoughts), and four filters (Events/Facts; Values/Beliefs; Actions; Emotions and Reflections). The framework offers a means to explore clients’ narratives and to invite conversations about eating and feeding; it is not meant to be prescriptive of dietary guidance, and has application in dietetics education (in preparing students for their counselling roles and in informing research).

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