Clinical Implementation Research with Health Professional Students

Clinical Implementation Research with Health Professional Students

Author: Teresa Barry Hultquist

Publisher:

Published: 2017

Total Pages:

ISBN-13: 9781526423306

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Implementing existing knowledge and research about health behavior change with community-dwelling individuals requires engagement and partnering between patients and health professionals. Participation in clinical implementation research provides important learning opportunities for health professional students and faculty. Key to their experience is planning community-based health programs and then observing how that practice is actually adopted, implemented, and sustained in the real world by patients. This case study provides insight into challenges and opportunities when conducting clinical implementation research with advanced undergraduate health professional students. Students must understand their role in creating the environment for change to occur. In this case study, nursing students actively partnered with community-dwelling individuals to identify a realistic health behavior change, encourage adoption, measure progress and revise goals, and support maintenance of the change. Students were also integral in data collection and assisting patients to complete clinical research tools (action plans, Diabetes Empowerment Scale-Short Form, [DES-SF]). Training for students addressed intervention fidelity in applying tools and partnering with patients to develop action plans during home visitation, where there can be many distractions. Clear processes for entering and tracking research data at each site with centralized oversight was used to guide common implementation and avoid missing data, which is especially important when disseminating results to funding agencies and writing for publication. Participant and student satisfaction comments rated each clinical group's experience. Experiences and lessons learned have relevance for other clinical implementation research projects for all levels and disciplines of health professions students.


Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-09-28

Total Pages: 483

ISBN-13: 0309459575

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Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.


Reducing the Stigma of Mental Illness

Reducing the Stigma of Mental Illness

Author: Norman Sartorius

Publisher: Cambridge University Press

Published: 2005-05-26

Total Pages: 270

ISBN-13: 9780521549431

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Details the results of the Open Doors Programme, set up to fight the stigma/discrimination attached to schizophrenia.


Disenfranchised Grief

Disenfranchised Grief

Author: Kenneth J. Doka

Publisher: Jossey-Bass

Published: 1989-08-15

Total Pages: 376

ISBN-13:

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A comprehensive exploration of grief by leading researchers and mental health care professionals; grief as an entirely natural response to loss and the consequences when the grief or loss is not openly acknowledged, socially sanctioned, or publicly shared.


Knowledge Translation in Health Care

Knowledge Translation in Health Care

Author: Sharon E. Straus

Publisher: John Wiley & Sons

Published: 2011-08-24

Total Pages: 213

ISBN-13: 1444357255

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Health care systems worldwide are faced with the challenge of improving the quality of care. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation (KT), the scientific study of methods for closing the knowledge-to-action gap and of the barriers and facilitators inherent in the process, is gaining significance. Knowledge Translation in Health Care explains how to use research findings to improve health care in real life, everyday situations. The authors define and describe knowledge translation, and outline strategies for successful knowledge translation in practice and policy making. The book is full of examples of how knowledge translation models work in closing the gap between evidence and action. Written by a team of authors closely involved in the development of knowledge translation this unique book aims to extend understanding and implementation worldwide. It is an introductory guide to an emerging hot topic in evidence-based care and essential for health policy makers, researchers, managers, clinicians and trainees.


