In-hospital interventions to promote relational practice with families in acute care settings: A scoping review

Relational practice is characterised by genuine interaction between families and healthcare professionals that promotes trust and empowerment. Positive clinical outcomes have been associated with relational practice. To assess and examine in-hospital interventions designed to promote relational practice with families in acute care settings of emergency departments, intensive care units and high care units. The preferred reporting Items for Systematic Reviews and Meta-Analyses guidelines informed the design of this scoping review. To identify relevant studies, databases (Academic Search Complete; CINAHL; PubMed; PsyInfo) and the search engine Google Scholar were searched using terms for core elements of relational practice and family engagement. Of the 117 articles retrieved, eight interventional studies met the search criteria. The interventions focused on relational practice elements of collaborating with and creating safe environments for families, whilst only one addressed healthcare professionals being respectful of families' needs and differences. In relation to the nature of engagement of families in interventions, the focus was mainly on improving family functioning. Family engagement in the interventions was focused on involving families in decision-making. The scoping review revealed a limited number of in-hospital interventions designed to promote relational practice with families in acute care settings. Further research is encouraged to develop such interventions. Contribution: The scoping review has highlighted specific elements of relational practice that have been overlooked in the mapped interventions. This provides guidance on where future interventional research may be focused.

Bibliometric analysis of Ghana publications in the Science Citation Index Expanded / Análisis bibliométrico de las publicaciones de Ghana en el Índice de Citación de Ciencia

Abstract Ghana is a West African country for which apparently there are limited scientometric studies. The objective of this study was to analyze the Ghanaian contribution to knowledge captured in the Thomson Reuters Science Citation Index Expanded (SCI-EXPANDED) database from 1936 - 2016. The following data were analyzed: document type, the language of publication, publication trend, Web of Science Subject Categories, Journals, international collaboration, institutions, authors, and highly cited articles. Indicators such as the total number of articles, first author articles, and corresponding author articles were applied to compare publication performance for collaborative countries and institutions. Also, number of single institute articles: number of nationally collaborative articles: number of internationally collaborative articles (S : N : I) were also used to compare publication characteristics of institutions in Ghana. Results showed that publication trend increased from 1998 to 2015, with researches focusing on health and medicine. PLoS One was the top productive journal, and the most collaborative country for Ghana articles was the USA. Contributions from the University of Ghana were ranked the top one institution for Ghana articles, and higher citation papers were found in international collaborations. In conclusion, the contribution to knowledge of Ghanaian authors is massive in the areas of public, environmental and occupational health and tropical medicine but the impact factor is higher for immunology, infectious diseases, and microbiology articles. Therefore, Ghanaian authors are encouraged to publish more articles in high impact factor journals with Thomson Reuters Scientific indexing in order to have their researches recognized by the existing international databases. Rev. Biol. Trop. 66(1): 106-121. Epub 2018 March 01.

Resumen Ghana es un país del oeste de África para el cual aparentemente hay limitados estudios cienciométricos. El objetivo de este estudio fue analizar la contribución de Ghana al conocimiento capturado en la base de datos del Índice de Citación Expandido de Ciencia Thomson Reuters (SCI-EXPANDED) de 1936-2016. Se analizaron los siguientes datos: tipo de documento, lenguaje de la publicación, tendencia de la publicación, categorías temáticas de Web of Science, revistas, colaboración internacional, instituciones, autores y artículos frecuentemente citados. Los indicadores como el número total de artículos, artículos de primer autor y artículos de autor de correspondencia se aplicaron para comparar el rendimiento de publicación de países e instituciones colaboradoras. También la cantidad de artículos de una institución: la cantidad de artículos de colaboración nacional: la cantidad de artículos de colaboración internacional (S:N:I) se utilizaron para comparar las características de publicación de las instituciones de Ghana. Los resultados muestran que la tendencia de publicación incrementó de 1998 al 2015 con investigaciones enfocadas en salud y medicina. PLoS One fue la revista más productiva y el país más colaborador para los artículos de Ghana fue EE.UU. Las contribuciones de la Universidad de Ghana se clasificaron como los mejores artículos de Ghana y los artículos con mayores citaciones fueron los de colaboración internacional. En conclusión, la distribución del conocimiento de autores Ghaneses es masiva en las áreas público, ambiental y salud ocupacional y medicina tropical pero el factor de impacto es más alto en artículos de inmunología, enfermedades infecciosas y microbiología. Por lo tanto, los autores Ghaneses están alentados a publicar más artículos en revistas de alto factor de impacto con el Índice de Citación Expandido de Ciencia Thomson Reuters para que sus publicaciones sean reconocidas por las bases de datos internacionales existentes.

Application of nursing-coordination-led multidisciplinary collaboration model in treatment of patients with post-stroke swallowing disorder / 现代临床护理

Objective To study the effect of nursing-coordination-led multidisciplinary collaboration model in the treatment of patients with post-stroke swallowing disorder. Methods About 120 patients who suffered from post-stroke swallowing disorder were randomly divided into two groups:60 patients in the multidisciplinary collaboration group and 60 patients in the control group. In the latter, the patients were treated with conventional deglutition treatment and rehabilitation care, and those in the former were treated on the multidisciplinary collaboration model. The two groups were compared in terms of swallow function, nutrition and physiologicalsituations before and one month after their treatment. Result The swallow function, nutrition and physiological situation in the collaboration group were significantly better than those of the control group (P<0.05). Conclusion The treatment on the nursing-coordination-led multidisciplinary collaboration can effectively improve the patients' swallow function and their nutrition conditions and alleviate the physiological pressure, which is good for their recovery.

