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Health Planning For Indigenous Populations: A Rapid Evidence Review, David Loutfi, Susan Law, Chris McCutcheon, Robert Carlin, Jill Torrie, Mary Ellen Macdonald 2018 McGill University

Health Planning For Indigenous Populations: A Rapid Evidence Review, David Loutfi, Susan Law, Chris Mccutcheon, Robert Carlin, Jill Torrie, Mary Ellen Macdonald

The International Indigenous Policy Journal

Addressing health inequalities for Indigenous Peoples and communities is an urgent priority in Canada. The aim of this evidence review was to better understand the challenges and best practices of health planning for Indigenous populations. In total, 29 articles met our inclusion criteria, from which we distilled four main themes: (a) Managing health care in organizations serving Indigenous clientele; (b) Assessing Indigenous health needs and their related costs; (c) Toward cultural safety in health planning; and (d) Stakeholder participation in health planning. Our review indicates that while little has been published about challenges and best practices of health planning for ...


Recent Incidences And Trends Of The Top Five Cancers In Northeast Appalachian Tennessee, Adekunle Oke, Sylvester Olubolu Orimaye, Ndukwe Kalu, Faustine Williams 2018 East Tennessee State University

Recent Incidences And Trends Of The Top Five Cancers In Northeast Appalachian Tennessee, Adekunle Oke, Sylvester Olubolu Orimaye, Ndukwe Kalu, Faustine Williams

Appalachian Student Research Forum

Introduction: Cancer is the second leading cause of death in the United States (U.S.), after cardiovascular disease. Although there has been a continuous decline in cancer mortality rates in the U.S. over the past two decades, the Appalachian region, which extends through 13 states and 420 counties in the southeastern part of the U.S., has seen a lower decline in cancer mortality. From 1980-2014, cancer deaths decreased by almost 45%, but cancer mortality rates in rural Appalachia was 36% higher than for urban non-Appalachian counties. In terms of cancer-specific, although breast cancer mortality rates have also decreased ...


Evaluation Of A Peer Group Model Of Supervision For The Allied Health Workforce In Queensland: A Descriptive Overview, Susan C. Pager, Pim Kuipers, Karen Bell, Fiona Hall 2018 Metro South Health, Queensland

Evaluation Of A Peer Group Model Of Supervision For The Allied Health Workforce In Queensland: A Descriptive Overview, Susan C. Pager, Pim Kuipers, Karen Bell, Fiona Hall

Internet Journal of Allied Health Sciences and Practice

Purpose: An evaluation of a large scale implementation of a peer group model of professional supervision was conducted to inform service planning and guide policy and practice. A descriptive overview of the findings is presented. Method: Allied health staff trained in peer group supervision were surveyed about their experience of the model, its challenges and benefits. Interviews were also conducted with senior managers. Results: Analysis of 248 responses indicated that 72% of trained staff had participated in peer group supervision, and that these peer groups had continued for an average of 17.2 months. The majority of groups adhered to ...


Nortex Spring 2018 Newsletter, North Texas Primary Care Practice-Based Research Network 2018 University of North Texas Health Science Center

Nortex Spring 2018 Newsletter, North Texas Primary Care Practice-Based Research Network

North Texas Primary Care Practice-Based Research Network (NorTex) Newsletter

No abstract provided.


Lung Cancer Screening Provider Survey, Lindsay McFarren 2018 University of Southern Maine

Lung Cancer Screening Provider Survey, Lindsay Mcfarren

Muskie School Capstones

The purpose of this capstone project is to evaluate provider knowledge, attitudes, and behaviors around lung cancer screening in Maine. To evaluate these elements, a survey will be developed and administered to primary care physicians in Maine through three physician specialty societies. The survey will be developed keeping existing literature and previous studies of a similar nature in mind. This survey is being developed in collaboration with the Center for Outcomes Research and Evaluation (CORE), a branch of Maine Medical Center Research Institute. The Evidence- Based Public Health Framework will be used to outline and ground this capstone project.


Behavioral Determinants Of Exercise-Related Injury Prevention Program Participation, Emily M. Hartley 2018 Old Dominion University

Behavioral Determinants Of Exercise-Related Injury Prevention Program Participation, Emily M. Hartley

Health Services Research Dissertations

Lower extremity injuries are common among the physically active population. There are many negative consequences associated with these injuries which have led to a shift in clinical practice towards prevention. Exercise-related injury prevention programs (ERIPPs) were created to prevent musculoskeletal injuries that occur due to participation in physical activity. However, one of the major limitations to their effectiveness is the compliance of the users to complete the prescribed exercises. It is imperative to better understand the reasons why compliance is low to develop implementation strategies and improve compliance rates.

