Journal of primary health care最新文献_第9页

New Zealand hospice staff perspectives on 'Xcellent Gowns' for big bodied palliative care patients: a qualitative study. 新西兰临终关怀工作人员对大型姑息治疗患者的“Xcellent Gowns”的看法：一项定性研究。

IF 1.2

Journal of primary health care Pub Date : 2023-09-01 DOI: 10.1071/HC23009

Jazmin Phillips, Emily Wood, Tanya Loveard, Eileen McKinlay, Carol MacDonald, George Parker, Lesley Gray

{"title":"New Zealand hospice staff perspectives on 'Xcellent Gowns' for big bodied palliative care patients: a qualitative study.","authors":"Jazmin Phillips, Emily Wood, Tanya Loveard, Eileen McKinlay, Carol MacDonald, George Parker, Lesley Gray","doi":"10.1071/HC23009","DOIUrl":"https://doi.org/10.1071/HC23009","url":null,"abstract":"Introduction A handful of reports detail efforts to redesign traditional hospital gowns to address common concerns related to patient comfort and privacy for big bodied patients. Results suggest that improving gown design has the potential to improve both the patient and carer experience and satisfaction of care. Aim This study aimed to ascertain the utility of gowns purposely designed for big bodied patients (named Xcellent Gowns) from a staff perspective. Methods Qualitative semi-structured interviews were conducted in 2022 with 14 hospice staff members. Interview transcripts were uploaded to DedooseTM . Data were analysed utilising reflexive thematic analysis according to a six-phase process including data familiarisation, iterative data coding, and theme development and refinement. Results The qualitative analysis of the interview data identified four main themes: (1) the gown experience, (2) fit-for-purpose, (3) love and dignity, (4) design principles. Each theme is presented and discussed with illustrative quotes from participants' interview transcripts. Discussion The perspectives of the staff participants in this study confirm research findings from other healthcare settings, that the patient and carer experience may be improved through focused redesign of this vital item of patient clothing.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"15 3","pages":"238-245"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41139646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Defining comprehensiveness in primary care: a scoping review. 界定初级保健的全面性：范围界定审查。

IF 1.2

Journal of primary health care Pub Date : 2023-09-01 DOI: 10.1071/HC23067

Derek Baughman, Rafay Nasir, Lynda Ngo, Andrew Bazemore

{"title":"Defining comprehensiveness in primary care: a scoping review.","authors":"Derek Baughman, Rafay Nasir, Lynda Ngo, Andrew Bazemore","doi":"10.1071/HC23067","DOIUrl":"https://doi.org/10.1071/HC23067","url":null,"abstract":"Introduction The term comprehensiveness was introduced into the literature as early as the 1960s and is regarded as a core attribute of primary care. Although comprehensive care is a primary care research priority encompassing patient and provider experience, cost, and health outcomes, there has been a lack of focus on consolidating existing definitions. Aim To unify definitions of comprehensiveness in primary care. Methods The PRISMA extension for scoping reviews was followed, hierarchically filtering 'comprehensiveness' MeSH terms and literature-defined affiliated terms. Snowballing methods were used to include additional literature from known experts. Articles were systematically reviewed with a three-clinician team. Results The initial search populated 679 607 articles, of which 25 were included. Identified key terms include: whole-person care (WPC), range of services, and referral to specialty care. WPC is the extent which primary care physicians (PCPs) consider the physical, emotional, and social aspects of a patient's health. It has been shown to positively impact clinical costs and outcomes, satisfaction, and trust. Range of services encompasses most health problems to reduce unnecessary spending on specialty care and promote continuity. Referral to specialty care is utilized when PCPs cannot provide the necessary services - balancing depth and breadth of care with the limitations of primary care scope. Discussion This scoping review unified the interrelatedness of comprehensiveness's main aspects - whole-person care, range of services, and referral to specialty care - framing a working, evidence-based definition: managing most medical care needs and temporarily complementing care with special integrated services in the context of patient's values, preferences, and beliefs.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"15 3","pages":"253-261"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41141536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Ganoderma lucidum. 灵芝。

IF 1.2

Journal of primary health care Pub Date : 2023-09-01 DOI: 10.1071/HC23105

Aleksandra Milosavljevic, Jo Barnes

引用次数: 49

Nurse prescriber's understanding of their antimicrobial stewardship role: a qualitative study. 开处方护士对其抗菌药物管理作用的理解：一项定性研究。

