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At least 955 records · Page 53Linked to original sources
PubMed2001

"Operation Sick Bay": an opportunity for community service learning.

"Operation Sick Bay" was the inspiration of the 3 full-time nurses at Framingham High School, which has a population of 1,800 students and 300 teachers and staff. The primary focus of Operation Sick Bay was to create a health services environment conductive to learning about health and illness, developing lifetime skills in self-help and self-care, providing a restful atmosphere, and involving students and staff in taking pride in their school health services center. The "sick bays" are small units with privacy curtain closures used for students who need to lie down because of illness. There are 3 bays for female students and 3 for male students. Instead of the usual cream-colored walls, the project provided the opportunity to create a colorful environment designed to provide health information to students.

Financial Support↗
PubMedDate not supplied

Reducing time delay in the thrombolysis of myocardial infarction: an internal quality improvement project. ARIAM Project Group. Analisis del Retraso en Infarto Agudo de Miocardio.

The objectives of this study were to improve thrombolytic therapy in acute myocardial infarction by reducing the "door-to-needle" time in a 285-bed university hospital in Spain. A quality management approach was used involving all the relevant staff. Target standard was set at 35 minutes. Baseline data, intervention effect, and continuous monitoring were analyzed using x control charts. Analysis of baseline data showed a wide out-of-control variation and 72 minutes' average delay. Cause analysis revealed organizational and clinical problems that were subjected to intervention. Postintervention data showed a stable process, with an average of 30 minutes. Continuous monitoring showed further improvement in average time and predictable variation. The template of the current control chart has an average of 26 minutes. Quality management methods, particularly staff involvement in problem analysis and intervention design, and the use of control charts were useful to understand, solve, and continuously monitor an important clinical problem whose existence was evident only after it was measured.

Emergency Service, Hospital↗
PubMed1998

Health promotion partnerships: service and education addressing the health needs of vulnerable groups.

This paper describes partnerships between service and education that can assist in meeting the health care needs of vulnerable population groups. Baccalaureate nursing students learn about population-based nursing practice as a means of addressing health needs. Each semester, groups of 8-10 senior students work with a community agency serving a population at risk. Students assess health needs and plan, implement, and evaluate a health promotion intervention with the population and the agency. Emphasis is placed on designing culturally appropriate interventions that are accomplished in partnership with the agency and population. Projects which illustrate the generalizability of this approach will be discussed. Such experiences reduce barriers that separate education from practice. Community agencies benefit as health needs that might not otherwise be met are addressed.

Alaska↗
PubMed2003

[Home medical care service and regional medical plan].

A home medical service should be promoted as an individual medical plan which proactively copes with health problems in daily living. It is categorized into 3 phases: Health for a patient without long-term disabilities, QOL for a patient with long-term disabilities and Peaceful Death for a terminal patient.

Community Health Nursing↗
PubMed1992

Delivery of genetic screening services.

This paper describes the genetic services in the United Kingdom and how the evolution of genetic screening services is taking place. Since these Community Genetic Services depend on the offer of a screening test that affects the whole population, it is essential that the community is given genetic education and an opportunity to discuss the issues before services are initiated. In this way, the differing beliefs and needs of individual communities are appropriately taken into account. The development of screening services for cystic fibrosis will show whether this community-orientated model can be successful.

Community Health Services↗
PubMed2004

Clinical management. Where medicine meets management. Crib notes.

This is a year of change for children's services, with reports, proposals and new clinical guidelines. Some primary care trusts have been accused of using the focus on the core programme as a way of cutting services. A royal college report may clash with the imminent national service framework.

Child Development↗
PubMed2003

[Home medical care service and regional medical plan].

A home medical service should be promoted as an individual medical plan which proactively copes with health problems in daily living. It is categorized into 3 phases: Health for a patient without long term disabilities, QOL for a patient with long term disabilities and Peaceful Death for a terminal patient.

Activities of Daily Living↗
PubMed1991

The effect of the 1989 health benefits package on prescribing and consultation patterns in general practice.

