scholarly journals Long-term Evaluation of Temporal Variation in Groundwater Physicochemical Quality: A Case Study of Erbil City, Iraq (2003 – 2015)

2018 ◽  
Vol 4 (1) ◽  
2016 ◽  
Vol 8 (3) ◽  
pp. 421-441 ◽  
Author(s):  
Amedeo Cesta ◽  
Gabriella Cortellessa ◽  
Andrea Orlandini ◽  
Lorenza Tiberio

2010 ◽  
Vol 34 (3) ◽  
pp. 297 ◽  
Author(s):  
Julie Considine ◽  
Katy Fielding

Nurse practitioner (NP) roles have been identified as a key strategy in the development of a sustainable and responsive health workforce. To date, the focus of research related to NP roles has been on implementation and short-term evaluation of aspects of NP care; however, little is known about the sustainability of NP roles. A major challenge for the healthcare sector is to demonstrate long-term outcomes of NP care and shift the research focus from individual NPs to the effectiveness of healthcare teams that incorporate NPs. This paper draws on a framework of the following domains of sustainability in primary care: political, institutional, financial–economic, workforce and client (or patient) and applies these domains to NP planning in the Victorian context. What is known about the topic?Studies have shown several positive outcomes of NP care including cost, quality of care, patient satisfaction and access to care. What does this paper add?Sustainability of NP roles is poorly understood; however, there are theoretical factors that may be useful in planning for sustainable NP roles. What are the implications for practitioners?There are opportunities to examine traditional roles, governance and funding structures in healthcare to optimise a sustainable contribution to healthcare by NPs and integration of sustainable NP models by health services.


2020 ◽  
Vol 29 (4) ◽  
pp. 2049-2067
Author(s):  
Karmen L. Porter ◽  
Janna B. Oetting ◽  
Loretta Pecchioni

Purpose This study examined caregiver perceptions of their child's language and literacy disorder as influenced by communications with their speech-language pathologist. Method The participants were 12 caregivers of 10 school-aged children with language and literacy disorders. Employing qualitative methods, a collective case study approach was utilized in which the caregiver(s) of each child represented one case. The data came from semistructured interviews, codes emerged directly from the caregivers' responses during the interviews, and multiple coding passes using ATLAS.ti software were made until themes were evident. These themes were then further validated by conducting clinical file reviews and follow-up interviews with the caregivers. Results Caregivers' comments focused on the types of information received or not received, as well as the clarity of the information. This included information regarding their child's diagnosis, the long-term consequences of their child's disorder, and the connection between language and reading. Although caregivers were adept at describing their child's difficulties and therapy goals/objectives, their comments indicated that they struggled to understand their child's disorder in a way that was meaningful to them and their child. Conclusions The findings showed the value caregivers place on receiving clear and timely diagnostic information, as well as the complexity associated with caregivers' understanding of language and literacy disorders. The findings are discussed in terms of changes that could be made in clinical practice to better support children with language and literacy disorders and their families.


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