A bibliometric analysis of SCI publications on traditional Chinese medicine by researchers from China, Japan, and Korea / 中草药

A bibliometric analysis was performed on Science Citation Index Expanded (SCIE) from the aspects of the amounts of publications and citations, language, journals, subject categories, organizations, and international collaborations. The amounts of total publications and citations of China have largely exceeded Japan and Korea, and the amounts of citations per article are close to each other. More than 97% of papers are written in English. The impact factors of Top 10 journals sorted by number of publications are from 1 to 3. The most appear categories are integrative & complementary medicine, pharmacology & pharmacy, and chemistry. Pharmacology pharmacy, chemistry, and biochemistry molecular biology are the Top 3 subjects that sorted by the number of publications of traditional Chinese medicine (TCM). Both the amount of publications and citations of the Top 3 subjects are bigger than the subject of integrative complementary medicine. Chinese academy of science and comprehensive universities, whose amount of publications and citations per article are generally higher than universities of TCM, are important participants in the research of TCM. The rate of international collaboration of China is lower than those in Japan and Korea. The number of citations per article of international collaboration publications is higher than domestic publications. The research ability of scientists from China, Japan, and Korea is close to each other in the subject of TCM. But China has advantages in the amount of publications and citations. For TCM, the development of pharmacology pharmacy is ahead of therapeutic method. Compared with Chinese academy of science and comprehensive universities, TCM universities need to improve their scientific performance. Because the international scientific collaboration is insufficient, scientific international collaborations need to be strengthened by researchers from China.

Municipal trusteeship of district-launched medical institutions: experiment at Beijing Children′s Hospital / 中华医院管理杂志

The paper introduced the background and concepts of municipal trusteeship of district-launched medical institutions, with the trusteeship of women and children′s hospital of Shunyi district as an example.In addition to the main approaches and contributions in improving hospital management, delivery of quality medical resources to primary care, and capacity building, the authors called for the support for standardized healthcare, respect for original hospital culture, and sustained government support to the hospital in question among other points, for reference of further public hospital reform.

Effect of multidisciplinary collaborations in control of peritoneal dialysis patients with hypertension / 中国实用护理杂志

Objective To explore the application effect of the multidisciplinary collaborations in control of peritoneal dialysis patients with hypertension. Methods A total of 220 cases of peritoneal dialysis patients divided into experimental group and control group (each group had 110 cases) according to the random number table. In which, the control group received routine capacity control and health education with a total of 105 patients finished the study. The experimental group received of multidisciplinary collaborations on the basis of routine capacity control and health education with a total of 107 patients finished the study. Observe changes with knowledge of drugs, medication compliance, self-management behavior and blood pressure of patients before and after the intervention respectively. Results In experimental group,the scores of drug knowledge, medication compliance and self-management behaviors were (0.93 ± 0.49), 0.00 (0.00, 0.25), (2.69 ± 0.25) points before the intervention, 6 months after the intervention were (1.17 ± 0.54), 0.25 (0.00, 0.50), (2.86 ± 0.15) points, the difference between the groups was statistically significant (t=38.60, Z=4.34, t= 2.45, P 0.05), there were statistically significant differences in self-management behavior (t=6.23, P 0.05); there was significant difference between the 2 groups after intervention (t=4.11, Z=4.03, t=4.34, P0.05);6 months after the intervention there was significant difference between the 2 groups (t=2.22, 2.72, P < 0.05 or 0.01). Conclusions Multidisciplinary collaborations have a significant role in patients with peritoneal dialysis, especially in blood pressure control, medication compliance and self-management behavior.

Transforming Public Health Education in India Through Networking and Collaborations: Opportunities and Challenges.

A competent and motivated health workforce is indispensable to achieve the best health outcomes possible through given available resources and circumstances. However, apart from the shortages and unequal distribution, the workforce has fallen short of responding to the public health challenges of 21st century also because of primarily the traditional training of health professionals. Although, health professionals have made enormous contributions to health and development over the past century, the 20th century educational strategies are unfi t to tackle 21st century challenges. One of the key recommendations of the Lancet Commission on Education of Health Professionals is to improve health through reforms of professional education by establishing networks and partnerships which takes advantage of information and communication linkages. The primary goal of this manuscript is to highlight the potential of networks and partnerships in advancing the agenda of educational reforms to revitalize public health education in India. It outlines the current status and expanding scope of public health education in India, existing networks of public health professionals and public health education institutions in the country, and opportunities, advantages and challenges for such networks. Although, we have networks of individuals and institutions in the country, there potential to bring about change has still not being utilized fully and effectively. Immediate collaborative efforts could be directed towards designing and adaptation of competency driven curriculum frameworks suitable of addressing public health challenges of 21st century, shifting the current focus of curriculum to multidisciplinary public health outlook, developing accreditation mechanisms for both the programs and institutions, engaging in creating job opportunities and designing career pathways for public health professionals in public and private sector. These efforts could certainly be facilitated through existing networks.

Collaboration at the Departmental, School, National and International Levels at the International Medical University, Kuala Lumpur

The nature, extent and definition of a collaboration varies between individuals, disciplines, departments and institutions. It depends upon such factors as the people involved, the nature of the research problem, the research environment, the institutional culture and demographic factors. This paper will examine the concept of collaborative research and discuss its place and position in an evolving university.

Global Health Education: International Collaboration at ICDDR,B.

The purpose of this commentary is to provide an overview of the growing interest in global health education at ICDDR,B and to review examples of how this has grown from public-health research and education to include clinical education (medical and nursing) as well. This parallels the growth of the institution, with an increased focus on educational linkages within and beyond Bangladesh and the rise in interest in global health at western medical schools. Specific collaborations, their setup and structure are described. This is presented as a model for other centres of excellence in developing countries to engage their partners in the South and North on matters of education and research for mutual cooperation and benefit.