OBJECTS: this study aims to assess the effect of the 1989 health benefits package on the prescribing and consultation rates of the contributing general practitioners. METHODS: following the introduction of the health benefits package in February 1989 information on the consultation rates and prescribing records of twenty-eight computerised general practitioners was obtained for the two three month periods of February, March and April 1988 and 1989. Analysis was undertaken both on the pooled data and by comparing consultations for adults, beneficiaries aged 60 or older, beneficiaries less than 60 years and children. RESULTS: the number of consultations increased from 57,209 in 1988 to 63,736 in 1989. The number of items prescribed decreased from 66,984 in 1988 to 62,284 in 1989 indicating a mean decrease in the number of prescription items per consultation from 1.02 in 1988 to 0.83 in 1989. Based on the 1988 figures provided by the study the actual percentage decrease in pharmaceutical use by the contributing doctors during the study time frame was 9.3% whereas the expected increase was 11.4%. CONCLUSIONS: there was an increase in consultation rates and a decrease in prescribing among the contributing general practitioners during the 1989 study period compared with the 1988 study period. These changes may be attributed to the introduction of the 1989 health benefits package.

Adult↗
PubMed1995

The Occupational Health Partnership Program: a new paradigm for occupational health services.

For a variety of reasons, occupational health services at Army Material Command installations became severely strained during the 1980s. The Occupational Health Partnership Program, developed to improve this support, describes control, responsibility, and cost sharing between Army Materiel Command and Army Medical Command. This innovative approach is finding new solutions to challenging problems. The authors describe the history, principles, status, and possible future of the partnership program.

Health Plan Implementation↗
PubMed1995

The Abrams report--communicable disease control; how do Health Districts measure up to the recommendations?

BACKGROUND: The aims of the study were to examine whether Health Districts in the North Western Region complied with the recommendations in the Abrams report regarding the control of communicable disease [incorporated into the Annex to Circular HSG(93)56], and to identify areas that need further attention. METHODS: The recommendations were extracted and arranged in questionnaire form. Further items were included dealing with the use of Epinet in communicating with the profession. A compliance score was derived from affirmative and qualified affirmative responses. RESULTS: Many recommendations were met by all or most Districts. Compliance was 90 percent or over for 58 percent of the questions where an assessment was appropriate. Of the 16 Districts in consortia, 75 percent did not have a consortium plan. Day-to-day plans were informal in 21 percent of Districts. In 63 percent of Districts the Family Health Services Authority (FHSA) was not involved to the extent that it should be. The Consultant in Communicable Disease Control (CCDC) had insufficient District Health Authority support in 42 percent of Districts and insufficient Local Authority support in 16 percent of Districts. In 58 percent of Districts there was lack of inclusion of matters relating to the control of infectious disease in contractual statements between purchaser and provider. There was a lack of audit in 47 percent of Districts. CONCLUSIONS: One plan or a compatible series of plans are required across each District. Informal day-to-day plans should be formalized. The FHSA should be fully involved in infectious disease control plans. Certain Districts require a Community Infection Control Nurse, accountable to the CCDC and/or administrative support to input and scan surveillance data. Contractual statements between purchaser and provider should include appropriate infection control requirements when this is not already the case. Communicable disease control audit should be a regular part of CCDC duties.

Communicable Disease Control↗
PubMed2001

Grassroots ergonomics: initiating an ergonomics program utilizing participatory techniques.

The introduction of ergonomics programs throughout the world requires an easy to understand and inexpensive process. Participatory ergonomic intervention techniques have proven to be beneficial in the prevention of musculoskeletal disorders. The participatory approach to ergonomics has also been found to be a useful application within industrialized (developed) countries and industrially developing countries (IDCs). Grassroots Ergonomics principles utilize expertise within a workforce that focuses on participatory ergonomics interpretations of quantitative and qualitative risk and exposure assessment information that in turn results in a peer-developed ergonomics training. Regardless of the intricacy of the exposure assessment tools, workers should fully assist in gathering and analyzing data, then in identifying and implementing solutions. A coordinated and multidisciplinary application of this approach within IDCs would succeed in the creation and sharing of job-specific ergonomics training information for high physical exposure professions, such as agriculture, fishing, forestry, mining, and small-scale enterprises, to initiate ergonomics programs regionally.

Community Participation↗