The overarching purpose of this dissertation was to gain a better ...


Evaluation Of Disparities In Healthcare Experiences Between Racial Identities And Age Cohorts, Christopher Ruckman, DNP, MBA, MSN, RN, CEN 2018 George Washington University

Evaluation Of Disparities In Healthcare Experiences Between Racial Identities And Age Cohorts, Christopher Ruckman, Dnp, Mba, Msn, Rn, Cen

Doctor of Nursing Practice Projects

Background: Healthcare consumers have their own perspectives and expectations of what should occur during an encounter of care; these unmet expectations create healthcare disparities. However, there is limited data regarding healthcare experiences among racial and aging groups.

Objectives: To compare the physical and emotional responses of healthcare experiences among racial/ethnic and aged cohorts in the United States.

Methods: Applying a descriptive-correlational design, secondary data from the 2014 Behavioral Risk Factor Surveillance System related to healthcare experiences among racial groups (White, Black, Hispanic, and Asian) and aged cohorts (18-39, 40-54, and 55- 69 years) were assessed.

Results: In the sample ...


Family Impact Seminar 2018: The Kids Are Not All Right: Policy Options To Address Youth Trauma In Massachusetts, Denise A. Hines Ph.D, Laurie Ross Ph.D, Marianne Sarkis Ph.D 2018 Clark University

Family Impact Seminar 2018: The Kids Are Not All Right: Policy Options To Address Youth Trauma In Massachusetts, Denise A. Hines Ph.D, Laurie Ross Ph.D, Marianne Sarkis Ph.D

Mosakowski Institute for Public Enterprise

Family Impact Seminars are a series of annual seminars, briefing reports, and discussion sessions that provide up-to-date, solution-oriented research on current issues for state legislators and their aides. The seminars provide objective, nonpartisan research on current issues and do not lobby for particular policies. Seminar participants discuss policy options and identify common ground where it exists.

The Kids are NOT All Right: Policy Options to Address Youth Trauma in Massachusetts is the ninth Massachusetts Family Impact Seminar. Today’s seminar is designed to emphasize a family perspective in policymaking on issues related to early intervention in childhood trauma, sex trafficking ...


Assessing The Readability Of Medical Documents: A Ranking Approach, Jiaping Zheng, Hong Yu 2018 University of Massachusetts Amherst

Assessing The Readability Of Medical Documents: A Ranking Approach, Jiaping Zheng, Hong Yu

Open Access Articles

BACKGROUND: The use of electronic health record (EHR) systems with patient engagement capabilities, including viewing, downloading, and transmitting health information, has recently grown tremendously. However, using these resources to engage patients in managing their own health remains challenging due to the complex and technical nature of the EHR narratives.

OBJECTIVE: Our objective was to develop a machine learning-based system to assess readability levels of complex documents such as EHR notes.

METHODS: We collected difficulty ratings of EHR notes and Wikipedia articles using crowdsourcing from 90 readers. We built a supervised model to assess readability based on relative orders of text ...


Understanding The Digital Gap Among Us Adults With Disability: Cross-Sectional Analysis Of The Health Information National Trends Survey 2013, Eun Ji Kim, Yiyang Yuan, Jane Liebschutz, Howard Cabral, Lewis Kazis 2018 Hofstra University

Understanding The Digital Gap Among Us Adults With Disability: Cross-Sectional Analysis Of The Health Information National Trends Survey 2013, Eun Ji Kim, Yiyang Yuan, Jane Liebschutz, Howard Cabral, Lewis Kazis

Open Access Articles

BACKGROUND: Disabilities affect more than 1 in 5 US adults, and those with disabilities face multiple barriers in accessing health care. A digital gap, defined as the disparity caused by differences in the ability to use advanced technologies, is assumed to be prevalent among individuals with disabilities.

OBJECTIVE: This study examined the associations between disability and use of information technology (IT) in obtaining health information and between trust factors and IT use. We hypothesized that compared to US adults without disabilities, those with disabilities are less likely to refer to the internet for health information, more likely to refer to ...


