The Experts below are selected from a list of 62256 Experts worldwide ranked by ideXlab platform
Anna R Gagliardi - One of the best experts on this subject based on the ideXlab platform.
-
approaches to optimize patient and family engagement in Hospital Planning and improvement qualitative interviews
2021Co-Authors: Natalie N Anderson, Ross G Baker, Lesley Moody, Kerseri Scane, Robin Urquhart, Walter P Wodchis, Anna R GagliardiAbstract:BACKGROUND Patient engagement (PE) in health-care Planning and improvement is a growing practice. We lack evidence-based guidance for PE, particularly in Hospital settings. This study explored how to optimize PE in Hospitals. METHODS This study was based on qualitative interviews with individuals in various roles at Hospitals with high PE capacity. We asked how patients were engaged, rationale for approaches chosen and solutions for key challenges. We identified themes using content analysis. RESULTS Participants included 40 patient/family advisors, PE managers, clinicians and executives from 9 Hospitals (2 < 100 beds, 4 100 + beds, 3 teaching). Hospitals most frequently employed collaboration (standing committees, project teams), followed by blended approaches (collaboration + consultation), and then consultation (surveys, interviews). Those using collaboration emphasized integrating perspectives into decisions; those using consultation emphasized capturing diverse perspectives. Strategies to support engagement included engaging diverse patients, prioritizing what benefits many, matching patients to projects, training patients and health-care workers, involving a critical volume of patients, requiring at least one patient for quorum, asking involved patients to review outputs, linking PE with the Board of Directors and championing PE by managers, staff and committee/team chairs. CONCLUSION This research generated insight on concrete approaches and strategies that Hospitals can use to optimize PE for Planning and improvement. On-going research is needed to understand how to recruit diverse patients and best balance blended consultation/collaboration approaches. PATIENT OR PUBLIC CONTRIBUTION Three patient research partners with Hospital PE experience informed study objectives and interview questions.
-
Approaches to optimize patient and family engagement in Hospital Planning and improvement: Qualitative interviews
2021Co-Authors: Natalie N Anderson, Ross G Baker, Lesley Moody, Kerseri Scane, Robin Urquhart, Walter P Wodchis, Anna R GagliardiAbstract:Abstract Background Patient engagement (PE) in health‐care Planning and improvement is a growing practice. We lack evidence‐based guidance for PE, particularly in Hospital settings. This study explored how to optimize PE in Hospitals. Methods This study was based on qualitative interviews with individuals in various roles at Hospitals with high PE capacity. We asked how patients were engaged, rationale for approaches chosen and solutions for key challenges. We identified themes using content analysis. Results Participants included 40 patient/family advisors, PE managers, clinicians and executives from 9 Hospitals (2
Natalie N Anderson - One of the best experts on this subject based on the ideXlab platform.
-
approaches to optimize patient and family engagement in Hospital Planning and improvement qualitative interviews
2021Co-Authors: Natalie N Anderson, Ross G Baker, Lesley Moody, Kerseri Scane, Robin Urquhart, Walter P Wodchis, Anna R GagliardiAbstract:BACKGROUND Patient engagement (PE) in health-care Planning and improvement is a growing practice. We lack evidence-based guidance for PE, particularly in Hospital settings. This study explored how to optimize PE in Hospitals. METHODS This study was based on qualitative interviews with individuals in various roles at Hospitals with high PE capacity. We asked how patients were engaged, rationale for approaches chosen and solutions for key challenges. We identified themes using content analysis. RESULTS Participants included 40 patient/family advisors, PE managers, clinicians and executives from 9 Hospitals (2 < 100 beds, 4 100 + beds, 3 teaching). Hospitals most frequently employed collaboration (standing committees, project teams), followed by blended approaches (collaboration + consultation), and then consultation (surveys, interviews). Those using collaboration emphasized integrating perspectives into decisions; those using consultation emphasized capturing diverse perspectives. Strategies to support engagement included engaging diverse patients, prioritizing what benefits many, matching patients to projects, training patients and health-care workers, involving a critical volume of patients, requiring at least one patient for quorum, asking involved patients to review outputs, linking PE with the Board of Directors and championing PE by managers, staff and committee/team chairs. CONCLUSION This research generated insight on concrete approaches and strategies that Hospitals can use to optimize PE for Planning and improvement. On-going research is needed to understand how to recruit diverse patients and best balance blended consultation/collaboration approaches. PATIENT OR PUBLIC CONTRIBUTION Three patient research partners with Hospital PE experience informed study objectives and interview questions.
-
Approaches to optimize patient and family engagement in Hospital Planning and improvement: Qualitative interviews
2021Co-Authors: Natalie N Anderson, Ross G Baker, Lesley Moody, Kerseri Scane, Robin Urquhart, Walter P Wodchis, Anna R GagliardiAbstract:Abstract Background Patient engagement (PE) in health‐care Planning and improvement is a growing practice. We lack evidence‐based guidance for PE, particularly in Hospital settings. This study explored how to optimize PE in Hospitals. Methods This study was based on qualitative interviews with individuals in various roles at Hospitals with high PE capacity. We asked how patients were engaged, rationale for approaches chosen and solutions for key challenges. We identified themes using content analysis. Results Participants included 40 patient/family advisors, PE managers, clinicians and executives from 9 Hospitals (2
Harold Ellis - One of the best experts on this subject based on the ideXlab platform.
