scholarly journals The DWQ-EMR Embedded Tool to Enhance the Family Physician-Caregiver Connection: A Pilot Case Study

Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 29
Author(s):  
Kristina Marie Kokorelias ◽  
Einat Danieli ◽  
Sheila Dunn ◽  
Sid Feldman ◽  
David Patrick Ryan ◽  
...  

The number of family caregivers to individuals with dementia is increasing. Family physicians are often the first point of access to the health care system for individuals with dementia and their caregivers. Caregivers are at an increased risk of developing negative physical, cognitive and affective health problems themselves. Caregivers also describe having unmet needs to help them sustain care in the community. Family physicians are in a unique position to help support caregivers and individuals with dementia, but often struggle with keeping up with best practice dementia service knowledge. The Dementia Wellness Questionnaire was designed to serve as a starting point for discussions between caregivers and family physicians by empowering caregivers to communicate their needs and concerns and to enhance family physicians’ access to specific dementia support information. The DWQ aims to alert physicians of caregiver and patient needs. This pilot study aimed to explore the experiences of physicians and caregivers of people using the Questionnaire in two family medicine clinics in Ontario, Canada. Interviews with physicians and caregivers collected data on their experiences using the DWQ following a 10-month data gathering period. Data was analyzed using content analysis. Results indicated that family physicians may have an improved efficacy in managing dementia by having dementia care case specific guidelines integrated within electronic medical records. By having time-efficient access to tailored supports, family physicians can better address the needs of the caregiver–patient dyad and help support family caregivers in their caregiving role. Caregivers expressed that the Questionnaire helped them remember concerns to bring up with physicians, in order to receive help in a more efficient manner.

2019 ◽  
Vol 34 (s1) ◽  
pp. s51-s51
Author(s):  
Wendy Mckenzie

Introduction:In British Columbia (BC), Canada, it is increasingly commonplace for communities to experience yearly disaster events such as floods, forest fires, avalanches, and mudslides. Nurses are known to be one of the largest groups of healthcare workers and are often challenged to care for members of the public during these events. Many nurses have stated that they do not have enough education to provide quality care in a disaster role, as they received no education in their undergraduate nursing degrees.Aim:The aim of this study was to explore how and what nurse educators are teaching undergraduate nursing students regarding the disaster nursing role within Schools of Nursing in BC, Canada. Understanding the current practice of teaching will serve as a starting point for shaping future best practice undergraduate nursing disaster educational frameworks.Methods:This study used a qualitative case study methodology guided by Merriam’s procedural approach with a theoretical framework of adult teaching and learning.Results:The findings indicate that disaster nursing knowledge is taught either within existing global health courses or rarely is leveled throughout the program. Many challenges exist for educators, which include lack of current resources, workload restrictions, and lack of personal disaster knowledge. Content is determined by the educator. However, there is no specific model or link to disaster nursing competencies or assessment strategies. Most content is delivered didactically by the educator with some expert guest speakers or collaborative simulation events.Discussion:The identified priority challenge is to obtain clarity and understanding around just what knowledge is required and how it should be evaluated. Some suggestions for a specific undergraduate disaster nursing model will be presented in order to ensure that students have the foundational knowledge that they require and that our educators are prepared to teach them.


Author(s):  
Kristian Hegner Reinau ◽  
Henrik Harder ◽  
Christian Hansen Overgård

During the last decade, GPS tracking has become a key technology for data collection. In this chapter, the authors develop a practice-ready guideline for how to design and conduct GPS tracking investigations. They do so by first developing a V-model for GPS tracking, which describes the different phases of a GPS tracking data collection and the choices that have to be made in each phase. Thereafter, the authors show how this model can be applied in practice in a case study. The V-model is the first model that systematically combines methodological insights from the literature on GPS tracking and practical experiences from a number of GPS tracking projects into a practical guideline. Researchers can use this model as a starting point when designing a GPS tracking data collection. The authors hope that the model can constitute a first step towards the development of best practice.