IF 1.2

Journal of primary health care Pub Date : 2023-09-01 DOI: 10.1071/HC23006

Anecita Gigi Lim, Dianne C Marshall, Kenzie Roberts, Michelle L L Honey

{"title":"Nurse prescriber's understanding of their antimicrobial stewardship role: a qualitative study.","authors":"Anecita Gigi Lim, Dianne C Marshall, Kenzie Roberts, Michelle L L Honey","doi":"10.1071/HC23006","DOIUrl":"https://doi.org/10.1071/HC23006","url":null,"abstract":"Introduction Antimicrobial resistance is an infectious disease threat to public health globally, and antimicrobial stewardship among healthcare professionals is one key way to address this potential problem. Registered nurse designated prescribers are the newest group of health professionals to gain prescribing authority in Aotearoa New Zealand, yet little is known about their understanding of their antimicrobial stewardship role. Aim The aim of this study was to explore registered nurse designated prescribers' understanding of their antimicrobial stewardship role through their prescribing practices and approaches to clinical reasoning. Methods This exploratory descriptive qualitative study used individual semi-structured interviews with six registered nurse designated prescribers. Thematic analysis was used to analyse the interviews. Results Four themes were identified: antibiotic prescribing practices and antimicrobial resistance; clinical indicators for prescribing antibiotics, with the sub-themes of history taking, presence of infection and bacterial versus viral infection; patient education; and safety and monitoring. These themes provide insight into registered nurse designated prescribers' understanding of their antimicrobial stewardship role and prescribing of antibiotics. Discussion This research found that the registered nurse designated prescribers had an awareness of the importance of their antimicrobial stewardship role in relation to antibiotic prescribing and reducing antimicrobial resistance. Education about antimicrobial resistance and antimicrobial stewardship for this professional group can be effective, but further research is needed to understand their ongoing educational needs.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"15 3","pages":"274-280"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41118923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Changing patterns of otitis media in the Waikato region during the COVID-19 pandemic. 新冠肺炎大流行期间怀卡托地区中耳炎的变化模式。

IF 1.2

Journal of primary health care Pub Date : 2023-09-01 DOI: 10.1071/HC23026

Andre Becker, Ha Nguyen, Michael Becker, Andrew Wood, Ross Lawrenson

{"title":"Changing patterns of otitis media in the Waikato region during the COVID-19 pandemic.","authors":"Andre Becker, Ha Nguyen, Michael Becker, Andrew Wood, Ross Lawrenson","doi":"10.1071/HC23026","DOIUrl":"https://doi.org/10.1071/HC23026","url":null,"abstract":"Introduction Acute otitis media (AOM) is a common condition of children encountered in general practice. A proportion of children develop otitis media with effusion (OME), which may require tympanostomy and ventilation tube insertion. Aim The aim of the study was to compare the incidence of AOM in Māori and New Zealand (NZ) European children in general practice and the referral practices to secondary care for tympanostomy and ventilation tube insertion. Methods The study was conducted in two parts: (1) an analysis of the incidence of AOM and OME in a rural Waikato general practice (Ōtorohanga) with a high Māori population over a 2-year period; and (2) an analysis of all referrals to the otorhinolaryngology (ORL) department at Waikato District Health Board and tympanostomy and ventilation tube insertion by this service over the same period. Results The incidence of AOM was similar in Māori compared with NZ European children. The incidence declined significantly between 2019 and 2020 and 50% of children with AOM were treated with antibiotics. Referral rates to the ORL department were greater for Māori compared with NZ European children as were tympanostomy and ventilation tube insertion rates. Discussion Although AOM is common, OME was rarely diagnosed. The clinical guidelines regarding antibiotic use for common conditions are not being readily adopted and further research is needed into this matter. The COVID-19 pandemic had a substantial effect on demand both in general practice and in the hospital sector. This may have been due to a reduction in the incidence of AOM or due to system changes caused by the pandemic.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"15 3","pages":"224-229"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41136033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Is the extra expense for blue-light filtering glass in spectacles worth it? 眼镜中的蓝光过滤玻璃的额外费用值得吗？

IF 1.2

Journal of primary health care Pub Date : 2023-09-01 DOI: 10.1071/HC23101

Vanessa Jordan

引用次数: 1

Promoting the use of long-acting reversible contraceptives to reduce unplanned pregnancies 推广使用长效可逆避孕药具，减少意外怀孕

IF 1.2

Journal of primary health care Pub Date : 2023-08-16 DOI: 10.7748/phc.2023.e1800

E. Jones

引用次数: 1

Health visitor workload: an integrative review of the literature 健康访客工作量:文献的综合回顾