Evaluation Of The Accessibility Of Structured Exercise Programs For Pregnant Women: An Analysis Of Offerings At The Ymcas Of Massachusetts, Janelle Driscoll, Vidya Iyer, Ashley Medeiros, Shobhana Parameshwaran, Alissa Dangel 2018 Tufts University

Evaluation Of The Accessibility Of Structured Exercise Programs For Pregnant Women: An Analysis Of Offerings At The Ymcas Of Massachusetts, Janelle Driscoll, Vidya Iyer, Ashley Medeiros, Shobhana Parameshwaran, Alissa Dangel

Community Engagement and Research Symposia

The American Congress of Obstetrics and Gynecology recommends that exercise should be encouraged in women with uncomplicated pregnancies. Potential benefits of exercise include a decreased incidence of medical complications of pregnancy, including gestational diabetes and preterm labor. Additional benefits include decreased incidence of excessive maternal weight gain, cesarean sections and low birthweight of the newborn. The Massachusetts' rate of gestational diabetes was 4.7% in 2015 with 7.8% babies being born at low birth weight and 8.6% born preterm statewide. The aim of this project was to evaluate the availability of structured exercise programs tailored specifically to pregnant ...


Inclusion Of Evidence-Based Healthy Eating Policies In Community Health Improvement Plans: Findings From A National Probability Survey Of Us Local Health Departments, Meera Sreedhara, Karin V. Goins, Milagros C. Rosal, Stephenie C. Lemon 2018 University of Massachusetts Medical School

Inclusion Of Evidence-Based Healthy Eating Policies In Community Health Improvement Plans: Findings From A National Probability Survey Of Us Local Health Departments, Meera Sreedhara, Karin V. Goins, Milagros C. Rosal, Stephenie C. Lemon

UMass Worcester PRC Presentations

Introduction: Evidence-based healthy eating (HE) policies can increase opportunities to engage in a healthy diet. The adoption of evidence-based policies into practice is limited and no study reports the status of HE policies nationally. Community Health Improvement Plans (CHIPs) strategically address health priorities, steer evidence-based strategy selection and implementation, and require collaboration. Local health departments (LHDs) are often key stakeholders. We aimed to determine the proportion of LHDs with a CHIP having evidence-based HE policies.

Methods:A national probability survey of US LHDs serving populations of

Results: 44.1% (95%CI: 34.7-54.0%) of US LHDs with a CHIP ...


Patient Centeredness In Electronic Communication: Evaluation Of Patient-To-Health Care Team Secure Messaging, Timothy P. Hogan, Tana M. Luger, Julie E. Volkman, Mary Rocheleau, Nora Mueller, Anna M. Barker, Kim M. Nazi, Thomas K. Houston, Barbara G. Bokhour 2018 University of Massachusetts Medical School

Patient Centeredness In Electronic Communication: Evaluation Of Patient-To-Health Care Team Secure Messaging, Timothy P. Hogan, Tana M. Luger, Julie E. Volkman, Mary Rocheleau, Nora Mueller, Anna M. Barker, Kim M. Nazi, Thomas K. Houston, Barbara G. Bokhour

Quantitative Health Sciences Publications and Presentations

BACKGROUND: As information and communication technology is becoming more widely implemented across health care organizations, patient-provider email or asynchronous electronic secure messaging has the potential to support patient-centered communication. Within the medical home model of the Veterans Health Administration (VA), secure messaging is envisioned as a means to enhance access and strengthen the relationships between veterans and their health care team members. However, despite previous studies that have examined the content of electronic messages exchanged between patients and health care providers, less research has focused on the socioemotional aspects of the communication enacted through those messages.

OBJECTIVE: Recognizing the potential ...


Process Improvement Ensures High-Quality Disability Benefit Evaluation, Jody Simpson 2018 University of Massachusetts Medical School

Process Improvement Ensures High-Quality Disability Benefit Evaluation, Jody Simpson

Commonwealth Medicine Publications

Ongoing quality management and review of disability benefit evaluation processes and procedures is critical for state and municipal retirement system administrators. Public retirement systems may be challenged in these areas due to limited time and resources.

Working with a partner who is skilled in assisting organizations with all aspects of their medical review needs can ease the burden. UMass Medical School’s Disability Evaluation Services offers comprehensive disability evaluation solutions with a focus on quality improvement and client satisfaction. Having the clinical expertise to provide medical board review recommendations and case management is just one of our strengths.


Identifying Windows Of Opportunity For Active Living And Healthy Eating Policies In Connecticut, 2016, Anna E. Greer, Ann-Uriel Knausenberger 2018 Sacred Heart University

Identifying Windows Of Opportunity For Active Living And Healthy Eating Policies In Connecticut, 2016, Anna E. Greer, Ann-Uriel Knausenberger

Public Health Faculty Publications

We examined the relative importance of 23 community issues among elected officials and health directors in Connecticut in 2016. For this cross-sectional study, 74 elected officials (40.7% response rate) and 47 health directors (62.7% response rate), who were purposively sampled, completed a questionnaire to rate their perceived importance of 23 community issues. Eight of these issues were related to active living, healthy eating, or obesity. We used χ2 tests to evaluate differences in responses. Compared with elected officials, health directors significantly more often perceived obesity, access to healthy groceries, poor nutrition, lack of pedestrian walkways, and pedestrian safety ...