2019 ◽  
Vol 8 (15) ◽  
Author(s):  
Dušanka Slijepčević

The goal of this work is a scientific description of Durkheim's notionof suicide and collected data concerning the number of suicide cases,as well as the explanation of the suicide on the basis of overrulingsocial context or social factors. The starting point of this work is thesuicide issue as a global appearance which threatens to endanger publichealth in countries worldwide, and therefore it conditions the needfor introducing multi- sector prevention strategies, as well as continualresearches. Therefore the research subject presents the validationcheck on classical sociological standpoints concerning social causesfor suicide and specifically in the society of Bosnia and Herzegovinaat the beginning of the XXI century, in other words, searching forthe answer to the question-Can Durkheim's classic social study concerningsuicide explain the rate of suicides in Bosnia and Herzegovina(further in the text referred as B&H) at the beginning of the XXIcentury? Specifically, is the classic assumption of social conditioningconcerning suicide valid? In this work I used general scientific methods:hypothetical- deductive, statistic and inductive, as well as a casestudy for data gathering. The research outcomes derive from verifiedclassic assumptions about the causes of suicides in contemporary age,as well as unveiling the socially influenced causes of suicides and thepossible measures for their prevention. The suicide rate in B&H atthe beginning of the XXI century confirms the assumption on social-ly predestined suicide. The veracity of the raised rates of suicide inpeaceful rather than in war conditions was proven. The influence ofthe economic stagnancy and age was also proven to affect the rates ofsuicides in B&H at the beginning of the XXI century, and the assumptionon female resistance to suicide was validated as well.


2016 ◽  
Vol 13 (1) ◽  
pp. 131-143
Author(s):  
Julie Boyles

An ethnographic case study approach to understanding women’s actions and reactions to husbands’ emigration—or potential emigration—offers a distinct set of challenges to a U.S.-based researcher.  International migration research in a foreign context likely offers challenges in language, culture, lifestyle, as well as potential gender norm impediments. A mixed methods approach contributed to successfully overcoming barriers through an array of research methods, strategies, and tactics, as well as practicing flexibility in data gathering methods. Even this researcher’s influence on the research was minimized and alleviated, to a degree, through ascertaining common ground with many of the women. Research with the women of San Juan Guelavía, Oaxaca, Mexico offered numerous and constant challenges, each overcome with ensuing rewards.


2020 ◽  
Vol 25 (1) ◽  
pp. 30-45
Author(s):  
Andreas Schmidt

AbstractThe chapter argues for a more nuanced and empirically based understanding of the discourse on law and socio-cultural norms in Old Icelandic literature on the grounds of a narratological reading of ‘Færeyinga saga’ as a case study. It has often been claimed that Icelandic sources express an ideal of freedom based on communality as guaranteed by the law. By contrast, ‘Færeyinga saga’ represents a cynical discourse on power politics that renders law as an invariable concept obsolete and works solely on the principle that ‘might is right’. This cynicism, however, is presented in a form that leaves the narrative open to interpretation, showing that regardless of its possible dating, narrative literature can serve as a starting point for social discussion. Consequently, the discourse on law in medieval Iceland must be perceived as more polyphonic than has been allowed for by previous unifying readings in scholarship.


2021 ◽  
Vol 14 (1) ◽  
pp. 205979912110085
Author(s):  
Jane Richardson ◽  
Barry Godfrey ◽  
Sandra Walklate

In March 2020, the UK Research and Innovation announced an emergency call for research to inform policy and practice responses to the COVID-19 pandemic. This call implicitly and explicitly required researchers to work rapidly, remotely and responsively. In this article, we briefly review how rapid response methods developed in health research can be used in other social science fields. After outlining the literature in this area, we use the early stages of our applied research into criminal justice responses to domestic abuse during COVID-19 as a case study to illustrate some of the practical challenges we faced in responding to this rapid funding call. We review our use of and experience with remote research methods and describe how we used and adapted these methods in our research, from data gathering through to transcription and analysis. We reflect on our experiences to date of what it means to be responsive in fast-changing research situations. Finally, we make some practical recommendations for conducting applied research in a ‘nimble’ way to meet the demands of working rapidly, remotely, responsively and, most importantly, responsibly.


