Background: Urban slums are characterised by unique challenging living conditions, which increase their inhabitants’ vulnerability to specific health conditions. The identification and prioritization of the key health issues occurring in these settings is essential for the development of programmes that aim to enhance the health of local slum communities effectively. As such, the present study sought to identify and prioritise the key health issues occurring in urban slums, with a focus on the perceptions of health professionals and community workers, in the rapidly growing city of Bangalore, India. Methods: The study followed a two-phased mixed methods design. During Phase I of the study, a total of 60 health conditions belonging to four major categories: - 1) non-communicable diseases; 2) infectious diseases; 3) maternal and women’s reproductive health; and 4) child health - were identified through a systematic literature review and semi-structured interviews conducted with health professionals and other relevant stakeholders with experience working with urban slum communities in Bangalore. In Phase II, the health issues were prioritised based on four criteria through a consensus workshop conducted in Bangalore. Results: The top health issues prioritized during the workshop were: diabetes and hypertension (non-communicable diseases category), dengue fever (infectious diseases category), malnutrition and anaemia (child health, and maternal and women’s reproductive health categories). Diarrhoea was also selected as a top priority in children. These health issues were in line with national and international reports that listed them as top causes of mortality and major contributors to the burden of diseases in India. Conclusions: The results of this study will be used to inform the development of technologies and the design of interventions to improve the health outcomes of local communities. Identification of priority health issues in the slums of other regions of India, and in other low and lower middle-income countries, is recommended.
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This paper aims to offer a critical reflection on the way Talent Management (TM) is investigated in practice, by addressing the key issues regarding the quality (in terms of rigor and relevance) of academic empirical TM research and therefore the critical scrutiny of TM scholars’ work. We will argue that despite the growth in the quantity, the quality of many empirical TM papers is lagging behind and hindering the progress of the academic field of TM.
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Cancer and its treatments cause significant changes in sexuality that affect the quality of life of both patients and their partners. As these issues are not always discussed with healthcare professionals, cancer patients turn to online health communities to find answers to questions or for emotional support pertaining to sexual issues. By using a discursive psychological perspective, we explore the social actions that participants in online health forums perform when discussing sexuality. Data were collected by entering search terms in the search bars of three online health forums. Our analysis of 213 threads, containing 1,275 posts, provides insight into how participants who present themselves as women with cancer account for their sexual issues and, in doing so, orient to two intertwined norms: Having untroubled sex is part of a couple’s relationship, and male partners are entitled to having untroubled sex. We discuss the potential harmful consequences of orienting to norms related to sexual behaviour. Yet, our findings can also help healthcare professionals in broaching the topic of sexuality in conversations with cancer patients. The insights of this study into what female patients themselves treat as relevant can assist health professionals in better aligning with patients’ interactional concerns.
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Rational prescribing is essential for the quality of health care. However, many final-year medical students and junior doctors lack prescribing competence to perform this task. The availability of a list of medicines that a junior doctor working in Europe should be able to independently prescribe safely and effectively without supervision could support and harmonize teaching and training in clinical pharmacology and therapeutics (CPT) in Europe. Therefore, our aim was to achieve consensus on such a list of medicines that are widely accessible in Europe. For this, we used a modified Delphi study method consisting of three parts. In part one, we created an initial list based on a literature search. In part two, a group of 64 coordinators in CPT education, selected via the Network of Teachers in Pharmacotherapy of the European Association for Clinical Pharmacology and Therapeutics, evaluated the accessibility of each medicine in his or her country, and provided a diverse group of experts willing to participate in the Delphi part. In part three, 463 experts from 24 European countries were invited to participate in a 2-round Delphi study. In total, 187 experts (40%) from 24 countries completed both rounds and evaluated 416 medicines, 98 of which were included in the final list. The top three Anatomical Therapeutic Chemical code groups were (1) cardiovascular system (n = 23), (2) anti-infective (n = 21), and (3) musculoskeletal system (n = 11). This European List of Key Medicines for Medical Education could be a starting point for country-specific lists and could be used for the training and assessment of CPT.
