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Informatics in Large Health Systems: Organization, Transformation and Nursing Informatics Leadership Perspectives
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Deborah Trautman, Kedar Mate, Howard Catton, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 1, 2022
Sheila Ochylski, Rebecca Freeman
In many large health systems, there seems to be a lack of clarity around ownership of the health IT ecosystem. Before system-wide EHRs became widespread in hospitals and ambulatory offices, individual departments often functioned on paper or with niche applications that were largely designed and maintained by IT staff dedicated to a given area. Updates, modifications, interfaces and other strategic directions frequently were led by IT staff. As enterprise technology has come to prominence, there has been a push for operations to ‘own' these systems from designating clinical champions and educators to prioritizing and designing optimization requests. In our experience, many large healthcare systems have ample opportunities to improve within this paradigm shift.
The Sleeping Brain
Published in Hanno W. Kirk, Restoring the Brain, 2020
Published reports of the benefits of neurofeedback for persons with epilepsy, insomnia and ADHD appeared in the 1970s.92,93,94 This is not a new therapy. By now the collective literature is robust. Therapeutic protocols of NF are based on accepted principles of neuroanatomy and neurophysiology. Moreover, NF, through its effects on brain self-regulation, holds the promise of uncovering much of the inner workings of brain functioning. The effect size of improvements with NF compares favorably to that of pharmacotherapy, and NF avoids the potential deleterious effects of medications used to treat these conditions. Thus far there are no indications that NF produces any long-term adverse effects when it is in qualified, competent hands. Finally, the evidence indicates that effects of NF are long lasting – a clear advantage over the usual pharmacotherapy. As such, it is incumbent upon clinicians/researchers who treat persons with neuropsychological conditions to consider seriously the information contained in this chapter, and in this volume. This will require a paradigm shift among all health care professionals, but the benefits to our patients are potentially enormous.
Everyday Technology in Healthcare: An Introduction
Published in Christopher M. Hayre, Dave J. Muller, Marcia J. Scherer, Everyday Technologies in Healthcare, 2019
Christopher M. Hayre, Dave J. Muller, Marcia J. Scherer
ANT offers an overarching framework of this book that may help interlink technology with pertinent phenomena. In addition, the emergence and development of technology is arguably leading us to become increasingly reliant upon everyday technology, and not simply for social purposes, but for the sustainability of good health. This leads us to acknowledge a paradigm shift in healthcare, whereby the everyday use of technology for organisations can also enable sound outcomes. Further, as technology becomes increasingly accessible and more affordable for consumers, it is likely to play an increasingly pivotal role to users worldwide when it comes to improving individual lives. Thus, by adopting an ANT lens, it can help infer greater understandings of both human and technological change in society, rather than simply considering each as a separate entity. It is therefore anticipated that this book can critically reflect, adapt and welcome innovative technological applications into the health environment and offer discussions outlining both opportunities and challenges.
Audiology students’ clinical communication and information giving practices during initial consultations: The impact of a brief intervention.
Published in Speech, Language and Hearing, 2023
Amisha Kanji, Jennifer Watermeyer, Mishkah Ismail
There has been a paradigm shift from clinician-centred to patient-centred interactional styles in the field of audiology over the years, whereby it is the professional’s responsibility to provide the patient with individualized information about their medical care, accompanied by collaborative decision making (Grenness et al., 2016; Ross & Deverell, 2004). The nature of communication in the interaction can influence the uptake of follow-up screening, diagnostic and/or audiological intervention services, which in turn influences functional outcomes for the patient (Coleman et al., 2018; Tai et al., 2018a). If patients do not understand the information provided by the audiologist and/or do not feel their concerns have been addressed, they may not adhere to management recommendations. Hence, communication is a fundamental clinical skill that is a core component of any audiological consultation, and if managed competently and effectively, can facilitate a positive therapeutic alliance between clinician and patient that ultimately promotes successful patient outcomes (Beck & Kulzer, 2018).
Population-based Assessment of Vision Impairment in the Elderly Population in Telangana State in India – Policy Implications for Eye Health Programmes
Published in Ophthalmic Epidemiology, 2021
Srinivas Marmamula, Rajesh Challa, Rohit C Khanna, Eswararao Kunkunu, Gullapalli N Rao
At the policy level, there is a need to bring about a paradigm shift in community health care. Traditionally, the primary focus of community health care is focussed on maternal and child health and infectious disease control. In India, the Accredited Social Health Activist (ASHA) workforce plays a key role in community health care.34,35 It is estimated that half a million people in our country are part of the ASHA workforce. If the scope of ASHA activity is extended to eye health the impact could be substantial.34,35 A BEST (Basic Eye Screening Test) protocol that was published recently can be applied as part of the routine health care for eye screening.36 The BEST method is a simple, quick and low cost protocol. The ASHA workers can be easily trained in using this protocol. The potential of ASHA workers in addressing the visual impairment at the primary level is reported.37
Embracing ambiguity: Curriculum design and activity theory
Published in Medical Teacher, 2021
The logical starting point for an innovative medical curriculum underpinned by CHAT was to define the object, or motivating force underlying medical education. We asked ourselves: ‘what do patients want from their doctors?’ We turned to an emergent literature discussing and evaluating authentic patient-centred approaches (reflecting patients’ views and not what doctors think patients want). While the descriptor ‘patient-centred’ was first introduced into medicine in the mid 1950s, the practice did not gain traction until the 1980s (Stewart et al. 1995; Bleakley 2014). Patient-centred medicine was a paradigm shift of enormous consequence, best understood “for what it is not—technology centred, doctor centred, hospital centred, disease centred” (Stewart 2001, p. 444). But it was not until the 1990s that patient-centred pedagogies acquired traction in medical education.