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Biomedical subjects

A While

Publications and source records attributed to A While.

At least 19 recordsLinked to original sources
PubMed2006

Nurses', midwives' and health visitors' involvement in cross-boundary working within child health services.

BACKGROUND: Cross-boundary working is a key policy objective. Cross-boundary working provides the foundation for high quality provision across child health services and is imperative for an effective child protection system and the support of children and young people with health needs. METHODS: Two participative conferences were attended by 113 stakeholders utilizing the World Café focus group method. Most (87%) of the sample were nurses, midwives or health visitors. RESULTS: Many examples of cross-boundary working were identified across the different areas of practice. Remarkably few transdisciplinary examples were identified in contrast to the number of inter-agency examples. Intra-organizational boundaries across the health service were also noted. CONCLUSIONS: Considerable cross-boundary working was reported but transdisciplinary working is not yet well established across all areas of child health provision.

Child↗
PubMed2004

Good practices that address continuity during transition from child to adult care: synthesis of the evidence.

BACKGROUND: Effective transition to adult services is required by an increasing number of children with ongoing needs. AIM: To identify practices that promote continuity at transition between child and adult services. METHODS: Systematic examination of the evidence from two search strategies yielding 5319 items. RESULTS: Only three of the 126 appraised items had strong external validity. A large range of different practices, which focused on the service, the young person and the family, were identified. Practices within the service addressed structural, process and outcome components. CONCLUSION: Four transition models are proposed for testing.

Adolescent↗
PubMed2001

Increasing research capacity and changing the culture of primary care towards reflective inquiring practice: the experience of the West London Research Network (WeLReN).

A number of primary care research networks were set up throughout England in 1998 in order to (1) improve the quality of primary care research (2) increase the research capacity of primary care, and (3) change the culture of primary care towards reflective inquiring practice (NHSE, 2000b). It is not clear how best to operate a network to achieve these diverse aims. This paper describes the first 30 months of a network that adopted a whole system approach in the belief that this would offer the best chance of simultaneously achieving the three aims. A cycle of activity was designed to facilitate the formation of multidisciplinary coalitions of interest for research with complementary 'top down' and 'bottom up' programmes of work co-existing. At least 330 people participated in the generation of research questions of whom one third (33%) were general practitioners, 16% community nurses, 6% practice managers and other primary care practitioners. Over two fifths (43%) were 'key allies'--academics, health authority staff, community workers and project workers. One fifth (110) of all practices (500) in the WeLReN area have collaborated in at least one research project. The ratio of doctor:nurse participation in the 24 research project teams was markedly different in the supported coalitions (2:1) compared to projects devised and led by more experienced researchers (6:1). The evidence suggests that it is possible to operate a primary care research network in a way that develops coalitions of interest from different parts of the health care system as well as both 'top down' and 'bottom up' led projects. It is too early to tell if the approach will be able to achieve its aims in the long-term but the activity data are encouraging. There is a need for more research on the theoretical basis of network operation.

Community Networks↗
PubMed2001

Critique of a protocol for annual review of older people with diabetes.

In this article we present a critical evaluation of the development of a protocol to support district nurses in the domiciliary annual review of older people with diabetes. We discuss the protocol's development, identifying its limitations and making recommendations for its use. We conclude that although the protocol is a useful starting point its validity is challenged by a lack of primary research regarding the care of older people with diabetes. More work is needed to identify appropriate remedial therapy following the annual review. The health education component also requires development to better reflect the different needs of older people.

Age Factors↗