Residential Settings And Healthcare Use Of The Rural "Oldest-Old" Medicare Population, Nathan Paluso MPH, Zachariah Croll, Deborah Thayer MBA, Jean A. Talbot PhD, MPH, Andrew F. Coburn PhD 2018 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center,

Residential Settings And Healthcare Use Of The Rural "Oldest-Old" Medicare Population, Nathan Paluso Mph, Zachariah Croll, Deborah Thayer Mba, Jean A. Talbot Phd, Mph, Andrew F. Coburn Phd

Long-term Care

The aging of the baby boom generation is projected to dramatically increase the population aged 65 and older in the coming decades. In particular, those aged 85 and older (the ‘oldest old’) are expanding at a faster rate than any other age group and by 2050 are expected to make up 4.5 percent of the population, compared to 1.9 percent in 2012. Faster growth in the percentage of older people (65+) in rural than in urban areas is likely to challenge the healthcare and long term services and supports (LTSS) capacity in many rural communities.

This study used ...


Inadvertent Postoperative Hypothermia Prevention: Passive Versus Active Warming Methods, Jessica Watson 2018 Australian College of Perioperative Nurses (ACORN)

Inadvertent Postoperative Hypothermia Prevention: Passive Versus Active Warming Methods, Jessica Watson

Journal of Perioperative Nursing

Temperature management within the perioperative environment is an imperative component of and a standard of practice in providing effective patient safety and comfort. This literature review will explore the evidence surrounding the use of active and passive warming mechanisms in the prevention of postoperative hypothermia. Many studies have recognised the adverse consequences of inadvertent postoperative hypothermia, hence the rapid advancement in education about and use of equipment and devices for its prevention. Evidence-based literature was reviewed to provide rationales and recommendations for strategies to prevent postoperative hypothermia. This literature review will potentially guide clinicians through the use of effective devices ...


Reshaping Perioperative Nursing Practice To Get The Job Done: A Constructivist Grounded Theory Study, Sharon Bingham, Kenneth Walsh, Karen Ford 2018 Australian College of Perioperative Nurses (ACORN)

Reshaping Perioperative Nursing Practice To Get The Job Done: A Constructivist Grounded Theory Study, Sharon Bingham, Kenneth Walsh, Karen Ford

Journal of Perioperative Nursing

No abstract provided.


Recommended Practices For The Management Of Surgical Smoke And Bio-Aerosols For Perioperative Nurses In Thailand, Usavadee Asdornwised, Daranee Pipatkulchai, Suwat Damnin, Vitoon Chinswangwatanakul, Mongkol Boonsripitayanon, Sununtha Tonklai 2018 Australian College of Perioperative Nurses (ACORN)

Recommended Practices For The Management Of Surgical Smoke And Bio-Aerosols For Perioperative Nurses In Thailand, Usavadee Asdornwised, Daranee Pipatkulchai, Suwat Damnin, Vitoon Chinswangwatanakul, Mongkol Boonsripitayanon, Sununtha Tonklai

Journal of Perioperative Nursing

Evidence-based guidelines for the management of surgical smoke and bioaerosols for perioperative nurses are necessary to improve the quality of care for patients and to ensure a safe environment in operating rooms. A survey of 377 operating room (OR) nurses throughout Thailand was used to assess the incidence of health problems related to surgical smoke exposure, as well as the current practices for these substances. A high percentage of OR nurses reported little or no use of smoke evacuation tools such as central smoke evacuation systems (100 per cent), portable smoke evacuation units (82 per cent), wall suction with inline ...


Is Your Graduate Nurse Suffering From Transition Shock?, Erin Wakefield 2018 Australian College of Perioperative Nurses (ACORN)

Is Your Graduate Nurse Suffering From Transition Shock?, Erin Wakefield

Journal of Perioperative Nursing

The term ‘transition shock’ is a relatively new concept used to describe the experience of moving from the comfortable and familiar role of the preregistration nursing student to the professional registered nurse (RN)1. The initial and most dramatic stage in this theory of role adaption occurs over the first four months of professional practice.

Transition shock has foundational basis in Kramer’s theory of ‘reality shock,’ which describes the phenomenon of studying for many years to practice a particular role, and then finding the professional reality is different than expected. Reality shock has four phases – the honeymoon phase, the ...


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