-
florence nightingale nurse and public health pioneer
2010Co-Authors: Harold EllisAbstract:August 2010 marks the centenary of the death of Florence Nightingale, who must be, without doubt, the most famous name in nursing. Most people, even those in the health professions, think of her as 'The Lady with the Lamp'; the heroine of the Crimean War, who tended the sick and wounded soldiers at Scutari. Important though this was, her main contribution, which continued long after Crimea, was in the organization of nursing training, in Hospital Planning, public and military health, and in effective collection of medical statistics.
-
florence nightingale creator of modern nursing and public health pioneer
2008Co-Authors: Harold EllisAbstract:: In starting this series of articles on distinguished women in nursing, medicine and the related healthcare professions, the choice of the first name is obvious. Florence Nightingale is, I suggest, the most famous female in the long history of medicine and is a name that is known and revered throughout the world. Most people--even those in 'the trade'--think of her as 'the lady with the lamp', the heroine who went out to the Crimean War and nursed the sick and wounded at Scutari. Important though this was, her main contribution was her continued work, long after the war, in nursing organisation and training, Hospital Planning, public and military health and her pioneering work in the efficient gathering of medical statistics.
Lorelei Jones - One of the best experts on this subject based on the ideXlab platform.
-
policy as discursive practice an ethnographic study of Hospital Planning in england
2016Co-Authors: Lorelei JonesAbstract:This thesis considers how policy ‘works’ as an instrument of governance. I report an ethnographic study of health care policy in the contested field of Hospital Planning. In this study I explored how a controversial policy to centralise Hospital services was presented in national policy documents and implemented in one locality in England. I identified a shift in the framing of the policy, from one that presented centralisation as a means of improving access and making services more responsive to patients, to one of clinical necessity. In the new framing plans to close Hospital services were presented as clinical decisions that were based on the evidence and necessary to ensure safety. I have interpreted this framing as a rhetorical strategy deployed at both national and local levels with the aim of realising change in the face of community resistance to closing local Hospitals and a concomitant policy rhetoric emphasising the need to involve the public in decisions about how services are provided. Although the persuasive power of the framing was limited, a more insidious form of power was identified in the way the framing disguised the political nature of the issue by defining it as a clinical problem. The framing had the effect of restricting the extent to which alternative courses of action could be considered, and undermined public participation in decisions about the delivery and organisation of services. My thesis is that, beyond the often quite obvious use of rhetoric, power operates in policy practices in ways that are often difficult to see. Central to these processes are medical knowledge and expertise which serve to frame the debate, shaping how the problem is understood, which solutions are considered (and which are not) and who is included in decision making. To the extent that health services research is orientated to problems as defined by policy makers and service managers, and in our adoption of the scientific paradigm, we are implicated in these processes. The knowledge and analytic techniques of health services research constitute an indirect control technology, shaping how an issue is understood, creating subjectivities and assigning authority, constructing versions of health care, and influencing the practice of health care professionals. I conclude by proposing a reorientation from ‘science’ to ‘scholarship’. Unlike the scientific paradigm which abstracts policy issues from their social and cultural context, scholarship assumes that policy issues can only be understood in their relational settings. Scholarship supports public deliberation of policy issues and is of practical benefit to decision-makers, opening up policy options and illuminating the different perspectives on policy issues and thereby contributing to more creative, more acceptable, and more effective policies.
-
framing in policy processes a case study from Hospital Planning in the national health service in england
2015Co-Authors: Lorelei Jones, Mark ExworthyAbstract:This paper reports from an ethnographic study of Hospital Planning in England undertaken between 2006 and 2009. We explored how a policy to centralise Hospital services was espoused in national policy documents, how this shifted over time and how it was translated in practice. We found that policy texts defined Hospital Planning as a clinical issue and framed decisions to close Hospitals or Hospital departments as based on the evidence and necessary to ensure safety. We interpreted this framing as a rhetorical strategy for implementing organisational change in the context of community resistance to service closure and a concomitant policy emphasising the importance of public and patient involvement in Planning. Although the persuasive power of the framing was limited, a more insidious form of power was identified in the way the framing disguised the political nature of the issue by defining it as a clinical problem. We conclude by discussing how the clinical rationale constrains public participation in decisions about the delivery and organisation of healthcare and restricts the extent to which alternative courses of action can be considered.
Mark Exworthy - One of the best experts on this subject based on the ideXlab platform.
-
framing in policy processes a case study from Hospital Planning in the national health service in england
2015Co-Authors: Lorelei Jones, Mark ExworthyAbstract:This paper reports from an ethnographic study of Hospital Planning in England undertaken between 2006 and 2009. We explored how a policy to centralise Hospital services was espoused in national policy documents, how this shifted over time and how it was translated in practice. We found that policy texts defined Hospital Planning as a clinical issue and framed decisions to close Hospitals or Hospital departments as based on the evidence and necessary to ensure safety. We interpreted this framing as a rhetorical strategy for implementing organisational change in the context of community resistance to service closure and a concomitant policy emphasising the importance of public and patient involvement in Planning. Although the persuasive power of the framing was limited, a more insidious form of power was identified in the way the framing disguised the political nature of the issue by defining it as a clinical problem. We conclude by discussing how the clinical rationale constrains public participation in decisions about the delivery and organisation of healthcare and restricts the extent to which alternative courses of action can be considered.