2021 ◽  
pp. 096100062110267
Author(s):  
Karen Attar

This article addresses the challenge to make printed hidden collections known quickly without sacrificing ultimate quality. It takes as its starting point the archival mantra ‘More product, less process’ and explores its application to printed books, mindful of projects in the United States to catalogue 19th- and 20th-century printed books quickly and cheaply with the help of OCLC. A problem is lack of time or managerial inclination ever to return to ‘quick and dirty’ imports. This article is a case study concerning a collection of 18th-century English imprints, the Graveley Parish Library, at Senate House Library, University of London. Faced with the need to provide metadata as quickly as possible for digitisation purposes, Senate House Library decided, in contrast to its normal treatment of early printed books, to download records from the English Short Title Catalogue and amend them only very minimally before releasing them for public view, and to do this work from catalogue cards rather than the books themselves. The article describes the Graveley Parish collection, the project method’s rationale, and the advantages and disadvantages of sourcing the English Short Title Catalogue for metadata. It discusses the drawbacks of retrospective conversion (cataloguing from cards, not books): insufficient detail in some cases to identify the relevant book, and ignorance of the copy-specific elements of books which can constitute the main research interest. The method is compared against cataloguing similar books from photocopies of title pages, and retrospective conversion using English Short Title Catalogue is compared against retrospective conversion of early printed Continental books from cards using Library Hub Discover or OCLC. The control groups show our method’s effectiveness. The project succeeded by producing records fast that fulfilled their immediate purpose and simultaneously would obviously require revisiting. The uniform nature of the collection enabled the saving of time through global changes.


Author(s):  
Jasneet Parmar ◽  
Sharon Anderson ◽  
Marjan Abbasi ◽  
Saeed Ahmadinejad ◽  
Karenn Chan ◽  
...  

Background. Research, practice, and policy have focused on educating family caregivers to sustain care but failed to equip healthcare providers to effectively support family caregivers. Family physicians are well-positioned to care for family caregivers. Methods. We adopted an interpretive description design to explore family physicians and primary care team members’ perceptions of their current and recommended practices for supporting family caregivers. We conducted focus groups with family physicians and their primary care team members. Results. Ten physicians and 42 team members participated. We identified three major themes. “Family physicians and primary care teams can be a valuable source of support for family caregivers” highlighted these primary care team members’ broad recognition of the need to support family caregiver’s health. “What stands in the way” spoke to the barriers in current practices that precluded supporting family caregivers. Primary care teams recommended, “A structured approach may be a way forward.” Conclusion. A plethora of research and policy documents recommend proactive, consistent support for family caregivers, yet comprehensive caregiver support policy remains elusive. The continuity of care makes primary care an ideal setting to support family caregivers. Now policy-makers must develop consistent protocols to assess, and care for family caregivers in primary care.


2021 ◽  
Vol 13 (4) ◽  
pp. 2373
Author(s):  
Ali Cheshmehzangi ◽  
Andrew Flynn ◽  
May Tan-Mullins ◽  
Linjun Xie ◽  
Wu Deng ◽  
...  

This paper introduces the new concept of “eco-fusion” through an exploratory case study project. It suggests the importance of multi-scalar practice in the broader field of eco-urbanism. This study introduces eco-fusion as a multiplexed paradigm, which is then discussed in two different development models. This paper first highlights the position of “eco” in urbanism by providing a brief account of key terms and how they relate to one another. It then points out the associations between eco-fusion and sustainable urban development. Through an exploratory case study example in China, the practical factors of eco-development are assessed. The study aims to provide a set of intermediate development stages while maintaining each spatial level’s interface in their own defined and distinguished contexts. The key objective is to consider integrating the natural and built environments, which is considered the best practice of eco-development in urbanism. This study’s findings highlight integrated methods in eco-urbanism and suggest new directions for eco-planning/eco-design strategies.


2012 ◽  
Vol 7 ◽  
pp. 35-39 ◽  
Author(s):  
Liz Cairns ◽  
Maree Dyson ◽  
Sally Canobi ◽  
Nic Vipond

The use of contemporaneous evaluation in personal injury insurance enables schemes to maintain and enhance their viability through access to quality information on cost, liabilities and outcomes. Best practice in research programs in the sector requires data on client outcomes and financial performance to be collected. This article presents a case study of the research and evaluation program for the National Serious Injury Service of New Zealand's Accident Compensation Corporation.


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