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Stel dat vijf mensen uit verschillende domeinen en met verschillende nationaliteiten samenwerken aan een praktijkopdracht in Den Haag. Eén van de groepsleden is Guido, een ICT-student uit Italië en een andere is Marie, verpleegkundedocent van de Academie voor Gezondheid van De Haagse Hogeschool (HHS). Verder zitten Jeremy, een Nederlandse student Voeding en Diëtetiek, Indy een internationale student Social Work uit India en Marja, de Finse gastdocente, in de projectgroep. Wanneer deze mensen, vanuit verschillende kennisdomeinen en met verschillende nationaliteiten samenwerken aan een echte praktijkopdracht kunnen ze niet alleen veel van elkaar leren, maar ook de beroepspraktijk een stapje verder helpen. In dit artikel wordt het ontwerp van een internationaal global health programma van De Haagse Hogeschool gepresenteerd, waarvan de pilot is afgerond. In april verscheen het artikel 'Het ontwerpen van een internationaal global health programma' in Onderwijs en gezondheidzorg, uitgave van het kennisplatform voor opleiders in de zorg, nummer 3, april 2014, zie www.onderwijsengezondheidszorg.nl
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Purpose: The aims of this study were to investigate how a variety of research methods is commonly employed to study technology and practitioner cognition. User-interface issues with infusion pumps were selected as a case because of its relevance to patient safety. Methods: Starting from a Cognitive Systems Engineering perspective, we developed an Impact Flow Diagram showing the relationship of computer technology, cognition, practitioner behavior, and system failure in the area of medical infusion devices. We subsequently conducted a systematic literature review on user-interface issues with infusion pumps, categorized the studies in terms of methods employed, and noted the usability problems found with particular methods. Next, we assigned usability problems and related methods to the levels in the Impact Flow Diagram. Results: Most study methods used to find user interface issues with infusion pumps focused on observable behavior rather than on how artifacts shape cognition and collaboration. A concerted and theorydriven application of these methods when testing infusion pumps is lacking in the literature. Detailed analysis of one case study provided an illustration of how to apply the Impact Flow Diagram, as well as how the scope of analysis may be broadened to include organizational and regulatory factors. Conclusion: Research methods to uncover use problems with technology may be used in many ways, with many different foci. We advocate the adoption of an Impact Flow Diagram perspective rather than merely focusing on usability issues in isolation. Truly advancing patient safety requires the systematic adoption of a systems perspective viewing people and technology as an ensemble, also in the design of medical device technology.
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ABSTRACT This study investigates how perceptions of radicalisation and co-occurring mental health issues differ between mental health care and the security domain, and how these perceptions affect intersectoral collaboration. It is generally thought that intersectoral collaboration is a useful strategy for preventing radicalisation and terrorism, especially when it concerns radicalised persons with mental health issues. It is not clear, however, what perceptions professionals have of radicalisation and collaboration with other disciplines. Data was obtained from focus groups and individual interviews with practitioners and trainers from mental health care and the security domain in the Netherlands. The results show a lack of knowledge about radicalisation in mental health care, whereas in the security domain, there is little understanding of mental health issues. This leads to a mad-bad dichotomy which has a negative effect on collaboration and risk management. Improvement of the intersectoral collaboration by cross-domain familiarization, and strengthening of trust and mutual understanding, should begin with the basic training of professionals in both domains. The Care and Safety Houses in the Netherlands offer a sound base for intersectoral collaboration. Future professionals from different domains ought to be familiarized with each other’s possibilities, limitations, tasks, and roles.
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De Haagse Hogeschool wil haar studenten competenties laten verwerven om in een internationaal en cultureel gedifferentieerde omgeving te kunnen werken (HHS, 2013). De gezondheidszorg is immers geen nationaal geïsoleerd fenomeen meer (Van der Hulst, 2011). Globalisering dwingt ons tot het verbreden van onze blik en het aangaan van samenwerkingsrelaties om kennis en ervaringen uit te wisselen. Niet alleen met andere landen, maar ook binnen ons eigen land, omdat de huidige en toekomstige Nederlandse arbeidsmarkt steeds internationaler wordt. Voor de huidtherapeuten, diëtisten en verpleegkundigen van de Academie voor Gezondheid betekent dit bijvoorbeeld dat zij in toenemende mate zorg verlenen in een internationale context: met collega’s en patiënten uit verschillende landen en met een diversiteit van culturele achtergronden. Toekomstige diëtisten, huidtherapeuten en verpleegkundigen moeten daarom beschikken over de nodige competenties om in deze international omgeving te functioneren. Maar: hoe richt je het onderwijs zo in dat studenten werkelijk de gelegenheid krijgen deze competenties te ontwikkelen? In studiejaar 2013-2014 is de Academie voor Gezondheid gestart met een pilot voor het internationale programma ‘New Interconnected Citizens for Global Health’. Deze pilot wordt volgend jaar uitgebreid en vanaf studiejaar 2015-2016 volgen alle studenten van de academie dit programma. In dit artikel wordt ingegaan op hoe dit programma tot stand is gekomen, hoe het in de praktijk gestalte kreeg en is geëvalueerd. Wij besluiten het artikel met een vooruitblik op het volgend studiejaar. LinkedIn: https://www.linkedin.com/in/froukje-jellema-78733a63/ https://www.linkedin.com/in/anita-ham-53297921/ https://www.linkedin.com/in/dorien-voskuil-9b27b115/
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This article describes the relation between mental health and academic performance during the start of college and how AI-enhanced chatbot interventions could prevent both study problems and mental health problems.
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