The Art of Communication in Nursing and Health Care

The Art of Communication in Nursing and Health Care

Author: Theresa Raphael-Grimm, PhD, CNS

Publisher: Springer Publishing Company

Published: 2014-10-10

Total Pages: 202

ISBN-13: 0826110568

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A handy guide to tackling difficult patient and professional interactions with confidence and compassion In this age of increasing reliance on technology, it is essential that the fundamentals of compassion and good communication—the art of patient care—remain at the heart of health care. This clear, concise guide to professional communication strategies helps nurses and other health care clinicians to build effective patient relationships and navigate a wide variety of difficult patient and professional interactions. Written by a practicing psychotherapist who has devoted nearly 30 years of study to clinician—patient relationships, the book tackles such complex issues as dealing with demanding patients, maintaining professional boundaries, overcoming biases and stereotypes, managing clinician emotions, communicating bad news, challenging a colleague’s clinical opinion, and other common scenarios. The book guides the reader through a conceptual framework for building effective relationships that is based on the principles of mindfulness. These principles are embedded in discussions of the fundamental elements of interpersonal effectiveness, such as hope, empathy, and listening. Chapters apply mindfulness principles to specific challenging situations with concrete examples that describe effective clinical behaviors as well as situations depicting pitfalls that may impede compassionate care. From a focus on everyday manners in difficult situations to beneficial approaches with challenging populations, the guide helps health care professionals confidently resolve common problems. Brief, to-the-point chapters help clinicians channel their clinical knowledge and good intentions into caring behaviors that allow the patient to more fully experience empathy and compassion. With the guiding theme of “using words as precision instruments,” this is a resource that will be referred to again and again. Key Features: • Helps health care professionals and nurses communicate effectively in challenging clinical and professional situations • Uses the principles of mindfulness to build satisfying relationships and resolve problems • Addresses such difficult issues as demanding patients, maintaining boundaries, overcoming biases, managing clinician emotions, and much more • Provides special tips for communicating with family members and caregivers • Authored by a practicing psychotherapist specializing in clinician—patient relationships for nearly 30 years


Temporomandibular Disorders

Temporomandibular Disorders

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2020-07-01

Total Pages: 427

ISBN-13: 0309670489

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Temporomandibular disorders (TMDs), are a set of more than 30 health disorders associated with both the temporomandibular joints and the muscles and tissues of the jaw. TMDs have a range of causes and often co-occur with a number of overlapping medical conditions, including headaches, fibromyalgia, back pain and irritable bowel syndrome. TMDs can be transient or long-lasting and may be associated with problems that range from an occasional click of the jaw to severe chronic pain involving the entire orofacial region. Everyday activities, including eating and talking, are often difficult for people with TMDs, and many of them suffer with severe chronic pain due to this condition. Common social activities that most people take for granted, such as smiling, laughing, and kissing, can become unbearable. This dysfunction and pain, and its associated suffering, take a terrible toll on affected individuals, their families, and their friends. Individuals with TMDs often feel stigmatized and invalidated in their experiences by their family, friends, and, often, the health care community. Misjudgments and a failure to understand the nature and depths of TMDs can have severe consequences - more pain and more suffering - for individuals, their families and our society. Temporomandibular Disorders: Priorities for Research and Care calls on a number of stakeholders - across medicine, dentistry, and other fields - to improve the health and well-being of individuals with a TMD. This report addresses the current state of knowledge regarding TMD research, education and training, safety and efficacy of clinical treatments of TMDs, and burden and costs associated with TMDs. The recommendations of Temporomandibular Disorders focus on the actions that many organizations and agencies should take to improve TMD research and care and improve the overall health and well-being of individuals with a TMD.


The Handbook of Behavior Change

The Handbook of Behavior Change

Author: Martin S. Hagger

Publisher: Cambridge University Press

Published: 2020-07-15

Total Pages: 730

ISBN-13: 1108750117

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Social problems in many domains, including health, education, social relationships, and the workplace, have their origins in human behavior. The documented links between behavior and social problems have compelled governments and organizations to prioritize and mobilize efforts to develop effective, evidence-based means to promote adaptive behavior change. In recognition of this impetus, The Handbook of Behavior Change provides comprehensive coverage of contemporary theory, research, and practice on behavior change. It summarizes current evidence-based approaches to behavior change in chapters authored by leading theorists, researchers, and practitioners from multiple disciplines, including psychology, sociology, behavioral science, economics, philosophy, and implementation science. It is the go-to resource for researchers, students, practitioners, and policy makers looking for current knowledge on behavior change and guidance on how to develop effective interventions to change behavior.


Cancer Care for the Whole Patient

Cancer Care for the Whole Patient

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2008-03-19

Total Pages: 455

ISBN-13: 0309134161

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Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met.