ABSTRACT
By the time this issue of Nursing Children and Young People is published, the first nurses to go through revalidation will have submitted their applications to the Nursing and Midwifery Council (NMC).
Subject(s)
Certification , Education, Nursing, Continuing , Pediatric Nursing , Staff Development , Humans , United KingdomABSTRACT
African Americans account for 45% of new HIV infections in the United States. Little empirical research investigates African American community leaders' normative recommendations for addressing these disparities. Philadelphia's HIV infection rate is 5 times the national average, nearly 70% of new infections are among African Americans, and 2% of African Americans in Philadelphia are living with HIV/AIDS. Using a community-based participatory research approach, we convened focus groups among 52 African American community leaders from diverse backgrounds to solicit normative recommendations for reducing Philadelphia's racial disparities in HIV infection. Leaders recommended that (a) Philadelphia's city government should raise awareness about HIV/AIDS with media campaigns featuring local leaders, (b) local HIV-prevention interventions should address social and structural factors influencing HIV risks rather than focus exclusively on mode of HIV transmission, (c) resources should be distributed to the most heavily affected neighborhoods of Philadelphia, and (d) faith institutions should play a critical role in HIV testing, treatment, and prevention efforts. We developed a policy memo highlighting these normative recommendations for how to enhance local HIV prevention policy. This policy memo led to Philadelphia City Council hearings about HIV/AIDS in October 2010 and subsequently informed local HIV/AIDS prevention policy and development of local HIV prevention interventions. This community-based participatory research case study offers important lessons for effectively engaging community leaders in research to promote HIV/AIDS policy change.
Subject(s)
Black or African American , HIV Infections/ethnology , HIV Infections/therapy , Acquired Immunodeficiency Syndrome/ethnology , Acquired Immunodeficiency Syndrome/therapy , Community-Based Participatory Research , Focus Groups , HIV Infections/prevention & control , Health Knowledge, Attitudes, Practice , Health Status Disparities , Humans , Philadelphia , Religion , United StatesABSTRACT
Last month the King's Fund named the successful applicants - 19 NHS trusts and one prison - that will share £1 million under a new programme to improve end-of-life care. Facilities for families and visitors, dedicated bereavement suites and refurbished mortuary viewing facilities are highlighted.
ABSTRACT
Healthcare planning seems beset with problems at all hierarchical levels. These are caused by the 'soft' nature of many of the issues present in healthcare planning and the high levels of complexity inherent in healthcare services. There has, in recent years, been a move to utilize systems thinking ideas in an effort to gain a better understanding of the forces at work within the healthcare environment and these have had some success. This paper argues that systems-based methodologies can be further enhanced by metrication and modeling which assist in exploring the changed emergent behavior of a system resulting from management intervention. The paper describes the Holon Framework as an evolving systems-based approach that has been used to help clients understand complex systems (in the education domain) that would have application in the analysis of healthcare problems.
Subject(s)
Health Planning/methods , Systems Analysis , Humans , Information Systems , Software , Systems TheoryABSTRACT
Thousands of older people are abused in their home every year, new research has confirmed.
