Journal of evaluation in clinical practice
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Problem-solving skills are some of the leading strategies for dynamism in the content and quality of nursing care. ⋯ For this reason, revising the national nursing curriculum with programmes that develop emotional intelligence and solution-focused thinking skills will enable nursing students to better manage the nursing process in clinical and field practices.
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The Patient-Centred Medical Home (PCMH) is a model of team-based care that is patient centred, coordinated, accessible, and focused on quality and safety. To learn how this model of healthcare works in an Indigenous primary health care setting in Australia, we explored the experiences of health staff in an urban Aboriginal Community Controlled Health Service (ACCHS) transitioning to an adapted model of a PCMH. Normalisation Process Theory (NPT) was applied to better understand factors enabling and inhibiting implementation of the PCMH, and the work required to deliver it. ⋯ Applying NPT revealed the characteristics and practice norms of Indigenous community controlled health care as key enablers of implementing a PCMH in an urban ACCHS. Less than optimal resourcing and workforce development emerged as barriers needing to be resolved to strengthen implementation and delivery of a PCMH in this setting.
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Equating health with complete physical, mental and social well-being, as defined by the WHO, has played an important role in the development of healthcare systems in Western countries. However, this definition has contributed to the rise of the myth of well-being, increasing the demand on healthcare systems and raising the risk of medicalizing all aspects of life. Additionally, equating health with complete well-being is conceptually flawed for two important reasons. ⋯ While there are various approaches to defining health, the crucial issue is that each definition should include states of unwell-being. Incorporating this perspective would represent a paradigm shift in the field of health, fostering more realistic expectations and reducing the risk of medicalization.
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Randomized Controlled Trial
The Impact of Implementing Virtual Diabetes Group Visits on Staff and Provider Wellbeing, Job Satisfaction, and Burnout: A Mixed Methods Analysis.
Few have assessed the impact of group visits (GVs), or shared medical appointments, on community health centre (CHC) staff and provider burnout, wellness, and job satisfaction. ⋯ Implementation of GVs in the CHC setting impacted key areas of burnout, including relationships, job attachment, and feelings of meaningful contribution in the workplace among providers and staff. Future clinic-based implementation studies may consider measuring staff and provider well-being as part of the evaluation.
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Implementation of clinical practice guidelines, an important strategy in the prevention of pressure injuries, enables the nurse to interpret evidence-based guideline recommendations, reduce errors, ensure compliance and standardisation of complex processes, manage patient-related risks and systematically regulate all preventable conditions. ⋯ This study demonstrated that the SPIPP- Adult Checklist 2.0 is a valid tool. Interventions using the evidence-based checklist should be integrated into the workflow and provide the best opportunity for successful and sustainable pressure injury prevention.